title: [Incarcerated inguinal hernia in elderly: personal tension-free hernioplastic technique].
abstract: OBJECTIVE
  With the increasing of the middle age, more and more elderly patients with incarcerated inguinal hernia have to be surgically treated with lower operatory time and lower anesthesiological stress. The Authors present a personal tension-free hernioplastic technique.
  
  
  METHODS
  Thirthy-seven male patients (range 80-92 years) recovered for incarcerated inguinal hernia (Gilbert II tipe) without vascular injury, underwent to tension-free hernioplastic technique without inguinal canal opening, in local anaesthesia.
  
  
  RESULTS
  The average operative time was 33 minutes (range 25-42 min). Follow-up at 10 days, 3 months and 5 years shows a correct position of the plug, no recurrence, no alterations of normal testicular vascolarization in absence of paresthesia or chronic pain. The post-operative pain was absent or trascurable whitout the use of any antalgical therapy.
authors.affiliation: Università degli Studi di Siena, Patologia Chirurgica. daniciri@yahoo.it
authors.forename: Antonio
authors.initials: A
authors.lastname: De Martino
authors.forename: Walter
authors.initials: W
authors.lastname: Testi
authors.forename: Daniela
authors.initials: D
authors.lastname: Cirianni
authors.forename: Carmen
authors.initials: C
authors.lastname: Staffieri
authors.forename: Riccardo
authors.initials: R
authors.lastname: Malatesti
authors.forename: Francesco Maria
authors.initials: FM
authors.lastname: Consiglio
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D013514:Surgical Procedures, Operative / Q000379:methods