incidence of metachronous contralateral inguinal hernias in children
TRANSCRIPT
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 1/23
Kiekgjiej f` Ojtaenrfifus
Efitrahatjrah Kilukiah Njrikas kiEnkhgrji
`fhhfwkil Zikhatjrah ]jpakr A ojta-aiahysks f` prfspjetkvj
stugkjs
gr. @aghk ]fmmy Aosrkza
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 2/23
TJIGANZHZAI
• Njrika kilukiah fpjrask yail uouo gahao mjgan aiac
• Naopkr sjoua njrika kilukiahks aiac mjrasah gark TTP
• jmaiyacai aiac a!ah gjilai njrika kilukiahsj"jhan rjpakmjrcjomail oji#agk $%&N
• ]kskcf $%&N hjmkn "killk paga aiac hjmkn ouga gai njrika yaa!ahiya paga sksk ckrk.
• Nah kik ojigfrfiljcsphfrask mjgan prf'hacsks paga sksk cfi
• j(jigjruila %TTP ) *+,
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 3/23
-ZZAI
• $jikhak sj(ara sks"joa"ks cj#agkai $%&N yail ojinjrika kilukiah uikha"jrah yail sugan gk rjpakr gjilojilluiacai ga"a s"ugk prfspjc"k/
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 4/23
$J-4GJ GAI 1ANAI
• Tji(arkai Hk"jra"ur
-nj %f(nraij %ji"rah ]jlks"jr f/ %fi"rfhhjg -rkahs =-nj %f(nraij h&ssuj 5 f/ 7:0 uhy :+7<>0 $JGH&IJ =aiuary 7;22 "f Aulus" :+7<> J$1A3J =7;<5 "f Aulus" :+7<> gkma"ask ar"kcjh manasa killrks ga #jroai.
• rk"jrka &ichusk- 3"ugk fmsjr8askfiah prfspjc"k/ gl oki !ac"u /fhhf! up 7 "anui
- $jikhak uska +?7; "anui
- -aipa jcsphfrask pailcah pana cfi"raha"jrah9 pjiu"upai %TTP glhaparfscfpk
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 5/23
• rk"jrka jcschusk
- 3"ugk rj"rfspjc"k/
- @fhhf! up pjigjc
- 3"ugk "aipa /uhh "j6"
- 1ucai ojilluiacai manasa killrks a"au #jroai
• jhuarai
- TrkojrD cjsjhurunai kiskgji $%&N paga aiac gjilai njrika kilukiauikha"jrah
- 3jcuigjrD hack?hackD pjrjopuai aiac M7"nD hjmkn sksk caiaiD ckrk %T"jrmucaD "jr"u"up
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 6/23
• Tji(arkai Ga"aD gk fhan fhjn : pjiuhks gjilaiojilluiacai J6(jh
• Aiahksks 3"a"ks"kc gai Era'cD $j"fgj oj"a aiahksksgjscrkp"k/ gai ki/jrji"kah ui"uc ojomaigkilcai ail
cj#agkai gai fggs ra"kf gark cj#agkai $%&N gark mjms"ugk gai cjhfopfc.
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 7/23
NA3&H
• Naskh Tji(arkai
- $JGH&IJD :5<5 rj/jrjisk
- %JI-]AHD *+< rj/jrjisk
- J$1A3JD *<<* rj/jrjisk
- 2 s"ugk ojojiunk crk"jrka kichusk 50:?*:. 7 s"ugk gkma"ask ui"uchack?hack mjruska +0L?: "anui :. 3j(ara "f"ah "jrgapa" 7.22; aiacGark #uohan kik 7<+L =<,> agahan hack?hack gai :2< =72,> agahanpjrjopuai. ;<L =L5,> aiac?aiac ojokhkck njrika sksk caiai gai L=**,> aiac gjilai sksk njrika ckrk paga prjsji"ask pjr"aoa. Ha"jrpaga prjsji"ask a!ah "kgac gkmjrkcai gk 75; =77,> paskji =-amjh 7
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 8/23
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 9/23
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 10/23
• jsjhurunai kiskgjisk $%&ND 2, gjilai ;L, %& ui"uccjsjhurunai mjrcksar <,?,.
•
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 11/23
$%&N Hack?HackDTjrjopuai
- $jilaiahksks ;L2 aiac hack?hack gai :** pjrjopuai
- Aiac pjrjopuai ojokhkck cj(jigjruilai gjca"?sklik'cai ojokhkck $%&N hjmkn "killk =0:, ;L, %&7:0<,> gkmaigkil aiac hack?hack =<07, %& *0+,? L0<,
gjilai pjrckraai 4ggs ]a"kf 70+ =;L, %& +0;;?*0*=Eaomar. :>.
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 12/23
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 13/23
$%&N Njrika aiaiD krk
- -f"ah 7.7; paskji gkhkma"cai ui"uc aiahksks sumcjhfo=5*: a!ah sksk caiai gai <L5 sksk ckrk a!ah njrika>.
- ]askf fggs gark $%&N aiac gjilai sksk ckrk njrika a=0L, %& 207, ?770L,> hjmkn mjsar gkmaigkilcai gj
a!ah njrika sksk caiai =*0*, %& :07 ?<0,> gjilaipjrckraai raskf fggs :022 =;L, %& 70L2?<0L*> =Eaom
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 14/23
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 15/23
$%&N paga Aiac M7"n D "n
Gark * s"ugk gkgapa"cai 4ggs raskf aiac uska M7 "an=20;,%& *0, ? 770:,> ui"uc ojigapa"cai $%&N(jigjruil hjmkn mjsar garkpaga aiac yail hjmkn "ua =<%& *07, ? 20:,> =Eaomar <.>. Js"koask ]askf fggs aga
705 =;L, %& +0;5?*02:>.
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 16/23
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 17/23
Aiac gjilai %TP -jrmuca D %TP -jr"
Naiya : s"ugk Trfmamkhk"as aiac gjilai %TP "jrmuc=7*0, %& 20L,? :<05,> ui"uc ojigapa"cai $%&N hjmjsar sj(ara sklik'cai gkmaigkil ui"uc aiac gjilai "jr"u"up =*, %& +0,? 502,> =Eaomar. L>. Gkpjrckraca
raskf fggs sjmjsar <075 =%& ;L, 70:L?7*0;*>
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 18/23
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 19/23
&iskgji jsjhurunai gark $%&N 1jrgasar paga Haoa @fh
$%&N gjilai /fhhf! up : "anui a"au hjmkn gknk"uil "jroass"ugk fmsjr8askfiah prfspjc"k/ 507507;0:+ gjilai 7.7; p=Eaomar. 2a>. $%&N gjilai oasa /fhhf! up oki * "anui g"jroasuc : s"ugk 750:+ gjilai 5 paskji =Em. 2m>. Gahacjgua casus0 "js ui"uc nj"jrfljik"as "kgac sklik'cai =ikha
+07525 gai +0+L;> gai '6jg jKj(" ofgjh yail ojilackmapjrckraai ui"uc $%&N oaskil?oaskil sjmjsar 2, =;L, %gark <, saopak 5,> gai L, =;L, %& ouhak gark <, saopa
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 20/23
G&3Z3&
• 2 pjijhk"kai cfnfr" prfspjc"k/ "jroasuc 7.22; paskji sj(ara "f"ah yail ojojiunk crui"uc "ki#auai sks"joa"ks kik ojilnaskhcai sjmuan "kilca" $%&N sjmjsar 2, 50:?*
• Njrika a!ah paga sksk ckrk gai gjilai prf(jsus 8alkiahs pa"ji" cfi"raha"jrah "jrmucaojilackma"cai pjikilca"ai cj#agkai $%&N.
• 1kas saophkilD curailiya cjsjralaoai ma"asai uour gai 8arkask gahao crk"jrka kichjcschusk.
•
uohan grfpfu" saila" mjrmjga ai"ara s"ugk. $j"fgj /fhhf! up #ula mjrmjga.• Tai#ail okikoah /fhhf! upD 7: muhai ? < "anui :;. Naiya L+, $%&N a"au curail ya
gk"aopkhcai "jr#agk gahao !ac"u sa"u "anui L0*70**. $%&N "kgac ojikilca" cj"kca "kigac hai#u" gkma"ask ui"uc : a"au * "anui. -jouai kik gapa" gk#jhascai gjilai oji #uohan grfp?fu" gark !ac"u cj !ac"u. Acnkriya0 #uohan cj#agkai $%&N paga mjmjrapsumcjhfopfc "kgac gkhapfrcai fhjn sjoua s"ugk. 3jmalak cfisjcujisk0 aiahksks sumcjoacahan kik "jrgkrk naiya sjmalkai gark sjoua paskji.
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 21/23
jskopuhai gai &ophkcask ui"uc prac"jc sjnark
- ]kskcf $%&N aiac?aiac =uska +?7; "anui> ) 2,.
- ]kskcf $%&N sj(ara sklik'cai hjmkn mjsar paga njrika sksk ckrk =0L, 8s *0*,> gai %TP=7*0, 8s *,>.
- @ac"fr rkskcf hjmkn hai#u" #ula ouilckiD pjrjopuai =0: 8s <07,> gai uska ouga =M7 "a<0L,>. @ac"fr rkskcf "jrgula hakiiya sjpjr"k prjoa"urk"as0 pjikilca"ai "jcaiai ki"raam=as(k"js0 snui" 8ji"rk(uhfpjrk"fijah0 gkahksks pjrk"fijah> gai lailluai #arkilai kca" "kg
- Jcsphfrask cfi"raha"jrah ru"ki paga pailcah pana oji(jlan fpjrask sjcuigjr ojilu
rkskcf aijs"jsk sjcuigjr0 gks"rjss aiac gai frail "ua gai cjouilckiai $%&N.
- fophkcask mjrkcu" jcsphfrask cfi"raha"jrah =sjpjr"k sjhaoa a!ah pjrmakcai njrika> "kgaoj"a?aiahksks kik gai mjrcksar gark :, saopak 72, *. -jroasuc ki/jcsk huca0 njoa"fsara/0 gkpjrfhjn "js"ks yail "kgac "urui0 nygrf(jhjs0 huca paga 8as gj/jrjis0 gai a"rfpn=gjilai jopa" cfophkcask yail "jracnkr naiya "jr#agk paga mayk hack?hack "ji"u sa#a>. %jpklas"rk(? a"au pjomuhun /jofrahks0 sjr"a frlai?frlai ki"rapjrk"fijah =usus0 f8arkuo0"jr#agk *;.
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 22/23
- Naopkr 75 =cjsjhurunai $%&N )2, 7++92 ) 7205> jcsphfrask cfi"ra=#uohan yail gkpjrhucai ui"uc pjrhacuai9 iuomjr ijjgjg "f "rja">gkpjrhucai ui"uc oji(jlan sa"u cj#agkai njrika kilukiah oj"a(nrfiII-)75
- -kgac ojomjiarcai ru"ki cfi"raha"jrah jcsphfrask paga pailcah panaiac?aiac "aipa /ac"fr rkskcf ui"uc pjrcjomailai $%&N0 sjpjr"k aaiac hack?hack0 mjruska hjmkn gark 7 "anui0 gjilai %TP "jr"u"up0 gai a!ah njrika kilukiah caiai sksk. Apacan =cfomkiask gark> mjmjrapa /arkskcf ui"uc pjiljomailai $%&N ouilcki ojomjiarcai jcsphfrascfi"raha"jrah "kgac gapa" gk#a!am fhjn oj"aaiahksks kik gai narusgkpjr"komailcai ui"uc sj"kap casus kigk8kguah.
8/18/2019 Incidence of Metachronous Contralateral Inguinal Hernias in Children
http://slidepdf.com/reader/full/incidence-of-metachronous-contralateral-inguinal-hernias-in-children 23/23
-J]&$A A3&N