Abstract:

Objective

This study aimed to analyze the risk factors for postoperative complications following transabdominal preperitoneal hernia repair （TAPP） in elderly patients.

Methods

A total of 300 elderly inguinal hernia patients treated at Chuiyangliu Hospital in Beijing from January 2021 to December 2023 were included.Postoperative complications were followed up over a period of 12 to 24 months.Univariate and logistic regression analyses were used to identify independent risk factors for postoperative complications.

Results

Out of the initial 300 patients， 18 were lost to follow-up， resulting in a final cohort of 282 patients.Among these， 46 patients （16.31%） experienced postoperative complications.Univariate analysis revealed significant differences in body mass index （BMI）， age， degree of adhesion，presence of comorbidities preoperatively， choice of mesh， and hernia type （P＜0.05）.Multivariate logistic regression analysis identified BMI， age， degree of adhesion， hernia type， and the presence of preoperative comorbidities as independent risk factors for the development of postoperative complications （P＜0.05）.

Conclusion

The incidence of postoperative complications in elderly patients undergoing transabdominal preperitoneal hernia repair （TAPP） is considerable.Factors such as BMI， age， degree of adhesion， presence of preoperative comorbidities， and hernia type significantly increase the risk of complications.It is crucial to develop effective diagnostic， therapeutic， and nursing strategies that specifically address these risk factors during the perioperative period for this patient population.

Key words: Herniorrhaphy, Complication, Risk factors, Clinical analysis