Our results suggest giant hiatal hernia is relatively safe for elderly patients in comparison to younger patients. Although 64.5% of patients in our study had concomitant cardiovascular and cerebrovascular diseases, most recovered uneventfully from the procedure.
Satisfaction with surgery was 97% during early and 93.3% during late post-operative follow up. Laparoscopic repair of GHH in appropriately selected elderly patients is safe and results in significant improvement in quality of life.
Conclusion Inguinal hernia surgery in the elderly may be safe and effective in an elective setting and if regional anesthesia is used. Careful examination of patients before surgery and identification of potential risk factors associated with co-existing diseases are vital for reducing the risk of complications.
Hiatal hernias are rarely life-threatening. In most cases they are mild and cause few symptoms. However, complications, such as incarceration or strangulation of part of the stomach, can be life-threatening if untreated.
This surgery has an estimated 90 percent success rate. Still, about 30 percent of people will have reflux symptoms return.
However, surgery may be recommended if: symptoms are severe and interfere with quality of life. symptoms do not respond to other treatments. the hernia is at risk of becoming strangulated, which is where the blood supply to the herniated tissue is cut off — a situation that can be fatal.
Expect stay in the hospital one to two days after this procedure. On the morning after your procedure you will get a swallowing study to make sure everything is in the proper place.
Although orthopedic surgery is generally safe for patients ages 80 and older, those with no or few accompanying health conditions are less likely to have surgical complications from spinal fusion surgery, hip replacements or knee replacements than other octogenarians, according to a large study published in July 2014
For inguinal hernia operations, SMR after emergency and elective operations are 5.94 (4.99–7.01) and 0.63 (0.52–0.76). Overall mortality within 30 days after groin hernia operations is increased above that of the background population for all men and women (SMR, 1.40; 1.22–1.58 and 4.17; 3.16–5.40, respectively).
Surgery poses serious risks for older people, who weather anesthesia poorly and whose skin takes longer to heal. Among seniors who undergo urgent or emergency abdominal surgery, 20 percent die within 30 days, studies show.
Of 67 patients hospitalized for symptomatic paraesophageal hernia and treated conservatively, 11 (16.4%) died in the hospital within a mean of 42 months (range, 2-96 months) from onset of symptoms. Four (13%) deaths might have been prevented by elective surgical intervention.
If you have been diagnosed with a hiatal hernia, and you have nausea or vomiting; or you are unable to have a bowel movement or pass gas, you may have a strangulated hernia or an obstruction. These are medical emergencies and you should call your doctor immediately.
Sometimes a hiatal hernia requires surgery. Surgery is generally used for people who aren’t helped by medications to relieve heartburn and acid reflux, or have complications such as severe inflammation or narrowing of the esophagus.
Research shows that most people with hernias have surgery within 10 years. Keep in mind that delaying surgery until your hernia is larger and the muscles are weaker may make surgery and recovery more difficult.
“Hernias cannot heal on their own — if left untreated, they usually get bigger and more painful, and can cause serious health risks in some cases.” If the wall through which the intestine is protruding closes shut, it can cause a strangulated hernia, which cuts off blood flow to the bowel.
In most cases, a hiatal hernia won’t lead to other health problems. In some cases, it can cause other problems such as: Severe GERD (gastroesophageal reflux disease) Lung problems or pneumonia because stomach contents have moved up into your esophagus and into one or both lungs.