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Erschienen in:
01.12.2011 | Original Article
Laparoscopic versus open inguinal hernia repair in octogenarians
Erschienen in: Hernia | Ausgabe 6/2011
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Purpose
This retrospective chart review was designed to compare outcomes for open and laparoscopic repair of inguinal hernias in the population over the age of 80.
Methods
A retrospective chart review was conducted for 104 patients over 80 years old who underwent inguinal hernia repair (2005–2008) at The Mount Sinai Medical Center. Patients were grouped into laparoscopic or open repair cohorts and compared accordingly.
Results
The open group (n = 73) and the laparoscopic group (n = 31) had mean ages of 84 and 83 years, respectively. The mean American Society of Anesthesiologists score was 2.6 for the open cohort and 2.3 for the laparoscopic group (P < 0.05). Peri-operative complications in the open and laparoscopic groups were not found to be statistically significant. There was no mortality in either group.
Conclusions
With octogenarians, laparoscopic inguinal hernia repair can be performed as a safe alternative to open repair with comparable rates of morbidity and mortality.