Risk Factors and Surgical Treatment Methods in Femoral Hernia

Yıl 2020, Cilt: 4 Sayı: 2, 175 - 179, 12.07.2020

Salih Tosun Muhammet Ali Aydemir , Metin Leblebici , Özgür Ekinci Oktay Yener Orhan Alimoğlu

https://doi.org/10.30565/medalanya.696769

Öz

Aim: Femoral hernias are more common in the right groin and in the female population. Elective hernia surgery after diagnosis is the most suitable option for femoral hernias, due to fewer complications and shorter length of hospitalization. In this study, we analysed the factors affecting clinical outcomes in patients undergoing urgent or elective early surgery, due to femoral hernia.

Materials and methods: In this retrospective study, all elective and urgent femoral hernias that were operated between January 2017 and January 2020 were analysed. Routine imaging tests were not applied to the patients and ultrasonography (USG) was applied in the presence of clinical suspicion. 

Results: 38 femoral hernia patients were operated on during the 3 years observation period. According to the type of surgery, 30 patients underwent hernia repair with mesh and 8 patients underwent suture repair. Of the 28 patients operated electively, 5 were male and 23 were female. 17 of the patients were right and 11 were left femoral hernia. Of the 10 patients who were operated urgently due to strangulation or incarceration, 4 were male and 6 were female. 7 of the patients were right and 3 were left femoral hernia. 3 of the urgently operated patients underwent intestinal resection due to strangulation.

Conclusion: Femoral hernias were more common in women and especially in the right side, and emergent femoral hernia surgery resulted in more intestinal resection and longer patient hospitalization. In particular, we think that the application of USG with physical examination in women will increase the diagnosis rates of femoral hernias. In addition, we think that the diagnosis of preoperative femoral hernia will decrease recurrence rates by choosing the right surgical technique.

Anahtar Kelimeler

hernia, femoral hernia, inguinal hernia

Femoral Hernide Risk Faktörleri ve Cerrahi Tedavi Yöntemleri

Öz

Amaç: Femoral fıtıklar sağ kasıkta ve kadınlarda daha sık görülürler. Daha az komplikasyon ve yatış süresi sebebiyle femoral fıtık olgularında teşhis sonrası erken elektif fıtık cerrahisi en uygun seçenektir. Bu çalışmada femoral fıtık nedeniyle acil ya da elektif erken ameliyat edilen hastalarda klinik sonuçlara etki eden faktörleri araştırdık 

Gereç ve yöntemler: Bu retrospektif çalışmada Ocak 2017-Ocak 2020 tarihleri arasında ameliyat edilen femoral fıtıklar incelendi. Hastalara rutin pre-op görüntüleme yöntemleri kullanılmamakla beraber klinik şüphe varlığında ultrasonografi (USG) uygulandı. 

Bulgular: 3 yıllık süre içinde 38 femoral fıtık hastası ameliyat edildi. Ameliyat tipi olarak 30 hastaya yamalı onarım, 8 hastaya yamasız onarım uygulandı. Elektif olarak ameliyat edilen 28 hastanın, 23’ü kadın 5’i erkekti. Hastaların 17’si sağ 11’i sol femoral fıtıktı. Acil olarak ameliyat edilen 10 hastanın 6’sı kadın, 4’ü erkekti. Hastaların 7’si sağ 3’ü sol femoral fıtıktı. Hastaların post-operatif ortalama hastane yatış süresi 143 saatti. Hastaların 3’üne strangülasyon nedeniyle bağırsak rezeksiyonu uygulandı.

Sonuç: Femoral fıtıklar kadınlarda ve özellikle sağ kasıkta daha sık saptanmış; acil uygulanan femoral fıtık cerrahisi daha fazla bağırsak rezeksiyonu ve uzun hasta yatış sürelerine yol açmıştır. Özellikle kadınlarda USG’nin fizik muayene ile birlikte uygulanması gözden kaçabilecek femoral fıtıkların teşhis oranlarını artıracağını düşünmekteyiz. Ayrıca preoperatif femoral fıtığın teşhisinin, doğru ameliyat tekniği seçimiyle nüks oranlarını da düşüreceğini düşünmekteyiz.

Anahtar Kelimeler

herni, femoral herni, inguinal herni

Kaynakça

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