Advanced Age: is It an Indication or Contraindication for Laparoscopic Ventral Hernia Repair?

Overview

Journal JSLS

Specialty General Surgery

Date 2008 Apr 12

PMID 18402738

Citations 16

Authors

Alan A Saber

Mohamed H Elgamal

Tara B Mancl

Earl Norman

Michael J Boros

Affiliations

Soon will be listed here.

Abstract

Introduction: Ventral hernias are common surgical problems in the geriatric population. Although ventral hernias are electively repaired in younger patients, the safety and efficacy of elective laparoscopic hernia repair in the geriatric age group is not well documented in the literature.

Methods: A review of 155 patients undergoing laparoscopic ventral hernia repair was undertaken. The patients were classified according to their age into 2 groups, Group A (n=126) for those who are <or=65 years old and Group B (n=29) for those who are >65 years old. The patient demographics, comorbidities, hernia characteristics, and operative and postoperative data were compared.

Results: Younger patients were found to have a significantly increased BMI, while the older group had an increased number of comorbidities. No difference was found in the complication or recurrence rates between the 2 groups.

Conclusion: Elective laparoscopic ventral hernia repair in senior citizens is safe and feasible in our experience. We believe that the decision to perform an elective hernia repair in this patient population should be based on the general condition of the patient rather than the patient's chronological age.

Citing Articles

Patient expectations and decisional regret in the management of ventral hernias.

Casson C, Kushner B, Holden T, Majumder A, Blatnik J, Holden S Surg Endosc. 2024; 39(1):522-529.

PMID: 39414667 DOI: 10.1007/s00464-024-11318-4.

Variation in surgical approach and postoperative complication among older adults undergoing ventral hernia repair.

Reynolds C, Hallway A, Sinamo J, Bidwell S, Bauer T, Ehlers A Surg Endosc. 2024; 38(10):5769-5777.

PMID: 39141129 PMC: 11523284. DOI: 10.1007/s00464-024-11136-8.

Comparison of outcomes of laparoscopic hernioplasty with and without fascial repair (IPOM-Plus vs IPOM) for ventral hernia: A retrospective cohort study.

Basukala S, Tamang A, Rawal S, Malla S, Bhusal U, Dhakal S Ann Med Surg (Lond). 2022; 80:104297.

PMID: 36045856 PMC: 9422290. DOI: 10.1016/j.amsu.2022.104297.

Polypharmacy is predictive of postoperative complications in older adults undergoing ventral hernia repair.

Holden T, Kushner B, Hamilton J, Han B, Holden S Surg Endosc. 2022; 36(11):8387-8396.

PMID: 35182214 DOI: 10.1007/s00464-022-09099-9.

Randomized control trial evaluating the use of a shared decision-making aid for older ventral hernia patients in the Geriatric Assessment and Medical Preoperative Screening (GrAMPS) Program.

Kushner B, Holden T, Han B, Sehnert M, Majumder A, Blatnik J Hernia. 2021; 26(3):901-909.

PMID: 34686942 DOI: 10.1007/s10029-021-02524-3.

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