TY - JOUR T1 - Investigation of the complication, morbidity and mortality factors affecting the clinical hospitalization process after femoral hernioraphy TT - Femoral herniorafi sonrası klinik yatış sürecini etkileyen komplikasyon, morbidite ve mortalite faktörlerinin araştırılması AU - Albuz, Özgür AU - Dülger, Dilek AU - Aydın, Feray PY - 2020 DA - March DO - 10.18663/tjcl.672798 JF - Turkish Journal of Clinics and Laboratory JO - TJCL PB - DNT Ortadoğu Yayıncılık A.Ş. WT - DergiPark SN - 2149-8296 SP - 61 EP - 65 VL - 11 IS - 2 LA - en AB - Aim: Thestudy aims to investigate the risk factors of patients with femoral hernia aswell as factors that affect thehospitalisation process, morbidity and mortality, particularly in terms ofgender.Materialand Methods: Atotal of 65 femoral hernia surgeries were performed in 29 Mayıs Public Hospitals between January 1, 2015 and June 30,2019. Six patients with incomplete or unclear data were excluded, and the dataof 59 patients were analysed. Percentage and frequency were used for discretevariables, whereas mean and standard deviation for continuous variables.Student’s t-test was used for independent variables according to thedistribution status, whereas chi-square test was used for dichotomousvariables, and the results for binary logistic regression were obtained.Results:Males were significantly more likely to have femoral hernia risk during old age[66.11years vs. 52.68 years (p=0.004), adjusted odds ratio (AOR): [0.87 (0.784,0.969)(p= 0.011)]. In student’s t-test, male patients had shorter length ofhospital stay (LOS). Hovewer the p value was found 0.79. In the binary multiplelogistic regression for LOS value; In terms of gender, body mass index (BMI,kg/m2), age and complications; P value was found as 0.07 and ; AOR was found2.2. With this result; The females have got the more LOS value than men asstatistichally, for p=0.1 value. Conclusion:Femoral hernia frequently occurs in women; however,we found that its higher incidenceis also can be found in men during old age, and after surgery, men aregenerally discharged earlier than women. KW - femoral hernia KW - sex KW - morbidity KW - motality KW - length of clinical hospitisation stay KW - complication N2 - Amaç:Femoralherni operasyonu geçiren olguların, bu fıtık türündeki risk faktörleriniirdeleyerek hastane yatış sürecini, morbidite ve varsa mortaliteyi etkilenfaktörlerin özellikle cinsiyet bakımından araştırılması amaçlanmıştır.Gereç ve Yöntemler: 1 Ocak 2015–30 Haziran 2019 tarihleri arasında 29 Mayıs DevletHastanesinde 65 femoral hernioperasyonu uygulanan hasta tespit edildi. Eksik ya da verileri net olmayan 6hasta çalışmaya dahil edilmeyerek toplamda 59 hasta verileri analiz edildi.Kesikli değerler için yüzde ve frekans, sürekli değişkenler için ortalama vestandart sapma kullanılmıştır. Dağılım durumuna göre bağımsız değişkenler içinstudent t test kullanılılırken kesikli değişkenlerde ki kare testi kullanılmışve final istatistikler binary lojistik regresyon elde edilmiştir.Bulgular: Erkek cinsiyet belirginderecede daha ileri yaşta femoral herni riski taşırken bayanların daha genç yaşta femoral herni riskine sahip olduğugörüldü [66.11 yaş vs 52.68 yaş ( p=0.004),AOR:0.87(0,784-0,969)(p=0,011)].Student t testinde diğer erkekler daha kısa hastane yatış süresi(LOS) ‘ nesahip olmakla beraber p değeri 0.79 olarak bulundu. LOS değeri için ikili çoklulojistik regresyonda; Cinsiyet, vücut kitle indeksi (BKİ, kg / m2), yaş vekomplikasyonlar açısından; P değeri 0,07 olarak bulundu ve; AOR, 2.2 bulundu.Bu sonuçla; Kadınlar, p=0.1 değeri için istatistiksel olarak erkeklerdendaha fazla LOS değerine sahipti. Her iki cinsiyet arasında vücut kitleindeksinin hem univariate (tek değişkenli) analizlerde hem de ikili regresyonsonucunda cinsiyete göre femoral herni açısından bir farkı olmadığını saptadık.Sonuç: Femurfıtığı sıklıkla kadınlarda görülür; Bununla birlikte, yüksek insidansının,yaşlılık döneminde erkeklerde degörülebileceğini bulduk ve ameliyat sonrası erkekler genellikle kadınlardandaha erken taburcu edildi. CR - 1. Karakaş DO, Yeşiltaş M, Gökçek B, Eğin S, Hot S. Etiology, management, and survival of acute mechanical bowel obstruction: Five-year results of a training and research hospital in Turkey. Ulus Travma Acil Cerrahi Derg 2019; 25: 268–80. CR - 2. Gilbert Al. Sutureless repair of inguinal hernia. Am J Surg 1992; 63: 331–35. CR - 3. Skandalakis PN, Skandalakis JE, Colborn GL, Kingsnorth AN, Weidman TA, Skandalakis LJ: Abdominal wall and hernias, in Skandalakis. Ed: John E Skandalakis: Surgical Anatomy 14. ed Vol 1, Section9, PMP Co, Athens: 2004; 395-491. CR - 4. Sucandy I, Kolff JW. Incarcerated femoral hernia in men: incidence, diagnosis, and surgical management. N Am J Med Sci 2012; 4: 617–18. CR - 5. Burcharth J, Pedersen M, Bisgaard T, Pedersen C, Rosenberg J. Nationwide prevalence of groin hernia repair. PLoS One 2013; 8: 54367. CR - 6. Cushieri A. Disorders of the abdominal wall and peritoneal cavity. In: Cushieri A, Steele RJ, Moossa AR, editors. Essential surgical practice. 4th ed. London: Arnold; 2002. p167–179. CR - 7. Carter JE. Hernias. In: Pelvic Pain: Diagnosis and Management. Howard FM, Perry CP, Carter JE, El-Minawi AM, editors. eds. Philadelphia: Lippincott Williams & Wilkins; 2000; 383: 423 CR - 8. Miklos JR, O'Reilly MJ, Saye WB. Sciatic hernia as a cause of chronic pelvic pain. Obstet Gynecol 1998; 91: 998–1001. CR - 9. Al-Shanafey S, Giacomantonio M. Femoral hernia in children. J Pediatr Surg 1999; 34: 1104–106. CR - 10. Öberg S, Andresen K, Rosenberg J. Etiology of inguinal hernias: a comprehensive review. Front Surg 2017; 4: 52. CR - 11. Z. Read RC: Basic features of abdominal wall herniation and its repair, in Shackelford’s. Ed: Lloyd M Nyhus: Surgery of the Alimentary Tract 4. ed Vol. 5, Chapter 8, WB Saunders Co, Philadelphia: 1996; 93-107. CR - 12. Abrahamson J. Etiology and pathophysiology of primary and recurrent groin hernia formation. Surg Clin North Am 1998; 78: 953–972. CR - 13. Köckerling F, Lorenz R, Hukauf M, Grau H, Jacob D, Fortelny R, Koch A. Influencing factors on the outcome in female groin hernia repair: a registry-basedmultivariable analysis of 15,601 patients. Ann Surg 2019; 270: 1–9. CR - 14. Wolf H, Schumpelick V. Results of Shouldice femoral hernia repair. A prospective study of 94 operations. Article in German Chirurg 1994; 65: 340–43. CR - 15. Olsen MA, Nickel KB, Wallace AE, Mines D, Fraser VJ, Warren DK. Stratification of surgical site infection by operative factors and comparison of infection rates after hernia repair. Infect Control Hosp Epidemiol. 2015; 36: 329–35. CR - 16. Hoffmann H, Staerkle RF, Kirchhoff P. Thromboembolic prophylaxis in hernia surgery. Int J Abdom Wall Hernia Surg 2018; 1: 37–41. CR - 17. Akrami M, Karami M, Zangouri V, Deilami I, and Maalhagh M. Small bowel obstruction secondary to femoral hernia; case report and review of the literature. Bull Emerg Trauma. 2016; 4: 51–53. CR - 18. Fränneby U, Sandblom G, Nordin P, Nyrén O, and Gunnarsson U. Risk factors for long-term pain after hernia surgery. Ann Surg. 2006; 244: 212–19. UR - https://doi.org/10.18663/tjcl.672798 L1 - https://dergipark.org.tr/tr/download/article-file/1015961 ER -