Bebekte Over Sliding Herni Onarımı için İdeal Ameliyat Zamanı

Öz

Amaç: Over sliding herni genellikle acil veya erken ameliyat edilir. Son zamanlarda bu hastalara elektif cerrahi önerilmektedir. Ancak ameliyat için net bir zaman belirlenememiştir. Amacımız bebeklerde over sliding herni için ideal ameliyat zamanını belirlemektir.

Materyal ve Metot: Kliniğimizde 2011-2021 yılları arasında redükte edilemeyen inguinal herni nedeniyle ameliyat edilen kız bebeklerin verileri incelendi. Over sliding hernisi olan hastaların verileri yaş, klinik bulgu ve cerrahi sonuçlar açısından değerlendirildi.

Bulgular: Redükte edilemeyen 76 inguinal herninin %85,5'inde (n=65) over sliding herni tespit edildi. Over sliding hernili hastaların yaş aralığı 0-3 ay %76,9 (n=50), 3-6 ay %23,1 (n=15) ve 6-12 ay %0(n=0) idi. 0-3 ay grubunda over torsiyonu saptanmazken, 3-6 ay grubunda huzursuzluk, kasıkta şişlik ve hassasiyet şikayeti olan bir hastada over torsiyonu saptandı.

Sonuç: Over sliding herni 0-3 ayda daha sık olmasına rağmen bu dönemde hiçbir hastada over torsiyonu saptanmadı. Bu hastaların ameliyatı 3 aylık olana kadar ertelenebilir. 

Anahtar Kelimeler

• bebek
• over sliding herni
• ameliyat zamanlaması

Optimal Timing for Ovarian Sliding Hernia Repair in an Infant

Abstract

Objective: Ovarian sliding hernia is usually operated on emergently or early. Recently, elective surgery has been recommended. However, the ideal time for surgery has not been clarified. The study aims to determine the ideal surgery timing for an infant's ovarian sliding hernias.

Materials and Methods: The data of non-reducible inguinal hernia in female infants revived who were operated on at our clinic between 2011 and 2021. The data of ovarian sliding hernias were evaluated for age, clinical findings and surgical outcomes.

Results: Of the 76 non-reducible inguinal hernias, 85.5% (n = 65) were found to have sliding hernias of the ovary. The age range of ovarian sliding hernias were 0–3 months 76.9% (n = 50), 3–6 months 23.1% (n = 15) and 6-12 months %0 (n=0). No ovarian torsion was detected in the age group 0-3 months, ovarian torsion was detected in one patient in age group 3–6 months, who also complained of restlessness, swelling in the groin, and tenderness.

Conclusion: Although ovarian sliding hernia is more common in 0–3 months, ovarian torsion was not detected in any patient in this period. Surgery for ovarian sliding hernia should be delayed until three months of age. 

Keywords

• infant
• ovarian sliding hernia
• surgery timing

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