title: Feasibility of inguinal hernioplasty under local anaesthesia in elderly patients.
abstract: BACKGROUND
  The aim of this study is to evaluate the feasibility and the safety of hernioplasty under local anaesthesia in elderly patients with significant comorbidity.
  
  
  METHODS
  A total of 218 patients underwent inguinal hernia repair with mesh between June 2009 and July 2012. Presence of comorbid conditions and complications were compared between patients younger and older than 70 years.
  
  
  RESULTS
  Hernia repair in older patients were more likely associated with comorbid conditions than in their younger counterparts ( hypertension: 25% vs 8.16%; cardiovascular diseases: 50% vs 22%; benign prostatic hypertrophy 60% vs 30%). The most common postoperative complications in both groups were recurrence, wound infection, urinary retention. There was a slightly higher rate of complication in elderly group.
  
  
  CONCLUSIONS
  Inguinal hernia repair with local anaesthesia is quite safe and results in a good success rate in elderly patients despite a higher rate of comorbidity typical of this kind of patient.
authors.affiliation: Department of General, Geriatric, Oncologic Surgery and Advanced Technologies, University of Naples Federico II, Via S, Pansini 5, 801311 Napoli, Italy. bruno.amato@unina.it
authors.forename: Bruno
authors.initials: B
authors.lastname: Amato
authors.forename: Rita
authors.initials: R
authors.lastname: Compagna
authors.forename: Gianni Antonio
authors.initials: GA
authors.lastname: Della Corte
authors.forename: Giovanni
authors.initials: G
authors.lastname: Martino
authors.forename: Tommaso
authors.initials: T
authors.lastname: Bianco
authors.forename: Guido
authors.initials: G
authors.lastname: Coretti
authors.forename: Roberto
authors.initials: R
authors.lastname: Rossi
authors.forename: Francesca
authors.initials: F
authors.lastname: Fappiano
authors.forename: Giovanni
authors.initials: G
authors.lastname: Aprea
authors.forename: Alessandro
authors.initials: A
authors.lastname: Puzziello
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local; D015897:Comorbidity; D005240:Feasibility Studies; D006552:Hernia, Inguinal / Q000453:epidemiology / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012008:Recurrence; D012307:Risk Factors; D013526:Surgical Mesh; D016896:Treatment Outcome