TY - JOUR
T1 - Resultados quirúrgicos de la herniorrafia inguinal en los pacientes mayores de 80 años
T2 - Revisión sistemática y metaanálisis
AU - Ramírez-Giraldo, Camilo
AU - Van-Londoño, Isabella
AU - Navarro-Alean, Jorge Alberto
AU - Rojas-López, Susana
N1 - Publisher Copyright:
© 2024, Asociacion Colombiana de Cirugia. All rights reserved.
PY - 2024/9/16
Y1 - 2024/9/16
N2 - 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.
AB - 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.
KW - elderly aged 80 and over
KW - herniorrhaphy
KW - inguinal hernia
KW - meta-analysis
KW - postoperative complications
KW - recurrence
UR - http://www.scopus.com/inward/record.url?scp=85205844908&partnerID=8YFLogxK
U2 - 10.30944/20117582.2538
DO - 10.30944/20117582.2538
M3 - Artículo
AN - SCOPUS:85205844908
SN - 2011-7582
VL - 39
SP - 728
EP - 737
JO - Revista Colombiana de Cirugia
JF - Revista Colombiana de Cirugia
IS - 5
ER -