关键词: 老年, 腹股沟疝, 复发, 预防

Abstract:

Causes, prevention and treatment of recurrent inguinal hernia in elderly patients        LIU Gang-lei, REN Feng, ZHOU Jian-ping. Department of Geriatric Surgery，the Second Xiangya Hospital, Central South University, Changsha 410011, China
Corresponding author: ZHOU Jian-ping,E-mail: zhoujp609@
sina.com
Abstract    Elderly people are often accompanied by multiple high abdominal pressure complications, tissue degeneration, connective tissue collagen metabolism abnormalities, obesity, chronic nephropathy and other postoperative recurrence risk factors, belonging to the population of high probability of recurrence. From the perspective of recurrence: the surgery for those people should be more active, improve perioperative preparation, and reduce the waiting time for observation; During the primary surgery, if the patient is in good condition, general anesthesia and laparoscopic procedure should be chosed; If the situation is poor, it is possible to choose local anesthesia and open procedure; If artificial materials are not suitable, Shouldice surgery is recommended; During the recurrence repair, the scar area should be avoided; A professional surgical team is especially important.

Key words: elderly, inguinal hernia, recurrence, prevention