RESULTS OF LAPAROSCOPIC HERNIOPLASTY IN ELDERLY PATIENTS

Abstract

Aim. To study the results of laparoscopic hernioplasty in elderly patients. Material and methods. The basis of the work is an analysis of the results of the diagnosis and treatment of 47 patients of elderly patients who underwent treatment for inguinal hernias. There were 41 patients with primary hernias (87.2%) and 6 (12.8%) patients with relapses. Among the examined patients, the most common concomitant disease was a coronary heart disease 40 (85.1%), hypertension - 35 (74.5%), diabetes - 24 (51.1%) and obesity - 14 (29.8%). Results. A comparative analysis of laparoscopic and traditional hernioplasty showed that laparoscopic interventions have significant advantages according to such criteria as the duration of the operation, the average bed day, postoperative complications, and complete rehabilitation. An important criterion is also an incision that directly affects the intensity of the pain syndrome in the postoperative period. Laparoscopic hernioplasty is conducted through 3-4 punctures of 5.0 mm and 10.0 mm with trocars, and traditional hernioplasty is performed with incision of 10 or more cm. Conclusions. For elderly patients with inguinal hernias, laparoscopic hernioplasty, when properly selected is the method of choice.