A Comparison of Open and Laparoscopic Techniques in Incisional Hernia Surgery: A Single-center Experience

Year 2019, Volume: 24 Issue: 1, 67 - 71, 30.01.2019

Yahya Çelik , Ozan Andaç Erbil

https://doi.org/10.21673/anadoluklin.453962

Abstract

Aim:

In our
hospital, assess the results of the literature of patients undergoing open and
laparoscopic incisional hernia repair due.

Materials and
Methods:

 The results
of 250 patients who were randomized for incisional hernia between 2012 and 2016
were reviewed. Patients were divided into laparoscopic group (n: 122) and open
group (n: 128). Demographic characteristics were analyzed statistically in
terms of operation time, hospitalization time, postoperative early-late
complications and recurrence.

Results:

The mean age
of the patients we operated with open hernia method was higher. There was no
statistically significant difference between open and closed technique in terms
of perioperative characteristics and post operative complications.

Conclusion:
Laparoscopic incisional hernia repair can be applied as safe as open technique
in appropriate patients. We still believe that prospective controlled studies
with large patient groups are still needed to standardize for appropriate  technique.

Keywords

incisional hernia, open hernia, laparoscopic hernia

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

Abstract

Amaç: Hastanemizde insizyonel
herni nedeniyle açık ve laparoskopik onarım yapılan hastaların sonuçlarını
literatür eşliğinde değerlendirmek.

Gereç ve Yöntem: 2012-2016 yılları arasında  insizyonel herni  nedeniyle opere  edilen 250 hastanın sonuçları  incelendi. Hastalar laparaskopik yapılanlar
grupI (n:122) , açık yapılan grup II (n:128) olarak ayrıldı. Demografik
özellikleri, ameliyat süresi, yatış süresi, post operatif erken-geç
komplikasyonları ve nüks açısından istatistiksel olarak incelendi.

Bulgular:

Demografik özelliklerden yaşın açık teknik uygulanan
hastalarda daha yüksek olduğu gözlendi. Perioperatif özellikler ve post
operatif komplikasyonlar açısından açık ve kapalı teknik arasında istatistiksel
açıdan anlamlı fark bulunmadı.

Sonuç:

Laparoskopik insizyonel fıtık onarımı, uygun
hastalarda açık teknik kadar güvenli bir şekilde uygulanabilmektedir. Tekniğin
daha standardize edilebilmesi için hala geniş hasta gruplu prospektif kontrollü
çalışmalara ihtiyaç olduğu kanaatindeyiz.

Keywords

İnsizyonel herni, açık herni, Laparoskopik herni

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