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COVID-19 pandemisinin inguinal herni cerrahi tedavisi üzerindeki etkisi: Tek bir merkezde retrospektif bir çalışma

Yıl 2022, Cilt: 7 Sayı: 2, 33 - 36, 01.08.2022
https://doi.org/10.25000/acem.1104456

Öz

Amaç: Bu çalışmada, enstitümüzde kasık fıtığı tanısı ile ameliyat edilen hastaların sayısı, komplikasyon oranları ve epidemik özellikleri üzerine COVID 19 pandemisinin etkisini incelemeyi amaçladık.
Yöntemler: 11 Mart 2019-11 Mart 2020 tarihleri arasında Trakya Üniversitesi, Tıp Fakültesi Genel Cerrahi Anabilim Dalın’nda kasık fıtığı ameliyatı olan tüm hastaları geriye dönük olarak inceleyerek 11 Mart 2020-11 Mart 2021 tarihleri arasındaki olgularla karşılaştırdık. Tanımlayıcı istatistiksel değerlendirme olarak ortanca, çeyrek değerler; yüzde ve frekans oranları verildi. İki grubun karşılaştırılmasında normal dağılım aralığına aykırı varyasyonlar için Mann-Whitney U testi kullanıldı. Niteliksel varyasyonlar arasındaki ilişkiler Pearson Ki-Kare testi ve Fisher'in kesin testi ile incelendi. Tüm istatistiksel analizler için anlamlı değer p≤0,05 olarak belirlendi.
Bulgular: 11 Mart 2019 – 2020 tarihleri arasında 65 hasta (Grup 1), 11 Mart 2020 – 2021 (Grup 2) arasında 26 hasta ameliyat edildi. Kadın hasta oranı Grup 2'de anlamlı olarak daha yüksekti (Grup 1'de %4,6, Grup 2'de %23,1, p=0,008) ve Grup 2'de inkarserasyon ve strangülasyon oranında istatistiksel olarak anlamlı bir artış vardı (Grup 1'de %44,6, Grup 2'de %84,6, p=0,001).
Sonuç: COVID-19 salgını sırasında inkarserasyon ve strangülasyon oranı daha yüksekti. Komplikasyon oranlarındaki artış, elektif ameliyatların göreceli olarak azalmasına veya covid döneminde başvuran kadın hasta sayısının artmasına bağlanabilir.

Destekleyen Kurum

Yok

Proje Numarası

Yok

Kaynakça

  • 1. RETAINER Collaborative Group; Irish Surgical Research Collaborative. International snapshot study exploring the impact of COVID-19 on elective inguinal hernia repair. Br J Surg. 2021;108:e301-e1173.
  • 2. Wu F, Zhao S, Yu B, Chen YM, Wang W, Song ZG, et al. A new corona virus associated with human respiratory disease in China. Nature. 2020;579:265–9.
  • 3. Hu B, Guo H, Zhou P, Shi ZL. Characteristics of SARS-CoV-2 and COVID-19. Nat Rev Microbiol. 2021;19:141-54.
  • 4. COVIDSurg Collaborative, Global guidance for surgical care during the COVID-19 pandemic, Br J Surg. 2020;107:1097–103.
  • 5. Brindle ME, Gawande A. Managing COVID-19 in Surgical Systems. Ann Surg. 2020;272:e1-e2.
  • 6. Stabilini C, East B, Fortelny R, Gillion JF, Lorenz R, Montgomery A, et al. European Hernia Society (EHS) guidance for the management of adult patients with a hernia during the COVID-19 pandemic. Hernia. 2020;24:977-83.
  • 7. Boserup B, McKenney M, Elkbuli A. The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States. Am J Emerg Med. 2020;38:1732-6.
  • 8. Burgard M, Cherbanyk F, Nassiopoulos K, Malekzadeh S, Pugin F, Egger B. An effect of the COVID-19 pandemic: Significantly more complicated appendicitis due to delayed presentation of patients! PLoS One. 2021;16:e0249171.
  • 9. HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018;22:1-165. 10. Kurt N, Oncel M, Ozkan Z, Bingul S. Risk and outcome of bowel resection in patients with incarcerated groin hernias: retrospective study. World J Surg. 2003;27:741-3.
  • 11. Ge BJ, Huang Q, Liu LM, Bian HP, Fan YZ. Risk factors for bowel resection and outcome in patients with incarcerated groin hernias. Hernia. 2010 Jun;14(3):259-64.
  • 12. Dong CT, Liveris A, Lewis ER, Mascharak S, Chao E, Reddy SH, Teperman SH, McNelis J, Stone ME Jr. Do surgical emergencies stay at home? Observations from the first United States Coronavirus epicenter. J Trauma Acute Care Surg. 2021;91:241-6.
  • 13. Lima DL, Pereira X, Dos Santos DC, Camacho D, Malcher F. Where are the hernias? A paradoxical decrease in emergency hernia surgery during COVID-19 pandemic. Hernia. 2020;24:1141-2.
  • 14. Surek A, Ferahman S, Gemici E, Dural AC, Donmez T, Karabulut M. Effects of COVID-19 pandemic on general surgical emergencies: are some emergencies really urgent? Level 1 trauma center experience. Eur J Trauma Emerg Surg. 2021;47:647-52.
  • 15. Mulita F, Sotiropoulou M, Vailas M. A multifaceted virus. Non-reducible and strangulated effects of COVID-19. J Trauma Acute Care Surg. 2021;91:e34.
  • 16. Kurihara H, Marrano E, Ceolin M, Chiara O, Faccincani R, Bisagni P, et al. Impact of lockdown on emergency general surgery during first 2020 COVID-19 outbreak. Eur J Trauma Emerg Surg. 2021;47:677-82.
  • 17. Uludag M, Yetkin G, Kebudi A, Isgor A, Akgun I, Dönmez AG. A rare cause of intestinal obstruction: incarcerated femoral hernia, strangulated obturator hernia. Hernia. 2006;10:288-91.
  • 18. Glassow F. Femoral hernia. Review of 2,105 repairs in a 17 year period. Am J Surg. 1985;150:353-6.
  • 19. He C, Li Y, Huang X, Hu S, Yan Y, Liu Y, Zhao P, Lin H, Xu X, Wang Y, Teng D, Du X. How should colorectal surgeons practice during the COVID-19 epidemic? A retrospective single-centre analysis based on real-world data from China. ANZ J Surg. 2020;90:1310-5.

Effect of COVID-19 pandemic on surgical treatment of inguinal hernia: A retrospective study

Yıl 2022, Cilt: 7 Sayı: 2, 33 - 36, 01.08.2022
https://doi.org/10.25000/acem.1104456

Öz

Aim: In this study, we aimed to examine the effect of the COVID 19 pandemic on the number, complication rates and epidemic characteristics of patients operated with the diagnosis of inguinal hernia in our institute.
Methods: We analyzed all patients who underwent inguinal hernia operation in Trakya University Faculty of Medicine, Dept of General Surgery, between March 11, 2019, and March 11, 2020, and compared them with the cases between March 11, 2020, and March 11, 2021, retrospectively. Percentages, mean, standard deviation, median and interquartile range were used as the descriptive statistics. Mann-Whitney U test was used for the variations which are contrary to the normal distribution range in the comparison of two groups. The relations between qualitative variations were studied by the Pearson Chi-Square test and Fisher's Exact test. Significant value was determined as 0.05 for all statistical analyses.
Results: Between March 11, 2019, and 2020, 65 patients were operated on (Group 1), and 26 patients between March 11, 2020, and 2021 (Group 2). The percentage of female patients was significantly higher in Group 2 (4.6% in Group 1, 23.1% in Group 2, p=0.008) and there was a statistically significant increase in the rate of incarceration and strangulation in Group 2 (44.6% in Group 1, 84.6% in Group 2, p=0.001).
Conclusions: During the COVID-19 pandemic the incarceration and strangulation rate was higher. The increase in complication rates can be attributed to the relative decrease in elective surgeries or the increase in the number of female patients admitted during the COVID period.

Proje Numarası

Yok

Kaynakça

  • 1. RETAINER Collaborative Group; Irish Surgical Research Collaborative. International snapshot study exploring the impact of COVID-19 on elective inguinal hernia repair. Br J Surg. 2021;108:e301-e1173.
  • 2. Wu F, Zhao S, Yu B, Chen YM, Wang W, Song ZG, et al. A new corona virus associated with human respiratory disease in China. Nature. 2020;579:265–9.
  • 3. Hu B, Guo H, Zhou P, Shi ZL. Characteristics of SARS-CoV-2 and COVID-19. Nat Rev Microbiol. 2021;19:141-54.
  • 4. COVIDSurg Collaborative, Global guidance for surgical care during the COVID-19 pandemic, Br J Surg. 2020;107:1097–103.
  • 5. Brindle ME, Gawande A. Managing COVID-19 in Surgical Systems. Ann Surg. 2020;272:e1-e2.
  • 6. Stabilini C, East B, Fortelny R, Gillion JF, Lorenz R, Montgomery A, et al. European Hernia Society (EHS) guidance for the management of adult patients with a hernia during the COVID-19 pandemic. Hernia. 2020;24:977-83.
  • 7. Boserup B, McKenney M, Elkbuli A. The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States. Am J Emerg Med. 2020;38:1732-6.
  • 8. Burgard M, Cherbanyk F, Nassiopoulos K, Malekzadeh S, Pugin F, Egger B. An effect of the COVID-19 pandemic: Significantly more complicated appendicitis due to delayed presentation of patients! PLoS One. 2021;16:e0249171.
  • 9. HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018;22:1-165. 10. Kurt N, Oncel M, Ozkan Z, Bingul S. Risk and outcome of bowel resection in patients with incarcerated groin hernias: retrospective study. World J Surg. 2003;27:741-3.
  • 11. Ge BJ, Huang Q, Liu LM, Bian HP, Fan YZ. Risk factors for bowel resection and outcome in patients with incarcerated groin hernias. Hernia. 2010 Jun;14(3):259-64.
  • 12. Dong CT, Liveris A, Lewis ER, Mascharak S, Chao E, Reddy SH, Teperman SH, McNelis J, Stone ME Jr. Do surgical emergencies stay at home? Observations from the first United States Coronavirus epicenter. J Trauma Acute Care Surg. 2021;91:241-6.
  • 13. Lima DL, Pereira X, Dos Santos DC, Camacho D, Malcher F. Where are the hernias? A paradoxical decrease in emergency hernia surgery during COVID-19 pandemic. Hernia. 2020;24:1141-2.
  • 14. Surek A, Ferahman S, Gemici E, Dural AC, Donmez T, Karabulut M. Effects of COVID-19 pandemic on general surgical emergencies: are some emergencies really urgent? Level 1 trauma center experience. Eur J Trauma Emerg Surg. 2021;47:647-52.
  • 15. Mulita F, Sotiropoulou M, Vailas M. A multifaceted virus. Non-reducible and strangulated effects of COVID-19. J Trauma Acute Care Surg. 2021;91:e34.
  • 16. Kurihara H, Marrano E, Ceolin M, Chiara O, Faccincani R, Bisagni P, et al. Impact of lockdown on emergency general surgery during first 2020 COVID-19 outbreak. Eur J Trauma Emerg Surg. 2021;47:677-82.
  • 17. Uludag M, Yetkin G, Kebudi A, Isgor A, Akgun I, Dönmez AG. A rare cause of intestinal obstruction: incarcerated femoral hernia, strangulated obturator hernia. Hernia. 2006;10:288-91.
  • 18. Glassow F. Femoral hernia. Review of 2,105 repairs in a 17 year period. Am J Surg. 1985;150:353-6.
  • 19. He C, Li Y, Huang X, Hu S, Yan Y, Liu Y, Zhao P, Lin H, Xu X, Wang Y, Teng D, Du X. How should colorectal surgeons practice during the COVID-19 epidemic? A retrospective single-centre analysis based on real-world data from China. ANZ J Surg. 2020;90:1310-5.
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi
Bölüm Orjinal Makale
Yazarlar

İbrahim Ethem Cakcak 0000-0001-8885-514X

Mert Kaptan 0000-0002-3639-4799

Proje Numarası Yok
Yayımlanma Tarihi 1 Ağustos 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 7 Sayı: 2

Kaynak Göster

Vancouver Cakcak İE, Kaptan M. Effect of COVID-19 pandemic on surgical treatment of inguinal hernia: A retrospective study. Arch Clin Exp Med. 2022;7(2):33-6.