Outcomes of laparoscopic transabdominal preperitoneal hernia repair in the elderly population: a retrospective cohort study.

IF 1.6 4区医学 Q2 SURGERY

Videosurgery and Other Miniinvasive Techniques Pub Date : 2024-09-20 eCollection Date: 2024-10-16 DOI:10.20452/wiitm.2024.17899

Dawid Golik, Krzysztof Jędras, Przemysław Sroczyński, Grzegorz Dobkowski, Michał R Janik

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引用次数: 0

Abstract

Introduction: Hernia repair is a common procedure, especially among the elderly. In the face of rising life expectancy, adequate hernia management in older adults is crucial. Laparoscopic transabdominal preperitoneal patch plasty (TAPP) for hernia repair is minimally invasive, but poses challenges in the elderly due to a larger number of comorbidities.

Aim: The aim of this study was to evaluate the safety and efficacy of TAPP hernia repair in patients aged 70 years and older.

Materials and methods: Our retrospective study reviewed data of patients who underwent elective unilateral TAPP repair for primary inguinal hernia between September 2021 and December 2023. The patients were divided by age: 70 and older (cases) and younger than 70 (controls). Primary outcomes included recurrence rate, surgical site infections (SSIs), operative time, and hospital stay. Data were analyzed with descriptive statistics and inferential tests.

Results: The study included 201 patients (47 cases and 154 controls). The mean (SD) age was 75.74 (4.73) years for the cases and 53.47 (12.8) years for the controls. No recurrences were found in the elderly (cases) group, while the control group recorded a 3.92% recurrence rate (P = 0.34). SSIs affected 2.13% of the cases and 1.31% of the controls (P = 0.55). Operative times were similar (71.44 vs 71.96 min; P = 0.8). Hospital stay was 3.11 days for the cases and 3.04 days for the controls (P = 0.14).

Conclusions: Laparoscopic TAPP hernia repair is a safe and effective procedure in the elderly and its outcomes are comparable to those recorded in younger patients. Further studies are needed to validate these results.

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简介疝气修补术是一种常见的手术，尤其是在老年人中。随着预期寿命的延长，对老年人进行适当的疝气治疗至关重要。腹腔镜经腹腹膜前补片成形术（TAPP）用于疝修补术是一种微创手术，但由于老年人合并症较多，因此对他们来说是一项挑战。目的：本研究旨在评估 70 岁及以上患者接受 TAPP 疝修补术的安全性和有效性：我们的回顾性研究回顾了 2021 年 9 月至 2023 年 12 月期间接受选择性单侧 TAPP 修补术治疗原发性腹股沟疝的患者数据。患者按年龄分为：70 岁及以上（病例）和 70 岁以下（对照）。主要结果包括复发率、手术部位感染（SSI）、手术时间和住院时间。数据采用描述性统计和推理检验进行分析：研究共纳入 201 名患者（47 例病例和 154 例对照）。病例的平均（标清）年龄为 75.74（4.73）岁，对照组为 53.47（12.8）岁。老年组（病例）未发现复发，而对照组的复发率为 3.92%（P = 0.34）。2.13%的病例和1.31%的对照组发生了SSI（P = 0.55）。手术时间相似（71.44 分钟 vs 71.96 分钟；P = 0.8）。病例的住院时间为3.11天，对照组为3.04天（P = 0.14）：结论：腹腔镜TAPP疝修补术对老年人来说是一种安全有效的手术，其疗效与年轻患者相当。需要进一步研究来验证这些结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Videosurgery and Other Miniinvasive Techniques 医学-外科

CiteScore

2.80

自引率

23.50%

发文量

审稿时长

12 weeks

期刊介绍： Videosurgery and other miniinvasive techniques serves as a forum for exchange of multidisciplinary experiences in fields such as: surgery, gynaecology, urology, gastroenterology, neurosurgery, ENT surgery, cardiac surgery, anaesthesiology and radiology, as well as other branches of medicine dealing with miniinvasive techniques.