Anästhesie bei der laparoskopischen Hernioplastik – gibt es eine Altersgrenze?

Anesthesia in Laparoscopic Inguinal Hernia Repair – Is There an Age Limit? Advantages of endoscopic surgery are reduced postoperative wound pain, quick mobilization, and short hospitalization. However, pneumoperitoneum leads to considerable intraoperative hemodynamic and ventilatory changes. Therefore, some authors recommend an extended monitoring for very old and sick patients who particularly may profit from the advantages of laparoscopic surgery. We investigated the data of 124 elderly patients who underwent laparoscopic inguinal hernia repair in our hospital. Anesthesiologic routine monitoring was sufficient in all cases. None of these patients suffered severe complications during or after surgery until discharge from our hospital. If it is applied by an anesthesiologist who is well versed in the physiologic alterations during pneumoperitoneum as well as in the different physiology of elderly patients, the anesthesiologic standard monitoring presented here is sufficient and safe even in multimorbid patients.