Buradasınız

Anasayfa » Content

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.
Bookmark/Search this post with
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.
FULL TEXT (PDF): 
PDF icon arastirmax-inguinal-hernilerin-tedavisinde-gerilimsiz-preperitoneal-mesh-hernioplasti-gec-donem-sonuclari.pdf
  • 3
187-191
  • Turkish

REFERENCES

References: 

RutkovvIM. Epidemiologic, Economic, and Sociologic aspeots oi hernia surgery in the united states in the 1990S. Surg Clin North Am 1998; 941 -51.
2. Wantz GE. Abdominal wall hernias. in Schvvartz Si. Ed: Principles of surgery, sixth ed. New York: McGraw-Hilt;1994: 1517-43.
3. Ravitch MM, Hitzrot JM. Surgical history; The ope-rations for İnguinal hernia. Surgery. 1960; 48: 439-66.
4. Rutkow İM. A selective history ot groin hernia surgery İn the early 19th century. Surg Clin North Am 1998; 921 -40.
5. Abrahamson J. Etiology and pathophysiology of pri-mary groin hernia formation. Surg Clin North Am 1998; 953-72.
6. Read RC, White HJ. İnguinal herntation 1777-1977. The Am J Surg. 1978: 136: 651-4.
7. Bendavid R. Complications of groin hernia surgery. Surg Clin North Am 1998; 1089-03.
8. Robbins AW, Rutkow İM. Mesh plug repair groin her-nia surgery. Surg Clin North Am 1998; 1007-23.
9. Rutkow İM, Robbins AW. Tension-Free inguinal her-nioraphy: a preliminary report on the mesh plug tech-nique. Surgery. 1993; 114:3-8.
10. Kurzer M, Belsham PA, Kark AE. The Lichtensîeîn re¬pair. Surg Clin North Am 1998; 1025-46.
11. Amid PK, Shulman AG, Lichtenstein İL. A critical eva-luatîon of Lichtenstein tension-free hernioplasty. Int Surg. 1994; 79:76-9.
12. Stoppa RE, vVarlaumont CR. The preperitoneal app-roach and prosthetic repair of groin hernia. İn: Nyhus LM, Condon RE. editors. Hernia. Philadelphia, USA Lippincott. 1989: 199-225.

13. Obney N, Chan CK. Repair of multiple time recurrent inguinal hernias with reference to common causes of recurrence. Contemporary Surgery. 1984; 25: 25-32.
14. Patino JF, Garcia-Herreros LG, Zundel N. İnguinal hernia repair: The Nyhus posterior preperitoneal ope¬ration. Surg Clin North Am 1998; 1063-74.
15. Read RC, McLeod PC. Infiuence of relaxing incision on suture tension İn Bassini's and McVay's repairs. Arch Surg. 1981; 116:440-5.
16. DeBord JR. The histohcal development of prosthetics in hernia surgery. Surg Clin North Am 1998; 973¬1006.
17. Amid PK, Shulman AG, Lichtenstein İL. An analytic compariso of laparoscopic hernia repair with open Tension-Free hernioplasty. Int Surg. 1995; 80: 9-17.
18. Patino JF, Herreros LGG, Zundel N. İnguinal hernia repair; The Nyhus posterior preperitoneal operation. Surg Clin North Am 1998; 1063-74.
19. Akıncı ÖF, Uzunköy A, Coşkun A. A Tension-Free Technique for repair of inguinal hernia: posterior pre¬peritoneal mesh hernioplasty. Ulusal Cerrahi Dergisi. 1999;15:114-9.
20. Vvantz GE. Giant prosthetic reinforcement of the vis-ceral sac: The Stoppa groin hernia repair. Surg Clin North Am 1998; 1075-87.
21. Kaynak A, Sert Ü, Tekin Ş. Preperitoneal synthetic mersilen mesh hernioplasty and transvesical pros-tatectomy through suprapubic tranverse incision. Ulu¬sal Cerrahi Dergisi. 1991; 7: 121-4.
22. Rosenthal D, Walters MJ. Preperitoneal synhetic mesh placement for recurrent hernias of the groin. Surg Gynecol and Obstet. 1986; 163: 285-6.

Thank you for copying data from http://www.arastirmax.com