Böbrek Nakli Alıcılarında İnsizyonel Herni: Tek Merkez Deneyimi

Amaç: İnsizyonel herni, hastaların yaşam kalitesini olumsuz etkileyebilecek ciddi bir komplikasyon olup tüm ameliyatlardan sonra görülebilir. İnsidansı, böbrek naklinden sonra % 1 ile 5 arasındadır. Bu retrospektif çalışmanın amacı, böbrek nakli sonrası alıcı hastalarda gelişen insizyonel hernilerin değerlendirilmesidir. Gereç ve Yöntem: Nisan 2014 - Nisan 2019 tarihleri arasında ..... Üniversitesi Tıp Fakültesi Hastanesi Organ Nakli Bölümü'nde, böbrek nakli yapılan 150 hasta retrospektif olarak incelendi. İnsizyonel herni 7 (% 4.7) hastada saptandı. Bu hastaların demografik ve klinik özellikleri, predispozan faktörleri ve cerrahi sonuçları değerlendirildi. Bulgular: Böbrek nakli sonrası insizyonel herni saptanan hastaların yaş ortalaması 61±3.2 yıldı. Bu hastaların 5’i (%71.4) erkekti. Hastaların ortalama Vücut Kitle İndeksi (VKİ) 34.8±2.1 kilogram/ metrekare (kg / m2) idi. Hastalardan 5’inde (%71.4) Diabetus Mellitus vardı. Hastalardan 5’inde (%71.4) yara yeri enfeksiyonu mevcuttu. Tüm hastalar prolene mesh greft ile onarıldı (açık-onlay tekniği ile). Otuz dokuz (14-60) aylık takipte komplikasyon ve nüks görülmedi. Sonuç: Risk grubunda yaşlı, obez, diyabetik ve ameliyat sonrası yara yeri infeksiyonu gelişen hastalar vardı. Böbrek nakli sonrası gelişen insizyonel hernilerin erken tanı ve tedavisi için özellikle bu hasta gruplarına dikkat edilmesi gerektiğini düşünüyoruz.

Anahtar Kelimeler:

İnsizyonel herni, Böbrek nakli, Analiz

Incisional Hernia in Kidney Transplant Recipients: A Single Center Experience

Aim: An incisional hernia is a serious complication that can negatively affect patients quality of life and can be seen after all operations. Its incidence is between 1 and 5% after kidney transplantation. The aim of this retrospective study has been to evaluate the incisional hernias developing in recipient patients after kidney transplantation. Materials and Methods: Between April 2014 and April 2019, 150 patients who underwent kidney transplantation at ..... University Medical Faculty Organ Transplant Department were retrospectively analyzed. The incisional hernia was detected in 7 (4.7%) patients. Demographic and clinical features, predisposing factors and surgical results of these patients were evaluated. Results: The mean age of patients with an incisional hernia after kidney transplantation was 61 ± 3.2 years. Five of these patients (71.4%) were male. The mean Body Mass Index (BMI) of the patients was 34.8 ± 2.1 kilograms / square meter (kg / m2). Diabetes Mellitus was present in 5 patients (71.4%). Wound infection was present in 5 (71.4%). All patients were repaired with a prolene mesh graft (open onlay technique). No complication and recurrence was observed in the thirty-nine (14-60) months follow-up. Conclusions: There were elderly, obese, diabetic and postoperative wound infection patients in the risk group. We think, attention must be paid especially in these patient groups for the early diagnosis and treatment of incisional hernias develop after liver transplantation.

Keywords:

Incisional hernia, Kidney transplantation, Analysis,

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