{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T19:38:36Z","timestamp":1787686716680,"version":"build-2784847793"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Medizinische Hochschule Brandenburg CAMPUS GmbH"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hernia"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>With increasing life expectancy, a growing proportion of inguinal hernia repairs is performed in elderly patients. Evidence regarding perioperative safety and long-term outcomes in octogenarians remains limited. This study compared perioperative outcomes and one-year follow-up between patients aged\u2009&lt;\u200980 and \u2265\u200980 years using data from the Herniamed Registry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 394,309 fully documented unilateral primary inguinal hernia repairs with valid one-year follow-up were extracted from the Herniamed Registry (data export October 2025). After applying predefined inclusion and plausibility criteria, 45,576 patients aged\u2009\u2265\u200980 years and 348,733 patients aged\u2009&lt;\u200980 years were eligible for analysis. A 1:1 propensity score\u2013matched analysis was performed using demographic, hernia-related, surgical, and comorbidity variables, with exact matching for sex, surgical approach, and procedure type. Outcomes included intraoperative, general, and postoperative complications, complication-related reoperations, and one-year endpoints (pain at rest, pain on exertion, pain requiring treatment, recurrence, trocar hernia, secondary hemorrhage, seroma, and infection). McNemar\u2019s test and odds ratios were used for statistical comparison.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Before matching, octogenarians more frequently underwent emergency surgery (6.8% vs. 2.1%), presented with scrotal or femoral hernias, and were more often treated under local or spinal anesthesia. Propensity score matching yielded 44,550 matched pairs. After matching, patients aged\u2009\u2265\u200980 years showed significantly higher rates of general and postoperative complications, reoperations, secondary hemorrhage, and infection. Conversely, one-year pain outcomes and recurrence rates were significantly lower in octogenarians. No significant differences were observed for intraoperative complications, trocar hernia, or seroma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Octogenarians undergoing inguinal hernia repair exhibit increased perioperative risk but favorable one-year outcomes regarding pain and recurrence. These findings support the overall safety and effectiveness of inguinal hernia repair in advanced age, provided that perioperative risk is carefully managed. Elective surgery should not be withheld solely due to age, and early intervention may reduce the risk of emergency presentations and improve postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10029-026-03689-5","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T11:05:30Z","timestamp":1778583930000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of inguinal hernia repair in octogenarians: A propensity score\u2013matched analysis of the Herniamed Registry"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9749-3005","authenticated-orcid":false,"given":"Ralph","family":"Lorenz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Conze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Fortelny","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"K\u00f6ckerling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Mayer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Niebuhr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Reinpold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Stechemesser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Wiessner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Adolf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ch.","family":"Paasch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,12]]},"reference":[{"issue":"2","key":"3689_CR1","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1159\/000487278","volume":"34","author":"F K\u00f6ckerling","year":"2018","unstructured":"K\u00f6ckerling F, Simons MP (2018) Current Concepts of Inguinal Hernia Repair. 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Hernia: J hernias Abdom wall Surg 27(6):1533\u20131541. https:\/\/doi.org\/10.1007\/s10029-023-02912-x","journal-title":"Hernia: J hernias Abdom wall Surg"},{"issue":"12","key":"3689_CR41","doi-asserted-by":"publisher","first-page":"e20607","DOI":"10.7759\/cureus.20607","volume":"13","author":"R Chaturvedi","year":"2021","unstructured":"Chaturvedi R, Patel K, Burton BN, Gabriel RA (2021) Geriatric Patients Undergoing Outpatient Surgery in the United States: A Retrospective Cohort Analysis on the Rates of Hospital Admission and Complications. Cureus 13(12):e20607. https:\/\/doi.org\/10.7759\/cureus.20607","journal-title":"Cureus"}],"container-title":["Hernia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10029-026-03689-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10029-026-03689-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10029-026-03689-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T11:05:34Z","timestamp":1778583934000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10029-026-03689-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,12]]},"references-count":41,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3689"],"URL":"https:\/\/doi.org\/10.1007\/s10029-026-03689-5","relation":{},"ISSN":["1248-9204"],"issn-type":[{"value":"1248-9204","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,12]]},"assertion":[{"value":"14 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Only cases of routine hernia surgery were documented in the Herniamed Registry and all patients have signed a special informed consent declaration agreeing to participate. The Herniamed Registry has received ethics approval from Ethics Committee Kanton St. Gallen (BASEC Nr. 2016-00123), Ethics Committee University of T\u00fcbingen (287\/2017 BO2), Ethics Committee State Medical Association Baden-W\u00fcrttemberg (F-2022-111), and Ethic Committee University of Cologne (24-1115-retro).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All patients with routine hernia surgery documented in Herniamed Registry have signed an informed consent declaration agreeing to participate.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"This article does not contain any Study with animals performed by any of the authors.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human and animal rights"}},{"value":"\u2212 FK reports grants to fund Herniamed from Johnson&Johnson, Norderstedt, Karl Storz, Tuttlingen, MenkeMed, Munich, DB Karlsruhe, PFM Medical, Cologne, Medtronic, Meerbusch and personal fees from BD Karlsruhe. \u2212 RL, JC, RF, FM, HN, WR, BS, RW, DA, CP have nothing to disclose.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"203"}}