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İnguinal hernilerin tedavisinde gerilimsiz preperitoneal mesh hernioplasti (geç dönem sonuçları)

Posterior preperitoneal tension-free mesh hernioplasty in inguinal hernia repair: long-term results.

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2001

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Aim: We aimed to report the long-term results of the patients undergone posterior preperitoneal tension-free mesh hernioplasty operation for inguinal hernia. Patients and Methods: We icnluded İn this study 624 patients undergone posterior preperitoneal tension-free mesh hernioplasty operation for inguinal hernia betvveen October 1992 and June 2000. The patients were invited for control İn the first and third postoperative months and yearly. The patients who did not come to control were asked by telephone and letter if they had any recurrences and problem with their operation. The patients lost their communication with us after the operation were exciuded from this study. The patients were examined and evaluated for urinary retention, bleeding, spermatic cord edeme, wound infection, neuralgia and recurrence in the early and late postoperative periods. Results: 584 of the patients were men and 40 were women. The patients were followed 37.4 months (range: 6-108 months) after the operation. We found 1.8% recurrence, 0.3% bleeding, 2.7% infection, 4.2% spermatic cord edeme, 0.6% neuralgia and 0% urinary retention ratio. Conclusion: We concluded that, posterior preperitoneal tension-free mesh hernioplasty operation is a safe method with low morbidity and recurrence rate İn İnguinal hernia repair.
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Abstract (Original Language): 
Amaç: İnguinal hernilerin tedavisinde posterior preperitoneal gerilimsiz mesh hernioplasti uygulanan hastaların geç dönem sonuçlarının sunulması amaçlandı. Hastalar ve Yöntemler: Çalışmaya Ekim 1992 - Haziran 2000 tarihleri arasında inguinal herni nedeniyle öpere edilmiş ve posterior preperitoneal gerilimsiz mesh hernioplasti uygulanmış 624 hasta alindi- Hastalar operasyondan sonra 1 ve 3. aylarda, daha sonra yıllık kontrollerle izlendiler. Kontrollere gelmeyen hastalara mektup yazılarak veya telefon edilerek nüks veya operasyonla ilgili bir sorunlarının olup olmadığı soruldu. Kontrollere hiç gelmeyen ve irtibat kurulamayan hastalar çalışma dışı tutuldular. Hastalar erken ve geç dönemde idrar retansiyonu, kanama, spermatik kord ödemi, enfeksiyon, operasyon alanında ağrı ve nüks açısından değerlendirildiler. Sonuçlar: Çalışmaya alınan hastaların 584'ü erkek, 40'ı kadın idi. Hastalar ortalama 37.4 ay (6-108 ay) izlendiler. Nüks %1.8, hematom %0.3, enfeksiyon %2.7, spermatik kord ödemi %4.2, nevralji %0.6, idrar retansiyonu %0 oranında belirlendi. Yorum: İnguinal hernilerin tedavisinde posterior preperitoneal gerilimsiz mesh hernioplastinin düşük morbidite ve düşük nüks oranları ile güvenle uygulanabilecek bir yöntem olduğu kanaatine varıldı.
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  • 3
187-191
  • Turkish

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