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3 - Outcomes of geriatric patients who underwent incarcerated inguinal hernia repair
Rıza Gürhan Işıl, Pınar Yazıcı, Uygar Demir, Cemal Kaya, Özgür Bostancı, Ufuk Oğuz İdiz, Canan Tülay Işıl, Mehmet Mihmanli
Objective: Comorbidities in geriatric patients increase the surgical risk. Inguinal hernias are more prone to incarceration in geriatric patients compared to young patients. In this study, we aimed to evaluate the outcomes of geriatric patients, who underwent surgery for incarcerated inguinal hernia.
Material and Methods: Between January 2010 and December 2014, chart reviews of patients with inguinal hernia were retrospectively performed. Data of patients older than 65 years who underwent inguinal hernia repair due to incarceration were included in this study. Demographics, surgical data, postoperative period, length of hospital stay, morbidity and mortality were recorded.
Results: Data of 72 patients were included in this study. 73% of the patients were male, and the mean age was 77±7 years; 25% of patients were with American Society of Anesthesiologists Scoring System (ASA) III, 70% were with ASA IV and 5% were with ASA V. Additional intestinal resection was required in 21% of the patients. Seventy-one patients were transferred to the postoperative intensive care unit. Postoperative complication rate was 24%, and overall mortality rate was 11%, Mortality rate was 25%, in patients with ASA V, 16% in patients with ASA IV. Length of intensive care and hospital stay was highest in patients with ASA IV (5.18±12.74 and 9.64±14.35 days, respectively).
Conclusions: Morbidity and mortality rate were observed higher in geriatric patients, who underwent inguinal hernia repair due to incarceration. Therefore, careful preoperative preparation should be done in these patients. the patients should underwent elective surgery, and patient and relatives should be informed about morbidity and mortality.
Keywords: Geriatric patients, inguinal hernia, incarceration, surgical repair
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