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.
The most common complications are difficulty swallowing, abdominal bloating, diarrhea, and nausea. Most patients can’t belch as well as they could before surgery, although the inability to belch is distinctly uncommon. About 25% of patients can’t vomit after surgery.
After laparoscopic surgery, most people will not experience much pain, but they may feel discomfort in their abdomen and chest and have difficulty swallowing. This usually passes within 48 hours. After a laparoscopy, a person may be able to go home the same day if they have recovered from the anesthetic.
Surgery. 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.
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.
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.
Hiatal surgeries can be done with open repairs, laparoscopic repairs, and endoluminal fundoplication. They are all done under general anesthesia and take 2 to 3 hours to complete.
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.
A hiatal hernia repair is a serious surgery. You will need some time to recover after the surgery. Your healthcare provider will suggest this surgery if you have a hiatal hernia and long-term (chronic) heartburn and other symptoms. He or she will try other things before doing surgery.
® today announced the publication of new clinical data confirming that concomitantly performed hiatal hernia (HH) repair and the Transoral Incisionless Fundoplication (TIF® 2.0) procedure using the EsophyX® device, is an effective treatment for patients with a HH larger than 2 cm contributing to their gastroesophageal
A hernia repair is a common but major surgery with significant risks and potential complications. You may have less invasive treatment options available.