Karin Ön Duvari Fitiklarinin Tami̇ri̇nde Açik Ve Laparoskopi̇k Yöntemleri̇n Sonuçlarinin Karşilaştirilmasi

Abstract

Objecti ve:In this study, we co mpared the results of patients who underwent laparoscopic and open ventral and incisional hern ia repair in our clin ic during last four years. Materials and Methods:The data of 76 patients who underwent surgery for ventral and incisional hernia between January 2012 and January 2016 in our clinic were analyzed retrospectively. The patients who underwent surgery for other types of abdominal wall hern ias (such as inguinal, femoral, Sp iegelian etc.) and patients who underwent primary repair without use of mesh were excluded. Forty-three patients (n: 43, 56,5%) whose operation was completed laparoscopically were defined as group1 and 33 patients (n:33, %43,5) who were operated using mesh with onlay technique were defined as group2. The cases were evaluated in terms of demographic data, body mass index (BMI), repair p rocedures, operation time, duration of hospital stay and postoperative complications. Results: In 44 patients, operation was initiated laparoscopically and in 43 were completed laparoscopically, whereas 33 patients were operated by open surgical technique. There was no significant difference in demographic data between these two groups. In the laparoscopic group, the operation time was significantly higher than the open group. However, the duration of hospital stay was significantly shorter. When the general comp lication rates during and after the surgery were co mpared, it was found that group 2 had significantly mo re comp lications. When the factors affecting recurrence

İnsizyonel Herni Cerrahisinde Açık ve Laparoskopik Yöntemin Karşılaştırılması: Tek Merkez Deneyimi

“…Dren kullanılmadı. TARTIŞMA VE SONUÇ Bizim çalışmamızda iki teknik arasında ameliyat süresi bakımından anlamlı fark bulunmadı; fakat daha önceki çalışmalarda ameliyat süresinin laparoskopik yöntemde daha uzun olduğu bildirilmiştir (3,10,11). Ayrıca laparoskopik ameliyatta daha kısa hospitalizasyon süreleri bildirildiği gibi (13), her iki yöntem arasında anlamlı bir fark olmadığı da bildirilmiştir (13,11).…”

“…Solmaz ve ark. 143 hastanın 43'ünü laparoskopik yöntemle opere etmiş, her iki grupta da bağırsak yaralanması görülmemiştir (10). Eker ve ark.…”

“…Sormaz ve ark. 'ın çalışmasında seroma oranları eşittir (10). Bizim çalışmamızda iki yöntem arasında yara yeri enfeksiyonu ve seroma oluşum sıklığı açısından anlamlı fark izlenmedi.…”