Resultados quirúrgicos de la herniorrafia inguinal en los pacientes mayores de 80 años: Revisión sistemática y metaanálisis

Translated title of the contribution: Surgical outcomes of inguinal herniorrhaphy in patients over 80 years of age: Systematic review and meta-analysis

Camilo Ramírez-Giraldo, Isabella Van-Londoño, Jorge Alberto Navarro-Alean, Susana Rojas-López

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction. Octogenarian and nonagenarian patients constitute a progressively growing age group. Inguinal hernia is a pathology that increases with age. This study aims to understand the surgical outcomes of inguinal herniorrhaphy in patients over 80 years of age. Methods. A systematic review of PubMed, Embase, and Google Scholar was conducted following PRISMA guidelines. Studies reporting the incidence of complications and mortality after inguinal herniorrhaphy in octogenarian and nonagenarian patients were included. The proportion of patients with complications after inguinal herniorrhaphy was calculated based on the data presented, with its respective 95% confidence interval. Results. Fourteen studies reported a total of 19,290 patients, among whom a cumulative incidence of surgical site infection of 0.5 (95% CI 0.460 – 0.678), seroma of 8.7% (95% CI 6.212 – 11.842), hematoma of 2.6% (95% CI 2.397 – 2.893), chronic pain 2.1% (95% CI 0.778 – 4.090), recurrence 1.2% (95% CI 0.425 – 2.284), and morbidity 14.7% (95% CI 9.525 – 20.833) were found. Conclusion. Surgical wound complications, chronic pain, and recurrence in patients over 80 years of age undergoing inguinal herniorrhaphy are comparable to those in the general population.

Translated title of the contributionSurgical outcomes of inguinal herniorrhaphy in patients over 80 years of age: Systematic review and meta-analysis
Original languageSpanish
Pages (from-to)728-737
Number of pages10
JournalRevista Colombiana de Cirugia
Volume39
Issue number5
DOIs
StatePublished - 16 Sep 2024

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