Open Suture Repair and Open Onlay Technique for Incisional Hernia in Elderly Patients with Multiple Comorbidities
Jung-Sheng Chien MD, Pei-Jiun Tsai MD, Kuang-Yi Liu MD, Shin-E Wang MD, Yi-Ming Shyr MD, FACS, Cheng-Hsi Su1 MD, FACS, and Tien-Hua Chen MD

Abstract
We present our clinical experience with open suture repair and open onlay technique for incisional hernia in elderly patients with multiple comorbidities. Observations and clinical data are described for 20 patients older than 70 years (18 males, two females) whose mean age was 78.6 years (range, 70-88 years). Each patient had an incisional hernia between January 2004 and December 2010. All patients’ preoperative ASA scores were over III or IV and all had serious comorbidities. Mean operative time was 86.1±7.2 minutes and mean hernia size was 8.3 ± 3.7 cm. Mean hospital stay was 4.7 ± 1.7 days, and the recurrence rate was 10 % during a 24.2-month follow-up time. The complication rate was 30% and no patients died during the study period. Open suture repair and onlay technique is a simple and dependable procedure that can be performed quickly by general surgeons at varying experience levels.

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