APENDEKTOMİ OLGULARIMIZIN DEMOGRAFİK DAĞILIMI VE CERRAHİ TEKNİK AÇISINDAN İRDELENMESİ

Bu çalışmadaki amacımız Ağustos 2012- Ağustos 2014 tarihleri arasında akut apandisit tanısıylalaparoskopik ve açık teknikle apendektomi yapılan olguların irdelenmesi amaçlandı. Çalışmamızda Ağustos 2012 ve Ağustos 2014 tarihleri arasında Van Eğitim AraştırmaHastanesinde akut apandisit ön tanısı ile opere olan 131 hastanın verileri demografik özellikleriretrospektif olarak değerlendirildi. Operasyon sırasında laparoskopik yapılan vakalardaekstrakorporeal sütür tekniği ile apendiks güdüğü bağlandı. Açık apendektomilerde Mc Burneykesi yapıldı.Hastaların % 47’ si bayan (n:62), % 53’ü erkekti (n:69). Hastaların yaş ortalaması 27,7. Cerrahiteknik olarak % 15 açık apendektomi (n:20), % 85 laparoskopik apendektomi (n:110) yapıldı.Laparoskopik apendektomi planlanan 3 hastada teknik aksaklıklar nedeniyle açığa dönüldü. 1hastada diagnostik laparoskopi sonrası PID tanısı konmuş olup apendektomi yapılmamıştır.Hastaların %15’ine postop dren konulmuştur (n:20). Yara yeri enfeksiyonu açık apendektomiyapılan 4 olguda görülmüştür (% 20). Laparoskopik apendektomi yapılan hasta grubunda açıkapendektomi yapılanlara göre hastanede ortalama kalış süresi daha kısa bulundu (2,2 gün, 2,8gün). Laparoskopik apendektomi akut apandisitin tedavisinde açık apendektomi kadar güvenilirve uygulanabilir bir tekniktir

Anahtar Kelimeler:

Akut apandisit, Laparoskopik apendektomi, yara enfeksiyonu

Discussion About Demographic Distribution And Surgery Technique Of Our Apendectomy Cases

In this study we aimed to evaluate the outcomes of patients undergoing laparoscopic and openappendectomy with suspected appendicitis from August 2012 to August 2014.In this study data from 131 patients undergoing laparoscopic and open appendectomy betweenAugust 2012 and August 2014 in Van Training and Research Hospital were examinedretrospectively for demographic characteristics. In the laparoscopic appendectomy grouphandmade endoloop technique was used for closing the base of the appendix. Mc Burney’sincision was used for open appendectomy.47% of patients were female (n = 62), 53% of patients were male (n = 69). The average age ofthe patients was 27.7 years. According to surgical technique, open appendectomy was performed15% (n = 20), laparoscopic appendectomy was performed 85% (n = 110). For 3 patients,laparoscopic appendectomy was planned but then operation was converted to open techniquedue to device problems. PID has been detected in one patient who underwent diagnosticlaparoscopy so appendectomy was not performed. Postoperative drainage tube was placed to15% of patients (n = 20). Wound infection was seen in 4 open appendectomy performed patients(20%). Laparoscopic appendectomy was associated with a shorter hospital stay (2.2 days vs 2.8days). Laparoscopic appendectomy is as safe and efficient as open appendectomy in the treatment ofacute appendicitis

Keywords:

Acute appendicitis, Laparoscopic appendectomy, wound infection,

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