Laparoskopik kolesistektomi sonrası trokar giriş yeri hernileri
Yükleniyor...
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Düzce Üniversitesi Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş ve Amaç: Laparoskopik kolesistektomiden (LK) sonra trokar yerinde insizyonel herni
(TH) gelişimi nadir bir komplikasyondur. Çalışmamızda LK’ler sonrası gelişen TH’lerin güncel
literatür eşliğinde sunulması amaçlanmıştır.
Materyal Metot: Ocak 2007-Haziran 2010 tarihleri arasında LK uygulanan 515 hastadan TH
gelişenlerin kayıtları yaş, cinsiyet, fıtığın gelişim yeri ve büyüklüğü, yapılan operasyon ile risk
faktörleri açısından retrospektif olarak incelendi.
Bulgular: LK uygulanan hastalardan 3(%0.58)’ünde TH saptandı. Ortalama yaş; 49.67±5.77
idi ve hepsi kadındı. İki hastada umblikal, 1 hastada epigastrik bölgede 10 mm’lik trokar giriş
yerlerinde TH saptandı. LK’den TH gelişimine kadar geçen ortalama süre 18.33±10.97 aydı.
Herni defekti çapı 1.33±0.29 cm’di. Vücut/kitle indeksi ortalama 30.3±3.1’di. Bir hastada, LK
esnasında 2 cm çapında taş saptanırken, diğerlerinde 1 cm’den küçük multipl taş saptandı. Bir
hastada umblikal bölgede LK sonrası enfeksiyon gelişti.
Sonuç: LK sonrası TH gelişimi nadir olsa da, özellikle risk faktörü taşıyanlarda 10 mm ve daha
büyük çaplı trokar yerleri sütüre edilmelidir.
Introduction: Trocar-site hernia (TH) development after laparoscopic cholecystectomy (LC) is a rare complication. In this study, we aimed to investigate the TH after LC in the light of current literature. Methods: Between January 2007 and June 2010, the records of the patients with TH in 515 patients performed LC analyzed retrospectively in terms of age, sex, location, size, performed previous operation and risk factors. Results: TH was determined in 3 (0.58%) patients among patients underwent LC. The average age was 49.67±5.77 and all of them were women. The 10-mm trocars entry site related to TH appeared at umbilical region for 2 patients and at epigastric region for patient. The average time from LC to TH formation was 18.33±10.97 months. The diameter of the hernia defects were 1.33±0.29 cm. The average of body mass index was 30.3 ± 3.1. During the LC, 2 cm in diameter gallstone in 1 patient and multiple gallstones smaller than 1 cm in the others were detected. Wound infection at the umbilical trocar region in one patient was detected after LC. Conclusion: Although the risk of TH after LC is rare, 10 mm or larger diameter trocar sites should be sutured especially in the patients including risk factors.
Introduction: Trocar-site hernia (TH) development after laparoscopic cholecystectomy (LC) is a rare complication. In this study, we aimed to investigate the TH after LC in the light of current literature. Methods: Between January 2007 and June 2010, the records of the patients with TH in 515 patients performed LC analyzed retrospectively in terms of age, sex, location, size, performed previous operation and risk factors. Results: TH was determined in 3 (0.58%) patients among patients underwent LC. The average age was 49.67±5.77 and all of them were women. The 10-mm trocars entry site related to TH appeared at umbilical region for 2 patients and at epigastric region for patient. The average time from LC to TH formation was 18.33±10.97 months. The diameter of the hernia defects were 1.33±0.29 cm. The average of body mass index was 30.3 ± 3.1. During the LC, 2 cm in diameter gallstone in 1 patient and multiple gallstones smaller than 1 cm in the others were detected. Wound infection at the umbilical trocar region in one patient was detected after LC. Conclusion: Although the risk of TH after LC is rare, 10 mm or larger diameter trocar sites should be sutured especially in the patients including risk factors.
Açıklama
Anahtar Kelimeler
Trokar, Herni, Laparoskopi, Kolesistektomi, Trocar, Hernia, Laparoscopy, Cholecystectomy
Kaynak
Düzce Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
13
Sayı
3
Künye
Kapan, M., Önder, A., Gümüş, M., Böyük, A. ve Girgin, S. (2011). Laparoskopik kolesistektomi sonrası trokar giriş yeri hernileri. Düzce Tıp Dergisi, 13(3), 34-36.
