Groin Hernia in the Elderly

  • K. G. Mathew


With advances in medicine helping more people to live longer lives, we have more older people to take care of, and WHO “population ageing report” 2009 has predicted that by 2050, 21% of the population will be over 60 years of age. Increased number of older people in the world will have financial and social implications, and, in medicine, care for this age group and developing strategies of care for them will make sound investment and financial sense (British Hernia Society Commissioning Guide: Groin Hernia. 2016). Advancements in surgical technique and anaesthesia as also the overall perioperative care means that increasingly older patients can be treated even for complex surgical conditions and could continue a meaningful and productive social life. However, we do not have defined guidelines on hernia care in the elderly, and this chapter will attempt to have a closer look at the physiology of ageing today and the evidence of hernia surgery in this population. The subheadings will be (1) Defining the elderly; (2) Pathophysiology of wound healing in the elderly; (3) Groin hernias: is watchful waiting an option in the elderly? and (4) Principles of hernia surgery in elderly.


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Copyright information

© Springer Nature India Private Limited 2020

Authors and Affiliations

  • K. G. Mathew
    • 1
  1. 1.Department of SurgeryNMC Specialty HospitalDubaiUAE

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