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Femoral herniorafi sonrası klinik yatış sürecini etkileyen komplikasyon, morbidite ve mortalite faktörlerinin araştırılması

Year 2020, , 61 - 65, 21.03.2020
https://doi.org/10.18663/tjcl.672798

Abstract

Amaç:Femoral
herni operasyonu geçiren olguların, bu fıtık türündeki risk faktörlerini
irdeleyerek hastane yatış sürecini, morbidite ve varsa mortaliteyi etkilen
faktörlerin özellikle cinsiyet bakımından araştırılması amaçlanmıştır.



 



Gereç ve Yöntemler: 1 Ocak 2015–30 Haziran 2019 tarihleri arasında 29 Mayıs Devlet
Hastanesinde 65 femoral herni
operasyonu uygulanan hasta tespit edildi. Eksik ya da verileri net olmayan 6
hasta çalışmaya dahil edilmeyerek toplamda 59 hasta verileri analiz edildi.
Kesikli değerler için yüzde ve frekans, sürekli değişkenler için ortalama ve
standart sapma kullanılmıştır. Dağılım durumuna göre bağımsız değişkenler için
student t test kullanılılırken kesikli değişkenlerde ki kare testi kullanılmış
ve final istatistikler binary lojistik regresyon elde edilmiştir.



 



Bulgular: Erkek cinsiyet belirgin
derecede daha ileri yaşta femoral herni riski taşırken bayanların daha genç yaşta femoral herni riskine sahip olduğu
görüldü [66.11 yaş vs 52.68 yaş ( p=0.004),AOR:0.87(0,784-0,969)(p=0,011)].
Student t testinde diğer erkekler daha kısa hastane yatış süresi(LOS) ‘ ne
sahip olmakla beraber p değeri 0.79 olarak bulundu. LOS değeri için ikili çoklu
lojistik regresyonda; Cinsiyet, vücut kitle indeksi (BKİ, kg / m2), yaş ve
komplikasyonlar açısından; P değeri 0,07 olarak bulundu ve; AOR, 2.2 bulundu.
Bu sonuçla;
Kadınlar, p=0.1 değeri için istatistiksel olarak erkeklerden
daha fazla LOS değerine sahipti. Her iki cinsiyet arasında vücut kitle
indeksinin hem univariate (tek değişkenli) analizlerde hem de ikili regresyon
sonucunda cinsiyete göre femoral herni açısından bir farkı olmadığını saptadık.



 



Sonuç: Femur
fıtığı sıklıkla kadınlarda görülür; Bununla birlikte, yüksek insidansının,
yaşlılık döneminde erkeklerde de
görülebileceğini bulduk ve ameliyat sonrası erkekler genellikle kadınlardan
daha erken taburcu edildi.

References

  • 1. Karakaş DO, Yeşiltaş M, Gökçek B, Eğin S, Hot S. Etiology, management, and survival of acute mechanical bowel obstruction: Five-year results of a training and research hospital in Turkey. Ulus Travma Acil Cerrahi Derg 2019; 25: 268–80.
  • 2. Gilbert Al. Sutureless repair of inguinal hernia. Am J Surg 1992; 63: 331–35.
  • 3. Skandalakis PN, Skandalakis JE, Colborn GL, Kingsnorth AN, Weidman TA, Skandalakis LJ: Abdominal wall and hernias, in Skandalakis. Ed: John E Skandalakis: Surgical Anatomy 14. ed Vol 1, Section9, PMP Co, Athens: 2004; 395-491.
  • 4. Sucandy I, Kolff JW. Incarcerated femoral hernia in men: incidence, diagnosis, and surgical management. N Am J Med Sci 2012; 4: 617–18.
  • 5. Burcharth J, Pedersen M, Bisgaard T, Pedersen C, Rosenberg J. Nationwide prevalence of groin hernia repair. PLoS One 2013; 8: 54367.
  • 6. Cushieri A. Disorders of the abdominal wall and peritoneal cavity. In: Cushieri A, Steele RJ, Moossa AR, editors. Essential surgical practice. 4th ed. London: Arnold; 2002. p167–179.
  • 7. Carter JE. Hernias. In: Pelvic Pain: Diagnosis and Management. Howard FM, Perry CP, Carter JE, El-Minawi AM, editors. eds. Philadelphia: Lippincott Williams & Wilkins; 2000; 383: 423
  • 8. Miklos JR, O'Reilly MJ, Saye WB. Sciatic hernia as a cause of chronic pelvic pain. Obstet Gynecol 1998; 91: 998–1001.
  • 9. Al-Shanafey S, Giacomantonio M. Femoral hernia in children. J Pediatr Surg 1999; 34: 1104–106.
  • 10. Öberg S, Andresen K, Rosenberg J. Etiology of inguinal hernias: a comprehensive review. Front Surg 2017; 4: 52.
  • 11. Z. Read RC: Basic features of abdominal wall herniation and its repair, in Shackelford’s. Ed: Lloyd M Nyhus: Surgery of the Alimentary Tract 4. ed Vol. 5, Chapter 8, WB Saunders Co, Philadelphia: 1996; 93-107.
  • 12. Abrahamson J. Etiology and pathophysiology of primary and recurrent groin hernia formation. Surg Clin North Am 1998; 78: 953–972.
  • 13. Köckerling F, Lorenz R, Hukauf M, Grau H, Jacob D, Fortelny R, Koch A. Influencing factors on the outcome in female groin hernia repair: a registry-basedmultivariable analysis of 15,601 patients. Ann Surg 2019; 270: 1–9.
  • 14. Wolf H, Schumpelick V. Results of Shouldice femoral hernia repair. A prospective study of 94 operations. Article in German Chirurg 1994; 65: 340–43.
  • 15. Olsen MA, Nickel KB, Wallace AE, Mines D, Fraser VJ, Warren DK. Stratification of surgical site infection by operative factors and comparison of infection rates after hernia repair. Infect Control Hosp Epidemiol. 2015; 36: 329–35.
  • 16. Hoffmann H, Staerkle RF, Kirchhoff P. Thromboembolic prophylaxis in hernia surgery. Int J Abdom Wall Hernia Surg 2018; 1: 37–41.
  • 17. Akrami M, Karami M, Zangouri V, Deilami I, and Maalhagh M. Small bowel obstruction secondary to femoral hernia; case report and review of the literature. Bull Emerg Trauma. 2016; 4: 51–53.
  • 18. Fränneby U, Sandblom G, Nordin P, Nyrén O, and Gunnarsson U. Risk factors for long-term pain after hernia surgery. Ann Surg. 2006; 244: 212–19.

Investigation of the complication, morbidity and mortality factors affecting the clinical hospitalization process after femoral hernioraphy

Year 2020, , 61 - 65, 21.03.2020
https://doi.org/10.18663/tjcl.672798

Abstract

Aim: The
study aims to investigate the risk factors of patients with femoral hernia as
well as factors that affect the
hospitalisation process, morbidity and mortality, particularly in terms of
gender.



 



Material
and Methods:
A
total of 65 femoral hernia surgeries were performed in 29 Mayıs Public Hospitals between January 1, 2015 and June 30,
2019. Six patients with incomplete or unclear data were excluded, and the data
of 59 patients were analysed. Percentage and frequency were used for discrete
variables, whereas mean and standard deviation for continuous variables.
Student’s t-test was used for independent variables according to the
distribution status, whereas chi-square test was used for dichotomous
variables, and the results for binary logistic regression were obtained.



 



Results:
Males were significantly more likely to have femoral hernia risk during old age
[66.11years vs. 52.68 years (p=0.004), adjusted odds ratio (AOR): [0.87 (0.784,
0.969)(p= 0.011)]. I
n student’s t-test, male patients had shorter length of
hospital stay (LOS). Hovewer the p value was found 0.79. In the binary multiple
logistic regression for LOS value; In terms of gender, body mass index (BMI,
kg/m2), age and complications; P value was found as 0.07 and ; AOR was found
2.2. With this result; The females have got the more LOS value than men as
statistichally, for p=0.1 value.



Conclusion:
Femoral hernia frequently occurs in women; however,
we found that its higher incidence
is also can be found in men during old age, and after surgery, men are
generally discharged earlier than women.

References

  • 1. Karakaş DO, Yeşiltaş M, Gökçek B, Eğin S, Hot S. Etiology, management, and survival of acute mechanical bowel obstruction: Five-year results of a training and research hospital in Turkey. Ulus Travma Acil Cerrahi Derg 2019; 25: 268–80.
  • 2. Gilbert Al. Sutureless repair of inguinal hernia. Am J Surg 1992; 63: 331–35.
  • 3. Skandalakis PN, Skandalakis JE, Colborn GL, Kingsnorth AN, Weidman TA, Skandalakis LJ: Abdominal wall and hernias, in Skandalakis. Ed: John E Skandalakis: Surgical Anatomy 14. ed Vol 1, Section9, PMP Co, Athens: 2004; 395-491.
  • 4. Sucandy I, Kolff JW. Incarcerated femoral hernia in men: incidence, diagnosis, and surgical management. N Am J Med Sci 2012; 4: 617–18.
  • 5. Burcharth J, Pedersen M, Bisgaard T, Pedersen C, Rosenberg J. Nationwide prevalence of groin hernia repair. PLoS One 2013; 8: 54367.
  • 6. Cushieri A. Disorders of the abdominal wall and peritoneal cavity. In: Cushieri A, Steele RJ, Moossa AR, editors. Essential surgical practice. 4th ed. London: Arnold; 2002. p167–179.
  • 7. Carter JE. Hernias. In: Pelvic Pain: Diagnosis and Management. Howard FM, Perry CP, Carter JE, El-Minawi AM, editors. eds. Philadelphia: Lippincott Williams & Wilkins; 2000; 383: 423
  • 8. Miklos JR, O'Reilly MJ, Saye WB. Sciatic hernia as a cause of chronic pelvic pain. Obstet Gynecol 1998; 91: 998–1001.
  • 9. Al-Shanafey S, Giacomantonio M. Femoral hernia in children. J Pediatr Surg 1999; 34: 1104–106.
  • 10. Öberg S, Andresen K, Rosenberg J. Etiology of inguinal hernias: a comprehensive review. Front Surg 2017; 4: 52.
  • 11. Z. Read RC: Basic features of abdominal wall herniation and its repair, in Shackelford’s. Ed: Lloyd M Nyhus: Surgery of the Alimentary Tract 4. ed Vol. 5, Chapter 8, WB Saunders Co, Philadelphia: 1996; 93-107.
  • 12. Abrahamson J. Etiology and pathophysiology of primary and recurrent groin hernia formation. Surg Clin North Am 1998; 78: 953–972.
  • 13. Köckerling F, Lorenz R, Hukauf M, Grau H, Jacob D, Fortelny R, Koch A. Influencing factors on the outcome in female groin hernia repair: a registry-basedmultivariable analysis of 15,601 patients. Ann Surg 2019; 270: 1–9.
  • 14. Wolf H, Schumpelick V. Results of Shouldice femoral hernia repair. A prospective study of 94 operations. Article in German Chirurg 1994; 65: 340–43.
  • 15. Olsen MA, Nickel KB, Wallace AE, Mines D, Fraser VJ, Warren DK. Stratification of surgical site infection by operative factors and comparison of infection rates after hernia repair. Infect Control Hosp Epidemiol. 2015; 36: 329–35.
  • 16. Hoffmann H, Staerkle RF, Kirchhoff P. Thromboembolic prophylaxis in hernia surgery. Int J Abdom Wall Hernia Surg 2018; 1: 37–41.
  • 17. Akrami M, Karami M, Zangouri V, Deilami I, and Maalhagh M. Small bowel obstruction secondary to femoral hernia; case report and review of the literature. Bull Emerg Trauma. 2016; 4: 51–53.
  • 18. Fränneby U, Sandblom G, Nordin P, Nyrén O, and Gunnarsson U. Risk factors for long-term pain after hernia surgery. Ann Surg. 2006; 244: 212–19.
There are 18 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Orıgınal Artıcle
Authors

Dilek Dülger 0000-0003-3640-5686

Feray Aydın 0000-0002-2847-4780

Özgür Albuz 0000-0002-8534-1781

Publication Date March 21, 2020
Published in Issue Year 2020

Cite

APA Dülger, D., Aydın, F., & Albuz, Ö. (2020). Investigation of the complication, morbidity and mortality factors affecting the clinical hospitalization process after femoral hernioraphy. Turkish Journal of Clinics and Laboratory, 11(2), 61-65. https://doi.org/10.18663/tjcl.672798
AMA Dülger D, Aydın F, Albuz Ö. Investigation of the complication, morbidity and mortality factors affecting the clinical hospitalization process after femoral hernioraphy. TJCL. March 2020;11(2):61-65. doi:10.18663/tjcl.672798
Chicago Dülger, Dilek, Feray Aydın, and Özgür Albuz. “Investigation of the Complication, Morbidity and Mortality Factors Affecting the Clinical Hospitalization Process After Femoral Hernioraphy”. Turkish Journal of Clinics and Laboratory 11, no. 2 (March 2020): 61-65. https://doi.org/10.18663/tjcl.672798.
EndNote Dülger D, Aydın F, Albuz Ö (March 1, 2020) Investigation of the complication, morbidity and mortality factors affecting the clinical hospitalization process after femoral hernioraphy. Turkish Journal of Clinics and Laboratory 11 2 61–65.
IEEE D. Dülger, F. Aydın, and Ö. Albuz, “Investigation of the complication, morbidity and mortality factors affecting the clinical hospitalization process after femoral hernioraphy”, TJCL, vol. 11, no. 2, pp. 61–65, 2020, doi: 10.18663/tjcl.672798.
ISNAD Dülger, Dilek et al. “Investigation of the Complication, Morbidity and Mortality Factors Affecting the Clinical Hospitalization Process After Femoral Hernioraphy”. Turkish Journal of Clinics and Laboratory 11/2 (March 2020), 61-65. https://doi.org/10.18663/tjcl.672798.
JAMA Dülger D, Aydın F, Albuz Ö. Investigation of the complication, morbidity and mortality factors affecting the clinical hospitalization process after femoral hernioraphy. TJCL. 2020;11:61–65.
MLA Dülger, Dilek et al. “Investigation of the Complication, Morbidity and Mortality Factors Affecting the Clinical Hospitalization Process After Femoral Hernioraphy”. Turkish Journal of Clinics and Laboratory, vol. 11, no. 2, 2020, pp. 61-65, doi:10.18663/tjcl.672798.
Vancouver Dülger D, Aydın F, Albuz Ö. Investigation of the complication, morbidity and mortality factors affecting the clinical hospitalization process after femoral hernioraphy. TJCL. 2020;11(2):61-5.


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