Elective Herniorrhaphy in an Aging Population

  • Stanley D. Berliner
  • Nathaniel Spier

Abstract

The Random House Dictionary (1966) defines elderly as somewhat old; between middle and old age. Old age is defined as the last period of human life, generally considered to be the years after 65. With the explosion of the chronologically gifted population, however, 65 is no longer considered very old. Webster’s Universal Dictionary (1993) differentiates between elderly as quite old and aged as very old. The clinical material in this chapter concerns elective herniorrhaphy in the senior population, and in reviewing our personal data we have chosen to include patients over the age of 80 years.

Keywords

Depression Ischemia Lymphoma Leukemia Amide 

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References

  1. 1.
    U.S. Department of Commerce, Bureau of the Census. National data book: statistical abstract of the United States. Lawrence, KS: Bureau of the Census; 1998.Google Scholar
  2. 2.
    Berliner SD. Adult inguinal hernia: pathophysiology and repair. Surg Annu. 1983;15:307–329.PubMedGoogle Scholar
  3. 3.
    Hesselbach HC. De ortu herniarum. Wurzberg, Stahel. 1816._Cited by Lytle WJ. The deep inguinal ring, development, function and repair. Br J Surg. 1970;57:531.CrossRefGoogle Scholar
  4. 4.
    Lytle WJ. The internal inguinal ring. Br J Surg. 1945;32:29.CrossRefGoogle Scholar
  5. 5.
    Keith A. On the origin and nature of hernia. Br J Surg. 1924;11:455.CrossRefGoogle Scholar
  6. 6.
    Berliner SD. An approach to groin hernia. Surg Clin North Am. 1984; 64:197–213.PubMedGoogle Scholar
  7. 7.
    Iason AH. Hernia. Philadelphia: Blakiston Co.; 1941.Google Scholar
  8. 8.
    Halsted WS. Surgical papers, vol. 1 Baltimore: Johns Hopkins University Press; 1924:265.Google Scholar
  9. 9.
    Wantz GE. The operation of Bassini as described by Attilio Catterina. Surg Gynecol Obstet. 1989;168:67–80.PubMedGoogle Scholar
  10. 10.
    Raccuia JS, Azoulay D. The “Bassini” of Edoardo Bassini. In Maddern GJ, Hiatt JR, Phillips EH (eds): Hernia repair. New York: Churchill Livingstone; 1997;83–93.Google Scholar
  11. 11.
    Harrison PW. Inguinal hernia: a study of the principles involved in the surgical treatment. Arch Surg. 1922;4:680–689.CrossRefGoogle Scholar
  12. 12.
    Gilbert AI. Inguinal hernia repair. Biomaterials and sutureless repair. Perspect Gen Surg. 1991;2:113–129.Google Scholar
  13. 13.
    Robbins AW, Rutkow IM. The mesh plug hernioplasty. Surg Clin North Am. 1993;73:501–512.PubMedGoogle Scholar
  14. 14.
    Lichtenstein IL, Shulman AG, Amid PK. The tension-free repair of groin hernias. In Nyhus LM, Condon RE (eds): Hernia, 4th ed. Philadelphia: J.B. Lippincott; 1995:237–247.Google Scholar
  15. 15.
    Berliner SD, Spier N. Elective herniorrhaphy in the aged. Hernia, 1998; 2:85–88.CrossRefGoogle Scholar
  16. 16.
    Miller RD. Anesthesia, 2nd ed. New York: Churchill Livingstone; 1986:365–366.Google Scholar
  17. 17.
    Berliner SD. An anterior iliopubic tract—transversus abdominis repair using an inlay graft for selected type III and IV inguinal hernias. In Nyhus LM, Condon RE (eds): Hernia, 4th ed. Philadelphia: J.B. Lippincott; 1995:150–152.Google Scholar
  18. 18.
    Berliner SD. Biomaterials in hernia surgery. In Maddern GJ, Hiatt JR, Phillips EH (eds): Hernia repair. New York: Churchill Livingstone; 1997;199–214.Google Scholar
  19. 19.
    Spier N, Berliner SD. The open tension-free mesh repair of inguinal hernia. Analysis of 1235 cases. Hernia. 1998;2:81–83.CrossRefGoogle Scholar
  20. 20.
    Day Op Center of Long Island, Mineola, NY, 1999.Google Scholar
  21. 21.
    Gianetta E, De Cian F, Cuneo S, et al. Hernia repair in elderly patients. Br J Surg. 1997;84:983–985.PubMedCrossRefGoogle Scholar
  22. 22.
    Burns-Cox N, Campbell WB, van Nimmen BAJ, et al. Surgical care and outcome for patients in their nineties. Br J Surg. 1997;84:496–498.PubMedCrossRefGoogle Scholar
  23. 23.
    Nehme AE. Groin hernias in elderly patients. Am J Surg. 1983;146: 257–260.PubMedCrossRefGoogle Scholar
  24. 24.
    Deysine M, Grimson R, Soroff HS. Herniorrhaphy in the elderly. Benefits of a clinic for the treatment of external abdominal wall hernias. Am J Surg. 1987;153:387–391.PubMedCrossRefGoogle Scholar
  25. 25.
    Young DV. Comparison of local, spinal and general anesthesia for inguinal herniorrhaphy. Am J Surg. 1987;153:560–563.PubMedCrossRefGoogle Scholar
  26. 26.
    Bloodgood JC. Operations for inguinal hernia under local anesthesia. Am J Surg. 1923;37:185–188.Google Scholar
  27. 27.
    Pratt GH. Steel wire sutures, local anesthesia and immediate ambulation in the treatment of hernia. Surg Gynecol Obstet. 1948;86:530–534.PubMedGoogle Scholar
  28. 28.
    Campbell EB. Anaesthesia in the repair of hernia. Can Med Assoc J. 1950;62:364–366.PubMedGoogle Scholar
  29. 29.
    Vayda E, Lons D, Anderson GD. Surgery and anesthesia in Ontario. Can Med Assoc J. 1977;116:1263–1266.PubMedGoogle Scholar
  30. 30.
    Iles JDH. Surgery and anesthesia in Ontario [letter]. Can Med Assoc J. 1978;118:114.PubMedGoogle Scholar
  31. 31.
    Iles J. The management of elective hernia repair. Ann Plastic Surg. 1979;538–541.Google Scholar
  32. 32.
    Frank SM, Fleisher LA, Breslow MJ, et al. Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events. A randomized clinical trial. JAMA. 1997;277:1127–1134.PubMedCrossRefGoogle Scholar
  33. 33.
    Kendig JJ. Clinical implications of the modulated receptor hypothesis: local anesthetics and the heart. Anesthesiology. 1985;62:382.PubMedCrossRefGoogle Scholar
  34. 34.
    Clarkson CW, Hondeghem LM. Mechanism of bupivacaine depression of cardiac conduction: fast block of sodium channels during the action potential with slow recovery from block during diastole. Anesthesiology. 1985;62:382–384.CrossRefGoogle Scholar
  35. 1.
    The Royal College of Surgeons of England. Clinical guidelines on the management of groin hernias in adults. London: Royal College of Surgeons; July 1993.Google Scholar
  36. 2.
    Devlin HB. In Dudley H (ed): Rob and Smith’s atlas of general surgery. London: Butterworth; 1981.Google Scholar
  37. 3.
    Green NA. Hernia. In MacFarlane DA, Thomas LP (eds): Textbook of surgery, 5th ed. Edinburgh: Churchill-Livingstone; 1984.Google Scholar
  38. 4.
    Kettlewell MGW. Lumps in the groin and scrotum. Br J Hosp Med. 1973;9:724–730.Google Scholar
  39. 5.
    Ellis H. Inguinal hernia. Br J Hosp Med. 1970;4:9–14.Google Scholar
  40. 6.
    Bendavid R. The merits of the Shouldice repair. Probl Gen Surg., 1995;12(100):105–109.Google Scholar
  41. 7.
    David T. Strangulated femoral hernia. Med J Aust. 1967;1:258–261.Google Scholar
  42. 8.
    Ponka JL, Brush BE. The problem of femoral hernia. Arth Surg. 1971; 102: 417–423.CrossRefGoogle Scholar
  43. 9.
    Butters AG. A review of femoral hernias with special reference to recurrence rate of low operations. BMJ. 1948;2:743–745.PubMedCrossRefGoogle Scholar
  44. 10.
    Cooke RV. Discussion of small bowel obstruction. Proc R Soc Med. 1958;51:503–508.PubMedGoogle Scholar
  45. 11.
    Dunphy JE. The diagnosis and surgical management of femoral hernias. JAMA. 1940;114:394–396.CrossRefGoogle Scholar
  46. 12.
    Cushing H. The employment of local anaesthesia in the radical cure of certain cases of hernia with a note upon the nervous anatomy of the inguinal region. Ann Surg. 1900;3:1–34.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Stanley D. Berliner
    • 1
  • Nathaniel Spier
    • 2
  1. 1.HolualoaUSA
  2. 2.Department of SurgeryNorth Shore University HospitalManhassetUSA

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