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Cirujano general

versão impressa ISSN 1405-0099


ALONSO GAMBOA, Tatiana. Clinical-epidemiological description of the patients older than 60 years operated on inguinal hernia. Cir. gen [online]. 2018, vol.40, n.4, pp.255-261. ISSN 1405-0099.


Inguinal hernia surgery in eldelry is one of the most common surgical pathologies, it has proven to be a safe surgery with low complication rate when performed electively. The objective of this work is to make a clinical-epidemiological description of patients operated on inguinal hernia and to determine which patients are most vulnerable to complications.

Material and methods:

Retrospective study. inguinal hernioplasty are analyzed over a one-year period of patients older than 60 years, taking as variables; age, sex, smoking, coexisting diseases, geriatric and American Society of Anesthesiologists evaluation, date of intervention, type of admission, surgery and anesthesia, classification of the hernia, surgical technique employed, placement of prosthetic material and complications.


Were analyzed 62 inguinal hernioplasty. 92% (57) presented at least two major comorbidities; hypertension (74.19%), diabetes mellitus (22.58%), chronic obstructive pulmonary diseases (16.12%), hypertensive, ischemic heart disease, auriculoventricuales blockades and ventricular fibrillations (17.74%), hypothyroidism (14.51%), 8% (5 cases) no diseases were associated. Complications of 9.68%: intraoperative arrhythmia, intraoperative simple diabetic decompensation and acute coronary syndrome, a scrotal hematoma and two inguinodinias.


Age should not be a contraindication to performing an inguinal hernioplasty. The use of open and tension-free techniques in elderly are safe procedures, with a low percentage of complications and recurrences.

Palavras-chave : Inguinal hernia; elderly; inguinal hernioplasty; complications.

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