Document Detail


Incarcerated inguinal hernias surgical treatment specifics in elderly patients.
MedLine Citation:
PMID:  23050402     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND/AIM: Incarcerated inguinal hernias surgical treatment represents one of the most frequent surgical treatments in elderly patients. The percentage of incarcerated inguinal hernias urgent surgical treatments is growing exponentially with the age in patients over 50. The aim of the study was to investigate some of the factors that may have impact on the incarcerated inguinal hernias surgical treatment outcome in elderly patients.
METHODS: The study included 180 patients classified in two groups: the study group (> 65 years of age) and the control group (< or = 65), managed in the period from January 2005 till March 2009 at the General Surgery Clinic, Clinical Center Nis.
RESULTS: Most of the patients had right inguinal hernia (52.6%, the study group; 59.1%, the control group). All the study group patients suffered from some of accompanying chronic diseases (100%), opposite to 39 (59%) patients of the control group. Synthetic material was implanted in 124 (68.90%) patients, while the tension technique was performed in 65 (31.1%) patients. The duration of incarceration more than 24 h (p = 0.015), previous abdominal surgery (p = 0.001), the American Society of Anesthesiologists physical status classification system (ASA classification) (p = 0.033) and the presence of chronic diseases (p = 0.01) appeared to be statistically significant risk factors for performing intestinal resection in the study group, while in the control group they represented risk factors, but not at the level of statistical significance (p < 0.05), except for the duration of incarceration (p = 0.007). A higher ASA stage (p = 0.001) and the presence of bowel resection (p <0.001) are the most important risk factors for lethal outcome in both groups of patients.
CONCLUSION: Incarcerated inguinal hernia in elderly patients is a serious problem. A higher ASA score and the presence of bowel resection are the most important factors related to unfavorable outcome.
Authors:
Ivan Pesić; Aleksandar Karanikolić; Nebojsa Djordjević; Miroslav Stojanović; Goran Stanojević; Milan Radojković; Milica Nestorović
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Vojnosanitetski pregled. Military-medical and pharmaceutical review     Volume:  69     ISSN:  0042-8450     ISO Abbreviation:  Vojnosanit Pregl     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-10-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  21530700R     Medline TA:  Vojnosanit Pregl     Country:  Serbia    
Other Details:
Languages:  eng     Pagination:  778-82     Citation Subset:  IM    
Affiliation:
General Surgery Clinic, Clinical Center Nis, Nis, Serbia. sicpeni@yahoo.co.uk
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