Randomized clinical trial comparing ambulatory and inpatient care after inguinal hernia repair in patients aged 65 years or older

Abstract

Background: There is a lack of evidence from randomized studies of the feasibility of ambulatory surgery in patients aged 65 years and older.

Methods: Medically stable patients scheduled for open inguinal hernia repair, with postoperative care available at home, were randomized to receive treatment either as outpatients or inpatients. Younger patients undergoing the same procedure served as a reference group. Outcome measures during the 2 weeks after surgery were complications, unplanned admissions, visits to the hospital, unplanned visits to primary health care, and patients' acceptance of the type of provided care.

Results: Of 151 patients, 89 were included. Main reasons for exclusion were lack of postoperative company (16%), unwillingness to participate (13%), and medical conditions (10%). All outpatients were discharged home as planned, and none of the study patients were readmitted to the hospital. Patient satisfaction was high with no differences between the groups.

Conclusions: Ambulatory surgery was safe and well accepted by older, medically stable patients.