Comparing laparoscopic and open inguinal hernia repair in octogenarians

Hope, William W.; Bools, Lindsay M.; Menon, Anand; Scott, Charles F.; Adams, Ashley; Hooks, W. Borden

doi:10.1007/s10029-012-1013-3

Cited by 34 publications

(27 citation statements)

References 17 publications

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“…In comparison, the rates of recurrence are similar in laparoscopic repair and open mesh repair. However, the recurrence rates are higher in laparoscopic cases if performed by a less experienced surgeon [21].…”

Section: Laparoscopic Inguinal Hernia Repairmentioning

confidence: 99%

“…Inguinal hernia repair remains a divided issue among general surgeons with no significant difference in the quality of repair between open and laparoscopic approaches [20,21]. The open procedure involves a single inguinal incision, usually extending about 10cm in length, and a tension-free "plug and patch" method of herniorraphy [20].…”

Section: Laparoscopic Inguinal Hernia Repairmentioning

confidence: 99%

“…The TEP approach, the more common of the two, uses three laparoscopic incisions in the lower midline in the abdomen, and places a piece of mesh into the defect without entering the peritoneal cavity. The benefits of the laparoscopic approach include improved decreased postoperative pain, decreased risk of chronic pain, and a faster return to work and daily activities [20,21]. However, the initial enthusiasm for the laparoscopic approach has been replaced by a more judicious utilization of the technique, which has been shown to be preferable in recurrent and bilateral inguinal hernias.…”

Section: Laparoscopic Inguinal Hernia Repairmentioning

confidence: 99%

“…However, the initial enthusiasm for the laparoscopic approach has been replaced by a more judicious utilization of the technique, which has been shown to be preferable in recurrent and bilateral inguinal hernias. This trend is the result, in part, to multiple factors including increased cost and a relatively long learning curve [21].…”

Section: Laparoscopic Inguinal Hernia Repairmentioning

confidence: 99%

“…The rate of hernia recurrence after suture (Shouldice) repair is about 10% [20,21]. The placement of mesh (Lichtenstein) for a "tension-free" repair decreases this risk to about 1% [21].…”

Section: Laparoscopic Inguinal Hernia Repairmentioning

confidence: 99%

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Laparoscopic Surgery in the Elderly: A Review of the Literature

Bates¹,

Divino²

2015

Aging and disease

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Laparoscopic techniques are gradually replacing many common surgical procedures that are performed in an increasingly aging population. Laparoscopy places different physiologic demands on the body than in open surgery. PubMed was searched for evidence related to the use of laparoscopy in the elderly population to treat common surgical pathologies. Randomized trials, systematic reviews, and metaanalyses were preferred. Currently, over 40% of all surgeries performed in the U.S. are on patients older than 65 years. By the end of the 21st century, Americans are expected to live 20 years longer than the current average. However, elderly patients clearly show higher rates of surgical morbidity and mortality overall. Laparoscopic techniques show decreased wound complications, post-operative ileus, intraoperative blood loss, and reduced need for post-operative rehabilitation. In conclusion, laparoscopic surgery is safe in the elderly population and affords multiple advantages including decreased pain and convalescence. However, the physiology of laparoscopy places demands on elderly patients that typically present with more medical comorbidities.

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Section: Laparoscopic Inguinal Hernia Repairmentioning

confidence: 99%

Section: Laparoscopic Inguinal Hernia Repairmentioning

confidence: 99%

Section: Laparoscopic Inguinal Hernia Repairmentioning

confidence: 99%

Section: Laparoscopic Inguinal Hernia Repairmentioning

confidence: 99%

“…The rate of hernia recurrence after suture (Shouldice) repair is about 10% [20,21]. The placement of mesh (Lichtenstein) for a "tension-free" repair decreases this risk to about 1% [21].…”

Section: Laparoscopic Inguinal Hernia Repairmentioning

confidence: 99%

See 3 more Smart Citations

Laparoscopic Surgery in the Elderly: A Review of the Literature

Bates¹,

Divino²

2015

Aging and disease

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Incidence of postoperative complications in transabdominal preperitoneal repair for groin hernia is influenced by poor performance status rather than by old age

Egawa

Nakamura

Manabe

et al. 2019

Annals of Gastroent Surgery

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Aim The present study was designed to evaluate the safety and feasibility of transabdominal preperitoneal (TAPP) repair for very old patients with groin hernia and to identify the risk factors predicting perioperative complications. Methods A total of 140 patients treated by TAPP were reviewed retrospectively. They were divided into two groups: patients ≥80 years of age (≥80 years group; n = 26) and those <80 years of age (<80 years group; n = 114). Patient characteristics and surgical outcomes were then statistically compared between the two groups. Results Number of patients with any comorbidities was significantly higher in the ≥80 years group than in the <80 years group (96.2% vs 61.4%, P = 0.003). There were no significant differences in surgical outcomes between the two groups. In the univariate analysis of perioperative complications, poor performance status (PS) (P = 0.014), lower hemoglobin level (P = 0.038) and lower albumin level (P = 0.016) were significantly associated with the occurrence of postoperative complications, and multivariate analysis showed that only poor PS was an independent factor (PS 0‐2 vs 3‐4: P = 0.034, OR 5.192 [95% CI; 1.137 to 23.71]). Conclusions This is the first report to show that the incidence of postoperative complications in TAPP repair for groin hernia is influenced by poor PS rather than old age. TAPP can be a safe surgical procedure for very old patients with a good PS, with benefits that are equal to those in young patients.

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The impact of laparoscopic versus open inguinal hernia repair for inguinal hernia treatment: A retrospective cohort study

Zhao

Wang

et al. 2023

Health Science Reports

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Objectives Although laparoscopic inguinal hernia repair (LIHR) has been widely accepted for treating inguinal hernia, the procedure remains very technical and challenging. The present study aimed to assess the effect of LIHR in relation to operation time, intraoperative hemorrhage and postoperative hospitalization. Methods A total of 503 patients with inguinal hernia admitted at the Wuxi Rehabilitation Hospital between June 2019 and July 2021 were included in this retrospective cohort study. Binary logistic and linear regressions were used for categorical and continuous outcomes, respectively. The learning curve was drawn by cumulative sum analysis. Results Multivariate logistic regression analysis identified LIHR as an independent factor associated with prolonging operation time (odd ratio [OR] = 1.750, 95% confidence interval [CI]: 1.215−2.520, p = 0.003) and decreasing intraoperative hemorrhage levels (OR = 0.079, 95 CI: 0.044−0.142, p < 0.001). Multivariate linear regression identified LIHR (Coefficient = −0.702, 95% CI: [−1.050] to [−0.354], p < 0.001) as an independent factor for shortening postoperative hospitalization time. After learning curve, LIHR (OR = 1.409, 95% CI: 0.948 to 2.094, p = 0.090) no longer resulted as a risk factor prolonging operation time. Conclusions LIHR is an important independent predictive factor for decreasing intraoperative hemorrhage levels and shortening postoperative hospitalization time. Additionally, LIHR does not prolong operation time after the learning curve.

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Comparing laparoscopic and open inguinal hernia repair in octogenarians

Abstract: Despite subtle differences between the laparoscopic and open approaches to inguinal hernia repairs in octogenarians, both procedures are safe with similar outcomes.

Cited by 34 publications

References 17 publications

Laparoscopic Surgery in the Elderly: A Review of the Literature

Laparoscopic Surgery in the Elderly: A Review of the Literature

Incidence of postoperative complications in transabdominal preperitoneal repair for groin hernia is influenced by poor performance status rather than by old age

The impact of laparoscopic versus open inguinal hernia repair for inguinal hernia treatment: A retrospective cohort study

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