关键词: 腹股沟疝修补术, 老年患者, 满意度, 患者临床报告结果满意度, 术后痛

Abstract: ［Abstract］ Objective To compare open and laparoscopic hernia repair in patients ≧ 60 years old and those <60 years old with respect to patient reported outcomes. Methods A total of 137 cases of inguinal hernia surgery from January 2015 to May 2016 were included in this study, in which 72 cases were less than 60 years old（<60 group）, 65 were more than and equal to 60 years old（≧60 group）. In <60 group, 29 patients underwent laparoscopic hernia repair（TEP）and 43 open hernia repair（open）. The patient?reported outcomes（PROMS）was carried out in all patients 24 hour after surgical procedure. The PROMS included an optional survey with questions to quantify pain, general feeling, nausea, dizziness, drowsiness, satisfaction and vomiting since the operation. Results Data was presented from patients 6 months after operation by a follow?up for 137 cases. There were 8 cases reported severe pain, in which 6 patients were <60 and only 2 cases reported severe pain. This was significantly lower （P<0.05）. One patient reported moderate pain in the ≧65 TEP group and 3 in <60 TEP group. Patient satisfaction with the surgery was satisfied or very satisfied in almost all patients in all groups. Only 2 patient complained their surgical scars and post?operative pain. Conclusion The patients over 60 can expect the same high levels of satisfaction and low levels of pain following either technique for inguinal hernia repair as younger patients.

Key words: inguinal hernia repair, satisfaction, elderly patients, pain, patient reported outcomes