[Elective inguinal hernioplasty in patients on chronic anticoagulation therapy. Management and outcome]. / Hernioplastia inguinal electiva en pacientes con anticoagulación oral. ¿Son candidatos a cirugía ambulatoria?
Cir Esp
; 86(1): 38-42, 2009 Jul.
Article
in Es
| MEDLINE
| ID: mdl-19486961
ABSTRACT
BACKGROUND:
Perioperative management of patients on anticoagulant therapy increases the complexity of elective inguinal hernia repair. We assessed the safety of our standardised anticoagulation protocol and investigated the outpatient and one day surgery rates. MATERIAL ANDMETHODS:
The records of 1184 patients undergoing elective inguinal hernioplasty between 2005 and 2007 were reviewed; 14 patients on chronic anticoagulation therapy were identified. We used a standard bridging therapy protocol with low-molecular-weight heparins. Outcomes were assessed at 30 days post-procedure and included bleeding, thromboembolic events or death and type of hospital admission.RESULTS:
Mean age was 74+/-10 years; 12 (25%) patients were high risk for thromboembolism and 31 (67%) patients were ASA III. Almost all inguinal repairs were performed using a polypropylene mesh; 6 (13%) patients had a surgical site haematoma and there was 1 (2.7%) major bleeding, that was re-operated on. No thromboembolic events or deaths occurred; 11 (23%) patients were treated on an outpatient basis and 16 (34%) on a one day surgery regimen. Mean hospital stay was 2.4+/-5.1 days.CONCLUSIONS:
Elective inguinal hernioplasty in patients on chronic oral anticoagulation therapy using a standard bridging protocol is a safe procedure. Chronic anticoagulation therapy is not a contraindication for ambulatory surgery.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Elective Surgical Procedures
/
Ambulatory Surgical Procedures
/
Hernia, Inguinal
/
Anticoagulants
Type of study:
Guideline
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Es
Journal:
Cir Esp
Year:
2009
Document type:
Article