老年日间手术腹股沟疝修补术：单中心经验
Day-surgery inguinal hernia repair in the elderly: single centre experience.
作者信息
Amato Bruno, Compagna Rita, Fappiano Francesca, Rossi Roberto, Bianco Tommaso, Danzi Michele, Accurso Antonello, Serra Raffaele, Aprea Giovanni, Massa Salvatore
出版信息
BMC Surg. 2013;13 Suppl 2(Suppl 2):S28. doi: 10.1186/1471-2482-13-S2-S28. Epub 2013 Oct 8.
Abstract
BACKGROUND
Inguinal hernioplasty is well established as a day-surgery procedure, our purpose is to assess the safeness of this approach in elderly patients.
METHODS
A total of 292 inguinal hernioplasty were performed between June 2009 and February 2013. Patients were divided into 3 groups depending on the age and postoperative complications were compared in these groups.
RESULTS
Despite of a large number of higher risk (ASA 3-4) patients and a higher rate of comorbidity in older patients, unplanned admission postoperative, symptoms and complications were comparable with those for the younger patients.
CONCLUSIONS
Ambulatory surgery is feasible also in older patients. Age, comorbidity and higher ASA risk should not be a barrier to elective day surgery.
摘要
背景
腹股沟疝修补术作为一种日间手术已得到广泛认可，我们的目的是评估该方法在老年患者中的安全性。
方法
2009年6月至2013年2月期间共进行了292例腹股沟疝修补术。根据年龄将患者分为3组，并比较这些组的术后并发症。
结果
尽管有大量高风险（美国麻醉医师协会3 - 4级）患者且老年患者合并症发生率较高，但术后非计划入院、症状及并发症与年轻患者相当。
结论
门诊手术在老年患者中也是可行的。年龄、合并症及较高的美国麻醉医师协会风险不应成为选择性日间手术的障碍。
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