ArticleHernia : the journal of hernias and abdominal wall surgery2015
Strangulated groin hernia in octogenarians.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- International guidelines for groin hernia management.Hernia : the journal of hernias and abdominal wall surgery · 2018Guideline
- Perioperative safety and long-term outcomes of mesh repair in nonagenarians undergoing elective inguinal hernia repair: a single-center retrospective study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Assessing hemoglobin, albumin, lymphocyte, platelet (HALP) score in predicting strangulation and resection in hernia surgery.European journal of medical research · 2025Article
- Suture repair versus mesh repair in elderly populations with incarcerated or strangulated groin hernia.Updates in surgery · 2024Article
- Observational
- Outcomes of Emergency Groin Hernia Repair in the Elderly: A Systematic Review.Journal of abdominal wall surgery : JAWS · 2023Review
- Prosthetic mesh hernioplasty versus primary repair in incarcerated and strangulated groin and abdominal wall hernias with or without organ resection. Retrospective study.Langenbeck's archives of surgery · 2021Article
- Prosthetic Mesh Repair for Incarcerated Inguinal Hernia.Balkan medical journal · 2016Article
- Prognostic Factors of Postoperative Morbidity and Mortality of Adult Strangulated Groin Hernia.The Indian journal of surgery · 2016Article
- Wound Healing Following Open Groin Hernia Surgery: The Impact of Comorbidity.World journal of surgery · 2015Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledThe aim of the study was to determine risk factors for morbidity and mortality in patients older than 80 years, compared to younger patients, who undergo emergency strangulated groin hernia repair.
methodsThis is a retrospective study of patients who underwent emergency surgery for strangulated groin hernia repair during 14 years. Patients were divided by age into three groups: younger than 59 (group A), 60-79 (group B), and older than 80 years (group C). Patient data included age, gender, hernia type, sac content, comorbidities, and surgical outcomes.
resultsTwo hundred patients were included in the study. There was no difference between groups in sex, hernia localization, and the type of repair. More comorbidities were found in octogenarians compared to the younger patients [group C vs. D (A + B)]. Small bowel resections and ICU admissions were more frequent in patients over 60 years compared to younger patients, 19.6 and 32.7 % vs. 1.7 and 0 %, respectively. Surgery was longer in group B. The rate of postoperative complications, repeated surgery, length of admission, and mortality were significantly higher in octogenarian (group C). Multivariate analysis found that age is a significant factor in the occurrence of non-surgical postoperative complications, but not in surgical complications.
conclusionEmergency surgery for strangulated hernia repair in patients over 80 years is more complicated than in younger patients, mostly due to the existing comorbidities. In order to reduce the high morbidity and mortality rates in emergency surgery associated with this age group, elective hernia surgery in elderly should be considered in selected patients with severe symptoms affecting their daily life.
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