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Kim, Ryu, Hur, Kim, Kim, and Park: Inguinal Hernia Repair under Local Anesthesia in Octogenarians
Original Article
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2009; 77(5): 338-343.

Published online: 6 November 2009

DOI: https://doi.org/10.4174/jkss.2009.77.5.338

Inguinal Hernia Repair under Local Anesthesia in Octogenarians

Hun Jin Kim, M.D., Hee Seon Ryu, M.D., Young Hoe Hur, M.D., Jung Chul Kim, M.D., Shin Kon Kim, M.D., Chan Yong Park, M.D.

Department of Surgery, Chonnam National University Medical School, Gwangju, Korea.

Corresponding author (wkafyddl@hanmail.net)

Received 21 July 2009       Accepted 3 September 2009

Copyright © 2009 The Korean Surgical Society

Abstract

Purpose

We are to describe the clinical characteristics and treatment outcomes in patients aged between 80 and 89 years who underwent inguinal hernia repair under local anesthesia.

Methods

We retrospectively reviewed the medical records of patients aged between 20 and 89 years who underwent tension free hernia repair under local anesthesia by a single surgeon between June 2001 and January 2009 and compared clinical characteristics and outcomes between octogenarians who were the eldest and sexagenarians whose incidence was the highest.

Results

Of the 514 patients, the number of octogenarians was 52 (8.6%) and sexagenarians were 225 (35.0%). Body mass index (BMI) was 22.5 kg/m2 in octogenarians and 23.7 kg/m2 in sexagenarians (P=0.003). Underlying diseases were present in 67.3% of octogenarians and 73.5% of sexagenarians (P=0.238). The incidence of liver disease was significantly lower in the octogenarians (1.9% vs 15.7%, P=0.004). The proportion of patients who underwent local anesthesia was significantly higher among the octogenarians (94.5% vs 82.2%, P=0.014). Operative time and postoperative hospital stay had no significant difference between both groups. Postoperative complications developed in 4 (7.7%) of the octogenarians and in 18 (9.7%) of the sexagenarians. Scrotal swelling was developed most frequently and surgery-related mortality did not developed in both groups.

Conclusion

If local anesthesia is used appropriately, inguinal hernia repair in octogenarians is a safe procedure as like in sexagenarians and may reduce the psychiatric burden related to complications for both surgeons and elderly patients.

Keywords: Inguinal hernia repair, Octogenarians, Local anesthesia

Figures and Tables

Table 1
Age distribution and the rate of local anesthesia in inguinal hernia patients
jkss-77-338-i001
Table 2
Comparison of demographics between octogenarians and sexagenarians in inguinal hernia patients
jkss-77-338-i002

*SD = standard deviation; †BMI = body mass index; ‡DM = diabetes mellitus; §CVA = cerebrovascular accident; ∥CRF = chronic renal failure; BPH = benign prostatic hyperplasia.

Table 3
Comparison of operations and results between octogenarians and sexagenarians in inguinal hernia patients
jkss-77-338-i003

*SD = standard deviation.

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