Advertisement

Primitive Groin Hernias

  • Bruno Martella
  • Renata Lorenzetti
  • Anna Claudia Colangelo
Chapter

Abstract

Groin hernias are a very important health problem in the elderly because of their high frequency and high incidence of complications. Elective surgery may be performed in the absence of postoperative complications and mortality. Surgical technique does not change in different age groups, and local anaesthesia provides good acceptance and excellent results. Clinical introduction of prosthetic material was a remarkable improvement for immediate results and for recurrence prevention. On the other hand, emergency surgery is affected by high incidence of complications and unacceptable mortality rates. We strongly suggest hospital referral for all elderly patients for accurate evaluation in order to achieve the best surgical solution.

Keywords

Groin hernias Elderly Surgery Mesh 

References

  1. 1.
    Fitzgibbons RJ, Giobbie-Hurder A, Gibbs JO, Dunlop DD, Reda DJ, McCarthy M Jr. Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomised clinical trial. JAMA. 2006;295:285–92.CrossRefGoogle Scholar
  2. 2.
    O’Dwyer PJ, Norrie J, Alani A, Walker A, Duffy F, Horgan P. Observation or operation for patients with an asymptomatic inguinal hernia. Ann Surg. 2006;244:167–73.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Compagna R, Rossi R, Fappiano F, Bianco T, Acccurso A, Danzi M, Massa S, Aprea G, Amato B. Emergency groin hernia repair: implications in elderly. BMC Surg. 2013;13(Suppl 2):S29.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Rutkow IM, Robbins AW. Demographic, classificatory, and socioeconomic aspects of hernia repair in the United States. Surg Clin North Am. 1993;73(3):413–26.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Jenkins JT, O’Dwyer PJ. Inguinal hernias. BMJ. 2008;336:269–72.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    McGugan E, Burton H, Nixon SJ, Thompson AM. Deaths following hernia surgery: room for improvement. J R Coll Surg Edinb. 2000;45(3):183–6.PubMedGoogle Scholar
  7. 7.
    Spirch S, Bruttocao A, Militello C, Martella B, Nistri R, Barbon B, Lupia F, Dalla Vecchia D, Sarri C, Verdoglia S, Vecchiato V, Donà B, Terranova O. Nostra esperienza in 15 anni di chirurgia dell’ernia inguinale e crurale nel grande vecchio. In: La chirurgia dell’anziano. Napoli: De Nicola; 2000. p. 363–8.Google Scholar
  8. 8.
    Canonico S, Sciaudone G, Pacifico F, Santoriello A. Inguinal hernia repair in patients with coagulation problems: prevention of postoperative bleeding with human fibrin glue. Surgery. 1999;125(3):315–7.CrossRefPubMedGoogle Scholar
  9. 9.
    Amato B, Compagna R, Della Corte GA, Martino G, Bianco T, Coretti T, Rossi R, Fappiano F, Aprea G, Puzziello A. Feasibility of inguinal hernioplasty under local anaesthesia in elderly patients. BMC Surg. 2012;12(Suppl 1):S2.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Battocchio F. Anestesia locale. In: Battocchio F, editor. Testo atlante di chirurgia delle ernie. Milano: UTET; 1994. p. 13–20.Google Scholar
  11. 11.
    Terranova O, Battocchio F, Nistri R, Martella B, Celi D. Proposte di modifica alla tecnica di Bassini per il trattamento dell’ernia inguinale. Acta Chir Ital. 1989;45:810–2.Google Scholar
  12. 12.
    Lichtenstein IL, Shulman AG. Ambulatory outpatient hernia surgery. Including a new concept, introducing tension-free repair. Int Surg. 1986;71(1):1–4.PubMedGoogle Scholar
  13. 13.
    Powell BS, Lytle N, Stoikes N, Webb D, Voeller G. Primary prevascular and retropsoas hernias: incidence of rare abdominal wall hernias. Hernia. 2015;19:513–6.CrossRefPubMedGoogle Scholar
  14. 14.
    Gallegos NC, Dawson J, Jarvis M, Hobsley M. Risk of strangulation in groin hernias. Br J Surg. 1991;78(10):1171–3.CrossRefPubMedGoogle Scholar
  15. 15.
    Dahlstrand U, Wollert S, Nordin P, Sandblom G, Gunnarsson U. Emergency femoral hernia repair: a study based on a national register. Ann Surg. 2009;249(4):672–6.CrossRefPubMedGoogle Scholar
  16. 16.
    Chia C, Chan W, Yau K, Chan C. Emergency femoral hernia repair: 13-year retrospective comparison to the three classical open surgical approaches. Hernia. 2016;21:89–93.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Bruno Martella
    • 1
  • Renata Lorenzetti
    • 1
  • Anna Claudia Colangelo
    • 2
  1. 1.Geriatric Surgery UnitUniversity of PaduaPaduaItaly
  2. 2.General Surgery Residency Program of the University of PaduaPaduaItaly

Personalised recommendations