İnguinal herni preperitoneal onarımı için posterior yaklaşım ile anterior yaklaşımın karşılaştırılması

Year 2020, Volume: 30 Issue: 2, 71 - 75, 01.06.2020

Akın Çalışır Hüsnü Alptekin

Abstract

Amaç: Bu çalışmada, her ikisi de preperitoneal yaklaşımlar olan Kugel ve TIPP prosedürlerinin postoperatif ağrı, kronik ağrı, komplikasyon ve nüks açısından karşılaştırılması amaçlanmıştır.Gereç ve Yöntem: 2016 ve 2018 yılları arasında inguinal herni nedeniyle Kugel ve Transinguinal preperioteal onarım prosedürleri kullanılarak opere edilen 98 hastanın dosyaları retrospektif olarak incelendi. Operasyon süresi, hastanede yatış, kısa ve uzun dönem komplikasyonlar, akut ve kronik ağrı değerlendirmesi yapıldı ve iki grup karşılaştırıldı.Sonuç: Yaş, operasyon süresi, hastanede kalış süresi, kısa ve uzun dönem komplikasyonlar, akut ve kronik ağrı karşılaştırmasında iki grup arasında benzer sonuçlar bulundu. Sonuç olarak TIPP, inguinal herni onarımında preperitoneal onarımın avantajlarına sahip ve öğrenilmesi daha kolay ve maliyeti daha düşük bir prosedür olarak değerlendirildi

Keywords

İnguinal herni, preperitoneal, kugel, TIPP

Comparison of posterior and anterior approachfor preperitoneal repair of inguinal hernia

Abstract

Objective: The purpose of this study was to compare postoperative pain, chronic pain, complication, and recurrence outcomes following Kugel and Transinguinal preperitoneal inguinal hernia repair procedures.Material and Methods: Patients with inguinal hernias who were treated using Kugel procedure n: 46 and Transinguinal preperitoneal approach n: 52 between 2016 and 2018 were evaluated retrospectively. The operation time, hospital stay, short term seroma, hematoma, wound infection, cord edema and long-term testicular atrophy, mesh reaction complications, recurrence and pain were assessed and compared in both groups.Results: No significant difference was observed between groups in age, operation time, hospital stay, postoperative complications andpain.Conclusion: Inconclusion, Transinguinal preperitoneal approach has been evaluated as a procedure that has the advantages of Kugelrepair and it is much easier to learn and has lower cost

Keywords

Inguinal hernia, preperitoneal, kugel, TIPP

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