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Quality of life in elderly patients after inguinal hernioplasty

机译:腹股沟疝修补术后老年患者的生活质量

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摘要

Background and aim\udInguinal hernia is the most frequent abdominal wall her- nias in elderly population. Surgical treatment must be aware of the cardiovascular and respiratory disease these patients are often affected by. Inguinal hernia is responsi- ble to impair the quality of life (QoL). Aim of this study was to evaluate the QoL through the Short-Form (SF)-36 questionnaire in a cohort of elderly patients undergoing inguinal hernioplasty.\udMaterials and methods\udFifteen male patients of age ≥75 years affected by sympto- matic unilateral uncomplicated inguinal hernia were included in this study. All patients undergoing inguinal hernioplasty in local anaesthesia according to the Liech- tenstein technique. The SF-36 questionnaire was adminis- tered to each patient the day before and 6 months after surgery. Global analysis of the 8 domains of SF-36 and 2 comprehensive indexes of SF-36, Physical Component Summary (PCS) and Mental Component Summary (MCS) were performed.\udResults\udInguinal hernioplasty originated no postoperative com- plications, in particular no patients complained of chronic pain after surgery. Six months after surgery, all 8 domains of SF-36, and MCS and PCS scores improved remarkably as compared with the preoperative time.\udConclusion\udInguinal hernioplasty in elderly patient is a safe and effec- tive procedure. Although the major surgical stress\udobserved in these subjects, the improvement of QoL, as attested by significantly increased in SF-36 scores, repre- sent a clear-cut indication for elective inguinal hernia repair.
机译:背景和目的腹股沟疝是老年人口中最常见的腹壁疝。手术治疗必须意识到这些患者经常受到的心血管和呼吸系统疾病的影响。腹股沟疝会损害生活质量(QoL)。这项研究的目的是通过简短形式(SF)-36问卷对一组接受腹股沟疝气成形术的老年患者的QoL进行评估。\ ud材料和方法\ ud15例年龄≥75岁的男性患者,有症状的单侧无并发症腹股沟疝被纳入本研究。所有患者均根据Liechtenstein技术在局部麻醉中进行腹股沟疝修补术。 SF-36问卷是在手术前一天和术后6个月向每位患者进行的。对SF-36的8个域和SF-36的2个综合指标,身体成分摘要(PCS)和心理成分摘要(MCS)进行了全局分析。\ udResults \ ud腹股沟疝修补术无术后并发症,特别是无患者抱怨手术后有慢性疼痛。术后六个月,SF-36的所有8个方面以及MCS和PCS评分均比术前明显改善。\ ud结论\ ud老年患者的腹股沟疝修补术是一种安全有效的方法。尽管主要手术压力在这些受试者中均得到了观察,但通过SF-36评分的显着提高证明了QoL的改善,代表了选择性腹股沟疝修补术的明确指征。

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