Abdominal Wall Hernia in the Elderly

  • Seth A. Spector
  • Ronnie A. Rosenthal

Abstract

Abdominal wall hernia repair is the most common surgical procedure in the United States. More than 500,000 herniorrhaphies are performed annually. The incidence of groin hernias, the most common type of abdominal wall hernia, in men over age 65 is approximately 13 per 1000 population.1 The incidence in women is 12–25% that of men. In a British study of more than 30,000 inguinal hernia repairs, 27% were in an elderly population; 85.5% of these cases were elective repairs on patients age 65 or older, and the remaining 14.5% were classified as emergency procedures.2

Keywords

Hernia Repair Inguinal Hernia Inguinal Hernia Repair Femoral Hernia Groin Hernia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Deysine M, Grimson R, Soroff HS. Herniorraphy in the elderly: benefits of a clinic for the treatment of external abdominal wall hernias. Am J Surg 1987;153:387–391.PubMedCrossRefGoogle Scholar
  2. 2.
    Primatesta P, Goldacre MJ. Inguinal hernia repair: incidence of elective and emergency surgery, readmission and mortality. Int J Epidemiol 1996;25:835–839.PubMedCrossRefGoogle Scholar
  3. 3.
    Zollinger RM Jr, Zollinger RM. Atlas of Surgical Operations. McGraw Hill 1993:425.Google Scholar
  4. 4.
    Nehme AE. Groin hernias in the elderly patients: management and prognosis. Am J Surg 1983;146:257–260.PubMedCrossRefGoogle Scholar
  5. 5.
    Ponka JL, Bush BE. Experience with the repair of groin hernia in 200 patients aged 70 or older. J Am Geriatr Soc 1974;22:18–24.PubMedGoogle Scholar
  6. 6.
    Williams JS, Hale HW. The advisability of inguinal herniorrhaphy in the elderly. Surg Gynecol Obstet 1966;122: 100–104.PubMedGoogle Scholar
  7. 7.
    Green WW. Bowel obstruction in the aged patient: a review of 300 cases. Am J Surg 1969;118:541–545.CrossRefGoogle Scholar
  8. 8.
    Fenyo G. Diagnostic problems of acute abdominal disease in the aged. Acta Chir Scand 1974;140:396–405.PubMedGoogle Scholar
  9. 9.
    Blake R, Lynn J. Emergency abdominal surgery in the aged. Brit J Surg 1976;63:956–960.PubMedCrossRefGoogle Scholar
  10. 10.
    Bloom W, Fawcett DW. A Textbook of Histology, 10th ed. Philadelphia: Saunders, 1975.Google Scholar
  11. 11.
    Ajabnoor MA, Mokhtar AM, Rafee AA, Taha AM. Defective collagen metabolism in Saudi patients with hernia. Ann Clin Biochem 1992;29:430–436.PubMedGoogle Scholar
  12. 12.
    Chapman JA, Tzaphlidou M. A study of staining for electron microscopy using collagen as a model system. VIII. Simulation of the negative staining pattern. Micron Microsc Acta 1989;20:75–87.CrossRefGoogle Scholar
  13. 13.
    Tzaphlidou M. Abnormal collagen fibril structure as studied by electron microscopy. Electron Microsc Rev 1992; 5:25–35.PubMedCrossRefGoogle Scholar
  14. 14.
    Wagh PV, Leverich AP, Sun CN, White HJ, Read RC. Direct inguinal herniation in men: a disease of collagen. J Surg Res 1974;17:425–433.PubMedCrossRefGoogle Scholar
  15. 15.
    Wagh PV, Read RC. Defective collagen synthesis in inguinal herniation. Am J Surg 1972;124:819–822.PubMedCrossRefGoogle Scholar
  16. 16.
    Wagh PV, Leverich AP, Sun CN, White HJ, Read RC. Direct inguinal herniation in men: a disease of collagen. J Surg Res 1974;17:425–433.PubMedCrossRefGoogle Scholar
  17. 17.
    Cannon DJ, Read RC. Metastatic emphysema: a mechanism for acquiring inguinal herniation. Ann Surg 1981;194:3: 270–277.PubMedCrossRefGoogle Scholar
  18. 18.
    Lichtenstein H, et al. Pain after hernia surgery. Contemp Surg 1988;33:18–22.Google Scholar
  19. 19.
    Ryan EA. An analysis of 313 consecutive cases of indirect sliding inguinal hernias. Surg Gynecol Obstet 1982;154: 704–706.Google Scholar
  20. 20.
    Glasgow F. Indirect hernia in the female. Surg Gynecol Obstet 1963;116:701–704.Google Scholar
  21. 21.
    Ruben BG, Ballantyne GH, Felon MJ, et al. The role of flexible sigmoidoscopy in the preoperative screening of patients with inguinal hernia. Arch Surg 1987;122:296.CrossRefGoogle Scholar
  22. 22.
    Guillen J, Aldrete JA. Anesthetic factors influencing morbidity and mortality of elderly patients undergoing inguinal herniorraphy. Am J Surg 1970;120:760–763.PubMedCrossRefGoogle Scholar
  23. 23.
    Young DV. Comparison of local, spinal and general anesthesia for inguinal herniorraphy. Am J Surg 1987;153: 560–563.PubMedCrossRefGoogle Scholar
  24. 24.
    Teasdale C, McCrum AM, Williams NB, Horton RE. Aspects of treatment: a randomized controlled trial to compare local with general anesthesia for short stay inguinal hernia repair. Ann R Coll Surg Engl 1982;64:238–242.PubMedGoogle Scholar
  25. 25.
    Ponka JL. Seven steps to local anesthesia for inguinofemoral hernia repair. Surg Gynecol Obstet 1963;117:115–120.PubMedGoogle Scholar
  26. 26.
    Ponka JL, Sapala JA. Bupivacaine as a local anesthetic for hernia repair. Henry Ford Hosp Med J 1976;24:31.Google Scholar
  27. 27.
    Flanagan L Jr, Bascom JV Repair of groin hernia: out-patient approach with general anesthesia. Surg Clin North Am 1984;64:257–268.PubMedGoogle Scholar
  28. 28.
    Halverson K, McVay CB. Inguinal and femoral hernio-plasty: a 22 year study of the authors’ methods. Arch Surg 1970;101:127–135.PubMedCrossRefGoogle Scholar
  29. 29.
    Glasgow F. The Shouldice Hospital technique. Int Surg 1986;71:148–153.Google Scholar
  30. 30.
    Rutledge RH. Cooper’s ligament repair: a 25 year experience with single technique for all groin hernias in adults. Surgery 1988;103:1–10.PubMedGoogle Scholar
  31. 31.
    McGavin L. The double filigree operation for the radical cure of inguinal hernia. Br Med J 1909;2:357–363.PubMedCrossRefGoogle Scholar
  32. 32.
    Usher FC, Cogan JE, Lowry TL A new technique for the repair of inguinal and incisional hernias. Arch Surg 1960;81:187–194.CrossRefGoogle Scholar
  33. 33.
    Usher FC, Hill JR, Ochsner JL. Hernia repair with Marlex mesh: a comparison of techniques. Surgery 1959;46:718–724.PubMedGoogle Scholar
  34. 34.
    Usher FC. The repair of incisional and inguinal hernias. Surg Gynecol Obstet 1970;131:525–530.PubMedGoogle Scholar
  35. 35.
    Collier HS, Griswold RA. Repair of direct inguinal hernia without tension. Ann Surg 1967;33:715–716.Google Scholar
  36. 36.
    Bellis JC. Immediate unrestricted activity after inguinal herniorraphy: 9727 personal cases with specific reference to local anesthesia and polyester fiber mesh. Int Surg 1969; 52:107–110.PubMedGoogle Scholar
  37. 37.
    Lichtenstein IL, Shulman AG, Amid PK. The tension-free hernioplasty. Am J Surg 1989;157:192.CrossRefGoogle Scholar
  38. 38.
    Lichtenstein IL, Shulman AG. Ambulatory (outpatient) hernia surgery including a new concept: introducing tension-free repair. Int Surg 1986;71:1–4.PubMedGoogle Scholar
  39. 39.
    Barnes JP. Inguinal hernia repair with routine use of Marlex mesh. Surg Gynecol Obstet 1987;165:33–37.PubMedGoogle Scholar
  40. 40.
    Capozzi JA, Berkenfield JA, Cherry JK. Repair of inguinal hernia in the adult with Prolene mesh. Surg Gynecol Obstet 1988;167:124–128.PubMedGoogle Scholar
  41. 41.
    Janu PG, Sellers KD, Mangiante EC. Mesh inguinal herniorraphy: a ten-year review. Am Surg 1997;63:1065–1071.PubMedGoogle Scholar
  42. 42.
    Gilbert AI. Sutureless repair of inguinal hernia. Am J Surg 1992;163:331–335.PubMedCrossRefGoogle Scholar
  43. 43.
    Rutkow IM, Robbins AW. Tension-free inguinal herniorra-phy: a preliminary report on the mesh plug technique. Surgery 1993;114:3–8.PubMedGoogle Scholar
  44. 44.
    Fitzgibbons RJ Jr, Salerno GM, Filipi CJ, et al. Laparoscopic intraperitoneal onlay mesh technique for the repair of an indirect inguinal hernia. Ann Surg 1994;219: 144–156.PubMedCrossRefGoogle Scholar
  45. 45.
    McKernan JB, Laws HL. Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach. Surg Endosc 1993;7:26–28.PubMedCrossRefGoogle Scholar
  46. 46.
    Ger R, Mishrick A, Hurwitz J, et al. Management of groin hernias by laparoscopy. World J Surg 1993;17:46–50.PubMedCrossRefGoogle Scholar
  47. 47.
    Felix EL, Michas C. Double-buttress laparoscopic hernior-raphy. J Laparoendosc Surg 1993;3:1–8.PubMedCrossRefGoogle Scholar
  48. 48.
    Amid PK, Shulman AG, Lichtenstein IL. Simultaneous repair of bilateral inguinal hernias under local anesthesia. Ann Surg 1996;223:249–252.PubMedCrossRefGoogle Scholar
  49. 49.
    Lewis DC, Moran CG, Vellacot KD. Inguinal hernia repair in the elderly. J R Coll Surg Edinb 1989;34:101–103.PubMedGoogle Scholar
  50. 50.
    Wantz GE. A 65 year old man with an inguinal hernia. JAMA 1997;277:663–668.PubMedCrossRefGoogle Scholar
  51. 51.
    Gallegos NC, Dawson J, Jarvis M, Hobstey M. Risk of strangulation in groin hernias. Br J Surg 1991;78:1171–1173.PubMedCrossRefGoogle Scholar
  52. 52.
    Emory RE, Laporta AJ. Obturator hernia. Surg Rounds 1993;Jan:43.Google Scholar
  53. 53.
    Wexler MJ. Symposium on the management of inguinal hernias: overview; the repair of the inguinal hernia: 110 years after Bassini. Can J Surg 1997;40:186–191.PubMedGoogle Scholar
  54. 54.
    Amid PK, Lichtenstein IL. Technique facilitating improved recovery following hernia repair. Contemp Surg 1996; 49:62–66.Google Scholar
  55. 55.
    Hay JM, Boudet MJ, Fingerhut A, et al. Shouldice inguinal hernia repair in the male adult: the gold standard? Ann Surg 1995;222:719–727.PubMedCrossRefGoogle Scholar
  56. 56.
    George CD, Hellis H. The results of incisional hernia repair: a twelve year review. Ann R Coll Surg 1986;68:185–187.Google Scholar
  57. 57.
    Hesselink VJ, Luijendijk RW, de Wilt JH, Heide R, Jeekel J. An evaluation of risk factors in incisional hernia recurrence. Surg Gynecol Obstet 1993;176:228.PubMedGoogle Scholar
  58. 58.
    Blumberg NA. Infantile umbilical hernia. Surg Gynecol Obstet 1980;150:187.PubMedGoogle Scholar
  59. 59.
    Chapman CB, Snell AM, Rowntree L. Decompensated portal cirrhosis: report of one hundred and twelve cases. N Engl J Med 1931;97:237.Google Scholar
  60. 60.
    Kadirov S, Sayfan J, Friedman S, Orda R. Richter’s hernia: a surgical pitfall. J Am Coll Surg 1996;182:60–62.PubMedGoogle Scholar
  61. 61.
    Pualwan F. Operative aspects of Richter’s hernia. Surg Gynecol Obstet 1958;106:358–362.PubMedGoogle Scholar
  62. 62.
    Bjork KJ, Mucha P, Cahill DR. Obturator hernia. Surg Gynecol Obstet 1988;167:217–222.PubMedGoogle Scholar
  63. 63.
    Rogers FA. Strangulated obturator hernia. Surgery 1960;48:394–403.PubMedGoogle Scholar
  64. 64.
    Skandalakis LJ, Skandalakis PN, Gray SW, Skandalakis JE. Obturator hernia. In: Nyhus LM, Condon RE, (eds) Hernia. Philadelphia: Lippincott, 1995:425–439.Google Scholar
  65. 65.
    Yip AWC, Ah Chong AK, Lam KH. Obturator hernia: a continuing diagnostic challenge. Surgery 1993;113:266–269.PubMedGoogle Scholar
  66. 66.
    Hsu CH, Wang CC, Jeng LB, Chen M. Obturator hernia: a report of eight cases. Am Surg 1993;59:709–711.PubMedGoogle Scholar
  67. 67.
    Ijiri R, Kanamura H, Yokoyama H, Shirakawa M, Hashimoto H, Yoshino G. Obturator hernia: the usefulness of computed tomography in diagnosis. Surgery 1996; 119:137–140.PubMedCrossRefGoogle Scholar
  68. 68.
    Short AR. The treatment of strangulated obturator hernia. Br Med J 1923;1:718.PubMedCrossRefGoogle Scholar
  69. 69.
    Franklin RH. Obturator hernia. Lancet 1938;1:721–722.CrossRefGoogle Scholar
  70. 70.
    Fakim A, Walker MA, Byrne DJ, Forrester JC. Recurrent strangulated obturator hernia. Ann Chir Gynaecol 1991;80:317–320.PubMedGoogle Scholar
  71. 71.
    Stoppa RE, Rives JL, Warlaumont CR, et al. The use of Dacron in the repair of hernias of the groin. Surg Clin North Am 1984;64:269–285.PubMedGoogle Scholar
  72. 72.
    Falco E, Celoria G, Nardini A, Saccomani G, Rezac C. A simple technique for obturator hernia repair. Eur J Surg 1997;163:305–306.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Seth A. Spector
  • Ronnie A. Rosenthal

There are no affiliations available

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