تشخيص و تدبير الفتق الإربي الكامن في الجهة المقابلة عند الأطفال
Abstract
أجريت الدراسة في مشفى الأسد الجامعي في اللاذقية في قسم الجراحة خلال العام 2008 - 2009 وتضمنت 50 مريض من الأطفال بعمر 1 إلى 48 شهرا المصابين بفتق أحادي الجانب دون قصة سريرية أو علامات سريرية دالة على وجود فتق اربي في الجهة المقابلة أو سوابق عمل جراحي لفتق اربي في هذه الجهة، وكانت نتائج الدراسة على النحو الآتي:
- شملت الدراسة 50 طفلا ( 42 ذكرا بنسبة 84% و 8 أنثى بنسبة 16% ) .
- تم اعتماد طريقة التصوير بالأمواج فائقة الصوتية لتحري بقاء الناتئ الغمدي مفتوحا في الجهة المقابلة للفتق الظاهر سريريا, و ذلك باستخدام مسبر خطي تردده 10 ميغا هرتز .
- وفقا لنتائج التصوير الصدوي اجري عمل جراحي للجهة المقابلة عند 8 أطفال ( 16% ) منهم 6 ذكور و 2 إناث .
- جاءت نتائج العمل الجراحي مطابقة لتوقعات التصوير الصدوي عند 7 أطفال من أصل 8 ( 87.5% ) .
- تبين الدراسة إمكانية استخدام التصوير الصدوي لكشف الفتق الكامن في الجهة المقابلة لفتق ظاهر مما يلغي الحاجة لإجراء عمل جراحي ثاني و يقلل الاختلاطات و الكلفة المادية الإجمالية.
This study was carried out in the Department of Surgery at AL-ASSAD University Hospital in Lattakia during 2008-2000. It included 50 patients aged 1 to 48 months, having unilateral inguinal hernia, and showing no clinical signs or clinical-surgical stories for contralateral inguinal hernia. The results were as follows:
- The study included 50 children (42 males (84%) and 8 female (16%)).
- We used ultrasonography with a 10-MHz transducer to detect the patent processus vaginalis.
- According to ultrasonography results, contralateral herniorrhaphy was performed on 8 children (16%) .
- The results of surgical operation were similar to those of ultrasonography in 7 out of 8 children (87.5%) .
- The study showed the possibility of using ultrasonography to detect potential contralateral inguinal hernia in children; this would lead to eliminating the need for a second surgical operation, reducing complications and the total cost of surgery.
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.