Nuri OKKABAZ, Mustafa Celalettin HAKSAL, Merih YILMAZ, Cem GEZEN, Mustafa ÖNCEL

Laparoskopik ve Konvansiyonel İnsizyonel Herni Tamiri: Retrospektif Bir Analiz

GİRİŞ ve AMAÇ: İnsizyonel herni tamirinde laparoskopik ve açık yöntemlerin kısa dönem sonuçlara etkisinin araştırılması YÖNTEM ve GEREÇLER: İnsizyonel herni nedeniyle laparoskopik veya açık olarak opere edilen hastalar retrospektif olarak tarandı. Gruplarda demografik veriler, hastalığa ve operasyona ait veriler ile kısa dönem sonuçlar irdelendi. BULGULAR: 33 hastanın 19 [12 kadın (%63,2), ortalama yaş: 53,5±15,1] açık yöntemle ameliyat edilirken, 14 [11 kadın (%78,5), ortalama yaş: 59,1±14,2] hasta laparoskopik yöntemle ameliyat edildi. Vücut kitle indeksi laparoskopik grupta daha yüksek görüldü (30,3±4,6 karşın 34,4±6,3, p=0,041). Herni defektlerinin büyüklüğü açık karşın laparoskopi 7,6±4,8 cm ile 8,9±3,1 cm idi, p=0.404. Operasyon süreleri açıkta 100 (40-300) dakika iken, laparoskopide 77,5 (35- 150) dakika idi, p=0.071. Yatış süreleri ise her iki grupta da ortalama 2 gün idi. TARTIŞMA ve SONUÇ: İnsizyonel herni tamiri sonrası kısa dönemde laparoskopi yöntemi açık yönteme benzer sonuçlar vermektedir.

Laparoscopic and Conventional Incisional Hernia Repair: A Retrospective Analysis

INTRODUCTION: To analyze the outcomes oflaparoscopic and open techniques in incisional herniarepair.METHODS: Patients’ charts with incisional herniawere retrospectively reviewed. Demographics, diseaseand operation related variables and short term outcomeswere compared between groups.RESULTS: Nineteen [12 female (63.2%), mean±SD ageof 53.5±15.1] of 33 patients were operated on with opentechnique, whereas 14 [11 female (78.5%), mean±SDage of 59.1±14.2] patients with laparoscopic technique.Body mass index was bigger in laparoscopic group(30.3±4.6 vs. 34.4±6.3, p=0.041). Hernia size andoperation time was not different between groups(7.6±4.8 cm vs. 8.9±3.1 cm, p=0.404) and [100(40-300)vs. 77.5(35-150) minutes, p=0.071), respectively. Lengthof stay was 2 days after both techniques.DISCUSSION and CONCLUSION: Laparoscopicincisional hernia repair has similar short term outcomeswith open technique.

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