Abstract
Amaç: Processus vaginalisin tam olarak kapanmaması durumunda çeşitli inguinal patolojiler ortaya çıkabilir. Bu çalışmanın amacı kliniğimizde 2011 ve 2018 yılları arasında inguinoskrotal cerrahi operasyonu yapılmış olan tüm hastaları geriye dönük olarak yaş, cinsiyet ve başka bir operasyonla birliktelik durumu açısından değerlendirmektir.
Gereç ve Yöntemler: Bu çalışmada Düzce Üniversitesi Tıp Fakültesi Çocuk Cerrahisi kliniğinde 2011 ve 2018 yılları arasında 558 inguinal herni onarımı, 184 orşiopeksi ve 65 hidroselektomi olmak üzere inguinal cerrahi operasyonu yapılmış olan toplam 807 hastanın kayıtları geriye dönük olarak incelendi.
Bulgular: İnguinal herni operasyonu yapılmış olan 558 hastanın ortalama yaşı 3,0±3,6 yıl olup bu hastaların 288’i (%51,6) 2 yaşından daha büyük idi. İnguinal herni operasyonu yapılmış olan hastaların 411’i (%73,7) erkek ve 147’si (%26,3) ise kız idi. Cinsiyete göre inguinal herni onarım yönü bakımından istatistiksel olarak anlamlı bir farklılık vardı (p=0,038) ve kızlarda sol inguinal herni onarım oranının erkeklere göre daha yüksek olduğu tespit edildi. Orşiopeksi operasyonu yapılmış olan 184 hastanın ortalama yaşı 4,0±3,4 yıl idi ve orşiopeksi operasyonu yapılmış olan hastaların sadece 46’sı (%25,0) 2 yaşından daha küçük idi. Hidrosel operasyonu yapılmış olan 65 hastanın ortalama yaşı ise 4,6±4,1 yıl idi.
Sonuç: Bu çalışmanın sonuçlarına göre, toplumun inguinal herni ve inmemiş testisin doğru operasyon zamanı hakkında yeterli düzeyde bilgi sahibi olmadığı ve toplumun bu konuda bilgilendirilmesi gerektiği görülmektedir.
References
- Koski ME, Makari JH, Adams MC, Thomas JC, Clark PE, Pope JC 4th, et al. Infant communicating hydroceles--do they need immediate repair or might some clinically resolve? J Pediatr Surg. 2010;45(3):590-3.
- Sit M, Yilmaz EE. Inguinal hernias of the childhood: Experience of a general surgeon. Duzce Med J. 2014;16(1):20-2.
- Chan IH, Wong KK. Common urological problems in children: inguinoscrotal pathologies. Hong Kong Med J. 2017;23(3):272-81.
- Soyer T, Tosun A, Aydin G, Kaya M, Arslan A, Orkun S, et al. Evaluation of genitofemoral nerve motor conduction in inguinoscrotal pathologies. J Pediatr Surg. 2008;43(8):1540-2.
- Guerra L, Leonard M. Inguinoscrotal pathology. Can Urol Assoc J. 2017;11(1-2 Suppl1):41-6.
- Velásquez-Bueso AE, Sánchez-Sierra LE, Villeda-Rodríguez SD, Martínez-Quiroz RA. Simultaneous presentation of a right Littre's hernia and a left Amyand's hernia in a school-aged patient. Case Rep Surg. 2019:4217329.
- Mengel W, Hienz HA, Sippe WG 2nd, Hecker WC. Studies on cryptorchidism: a comparison of histological findings in the germinative epithelium before and after the second year of life. J Pediatr Surg. 1974;9(4):45-50.
- Cendron, M. Cryptorchidism, orchiopexy and infertility: a critical long‐term retrospective analysis. J Urol. 1989;142(2 Pt 2):559-62.
- Uijldert M, Meißner A, Kuijper CF, Repping S, de Jong TPVM, Chrzan RJ. Orchidopexy for bilateral undescended testes: A multicentre study on its effects on fertility and comparison of two fixation techniques. Andrologia. 2019;51(3):e13194.
- Kolon TF, Herndon CD, Baker LA, Baskin LS, Baxter CG, Cheng EY, et al. Evaluation and treatment of cryptorchidism: AUA guideline. J Urol. 2014;192(2):337-45.
- Holland AJ, Nassar N, Schneuer FJ. Undescended testes: an update. Curr Opin Pediatr. 2016;28(3):388-94.
- Halis F, Yildiz T. Undescended testes in children. Sakarya Med J. 2016;6(2):42-7.
- Yildiz T, Keles I, Metin M, Dumlupinar Y, Arpacik M, Aydinc M, et al. Age of surgery of undescended testis in Turkey; Does it show health care level? Konuralp Med J. 2014;6(2):29-33.
- Radmayr C, Dogan HS, Hoebeke P, Kocvara R, Nijman R, Stein R, et al. Management of undescended testes: European Association of Urology/European Society for Paediatric Urology Guidelines. J Pediatr Urol. 2016;12(6):335-43.
Abstract
Aim: Various inguinal pathologies can occurred if the processus vaginalis cannot closed fully. The aim of this study was to evaluate all patients who underwent inguinoscrotal surgery operations between 2011 and 2018 in our clinic, in terms of age, gender and accompanying with another operation, retrospectively.
Material and Methods: In this study, records of 807 patients who were performed inguinal surgery operations including 558 inguinal hernia repair, 184 orchiopexy and 65 hydroselectomy between 2011 and 2018 at Duzce University, Faculty of Medicine, Pediatric Surgery Department were evaluated retrospectively.
Results: Mean age of the 558 patients who underwent inguinal hernia operation was 3.0±3.6 years, and 288 (51.6%) patients were older than 2 years of age. Of the patients who performed inguinal hernia operation, 411 (73.7%) were male and 147 (26.3%) were female. There was a statistically significant difference in terms of inguinal hernia repair side according to gender (p=0.038), and left inguinal hernia repair rate in females was detected higher than in males. Mean age of the 184 patients who performed orchiopexy operation was 4.0±3.4 years old, and only 46 patients (25.0%) who underwent orchiopexy were younger than 2 years of age. Mean age of the 65 patients who performed hydrocele operation was 4.6±4.1 years old.
Conclusion: According to the results of this study, it is seen that the community does not have enough information about the right operation time of inguinal hernia and undescended testis, and that the society should be informed about this issue.
References
- Koski ME, Makari JH, Adams MC, Thomas JC, Clark PE, Pope JC 4th, et al. Infant communicating hydroceles--do they need immediate repair or might some clinically resolve? J Pediatr Surg. 2010;45(3):590-3.
- Sit M, Yilmaz EE. Inguinal hernias of the childhood: Experience of a general surgeon. Duzce Med J. 2014;16(1):20-2.
- Chan IH, Wong KK. Common urological problems in children: inguinoscrotal pathologies. Hong Kong Med J. 2017;23(3):272-81.
- Soyer T, Tosun A, Aydin G, Kaya M, Arslan A, Orkun S, et al. Evaluation of genitofemoral nerve motor conduction in inguinoscrotal pathologies. J Pediatr Surg. 2008;43(8):1540-2.
- Guerra L, Leonard M. Inguinoscrotal pathology. Can Urol Assoc J. 2017;11(1-2 Suppl1):41-6.
- Velásquez-Bueso AE, Sánchez-Sierra LE, Villeda-Rodríguez SD, Martínez-Quiroz RA. Simultaneous presentation of a right Littre's hernia and a left Amyand's hernia in a school-aged patient. Case Rep Surg. 2019:4217329.
- Mengel W, Hienz HA, Sippe WG 2nd, Hecker WC. Studies on cryptorchidism: a comparison of histological findings in the germinative epithelium before and after the second year of life. J Pediatr Surg. 1974;9(4):45-50.
- Cendron, M. Cryptorchidism, orchiopexy and infertility: a critical long‐term retrospective analysis. J Urol. 1989;142(2 Pt 2):559-62.
- Uijldert M, Meißner A, Kuijper CF, Repping S, de Jong TPVM, Chrzan RJ. Orchidopexy for bilateral undescended testes: A multicentre study on its effects on fertility and comparison of two fixation techniques. Andrologia. 2019;51(3):e13194.
- Kolon TF, Herndon CD, Baker LA, Baskin LS, Baxter CG, Cheng EY, et al. Evaluation and treatment of cryptorchidism: AUA guideline. J Urol. 2014;192(2):337-45.
- Holland AJ, Nassar N, Schneuer FJ. Undescended testes: an update. Curr Opin Pediatr. 2016;28(3):388-94.
- Halis F, Yildiz T. Undescended testes in children. Sakarya Med J. 2016;6(2):42-7.
- Yildiz T, Keles I, Metin M, Dumlupinar Y, Arpacik M, Aydinc M, et al. Age of surgery of undescended testis in Turkey; Does it show health care level? Konuralp Med J. 2014;6(2):29-33.
- Radmayr C, Dogan HS, Hoebeke P, Kocvara R, Nijman R, Stein R, et al. Management of undescended testes: European Association of Urology/European Society for Paediatric Urology Guidelines. J Pediatr Urol. 2016;12(6):335-43.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Research Article |
| Authors | |
| Publication Date | December 30, 2019 |
| Submission Date | July 23, 2019 |
| Published in Issue | Year 2019 Volume: 21 Issue: 3 |
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