Hernia repair in elderly patients.

摘要: Background This study evaluates a 5-year experience of the management most frequent abdominal wall hernias in an elderly population. Methods From April 1990 to December 1995, 231 inguinal, 12 femoral and seven umbilical were repaired 221 patients (mean age 74 (range 66–93) years). Concomitant diseases present 157 patients, A mesh repair was performed with ‘tension-free’ or ‘plug’ techniques all but 23 inguinal two femora! hernia repairs, which Bassini Shouldice procedures adopted. Ten emergency repairs for strangulation. total 232 operations, including four carried out under local anaesthesia. Results There no perioperative mortality. Acute intestinal bleeding occurred 2 days after surgery patient colonic diverticular disease. Urinary retention once following general anaesthesia twice elective anaesthesia. Local complications included scrotl haematomas (2 per cent), three wound infections (1 cent) one case orchitis atrophy recurrent hernia. recurrence herniorrhaphy. No observed repair. Conclusion anaesthetic is safe effective patients. Age should be bar repair. policy avoid operation.