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Bebekte Over Sliding Herni Onarımı için İdeal Ameliyat Zamanı

Year 2022, Volume: 7 Issue: 4, 616 - 620, 10.12.2022

Mehmet Arpacık Ceyhan Şahin Fatma Tuğba Güvenç Sevim Yener Aytekin Kaymakcı

https://doi.org/10.26453/otjhs.1162059

Abstract

Amaç: Over sliding herni genellikle acil veya erken ameliyat edilir. Son zamanlarda bu hastalara elektif cerrahi önerilmektedir. Ancak ameliyat için net bir zaman belirlenememiştir. Amacımız bebeklerde over sliding herni için ideal ameliyat zamanını belirlemektir.
Materyal ve Metot: Kliniğimizde 2011-2021 yılları arasında redükte edilemeyen inguinal herni nedeniyle ameliyat edilen kız bebeklerin verileri incelendi. Over sliding hernisi olan hastaların verileri yaş, klinik bulgu ve cerrahi sonuçlar açısından değerlendirildi.
Bulgular: Redükte edilemeyen 76 inguinal herninin %85,5'inde (n=65) over sliding herni tespit edildi. Over sliding hernili hastaların yaş aralığı 0-3 ay %76,9 (n=50), 3-6 ay %23,1 (n=15) ve 6-12 ay %0(n=0) idi. 0-3 ay grubunda over torsiyonu saptanmazken, 3-6 ay grubunda huzursuzluk, kasıkta şişlik ve hassasiyet şikayeti olan bir hastada over torsiyonu saptandı.
Sonuç: Over sliding herni 0-3 ayda daha sık olmasına rağmen bu dönemde hiçbir hastada over torsiyonu saptanmadı. Bu hastaların ameliyatı 3 aylık olana kadar ertelenebilir. 

Keywords

bebek over sliding herni ameliyat zamanlaması

References

  • Glick LP, Boulanger SC. Inguinal Hernias and Hydroceles. In: Coran AG, ed. Pediatric Surgery. 7th ed. Philadelphia, Inc: 2012:985-1001.
  • Ramachandran V, Edwards CF, Bichianu DC. Inguinal hernia in premature infants.  Neoreviews. 2020;21(6):392-403. doi:10.1542/neo.21-6-e392
  • Takehara H, Hanako J, Arakawa Y. Laparoscopic Strategy for Inguinal Ovarian Hernias in Children: When to Operate for Irreducible Ovary. J Laparoendosc Adv Surg Tech A. 2009;(4)19:129-131. doi:10.1089/lap.2008.0204.supp
  • Turk E, Fescekoglu OR, Acari C, et al. Sliding hernias in female children. E.Acta Chir Belg. 2013;113(4):281-4. doi:10.1080/00015458.2013.11680928
  • Hirabayashi T, Ueno S, Hirakawa H, Tei E, Mori M. Surgical treatment of inguinal hernia with prolapsed ovary in young girls: emergency surgery or elective surgery. Tokai J Exp Clin Med. 2017;20;42(2):89-95.
  • Revzin MV, Ersahin D, Israel GM, et al. US of the Inguinal Canal: Comprehensive Review of Pathologic Processes with CT and MR Imaging Correlation. Radiographics. 2016;36(7):2028-2048. doi:10.1148/rg.2016150181
  • Thomas AK, Thomas RL, Thomas B. Canal of Nuck Abnormalities. J Ultrasound Med. 2020;39(2):385-395. doi:10.1002/jum.15103
  • Lee SR. Ovarian Incarceration and Torsion in Single-Ovary Versus Multiple-Reproductive Organ Prolapse in Female Inguinal Hernia: A Retrospective Study of 510 Infants Who Underwent Laparoscopic Hernia Repair. J Laparoendosc Adv Surg Tech A. 2021;31(1):110-116.  doi:10.1089/lap.2020.0531. 
  • Masoudian P, Sullivan KJ, Mohamed H, Nasr A. Optimal timing for inguinal herni repair in premature infants: a systematic review and meta analysis. Journal of Pediatric Surgery. 2019;54:1539-1545. doi:10.1016/j.jpedsurg.2018.11.002
  • Ahmad, N, Greenaway S. Anaesthesia for inguinal hernia repair in the newborn or ex-premature infant. BJA Education. 2018;18(7):211. doi:10.1016/j.bjae.2018.04.004
  • Rawtani NA, Drillings IM, Verghese ST. Neonatal Anesthesia with Emphasis on Newborn Physiology and Airway Management. Anesthetic Management in Pediatric General Surgery. 2021;11:45-65.
  • Aseni P, Orsenigo S, Storti E, Pulici M, Arlati S. Current concepts of perioperative monitoring in high-risk surgical patients: a review. Patient Safety in Surgery. 2019:13(1):1-9. doi:10.1186/s13037-019-0213-5
  • Kurobe M, Harada A, Sugihara T, et al. Management of inguinal hernia with prolapsed ovary in very low birthweight infans during neonatal intensive care unit hospitalisation. J Paediatr Child Health. 2019;55(11):1357-1360. doi:10.1111/jpc.14421
  • Meriman TE, Auldist AW. Ovarian torsion in inguinal hernias. Pediatr Surg Int. 2000;16(5-6):383-5. doi:10.1007/s003830000428.
  • Luecke RH, Wosilait WD, Young JF. Mathematical Representation of Organ Growth in the Human Embryo/Fetus. Int J Biomed Comput. 1995;39(3):337-47. doi:10.1016/0020-7101(95)01115-u.
  • Sforza C, Ranzi A, Ferrario VF, Forabosco A. Growth Patterns of Human Ovarian Volume During Intrauterine and Postnatal Organogenesis. Early Hum Dev. 2004;80(1):7-17. doi:10.1016/j.earlhumdev.2004.05.005
  • Saguintaah M, Eulliot J, Bertrand M, et al. Canal of Nuck abnormalities in pediatric female patients. Radiographics. 2022;42(2):541-558. doi:10.1148/rg.210145
  • Kambouri K, Sotiropoulou R, Nistikoulis GP, Foutzitzi S, Aggelidou M, Deftereos S. Can the ultrasound suggest the emergency operation of a sliding ovary in a hernia sac? SAGE Open Medical Case Reports. 2021:9.. doi:10.1177/2050313X211020079
  • Chan D, Kwon JK, Lagomarsino EM, Veltkamp JG, Yang MS, Pfeifer CM. Canal of Nuck hernias. Acta Radiologica Open. 2019:8(12):2058460119889867. doi:10.1177/2058460119889867
  • Dreuning KM, Barendsen RW, Trotsenburg APV, et al. Inguinal hernia in girls: a retrospective analysis of over 1000 patients. J Pediatr Surg. 2020;55(9):1908-1913. doi:10.1016/j.jpedsurg.2020.03.015

Optimal Timing for Ovarian Sliding Hernia Repair in an Infant

Year 2022, Volume: 7 Issue: 4, 616 - 620, 10.12.2022

Mehmet Arpacık Ceyhan Şahin Fatma Tuğba Güvenç Sevim Yener Aytekin Kaymakcı

https://doi.org/10.26453/otjhs.1162059

Abstract

Objective: Ovarian sliding hernia is usually operated on emergently or early. Recently, elective surgery has been recommended. However, the ideal time for surgery has not been clarified. The study aims to determine the ideal surgery timing for an infant's ovarian sliding hernias.
Materials and Methods: The data of non-reducible inguinal hernia in female infants revived who were operated on at our clinic between 2011 and 2021. The data of ovarian sliding hernias were evaluated for age, clinical findings and surgical outcomes.
Results: Of the 76 non-reducible inguinal hernias, 85.5% (n = 65) were found to have sliding hernias of the ovary. The age range of ovarian sliding hernias were 0–3 months 76.9% (n = 50), 3–6 months 23.1% (n = 15) and 6-12 months %0 (n=0). No ovarian torsion was detected in the age group 0-3 months, ovarian torsion was detected in one patient in age group 3–6 months, who also complained of restlessness, swelling in the groin, and tenderness.
Conclusion: Although ovarian sliding hernia is more common in 0–3 months, ovarian torsion was not detected in any patient in this period. Surgery for ovarian sliding hernia should be delayed until three months of age. 

Keywords

infant ovarian sliding hernia surgery timing

References

  • Glick LP, Boulanger SC. Inguinal Hernias and Hydroceles. In: Coran AG, ed. Pediatric Surgery. 7th ed. Philadelphia, Inc: 2012:985-1001.
  • Ramachandran V, Edwards CF, Bichianu DC. Inguinal hernia in premature infants.  Neoreviews. 2020;21(6):392-403. doi:10.1542/neo.21-6-e392
  • Takehara H, Hanako J, Arakawa Y. Laparoscopic Strategy for Inguinal Ovarian Hernias in Children: When to Operate for Irreducible Ovary. J Laparoendosc Adv Surg Tech A. 2009;(4)19:129-131. doi:10.1089/lap.2008.0204.supp
  • Turk E, Fescekoglu OR, Acari C, et al. Sliding hernias in female children. E.Acta Chir Belg. 2013;113(4):281-4. doi:10.1080/00015458.2013.11680928
  • Hirabayashi T, Ueno S, Hirakawa H, Tei E, Mori M. Surgical treatment of inguinal hernia with prolapsed ovary in young girls: emergency surgery or elective surgery. Tokai J Exp Clin Med. 2017;20;42(2):89-95.
  • Revzin MV, Ersahin D, Israel GM, et al. US of the Inguinal Canal: Comprehensive Review of Pathologic Processes with CT and MR Imaging Correlation. Radiographics. 2016;36(7):2028-2048. doi:10.1148/rg.2016150181
  • Thomas AK, Thomas RL, Thomas B. Canal of Nuck Abnormalities. J Ultrasound Med. 2020;39(2):385-395. doi:10.1002/jum.15103
  • Lee SR. Ovarian Incarceration and Torsion in Single-Ovary Versus Multiple-Reproductive Organ Prolapse in Female Inguinal Hernia: A Retrospective Study of 510 Infants Who Underwent Laparoscopic Hernia Repair. J Laparoendosc Adv Surg Tech A. 2021;31(1):110-116.  doi:10.1089/lap.2020.0531. 
  • Masoudian P, Sullivan KJ, Mohamed H, Nasr A. Optimal timing for inguinal herni repair in premature infants: a systematic review and meta analysis. Journal of Pediatric Surgery. 2019;54:1539-1545. doi:10.1016/j.jpedsurg.2018.11.002
  • Ahmad, N, Greenaway S. Anaesthesia for inguinal hernia repair in the newborn or ex-premature infant. BJA Education. 2018;18(7):211. doi:10.1016/j.bjae.2018.04.004
  • Rawtani NA, Drillings IM, Verghese ST. Neonatal Anesthesia with Emphasis on Newborn Physiology and Airway Management. Anesthetic Management in Pediatric General Surgery. 2021;11:45-65.
  • Aseni P, Orsenigo S, Storti E, Pulici M, Arlati S. Current concepts of perioperative monitoring in high-risk surgical patients: a review. Patient Safety in Surgery. 2019:13(1):1-9. doi:10.1186/s13037-019-0213-5
  • Kurobe M, Harada A, Sugihara T, et al. Management of inguinal hernia with prolapsed ovary in very low birthweight infans during neonatal intensive care unit hospitalisation. J Paediatr Child Health. 2019;55(11):1357-1360. doi:10.1111/jpc.14421
  • Meriman TE, Auldist AW. Ovarian torsion in inguinal hernias. Pediatr Surg Int. 2000;16(5-6):383-5. doi:10.1007/s003830000428.
  • Luecke RH, Wosilait WD, Young JF. Mathematical Representation of Organ Growth in the Human Embryo/Fetus. Int J Biomed Comput. 1995;39(3):337-47. doi:10.1016/0020-7101(95)01115-u.
  • Sforza C, Ranzi A, Ferrario VF, Forabosco A. Growth Patterns of Human Ovarian Volume During Intrauterine and Postnatal Organogenesis. Early Hum Dev. 2004;80(1):7-17. doi:10.1016/j.earlhumdev.2004.05.005
  • Saguintaah M, Eulliot J, Bertrand M, et al. Canal of Nuck abnormalities in pediatric female patients. Radiographics. 2022;42(2):541-558. doi:10.1148/rg.210145
  • Kambouri K, Sotiropoulou R, Nistikoulis GP, Foutzitzi S, Aggelidou M, Deftereos S. Can the ultrasound suggest the emergency operation of a sliding ovary in a hernia sac? SAGE Open Medical Case Reports. 2021:9.. doi:10.1177/2050313X211020079
  • Chan D, Kwon JK, Lagomarsino EM, Veltkamp JG, Yang MS, Pfeifer CM. Canal of Nuck hernias. Acta Radiologica Open. 2019:8(12):2058460119889867. doi:10.1177/2058460119889867
  • Dreuning KM, Barendsen RW, Trotsenburg APV, et al. Inguinal hernia in girls: a retrospective analysis of over 1000 patients. J Pediatr Surg. 2020;55(9):1908-1913. doi:10.1016/j.jpedsurg.2020.03.015
There are 20 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research article
Authors

Mehmet Arpacık 0000-0001-7149-5627

Ceyhan Şahin 0000-0003-3101-3915

Fatma Tuğba Güvenç 0000-0002-9464-9737

Sevim Yener 0000-0002-7327-8228

Aytekin Kaymakcı 0000-0002-6147-5566

Early Pub Date December 3, 2022
Publication Date December 10, 2022
Submission Date August 17, 2022
Acceptance Date October 3, 2022
Published in Issue Year 2022 Volume: 7 Issue: 4

Cite

AMA Arpacık M, Şahin C, Güvenç FT, Yener S, Kaymakcı A. Optimal Timing for Ovarian Sliding Hernia Repair in an Infant. OTJHS. December 2022;7(4):616-620. doi:10.26453/otjhs.1162059
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