anadolu klin

Anatolian Clinic the Journal of Medical Sciences

2149-5254 2458-8849

Hayat Sağlık ve Sosyal Hizmetler Vakfı

10.21673/anadoluklin.453962

Health Care Administration

Sağlık Kurumları Yönetimi

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

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

https://orcid.org/0000-0002-4583-3917

Çelik

Yahya

GEBZE FATİH DEVLET HASTANESİ

https://orcid.org/0000-0002-6050-4580

Erbil

Ozan Andaç

GEBZE FATİH DEVLET HASTANESİ

01 30 2019

24 1 67 71 08 16 2018 09 27 2018

1933

Anadolu Kliniği Tıp Bilimleri Dergisi

Aim: In ourhospital, assess the results of the literature of patients undergoing open andlaparoscopic incisional hernia repair due.Materials andMethods:The resultsof 250 patients who were randomized for incisional hernia between 2012 and 2016were reviewed. Patients were divided into laparoscopic group (n: 122) and opengroup (n: 128). Demographic characteristics were analyzed statistically interms of operation time, hospitalization time, postoperative early-latecomplications and recurrence.Results:The mean ageof the patients we operated with open hernia method was higher. There was nostatistically significant difference between open and closed technique in termsof perioperative characteristics and post operative complications.Conclusion:Laparoscopic incisional hernia repair can be applied as safe as open techniquein appropriate patients. We still believe that prospective controlled studieswith large patient groups are still needed to standardize for appropriate technique.

Amaç: Hastanemizde insizyonelherni nedeniyle açık ve laparoskopik onarım yapılan hastaların sonuçlarınıliteratür eşliğinde değerlendirmek.Gereç ve Yöntem: 2012-2016 yılları arasında insizyonel herni nedeniyle opere edilen 250 hastanın sonuçları incelendi. Hastalar laparaskopik yapılanlargrupI (n:122) , açık yapılan grup II (n:128) olarak ayrıldı. Demografiközellikleri, ameliyat süresi, yatış süresi, post operatif erken-geçkomplikasyonları ve nüks açısından istatistiksel olarak incelendi.Bulgular:Demografik özelliklerden yaşın açık teknik uygulananhastalarda daha yüksek olduğu gözlendi. Perioperatif özellikler ve postoperatif komplikasyonlar açısından açık ve kapalı teknik arasında istatistikselaçıdan anlamlı fark bulunmadı.Sonuç:Laparoskopik insizyonel fıtık onarımı, uygunhastalarda açık teknik kadar güvenli bir şekilde uygulanabilmektedir. Tekniğindaha standardize edilebilmesi için hala geniş hasta gruplu prospektif kontrollüçalışmalara ihtiyaç olduğu kanaatindeyiz.

İnsizyonel herni açık herni Laparoskopik herni

incisional hernia open hernia laparoscopic hernia

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