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ÇOCUKLUK ÇAĞI KASIK FITIKLARI: BİR GENEL CERRAHIN DENEYİMİ

Amaç: Çocukluk çağı cerrahi problemler arasında cerrahların en sık karşılaştıkları hastalık kasıkfıtığı olup kasık fıtığı onarımı çocuklardaki cerrahi pratikte en sık yapılan ameliyattır. Yöntem: Tek genel cerrahi uzmanı tarafından 2008-2010 yılları arasında kasık fıtığı nedeniyleameliyat edilen 166 çocuk hasta retrospektif olarak incelendi. Bulgular: 86 hastada (%51,8) sağ, 64 hastada (%38,6) sol, 16 hastada (%9,6) bilateral kasıkfıtığı mevcuttu. 3 yaş ve altı 46 hastaya (%27,7) kanal açılmadan fıtık tamiri yapıldı. 3 yaş üzeri120 hastaya (%72,3) kasık kanalı açılarak fıtık tamiri yapıldı. 2 hastada (%1,2) nüks meydanageldi ve nüks olan hastalar kanal açılmadan fıtık tamiri yapılan hastalardan idi. Sonuç: Sonuç olarak çocuklarda inguinal kanalın açılarak fıtık tamiri yapılmasının daha güvenlive sorunsuz bir yöntem olduğunu düşünüyoruz

Anahtar Kelimeler:

Kasık Fıtığı, Fıtık Tamiri, Genel Cerrah

Inguinal Hernias of the Childhood: Experience of A General Surgeon

Purpose: Inguinal hernia is the most common surgical disease in childhood and inguinalherniotomy is the most common surgery in general surgery practice. Methods: In this report, we retrospectively observed 166 childhood patients who underwentsurgery for inguinal hernia by one surgeon in a state hospital between 2008 and 2010.Results: 86 patient had right, 64 had left and 16 had bilateral inguinal hernia. 46 patients whowere 3 years old or younger were treated with hernioraphy over external ingunal canal. 120patients older than 3 years of age were treated with hernioraphy by opening the inguinal canal.Recurrence occured in 2 patients and these patients had previously been treated with hernioraphyover external inguinal canal. Conclusion: In conclusion, we suggest that, hernioraphy by opening the inguinal canal is betterchoice in inguinal hernia operations of childhood ages

Keywords:

Inguinal Hernia, Hernia Repair, General Surgeon.,

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