Juniper Publishers-Open Access Journal of Surgery

The Treatment of Inguinal Hernia in the Elderly: Always Local? Abstract: Inguinal hernia is one of the most common diseases in the elderly. Local anaesthesia (LA) is almost used in open inguinal hernia surgery; whereas in routine practice, regional anaesthesia (RA) or general anaesthesia (GA) is the method of choice in the elderly. Methods: A retrospective analysis of all inguinal hernia repairs performed in our hospital over a 3-year period was performed. The outcome measures were type of anaesthesia used, patient demography, co-morbidities, hernia type, hernia repair methods and hospital stay. Those who threated by local anaesthesia, recurrent and bilateral hernias and ASA (American Society of Anesthesiologists) grade IV patients were excluded from the study. Results: A total of 237 hernia repairs were performed during the study period. According to the ASA classification; 130 patients were grade I, 98 were grade II and 9 were grade III. Of these 153 (%64.5...

Chronic Pain Following Lichtenstein Inguinal Hernia Repair: A Single Surgeon’s Experience Authored by Zaza Demetrashvili  Aim: The aim of our study was to determine the prevalence of chronic pain following Lichtenstein inguinal hernia repair and risk factors for pain development. Methods: 347 patients with primary unilateral inguinal hernia underwent Lichtenstein repair. Some preoperative, perioperative and postoperative data were studied. Patients were examined for inguinal pain after one week following hernia repair (early postoperative pain), they were as well examined 1 and 3 months, 1 and 2 years following the surgery. Inguinal pain scores were measured on a Visual Analogue Scale (VAS), ranging from 0 (no pain) to 10 (worst imaginable pain). These pain scores were categorized as none (0), mild (1-3), moderate (4-7) and severe (8-10) pain. Results: Information about 26 patients was lost during the observation. Subsequently 321 patients were examined...