Serdar SANDER, Gülay AYDIN, Oyhan DEMİRALİ

3015

Çocuklarda kasık fıtığı ve hidrosellerde cerrahi tedavi

Amaç: Çocuklarda kasık fıtığı ve hidrosellerin özelliklerinin, bu olgulara yaklaşımdaki sorunların klinik ve cerrahi bulguların ışığında tartışılması. Gereç ve Yöntem: Çalışmada kliniğimizde 1987-2005 arasında kasık fıtığı/hidrosel tanılarıyla ameliyat edilmiş olan 15642 hastanın ameliyat ve ameliyat sonrası kontrol kayıtları geriye dönük olarak değerlendirilmiştir. Bulgular: Ameliyat sonrası izlem süresi en az 6 ay (ortalama 2 yıl) olan ve yaşları 1 gün-14 yıl arasında değişen hastaların 12886'sı (% 82) erkek, 275&sı (%18) kızdı.Erkeklerin 726&sı kasık fıtığı, 276&sı torba fıtığı, 2513xü ilişkili hidrosel ve 34Vİ ilişkisiz hidrosel; kızların ise 2723}ü kasık fıtığı, 33'ü ise ilişkisiz hidrosel tanısıyla ameliyat edildi. Toplam 376 olguda (% 2.4) ek hastalıklar vardı. Serimizde ölüm oranı sıfır olup, % 0.9 sıklıkta başta fıtığın yinelemesi ve yara enfeksiyonu olmak üzere çeşitli istenmeyen sonuçlarla karşılaşılmıştır. Sonuç: Laparoskopik onarımla ilgili yayınların giderek artmasına karşın çocuk kasık fıtık/ hidrosellerinde açık cerrahi tedavi halen en etkin, güvenilir ve ucuz yöntem olma özelliğini korumaktadır.
Anahtar Kelimeler:

Çocuk, Hidrosel, Fıtık, kasık, Cerrahi işlemler, operatif, Laparoskopi, Geriyedönük çalışma

Surgical treatment of inguinal hernios and hydroceles in children

Objective: To discuss the clinical and surgical aspects of inguinal hernias and hydroceles in children. Material and Methods: In this study medical and surgical records of 15842 patients, operated for inguinal hernia or hydrocele in our hospital between 1987 and 2005 were reviewed retrospectively. Results: The patients were aged between 1 days and 14 years,and, minimal follow-up period was six two years. Of the 12886 boys, 7266 were operated for inguinal hernia, 2766 for scrotal hernia, 2513 for communicating hydrocele, and 341 for non-communicating hydrocele; of the 2756 girls, 2723 were operated for inguinal hernia and 33 for non-communicating hydrocele, respectively. There were associated abnormalities in 376 (2.4 %) of the patients. Complication rate was 0.9 % and, there was no recorded death in our series. Conclusion: Although the increasing number of laparoscopic repair reports in the literature, open surgical treatment of inguinal hernias and hydroceles in children remains as the most cheap, safe and, effective method.
Keywords:

Child, Hydrocele, Hernia, Inguinal, Surgical Procedures, Operative, Laparoscopy, Retrospective Studies,

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Zeynep Kamil Tıp Bülteni-Cover
  • ISSN: 1300-7971
  • Başlangıç: 1969
  • Yayıncı: Ali Cangül
Arşiv
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