Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jun;16(3):e2095.
doi: 10.1002/rcs.2095. Epub 2020 Mar 4.

Are elderly patients at high risk for postoperative complications after robotic ventral hernia repair? A propensity score matching analysis

Omar Yusef Kudsi  1 , Fahri Gokcal  1 , Sara La Grange  1 , Naseem Bou-Ayash  1 , Karen Chang  1
Affiliations

Are elderly patients at high risk for postoperative complications after robotic ventral hernia repair? A propensity score matching analysis

Omar Yusef Kudsi et al. Int J Med Robot. 2020 Jun.

Abstract

Background: The purpose of this study was to compare the elderly (≥65 years) and non-elderly groups regarding perioperative outcomes after robotic ventral hernia repair (RVHR).

Methods: A one-to-one propensity score matching (PSM) analysis was conducted to obtain balanced groups. Postoperative complications including surgical site events (SSEs) (surgical site infections [SSIs], surgical site occurrences [SSOs], and surgical site occurrence procedural interventions [SSOPIs]) were compared.

Results: The unmatched sample included 521 patients. Of these, 139 patients were elderly (range 65-94 years). After PSM, 98 patients were assigned to each group. Intraoperative variables were similar. The non-elderly and elderly groups experienced similar complication rates during the first 90 days. SSEs (SSIs, SSOs, and SSOPIs) did not differ between the two groups.

Conclusion: RVHR is safe and efficacious for patients aged 65 and over. Age alone need not be a prohibitive factor in determining patient selection for RVHR; however, it would be more beneficial to take into consideration other patient-related factors as well.

Keywords: elderly; older adults; risk factors; robotic ventral hernia repair.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

REFERENCES

    1. The World Health Organization. Ageing and health. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health. Published 2018. Accessed May 30, 2019.
    1. Bates AT, Divino C. Laparoscopic surgery in the elderly: a review of the literature. Aging Dis. 2015;6(2):149-155.
    1. Turrentine FE, Wang H, Simpson VB, Jones RS. Surgical risk factors, morbidity, and mortality in elderly patients. J Am Coll Surg. 2006;203(6):865-877.
    1. Lindmark M, Strigard K, Lowenmark T, Dahlstrand U, Gunnarsson U. Risk factors for surgical complications in ventral hernia repair. World J Surg. 2018;42(11):3528-3536.
    1. Fischer JP, Wink JD, Nelson JA, Kovach SJ 3rd. Among 1,706 cases of abdominal wall reconstruction, what factors influence the occurrence of major operative complications? Surgery. 2014;155(2):311-319.

LinkOut - more resources