title: Laparoscopic versus open inguinal hernia repair in octogenarians.
abstract: OBJECTIVE
  This retrospective chart review was designed to compare outcomes for open and laparoscopic repair of inguinal hernias in the population over the age of 80.
  
  
  METHODS
  A retrospective chart review was conducted for 104 patients over 80 years old who underwent inguinal hernia repair (2005-2008) at The Mount Sinai Medical Center. Patients were grouped into laparoscopic or open repair cohorts and compared accordingly.
  
  
  RESULTS
  The open group (n = 73) and the laparoscopic group (n = 31) had mean ages of 84 and 83 years, respectively. The mean American Society of Anesthesiologists score was 2.6 for the open cohort and 2.3 for the laparoscopic group (P < 0.05). Peri-operative complications in the open and laparoscopic groups were not found to be statistically significant. There was no mortality in either group.
  
  
  CONCLUSIONS
  With octogenarians, laparoscopic inguinal hernia repair can be performed as a safe alternative to open repair with comparable rates of morbidity and mortality.
authors.affiliation: Department of Surgery, The Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1259, New York, NY 10029, USA.
authors.forename: J
authors.initials: J
authors.lastname: Hernandez-Rosa
authors.forename: C C
authors.initials: CC
authors.lastname: Lo
authors.forename: J J
authors.initials: JJ
authors.lastname: Choi
authors.forename: M J
authors.initials: MJ
authors.lastname: Colon
authors.forename: L
authors.initials: L
authors.lastname: Boudourakis
authors.forename: D A
authors.initials: DA
authors.lastname: Telem
authors.forename: C M
authors.initials: CM
authors.lastname: Divino
mesh_terms: D000369:Aged, 80 and over; D000768:Anesthesia, General; D001145:Arrhythmias, Cardiac / Q000209:etiology; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D007022:Hypotension / Q000209:etiology; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D010149:Postoperative Pain / Q000209:etiology; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D016055:Urinary Retention / Q000209:etiology