Tingwald G R, Cooperman M
Surg Gynecol Obstet. 1982 May;154(5):704-6.
In a five year period, 62 patients aged 70 to 91 years underwent operative inguinal hernial repair. Other significant ailments were present in 46 of the 51 men and six of the 11 women. Postoperatively, complications occurred in 16 patients, four of whom died. In 44 patients with reducible hernia undergoing elective repair, there were no deaths and complications occurred in eight, while, in contrast, of the 18 with incarcerated or strangulated hernia, complications occurred in ten, and four died. The differences statistically significant. Local anesthesia was associated with the lowest complication rate. All cardiovascular complications and all deaths occurred in those receiving either general or spinal anesthesia. Inguinal herniorrhaphy can be safely performed in geriatric patients. Because of high morbidity and mortality associated with incarceration, elective repair of inguinal hernia under local anesthesia should be done whenever possible.
在五年期间，62例年龄在70至91岁的患者接受了腹股沟疝手术修补。51名男性中的46名和11名女性中的6名存在其他重大疾病。术后，16例患者出现并发症，其中4例死亡。在44例行择期修补术的可复性疝患者中，无死亡病例，8例出现并发症，而相比之下，18例嵌顿性或绞窄性疝患者中，10例出现并发症，4例死亡。差异具有统计学意义。局部麻醉的并发症发生率最低。所有心血管并发症和所有死亡病例均发生在接受全身麻醉或脊髓麻醉的患者中。腹股沟疝修补术在老年患者中可安全进行。由于嵌顿相关的高发病率和死亡率，应尽可能在局部麻醉下对腹股沟疝进行择期修补。
