تدبير اندحاق جدار البطن الأمامي باستخدام رقعة البرولين
Abstract
- · شملت هذه الدراسة 51 مريضاً تمّ قبولهم وعلاجهم في مشفى الأسد الجامعي في اللاذقية قسم الجراحة. 37 أنثى (72.54℅) و14 ذكراً (27.46℅). تراوحت أعمار المرضى بين سنة و 90 سنة بعمر وسطي 47.34.
- · لاحظنا في دراستنا زيادة نسبة الاندحاق مع التقدّم بالعمر, كما أنّ الإناث كنّ أكثر تأهّباً للاندحاق من الذكور بنسبة 2.6-1.
- · أظهرت الدراسة أنّ الشقّ الناصف هو أكثر الشقوق تأهّباً للاندحاق 32 مريضاً بنسبة 62.75℅، وأنّ شقوق الخطّ الناصف أسفل السرّة أكثر تأهّباً للاندحاق من أعلى السرّة بنسبة 73.33%.
- · إنّ أكثر الأمراض المرافقة للاندحاق هي الأمراض القلبية وارتفاع التوتر الشرياني بنسبة 27.45℅ والداء السكري بنسبة 13.73℅ والأمراض الرئوية بنسبة 13.73℅.
- · إنّ للبدانة دوراً مهماً في التأهّب للاندحاق بنسبة 66.67 ℅.
- · تمّ تقسيم المرضى حسب مكان وضع الرقعة إلى مجموعتين: الأولى: تمّ وضع رقعة البرولين خلف السفاق وضمّت 22 مريضاً, والثانية: تمّ وضع رقعة البرولين أمام السفاق وشملت 28 مريضاً، إضافةً لحالة وحيدة تمّ وضع الرقعة فيها أمام وخلف السفاق.
- · This study included 51 patients (37 females (72.54%) and 14 males (27.46%)) admitted and treated in the Department of Surgery at Al-Assad University Hospital in Lattakia. Patients were between 1 and 90 years old (the average was 47.34 years).
- · We noted in our study that incisional hernia ratio increased with age. Females were more affected than males in a proportion of 2.6 – 1.
- · It was clear that midline incision hernias were much more than hernias of other incisions (32 patients (62.75%) especially under umbilicus, (73.33% of midline incision hernias).
- · The most predisposing diseases were cardiac diseases and HBP (27.45%), and to a lesser extent DM and pulmonary diseases (13.73% each).
- · Obesity played a great role in incisional hernias (66.67%).
- · Patients were divided into two groups according to the patch site; in the first group (including 22 patients), the prolene patch was placed posterior to aponeurosis. In the second one (comprising 28 patients), the patch was placed anterior to aponeurosis. And in a single case, the patch was put posterior and anterior to aponeurosis.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series
Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in Tishreen University Journal for Research and Scientific Studies - Health Sciences Series . The Readers have the right to send, print and subscribe to the initial version of the article, and the title of Tishreen University Journal for Research and Scientific Studies - Health Sciences Series Publisher
journal uses a CC BY-NC-SA license which mean
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.