medigraphic.com
ISSN 1561-2945 (Print)

2011, Number 1

<< Back Next >>

Revista Cubana de Cirugía 2011; 50 (1)

Inguinal hernia surgery in third age patients: ambulatory and with a short hospitalization

Pol HPG, López RPR, León GO, Caiñas RJ, Cruz GN, Pando SA, Rodríguez GH

Language: Spanish
References: 18
Page: 73-81
PDF size: 132.96 Kb.


ABSTRACT

INTRODUCTION. The surgery of hernial disease of abdominal wall and especially of the inguinofemoral hernia has increase but in fact its prevalence is unknown. The objective of present study was to assess the result of surgical treatment of the inguinofemoral region hernia in third-age patients seen in the "Dr. Enrique Cabrera" Teaching General Hospital.
METHODS. A study was conducted in 1 093 third-age patients operated on of inguinofemoral hernia from January, 1999 to December, 2008 in the above mentioned hospital. In all cases patients had the alternative to be operated on in ambulatory way or with a short hospital stay. Also, were included the patients operated on as an urgency. From the patients operated on in an elective way were excluded those suffering of associated, cardiopulmonary or thromboembolic ASA-III type diseases (classification of the American Society of Anesthesiology).
RESULTS. The great incidence of the inguinal hernia was found in ages from 60-69 years (59,3%). The indirect right inguinal hernia was the more frequent. The Desarda's anatomical surgical technique was the more applied one in the inguinal hernia and the Lichtenstein's prosthetic technique with the 32% was the following in frequency. There were 20 relapses (1.8%). Local anesthesia was applied in the 75,4% of patients, in ambulatory way in the 76,4%. The total of complications was of 78 (7,1%).
CONCLUSIONS. The surgical treatment of inguinofemoral hernias, ambulatory or with a short hospital stay is a suitable procedure in third-age patients since to increase the comfort of patients, to decrease the hospital infection risk, to reduce the waiting lists and the hospital costs.


REFERENCES

  1. Álvarez Caperochini. La cirugía en el anciano. Aspectos generales y estudio de la mortalidad. Cir Esp. 1980;34:337-41.

  2. Brito Rodríguez J. Bioestadística y computación. Elementos demográficos y sanitarios. La Habana: Pueblo y Ecuación; 1987. Pp. 70-97.

  3. Sierra Gil E. Las nuevas maneras de la cirugía actual. Cir Esp. 1992;52:167-8.

  4. Mujica Barreiro PM. Cirugía de estancia corta. Paso previo para la implantación de una unidad de cirugía sin ingreso. Cir Esp. 1994;55:289-91.

  5. Sierra Gil E. La cirugía ambulatoria en una unidad autónoma integrada a un hospital. Organización, funcionamiento y experiencia. Cir Esp. 1992;52:255-60.

  6. Alarcón López A. Nuestra experiencia en cirugía mayor ambulatoria. Cir Esp. 1997;61:40-3.

  7. Flánagan L. Preparación de la hernia inguinal. Punto de vista del paciente acerca de la anestesia local. Surg Clin North Am 1984;64:250-4.

  8. Ponka J L. Seven steps to local anestesia for repair of inguinofemoral hernia. Surg Gynecol Obst. 1963;117:115-20.

  9. De Pedro Conal J. Cirugía ambulatoria y de alta precoz. Descripción y desarrollo del programa en un hospital general. Cir Esp. 1997;62:250-4.

  10. García Gil JM. Cirugía de las hernias en el anciano. Cir Esp. 1995;57:170-3.

  11. Usero Rebollo S. Herniorrafia ambulatoria y de corta estadía. Estudio comparativo de tres tipos de anestesia: local, locoregional y general. Cir Esp. 1995;58:483-7.

  12. Prieto Orzanco. Cirugía mayor ambulatoria: reparación de la hernia unilateral. Cir Esp. 1996;60:495-500.

  13. Desarda MP. Inguinal herniorraphy with an undetached strip of external oblique aponeurosis. A new approach used in 400 patients. Eur J Surg. 2001;167:01-6.

  14. Desarda MP. Comparative study of mesh repair in a set up of a district hospital in India. Centr Afric Journ Surg. 2006;11(2):1-6.

  15. Desarda MP. No mesh inguinal hernia repair with continuous absorbable sutures: A dream or reality? (A study of 229 patients). The Saudi Journal of Gastroenterology. 2008;14(3):122-27.

  16. Wantz GE. Complicaciones de las reparaciones de las hernias inguinales. Clin Quirg N Am. 1984;64:279-82.

  17. Wantz GE. Testicular atrophy as a risk of inguinal hernioplasty. Sur Gynecol Obstet. 1982;l54:570-75.

  18. Grau Talens EJ. La anestesia local en la reparación de la hernia inguinal. Estudio 400 casos. Cir Esp. 1996;60:28-32.




2020     |     www.medigraphic.com