Study of tension-free hernia repair techniques for aged patients with inguinal hernia

Ke Gong, MD, Gong Liu, MD, Nengwei Zhang, MD, Bin Zhu, MD, Dexiao Du, MD

Beijing Shijitan Hospital affiliated to Capital Medical University

Objectives: To evaluate the tension-free hernia repair techniques for aged patients suffering from inguinal hernia.

Methods: Between Jan. 2007 and Jan.2012, 173 aged patients diagnosed with inguinal hernia undertook open tension-free mesh-plug and patch or totally extraperitoneal hernioplasty (TEP) in Beijing shijitan Hospital affiliated to Capital Medical University, the clinical data were collected and compared. Results Of the 173 patients, the mean age of the patients was 64 ± 5years (range, 60–93 years), 91 undertook open tension-free mesh-plug hernia repair (open group) and 82 had TEP (TEP group). The average operating time for the patients in the open group was significantly shorter compared to the TEP group (t=4.545,P=0.000) and the cost involved in the open group was also significantly lower than the TEP group (t=9.351,P=0.000). However, the pain scores in the open group at 24h and 1 week after surgery were significantly higher than the TEP group (t=-10.130?-8.768,P=0.000?P=0.000) and the hospital stay was significantly longer in the open group (t=-4.590,P=0.000) compared to the TEP group. The patients were followed up for a mean time of 14 months. No major complications and recurrence was found in all patients.

Conclusions: This research concludes that open tension-free mesh-plug hernia repair and TEP are safe and effective to treat the aged patients with inguinal hernia. TEP is less postoperative pain and shorter hospital stay, it is a preferable choice of the surgical procedure, especially for bilateral inguinal hernia repair. Moreover, we think open tension-free hernia repair procedure is still an ideal option considering its lower cost, short learning period, especially for aged patients who are intolerance of general anesthesia or CO2 pneumoperitoneum.


Session: Poster Presentation

Program Number: P272

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