ABSTRACT
Old people are continuously increasing in frequency but age is not a significant factor to value the operative risk in hernia surgery. From June 1985 to December 1996, 189 patients, aged > 80-year, were submitted to hernia surgery. No complications were noted when elective surgery was performed. Emergent procedure was undertaken in 7% of the patients major perioperative complications and one death were registered in this group of patients. Mean hospital stay has decreased in the period of the study: was 2.2 days in the last two years. Local anesthesia permitted a day surgery procedure in 60% of cases.
Subject(s)
Hernia, Femoral/surgery , Hernia, Inguinal/surgery , Aged , Aged, 80 and over , Ambulatory Surgical Procedures , Anesthesia, Local , Elective Surgical Procedures , Emergency Treatment , Humans , Length of Stay , Retrospective Studies , Survival Analysis , Treatment OutcomeABSTRACT
Conservative therapy of hemorrhoids can be curative at stage I and II of disease; further it rappresent a valid preliminary management for a better result of more aggressive treatments, be they surgical or not. Beside local and general drugs other aspects play an important role in conservative therapy of hemorrhoids: adequate local hygiene, correct diet, education to a physiological evacuation and last but not least stool frequency regulation.