Rørbaek-Madsen M
Department of Surgery A, Herning Central Hospital, Denmark.
Eur J Surg. 1992 Nov-Dec;158(11-12):591-4.
To find out the morbidity and mortality after repair of groin hernias in patients aged 80 years or more, and to identify factors that add to the risk of hernia repair.
Prospective open study.
All general surgical departments in Ringkøbing County, Denmark.
All 39 patients aged 80 years and over who were admitted with hernias during a one year period (1990).
Morbidity and mortality.
Three patients refused operation, and of the remaining 36, 15 (42%) were admitted as emergencies (5 of whom were already waiting for elective repair of their hernias). The median age was 84 years (range 80-90) and 23 (64%) were men, 31 patients had inguinal hernias, 4 had femoral hernias, and one an obturator hernia. There were six major and two minor complications after 14 emergency operations (57%), and one minor complication after 22 elective operations (5%, p = 0.0007). Two patients died, both after emergency operations (14%).
Elective hernia repair can be carried out safely even in the presence of serious coexisting disease, and emergency hernia repair carries a high risk of complications even in the absence of coexisting disease.
了解80岁及以上患者腹股沟疝修补术后的发病率和死亡率，并确定增加疝修补风险的因素。
前瞻性开放性研究。
丹麦灵克宾县所有普通外科科室。
1990年一年内因疝入院的所有39例80岁及以上患者。
发病率和死亡率。
3例患者拒绝手术，其余36例中，15例（42%）为急诊入院（其中5例已在等待择期疝修补）。中位年龄为84岁（范围80 - 90岁），23例（64%）为男性，31例患者患有腹股沟疝，4例患有股疝，1例患有闭孔疝。14例急诊手术后有6例主要并发症和2例次要并发症（57%），22例择期手术后有1例次要并发症（5%，p = 0.0007）。2例患者死亡，均为急诊手术后（14%）。
即使存在严重的并存疾病，择期疝修补也可安全进行，而急诊疝修补即使在无并存疾病的情况下也有较高的并发症风险。
