ArticleHernia : the journal of hernias and abdominal wall surgery2023
Outcome of incisional hernia repair in patients 80 years and older: results from the Herniamed-Registry.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Outcomes of inguinal hernia repair in octogenarians: A propensity score-matched analysis of the Herniamed Registry.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Age as a non-contraindication for surgical intervention in patients with abdominal wall incisional hernia: an exploration and analysis.Langenbeck's archives of surgery · 2025Article
- Effect of mesh fixation in incisional hernia repair using the open sublay technique: results from the herniamed-registry.Langenbeck's archives of surgery · 2025Article
- Safety and outcome of elective synthetic mesh repair for incisional ventral hernias in immunosuppressed patients - a retrospective propensity-score-matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
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Authors and funding
6 authors.
Funding
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Abstract
introductionMore and more often complex abdominal surgeries are performed in the elderly. Together with the ageing population these patients are at risk for incisional hernias. We aimed on assessing outcomes following incisional hernia surgery in patients 80 years and older. MATERIAL AND
methodsUsing the Herniamed-Registry, a prospective multi-institutional database, data on patients undergoing surgery for incisional hernias were retrospectively assessed. 46,040 patients were included and divided by age. Intraoperative-, general-, and postoperative complications as well as 1-year follow-up outcomes were assessed and compared between patients 80 years and older vs younger than 80 years.
resultsIntra- (2.3% vs 1.5%; p < 0.001) and postoperative (8.6% vs 7.2%; p = 0.001) complications, general complications (5.5% vs 3.0%; p < 0.001), as well as reoperations (3.8% vs 3.0%; p = 0.007) were more likely to occur in elderly patients. By contrast, recurrences (3.6% vs 4.5%; p = 0.007), pain at rest (7.3% vs 10.1%; p < 0.001) and on exertion (11.3% vs 18.3%; p < 0.001), as well as pain requiring treatment (5.4% vs 7.7%; p < 0.001) was less likely in the group of patients aged ≥ 80 years.
conclusionIncisional hernia repair in patients 80 years and older is associated with a slightly higher complication risk but is quite acceptable and also have improved pain scores. The recurrence difference is also clinically unimportant.
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