Analysis of emergency and elective femoral hernia surgery results; Single center experience.
Acil ve elektif femoral fıtık cerrahisi sonuçlarının analizi; Tek merkez deneyimi
Abstract
Groin hernia surgery is one of the most frequently performed surgical procedures today. Femoral hernias are rare and difficult to diagnose compared to inguinal hernias. In addition, incarceration and strangulation accompanies more frequently than inguinal hernias. Although emergency groin hernia treatment is rare, this frequency increases with advanced age. In this study, we evaluated the results of emergency and elective femoral hernia surgery.
In our study, it was determined that 3252 groin hernia surgeries were performed in our center between January 2010 and December 2019. 100 (3.07%) of these patients were operated for femoral hernia and all were included in the study. Patients were primarily classified as emergency and elective. Patients who underwent emergency femoral hernia surgery were classified as under 65 years old, 65-80 years old and over 80 years old, and the data were analyzed.
Of the 100 patients included in the study who underwent femoral hernia surgery, 41 (41%) underwent emergency surgery and 59 (59%) underwent elective surgery. Of the patients who underwent emergency femoral hernia surgery, 28 (68.3%) were female and the median age was 71 (54-79)/year. In the analysis of the data of patients who underwent emergency femoral hernia surgery and patients who underwent elective femoral surgery; it was statistically more significant that the patient group who underwent emergency surgery was older, taller, had lower body mass indexes and had higher comorbidities. Age in emergency femoral hernia surgery; in our series, it was determined as a parameter that increases the anesthesia risks, strangulation-incarceration rate and mortality of the patients.
In our study, it was determined that the frequency of emergency femoral hernia surgery and mortality increased with age.
Kasık fıtığı ameliyatı günümüzde en sık yapılan cerrahi işlemlerden biridir. Femoral fıtıkları, kasık fıtıklarına kıyasla daha az görülür ve teşhis edilmesi daha zordur. Ayrıca inkarserasyon ve strangülasyon inguinal hernilere göre daha sık eşlik eder. Acil kasık fıtığı tedavisi nadir olmakla birlikte ileri yaşla birlikte bu sıklık artmaktadır. Bu çalışmada acil ve elektif femoral fıtık cerrahisi sonuçlarını değerlendirdik.
Çalışmamızda Ocak 2010-Aralık 2019 tarihleri arasında merkezimizde 3252 kasık fıtığı ameliyatı yapıldığı belirlendi. Bu hastaların 100'ü (%3,07) femoral fıtık nedeniyle ameliyat edildi ve tamamı çalışmaya dahil edildi. Hastalar öncelikle acil ve elektif olarak sınıflandırıldı. Acil femoral fıtık ameliyatı olan hastalar 65 yaş altı, 65-80 yaş ve 80 yaş üstü olarak sınıflandırılarak veriler analiz edildi.
Çalışmaya dahil edilen ve femoral fıtık ameliyatı olan 100 hastanın 41'ine (%41) acil cerrahi, 59'una (%59) elektif cerrahi uygulandı. Acil femur fıtığı ameliyatı olan hastaların 28'i (%68,3) kadındı ve ortanca yaş 71 (54-79)/yıl idi. Acil femoral fıtık ameliyatı geçiren hastalar ile elektif ameliyat yapılan hastaların verilerinin analizinde; acil cerrahi uygulanan hasta grubunun daha yaşlı, daha uzun, vücut kitle indekslerinin düşük ve komorbiditelerinin daha yüksek olması istatistiksel olarak daha anlamlıydı. Acil femoral fıtık cerrahisinde yaş; serimizde hastaların anestezi risklerini, strangülasyon-inkarserasyon oranını ve mortaliteyi artıran bir parametre olarak belirlendi.
Çalışmamızda yaşla birlikte acil femoral fıtık cerrahisi sıklığının ve mortalitenin arttığı belirlendi.
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