Tracheostomy in infants: Indications and outcomes
Background/Aim. Laparoscopic ventral hernia surgery, including intraperitoneal onlay mesh (IPOM), is as effective and safe as open surgery, with a lower recurrence rate. Some surgeons advocate laparoscopic primary fascial closure (PFC) with intraperitoneal mesh placement to reduce recurrence rates....
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2024-01-01
|
| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | https://doiserbia.nb.rs/img/doi/0042-8450/2024/0042-84502400028S.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849701024379437056 |
|---|---|
| author | Sovtić Aleksandar Gojšina Bojana Baljošević Ivan Popović Stefan |
| author_facet | Sovtić Aleksandar Gojšina Bojana Baljošević Ivan Popović Stefan |
| author_sort | Sovtić Aleksandar |
| collection | DOAJ |
| description | Background/Aim. Laparoscopic ventral hernia surgery, including intraperitoneal onlay mesh (IPOM), is as effective and safe as open surgery, with a lower recurrence rate. Some surgeons advocate laparoscopic primary fascial closure (PFC) with intraperitoneal mesh placement to reduce recurrence rates. The aim of this study was to compare the treatment outcome between two laparoscopic techniques: the PFC technique and mesh placement without suture closure (IPOM technique) for defects under 4 cm in patients with ventral hernias. Methods. The study sample was comprised of 50 patients who underwent laparoscopic ventral hernia surgery from January 1, 2018, until December 31, 2020. Half of the patients underwent only the IPOM technique (group of patients without the suture), while in others, this was preceded by the closure of the hernial ring (group of patients with the suture). All hernias were midline and all defects were under 4 cm. The studied groups were homogeneous according to gender and age. Comorbidities, complications, and postoperative comfort were monitored. Results. The most common (76%) hernias were primary, and the most common comorbidity was arterial hypertension (28%). One (2%) patient had intraoperative bleeding, and the most common postoperative complication was pain in 7 (14%) patients. After a three-year follow-up, there were 10 (20%) patients with com-plications – one hernia recurred, while 9 (18%) patients died. There was no difference in the types of occurrence of hernias, comorbidities, and intraoperative complications. The distribution of postoperative complications differed significantly (p = 0.007) between the groups. Pain was statistically significantly more prevalent in patients with sutures. During the first three months post-operatively, significantly more patients with sutures had chronic pain (χ2 = 8.140; p = 0.004). Conclusion. We recommend the application of the PFC technique in selected ventral hernia repair cases, although it can lead to more frequent postoperative pain (which, fortunately, is easily treated). |
| format | Article |
| id | doaj-art-6e03e148d1c64b64bc2ee1db8d0ec2fe |
| institution | DOAJ |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-6e03e148d1c64b64bc2ee1db8d0ec2fe2025-08-20T03:18:05ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202024-01-0181635636110.2298/VSP240125028S0042-84502400028STracheostomy in infants: Indications and outcomesSovtić Aleksandar0https://orcid.org/0000-0002-2760-5582Gojšina Bojana1Baljošević Ivan2https://orcid.org/0000-0002-1536-753XPopović Stefan3Institute of Mother and Child Health Care of Serbia “Dr. Vukan Čupić”, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, SerbiaInstitute of Mother and Child Health Care of Serbia “Dr. Vukan Čupić”, Belgrade, Serbia Institute of Mother and Child Health Care of Serbia “Dr. Vukan Čupić”, Belgrade, Serbia + University of Business Academy, Faculty of Dentistry Pančevo, Novi Sad, Serbia Institute of Mother and Child Health Care of Serbia “Dr. Vukan Čupić”, Belgrade, Serbia Background/Aim. Laparoscopic ventral hernia surgery, including intraperitoneal onlay mesh (IPOM), is as effective and safe as open surgery, with a lower recurrence rate. Some surgeons advocate laparoscopic primary fascial closure (PFC) with intraperitoneal mesh placement to reduce recurrence rates. The aim of this study was to compare the treatment outcome between two laparoscopic techniques: the PFC technique and mesh placement without suture closure (IPOM technique) for defects under 4 cm in patients with ventral hernias. Methods. The study sample was comprised of 50 patients who underwent laparoscopic ventral hernia surgery from January 1, 2018, until December 31, 2020. Half of the patients underwent only the IPOM technique (group of patients without the suture), while in others, this was preceded by the closure of the hernial ring (group of patients with the suture). All hernias were midline and all defects were under 4 cm. The studied groups were homogeneous according to gender and age. Comorbidities, complications, and postoperative comfort were monitored. Results. The most common (76%) hernias were primary, and the most common comorbidity was arterial hypertension (28%). One (2%) patient had intraoperative bleeding, and the most common postoperative complication was pain in 7 (14%) patients. After a three-year follow-up, there were 10 (20%) patients with com-plications – one hernia recurred, while 9 (18%) patients died. There was no difference in the types of occurrence of hernias, comorbidities, and intraoperative complications. The distribution of postoperative complications differed significantly (p = 0.007) between the groups. Pain was statistically significantly more prevalent in patients with sutures. During the first three months post-operatively, significantly more patients with sutures had chronic pain (χ2 = 8.140; p = 0.004). Conclusion. We recommend the application of the PFC technique in selected ventral hernia repair cases, although it can lead to more frequent postoperative pain (which, fortunately, is easily treated).https://doiserbia.nb.rs/img/doi/0042-8450/2024/0042-84502400028S.pdfinfantnewbornrespirationartificialserbiatracheostomy |
| spellingShingle | Sovtić Aleksandar Gojšina Bojana Baljošević Ivan Popović Stefan Tracheostomy in infants: Indications and outcomes Vojnosanitetski Pregled infant newborn respiration artificial serbia tracheostomy |
| title | Tracheostomy in infants: Indications and outcomes |
| title_full | Tracheostomy in infants: Indications and outcomes |
| title_fullStr | Tracheostomy in infants: Indications and outcomes |
| title_full_unstemmed | Tracheostomy in infants: Indications and outcomes |
| title_short | Tracheostomy in infants: Indications and outcomes |
| title_sort | tracheostomy in infants indications and outcomes |
| topic | infant newborn respiration artificial serbia tracheostomy |
| url | https://doiserbia.nb.rs/img/doi/0042-8450/2024/0042-84502400028S.pdf |
| work_keys_str_mv | AT sovticaleksandar tracheostomyininfantsindicationsandoutcomes AT gojsinabojana tracheostomyininfantsindicationsandoutcomes AT baljosevicivan tracheostomyininfantsindicationsandoutcomes AT popovicstefan tracheostomyininfantsindicationsandoutcomes |