网塞平片无张力修补术治疗老年腹股沟疝
Tension-free by mesh-plug technique for inguinal hernia repair in elderly patients.
机构信息
Second Propedeutical Department of Surgery, Medical School, Aristotle University of Thessaloniki,Hippocration Hospital, Constantinople, Thessaloniki, Greece.
出版信息
Scand J Surg. 2010;99(3):137-41. doi: 10.1177/145749691009900307.
BACKGROUND
elderly patients are steadily becoming a growing part of the population. The aim of this study is to evaluate the outcome of open inguinal hernia repair in patients aged over 65 years.
METHODS
from January 1999 to December 2008, a total of 719 patients underwent open tension-free inguinal hernia repair with mesh-plug; 301 among them were ≥ 65 years old.
RESULTS
elderly patients had a mean age of 72.4 years (women 3.3%), while the mean age of younger patients was 48.7 years (women 5.7%). According to the ASA score, patients aged ≥ 65 years were at significantly higher risk than the younger patients. Spinal anesthesia was used most frequently in both groups. No significant differences were found in postoperative pain, mortality and recurrence. Morbidity and hospital stay were significantly higher in patients aged ≥ 65 years.
CONCLUSIONS
open hernia repair in the elderly is safe and well tolerated, but it is associated with higher morbidity and longer hospitalization.
背景
老年患者在人口中所占比例稳步上升。本研究旨在评估 65 岁以上患者行开放式无张力腹股沟疝修补术的效果。
方法
1999 年 1 月至 2008 年 12 月，共有 719 例患者行网塞平片开放式无张力腹股沟疝修补术，其中 301 例患者年龄≥65 岁。
结果
老年患者的平均年龄为 72.4 岁（女性 3.3%），而年轻患者的平均年龄为 48.7 岁（女性 5.7%）。根据 ASA 评分，≥65 岁的患者比年轻患者的风险显著更高。两组患者最常采用椎管内麻醉。术后疼痛、死亡率和复发率无显著差异。≥65 岁的患者发病率和住院时间明显更高。
结论
老年患者行开放式疝修补术安全且耐受性良好，但与更高的发病率和更长的住院时间相关。
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