One Time Surgery in Contemporary Diseases of the Abdominal Wall and Pelvis in the Elderly

Introduction: The diseases most frequently found in the elderly are E.I. (inguinal hernia)* and BPH. (Prostatic hypertrophy non-neoplastic)*. The latter causes an effect on the abdominal wall to the increase in abdominal pressure from cervical-urethral obstruction, leading to the onset of the inguinal hernia pathology due to abdominal pressure which is higher, the greater as the residual bladder urine. The purpose of the study is to provide information on the surgical strategy and on timing in the presence of the simultaneous two diseases. Material and Method: Patients observed and joint treated were divided into two subgroups A (patients without) and B (patients with prosthetic implantation), with a mean age of 74 years. These patients accounted for 23% of the cases handled by hernioplasty and 49% of treated cases of BPH. The surgical treatment performed for joint pathologies in the two groups was that of a Pfannestiel single super-pubic incision extending on the projection of the inguinal ligament. In a first stage is performed a prostatic adeno-myomectomy sec Frayer, and subsequently an hernioplasty (prosthetic and do not).