Za 15 rokov sa na pracovisku autorov vykonalo 4 694 operácií inguinálnych hemií a hydrokél u detí vo veku 0-15 rokov Naičasteišie šlo o deti medzi 2-5 rokom (45 %). Chlapcov bolo 4,5krát viac ako dievčat a aj stranové rozdelenie zodpovedá približne literárnym údajom. Recidíva hemie sa vyskytla u 33 detí (tj. 0,7 %) operovaných na vlastnom pracovisku a u 19 detí pôvodne operovaných inde - celkový výskyt recidív v súbore 1,1 %. U 25 detí boli zistené faktory, ktoré predisponujú vznik recidívy. Táto vznikla najčastejšie u detí operovaných do jedného roka veku (52 %). Preto autori doporučujú operácie práve tejto kategórie zveriť detskému chirurgovi.

In the course of 15 years in the authors department 4 694 operations of inguinal hernias and hydrocele were performed in children at the age of 0 -15 years. Most frequently children aged 2-5 years were involved (45 %). There were 4.5 times more boys than girls and the lateral distribution was also consistent with data in the iterature. A relapse of hernia occurred in 33 children (i.e. 0.7 %) operated in the authors department and in 19 children originally operated elsewhere. The total percentage of relapses in the group is 1.1 %. In 25 children factors were identified which predispose for relapses. Relapses were most frequent in children operated before the age of one year (52 %). The authors recommend therefore that operations of these children should be entrusted to a paediatric surgeon.

UPJŠ LF FN L Pasteura 2 chirurgická klinika Košice

When and how we operate inguinal hernias in children

Kedy a ako operujeme inguinálně hernie u detí = When and how we operate inguinal hernias in children /

When and how we operate inguinal hernias in children /

Lit: 9

Souhrn: eng