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Dual Mesh İle Açık Ve Laparoskopik V Entral İnsizyonel fıtık Onarımı Karşılaştırılması
2015
Journal:  
Selçuk Tıp Dergisi
Author:  
Abstract:

İnsizyonel fıtıklar karın cerrahisi sonrası sıkça karşılaşılan ve tekrar cerrahi tamir gerektiren bir komplikasyondur. Biz, Dual Mesh ile açık ve laparoskopik ventral insizyonel herni onarımı (LVHR) yapılan hastaları geriye dönük değerlendirmeyi amaçladık. Çalışmamızda Aralık 2008 ile Şubat 2015 tarihleri arasında kliniğimize başvuran ve ventral insizyonel fıtık tanısı konulup açık veya laparaskopik olarak Dual Mesh ile tamir edilen hastaların yaş, cinsiyet, vücut kitle indeksi, fıtığın lokalizasyonu ve boyutu, uygulanan cerrahi işlem (açık/ laparaskopik), eşlik eden diğer cerrahi patolojiler, hastanede kalış süresi, mortalite ve morbidite oranları elde edildi ve değerlendirildi. Toplam 28 hastanın 15’i kadın ve 13’ü erkekti. Yaş ortalaması 57.78± 12.39 yıl (38-78) idi. Ventral insizyonel herni tamiri için operasyona alınan hastaların 12’si laparaskopik olarak geriye kalan 16’sı açık olarak ameliyat edildi. Fıtık boyutu ortalama 12.0±2.6 (5-32) cm idi. Hastanede kalış süresi ortalama 5.75±5.25 (1-21) gündü. Her iki grupta ikişer hastada cerrahi alan enfeksiyonu ve birer hastada insizyon altında seroma haricinde başka bir komplikasyon görülmedi. Dual Mesh ile LVHR ventral insizyonel herni tanılı vakalarda açık cerrahiye kıyasla hastanede daha az kalış ve morbiditenin daha az olması nedeniyle etkin ve güvenilir bir tedavi seçeneğidir.

Keywords:

Dual Mesh with Open and Laparoscopic V Entral Insitional Fist Repair Comparison
2015
Author:  
Abstract:

Insitional sputum is a complication that is often encountered after abdominal surgery and requires re-chirurgical repair. We aimed at reverse evaluation of patients performed with open and laparoscopic ventral insured hernial repair (LVHR) with Dual Mesh. The age, gender, body mass index, localization and size of patients who have been applied to our clinic between December 2008 and February 2015 and who have been diagnosed with ventral insured sputum and repaid with open or laparascopic Dual Mesh were obtained and evaluated, the location and size of the sputum, the surgical procedure (open/laparascopic), other surgical pathologies accompanied, the duration of hospital stay, mortality and morbidity rates. In total, 15 of the 28 patients were female and 13 men. The average age was 57.78±12.39 years (38-78) 12 of the patients undergoing surgery for the repair of the Ventral injectional hernia, the remaining 16 were laparascopically openly operated. The fist size was an average of 12.0±2.6 (5-32) cm. The duration of stay in the hospital is an average of 5.75±5.25 (1-21) days. In both groups, there was no other complication except seroma in both patients and in one patient under insection. With Dual Mesh, LVHR is an effective and reliable treatment option due to fewer hospitalization and fewer morbidity compared to open surgery in detected cases.

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Selçuk Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Selçuk Tıp Dergisi