Retrospective analysis of 343 elderly patients with inguinal hernia repair under different anaesthesias

Objective To discuss the best choice for anesthesia of elderly patients with inguinal hernia repair and its clinical significance.Methods Retrospective analysis was made in 343 60 years old or above patients who had either local,intravertebral or general anesthesia in open inguinal hernia repair (named group A,group B and group C successively) .The primary endpoints were operation duration,operation and anesthesia duration,bleeding volume intraoperation,complications during and after operation,hospital stays postoperation,hospital expense and early recurrence postoperation.Results The operation durations of group A and B were both significantly shorter than group C (t=2.366,2.308,P=0.019,0.023) .Group A owned significantly shorter operation and anesthesia duration compared to group B and C (t=-6.975,-7.307,both P=0.000),and that of group B was remarkably shorter than group C (t=-2.129,P=0.035) .The bleeding volumes intraoperation of group A and B were less than group C (t=3.883,4.000,both P=0.000) .The intraoperative and postoperative complications of group A and B were less than group C (χ2=6.722,6.536,P=0.010,0.011) .There were no significant differences of hospital stays between group A,B and group C (t=0.761,0.953,P=0.448,0.341) .The hospital expense of group A was lower than group B and C (t=-9.714,-20.000,both P=0.000),and group B was lower than group C (t=12.898,P=0.000) .There were no recurrences before discharge in the three groups.Conclusions Open inguinal hernia repair under local anesthesia for elderly patients with primary and non-incarcerated inguinal hernia is characterized with simplicity,good effect,high safety and low cost and worthy of clinical adoption and promotion.