oa South African Medical Journal - Groin hernia in the elderly



Groin herniae in the elderly are frequently encountered. In these, strangulation is common owing to the fact that no truss effectively controls any hernia. The mortality rate after operation for strangulation in the elderly is above 24%. in contrast with one under t% when operative cure under local anaesthesia is effected in the pre-strangulation phase. Local anaesthesia obviates operative shock and allows of immediate postoperative ambulation with corresnonding absence of pulmonary, cardiac and peripheral vascular complications. The Lotheisen operation carries the lowest recurrence rate for herniae that is known. Non-absorbable (silk) sutures contribute to its reliability. The author's satisfactory experience with 48 patients between the ages of 50 and 80 years is herein reported.


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