تدبير اندحاق جدار البطن الأمامي باستخدام رقعة البرولين

Authors

  • ماجد علي
  • سجيع مسعود
  • باسل أحمد

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.

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Published

2019-01-17

How to Cite

1.
علي م, مسعود س, أحمد ب. تدبير اندحاق جدار البطن الأمامي باستخدام رقعة البرولين. Tuj-hlth [Internet]. 2019Jan.17 [cited 2024Nov.24];31(5). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/6669

Issue

Vol. 31 No. 5 (2009): العلوم الصحية

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