Comparison of laparoscopic and open inguinal–hernia repair in elderly patients: the experience of two comprehensive medical centers over 10 years

• DOI: 10.1007/s10029-024-03004-0
• Publication Date: 2024-04-04T08:03:02Z
• Authors: S. Xi; Z. Chen; Q. Lu; C. Liu; L. Xu; C. Lu; R. Cheng
• Keywords: Hernia Repair

Abstract Purpose The safety of laparoscopic inguinal–hernia repair must be carefully evaluated in elderly patients. Very little is known regarding the approach patients under surgical and medical co-management (SMC). Therefore, this study patients, especially with multiple comorbidities SMC. Methods From January 2012 to December 2021, aged ≥ 65 years who underwent open or during hospitalization were consecutively enrolled. Postoperative outcomes included major minor operation-related complications, other adverse events. To reduce potential selection bias, propensity score matching was performed between groups based on patients’ demographics comorbidities. Results A total 447 enrolled, 408 (91.3%) 39 (8.7%) surgery. All postoperative comparable after 1:1 (all p > 0.05). Moreover, compared traditional care group ( n = 360), a higher proportion SMC 87) treated via (18.4% vs. 6.4%, 0.00). In subgroup 39), 16) older but at risks only those group. Conclusions Laparoscopic surgery safe for