Inguinal hernia repair in patients under and over 65 years of age: a district general hospital experience

Musbahi, Aya; Abdulhannan, Peshang; Nugud, Omar; Garud, T

doi:10.17159/2078-5151/2020/v58n1a2900

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…A possible limitation of this study may be that the mean ages of the two groups compared were different, with younger patients in the TAPP group. However, there are studies in the literature that argue that age and gender do not have much of an impact as long as the surgeon uses the most appropriate methods for the patient's problems [ 35 ]. While the patients were assigned randomly to one or another study group, this is a prospective study.…”

Section: Discussionmentioning

confidence: 99%

Transabdominal Preperitoneal Versus Lichtenstein Procedure for Inguinal Hernia Repair in Adults: A Comparative Evaluation of the Early Postoperative Pain and Outcomes

Dumitrescu¹,

Serban²,

Costea³

et al. 2023

Cureus

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Inguinal hernia repairs are one of the most common procedures in general surgery. In addition to classical open surgery, laparoscopic techniques, such as transabdominal preperitoneal (TAPP) and total extraperitoneal (TEP) hernia repair, have gained acceptance and are increasingly used for inguinal hernia repairs, and these three techniques are the only standards for inguinal hernia repairs. This study aimed to compare the results of inguinal hernia repairs in adult patients using the TAPP patch technique and Lichtenstein techniques regarding the level of pain perceived one day after surgery and the number of days of hospitalization. A two-year study was performed on 129 patients who underwent TAPP vs. 109 patients who underwent Liechtenstein hernia repair. Our results revealed statistical significance for both variables (Tpain(233) = -7.12, p< 0.001, d=2.92; Tdays of hospitalization(233) = -31.34, p< 0.001, d=4.01). TAPP is a safe method for inguinal hernia repairs, allowing quick recovery and less postoperative pain than the classical Liechtenstein technique.

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Section: Discussionmentioning

confidence: 99%

Transabdominal Preperitoneal Versus Lichtenstein Procedure for Inguinal Hernia Repair in Adults: A Comparative Evaluation of the Early Postoperative Pain and Outcomes

Dumitrescu¹,

Serban²,

Costea³

et al. 2023

Cureus

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“…A major risk contributing to this increased incidence in older adults 3 is due to progressive weakening of the abdominal wall with age 4 . The presence of other age‐related comorbidities which leads to increased intra‐abdominal pressure, such as chronic obstructive pulmonary disease, 5 is also a common contributing factor.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic versus open groin hernia repair in older adults: a systematic review and meta‐analysis

Pang

Wong

2022

ANZ Journal of Surgery

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Background: Groin hernia repair is a common surgical procedure and includes both open and laparoscopic techniques. Studies comparing outcomes of laparoscopic versus open groin hernia repair specifically in the geriatric population are lacking. This study compares the outcomes of laparoscopic versus open groin hernia repair techniques in older adults. Methods: A literature search was conducted in each of the five selected databases up till June 2021: PubMed (MEDLINE), EMBASE, CINAHL, Cochrane and PsychInfo (OVID).Outcomes measured included but were not limited to total length of hospital stay, mean total operative time, intraoperative complications, post-operative complications such as wound infection, seroma formation, chronic pain, mesh infection and recurrence of inguinal hernia. Results: A total of five articles were included in the final analysis. The length of postoperative hospitalization stay was shorter in patients who underwent laparoscopic hernia repair (95% CI: À1.50 to À0.72; P < 0.01, I 2 = 79%). The laparoscopic repair group had a significantly smaller number of patients who sustained postoperative wound infections (95% CI: 0.02 to 0.47; P = 0.003, I 2 = 0%), and lower incidence of chronic pain (95% CI: 0.14 to 0.37, P < 0.01, I 2 = 46%). Analysis of the remaining outcomes did not reveal any statistically significant differences between open and laparoscopic hernia repair. Conclusions: The results of this analysis showed a shorter length of stay, lower wound infection rates and lower chronic pain with laparoscopic groin hernia repair as compared to open repair in older adults. Future prospective studies examining the impact of age on the relationship between surgical approach (open versus laparoscopic) and surgical outcomes are needed.

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“…An incarcerated inguinal hernia term is one in which the contents are no longer reducible, and the term strangulation accommodates for ischemic contents 12 . Even though we are in an era based on high technology and technological improvement, patient-related factors are still yielding to increased mortality in patients who have strangulated AWH and need emergent surgery like in the past decades regardless of developed and underdeveloped countries 11,[13][14][15][16] . There is no alternative treatment of hernia; operation should be held as soon as possible in emergent situations; morbidity and mortality rates of incarcerated AWH are higher than elective surgery 10 .…”

Section: Introductionmentioning

confidence: 99%

Presentación de emergencia de las hernias de la pared abdominal: factores que afectan las resecciones y las complicaciones del sitio quirúrgico en escenarios agudos complejos

Eyvaz¹,

Gökçeimam²

2022

CIRU

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Objective: Abdominal wall hernias (AWH) may turn into a complex condition in terms of emergency. This study aims to evaluate the factors which may lead emergency AWH operation to complex surgery. Materials and methods: Univariate and multivariate regression analysis is performed to determine independent factors affecting tissue resection, bowel resection, and surgical-site complications. Results: The type of hernia, time, and content of hernia are independent factors for tissue resection. The time elapsed from the onset of complaints to surgery and comorbid diseases are independent factors for bowel resection. Similarly, the time elapsed from the onset of complaints to surgery and bowel presence in hernia is independent risk factors for surgical-site complications. Conclusion: Patients who are operated later than 6 h after the onset of complaints and have comorbidity are more complex surgery.

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Inguinal hernia repair in patients under and over 65 years of age: a district general hospital experience

Cited by 4 publications

References 20 publications

Transabdominal Preperitoneal Versus Lichtenstein Procedure for Inguinal Hernia Repair in Adults: A Comparative Evaluation of the Early Postoperative Pain and Outcomes

Transabdominal Preperitoneal Versus Lichtenstein Procedure for Inguinal Hernia Repair in Adults: A Comparative Evaluation of the Early Postoperative Pain and Outcomes

Laparoscopic versus open groin hernia repair in older adults: a systematic review and meta‐analysis

Presentación de emergencia de las hernias de la pared abdominal: factores que afectan las resecciones y las complicaciones del sitio quirúrgico en escenarios agudos complejos

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