Advanced age: is it an indication or contraindication for laparoscopic ventral hernia repair?
BACKGROUND
Ventral hernias are common surgical problems in the geriatric population. Although ventral hernias are electively repaired in younger patients, the safety and efficacy of elective laparoscopic hernia repair in the geriatric age group is not well documented in the literature.


METHODS
A review of 155 patients undergoing laparoscopic ventral hernia repair was undertaken. The patients were classified according to their age into 2 groups, Group A (n=126) for those who are <or=65 years old and Group B (n=29) for those who are >65 years old. The patient demographics, comorbidities, hernia characteristics, and operative and postoperative data were compared.


RESULTS
Younger patients were found to have a significantly increased BMI, while the older group had an increased number of comorbidities. No difference was found in the complication or recurrence rates between the 2 groups.


CONCLUSIONS
Elective laparoscopic ventral hernia repair in senior citizens is safe and feasible in our experience. We believe that the decision to perform an elective hernia repair in this patient population should be based on the general condition of the patient rather than the patient's chronological age.
Saber
Alan A
AA
Michigan State University/Kalamazoo Center for Medical Studies, Kalamazoo, Michigan 49008, USA. saber@kcms.msu.edu
Elgamal
Mohamed H
MH
Mancl
Tara B
TB
Norman
Earl
E
Boros
Michael J
MJ
D000367:Age Factors; D015897:Comorbidity; D000075202:Contraindications; D005240:Feasibility Studies; D005260:Female; D006555:Hernia, Ventral / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D018579:Patient Selection