关键词: 老年, 腹股沟疝, 麻醉, 并发症

Abstract:

Anesthetic considerations in elderly patients with inguinal hernia        LANG Fei-fei, CAI Yu-xi, GU Wei-dong. Department of Anesthesiology, Huadong Hospital, Fudan University, Shanghai 200040,China
Corresponding author: GU Wei-dong,E-mail:mcwgwd@163.com
Abstract    Majority of elderly patients with inguinal hernia have systemic disease including hypertension, diabetes mellitus, coronary heart disease and chronic bronchitis. Their reserve function of heart and lung significantly decreased. It is important to choose appropriate anesthetic method according to the pathophysiology of those patients. There are many options of anesthesia for inguinal hernia repair in elderly patients, including spinal anesthesia, general anesthesia, regional anesthesia and local anesthesia. Common postoperative complications include urinary retention, delirium and chronic pain. Selecting the appropriate anesthesia based on patient characteristics and operative approach is helpful to reduce postoperative complications and optimize postoperative recovery.

Key words: elderly, inguinal hernia, anesthesia, complication