Dağınık kırsal yerleşim bölgesinde boğulmuş fıtık ve geç başvuru sonuçları

Year 2012, Volume: 22 Issue: 3, 83 - 86, 01.01.2012

Candaş Erçetin Ahmet Cem Dural Mahir Kırnap Nazlı Ferhan Sayit Tugan Tezcaner

Abstract

Amaç: Dağınık nüfus yerleşimli ilimizde, hastanemize başvuran boğulmuş fıtık olgularının başvuru yeri ve süresine göre değerlendirilmesi amaçlandı. Yöntem Mayıs 2009–2011 arasında boğulmuş fıtık tanısı ile ameliyat edilen olgular retrospektif olarak değerlendirildi. Bulgular: Elli iki olgunun yaş ortalaması 53,6 , erkek/kadın oranı 48/4 idi. Kırsal bölgeden başvuru % 52 idi n=27 . Gecikmiş başvuru oranı, kırsal bölge yerleşimli olgularda % 33,3 idi n=9 . Ameliyat öncesi değerlendirmede olguların % 50’si n=26 ASA II-III idi. En sık % 52 omental inkarserasyon n=27 görüldü. Olguların % 13,4’ünde rezeksiyon gerekli oldu. Olguların % 88,4’ünde Lichtenstein yöntemi ile herni tamiri uygulandı. Komplikasyon oranı % 15,3 n=8 iken, kırsal bölge başvurularında % 18,5 idi. Ortalama hastanede kalış süresi 3,8 gün idi. Bir yıllık takip sürecinde 3 olguda % 5,7 nüks görüldü. Sonuç: Kırsal bölgeden gecikmiş başvuru oranı yüksek olup anlamlı fark gözlenmedi. Elliiki olgunun değerlendirilmesinde; ilk 24 saat içinde girişim yapılan olgularda komplikasyon oranı ve hastanede kalış süresinin daha az olduğu görüldü

Keywords

Kırsal yerleşim, boğulmuş fıtık, geç başvuru

The results of incarcerated hernias with delayed admission in a rural region with scattered settlement

Abstract

Objective: The study was aimed to evaluate the outcomes of incarcerated hernias who were admitted to our emergency department in two years according to admission interval and place of residence. Methods: The records of patients undergoing emergency surgical operation for incarcerated hernias in our hospital between May 2009-2011 were analyzed retrospectively. Results: The mean age of 52 patients was 53.6 years, with a male/female ratio of 48/4. The admission rate from scattered rural settlement was 52% n=27 and delayed admission rate was 33.3% n=9 among these patients. Fifty percent of the patients n=26 were classified as ASA II or III. Omentum was most frequently incarcerated, in 27 52% hernias. Resection was needed in 13.4% of the patients. Lichtenstein hernia repair was performed in 88.4% of the patients. The complication rate was 15.3% n=8 and 18.5% for the patients admitted from a rural region. The length of hospitalization ranged from 1-34 days mean 3.8 . In our case series, there were 3 recurrences after one year follow-up. Conclusion: Although late hospitalization was more common among those who live in a rural region, no statistically significant difference was observed. We found a lower complication rate and shorter hospitalization when the patients were operated within first 24 hours of the incarceration

Keywords

Scattered rural settlement, incarcerated hernia, delayed admission

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