Akademik Veri Yönetim Sistemi
24th European Congress of Trauma and Emergency Surgery, Aachen, Almanya, 13 - 15 Nisan 2025, ss.163-164, (Özet Bildiri)
Background: Inguinal hernia repair is a common procedure. Conservative management of asymptomatic hernias in elderly patients can lead to emergency surgery with increased morbidity and mortality. This study evaluates postoperative outcomes of elderly patients undergoing emergency surgery for incarcerated inguinal hernia. Methods: The medical records of patients 135 patients who underwent emergency surgery for incarcerated inguinal hernia (IIH) between January 2019 and June 2024 were analyzed retrospectively. Patients were categorized into two groups; elderly (≥65 years) and younger (<65 years). Demographic data, comorbidities, ASA scores, perioperative findings, intensive care unit (ICU) admissions, and postoperative complications were analyzed. Results: Of the 135 patients, 99 were male (73.3%), median age was 64 (23-95) years. 62 patients were in the elderly group (EG) with a median age of 75 (65-95) and 73 patients were in the younger group (YG) with a median age of 54 (23-64). The rate of concomitant diseases were higher in the EG((88.7% vs 50.7%). The mean duration before surgery was 35.02±29.57 hours and 26.97±25.18 hours in the EG and YG groups respectively. General anesthesia was the most commonly used method. ICU admission was more frequent in the EG(75.8% vs. 38.4%, p<0.001). Overall, 24 patients (17.8%) (12 patients in each group) experienced postoperative complications, with wound infections and scrotal hematoma being the most common. Mortality occurred in six elderly patients (4.4%) due to non-herniarelated causes. Conclusion: Emergency repair of IGH in elderly patients is associated with a higher need for ICU admission and increased morbidity. Although elective hernia repair is generally safe, the elderly population faces increased risks during emergency interventions, particularly due to underlying comorbidities. Early diagnosis and elective surgery may mitigate these risks, improving outcomes in elderly patients. Keywords: Incarcerated groin hernia, elderly patients, complications