A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy
Yıl: 2020 Cilt: 26 Sayı: 2 Sayfa Aralığı: 178 - 185 Metin Dili: İngilizce DOI: 10.14744/tjtes.2019.72627 İndeks Tarihi: 05-10-2020
A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy
Öz: ABSTRACTBACKGROUND: The present study aims to investigate the usefulness of NIRS in identifying decreased blood flow in intestinal tissue inside the hernial sac in incarcerated hernias.METHODS: Forty patients with manually irreducible inguinal hernias and with ileus determined by clinical findings and imaging were included in this study. Patients’ intestinal oxygenatıons were measured by placing NIRS probes over the areas of inguinal hernia and over non-herniated areas immediately lateral to these. Differences in oxygenation between normal and herniated areas were evaluated.RESULTS: Forty patients, 14 women (35.0%) and 26 (65.0%) men, with a mean age of 65±14, were enrolled in this study. Intestinal oxygenation was lower in areas of irreducible hernia compared to normal regions (p<0.001). Incarceration and/or strangulation were detected when hernial sacs with low intestinal oxygenation were operated on. Low NIRS measurements were able to identify incarceration and/or strangulation in the intestine but were unable to distinguish between them.CONCLUSION: In conclusion, in the light of the findings of this study, although not capable of differentiating incarceration from strangulation, NIRS appears to be a good method for showing impaired intestinal oxygenation. NIRS can be used to support ultrasonography findings in irreducible hernias. Therefore, this technique could be used in the future to evaluate and monitor intestinal oxygenation in the Emergency Department.
Anahtar Kelime: Strangüle ve inkarsere hernilerin değerlendirilmesinde yeni bir teknik: Near infrared spectroscopy
Öz: AMAÇ: Bu çalışmamızın amacı, redükte edilemeyen inguinal hernilerde bağırsak oksijenizasyonunu değerlendirmek için yeni bir yöntem olan near infrared spektrofotometri (NIR) spektroskopi tekniğini kullanmaktır. Böylece erken dönemde bağırsak oksijenizasyonu hakkında bilgi edinmeyi ve NIRS’nin kullanılabilirliğini değerlendirmeyi amaçladık.GEREÇ VE YÖNTEM: Çalışmamıza inguinal hernileri olup elle redükte edilemeyen ve klinik bulgu ve görüntüleme yöntemleri ile ileus tespit edilen 40 hasta alındı. Hastaların inguninal herni olan bölgeleri ile tam lateralinde herni olmayan bölgelerine NIRS propları yapıştırılarak bağırsak oksijenizasyonları ölçüldü. Normal ve herni olan bölgeler arasındaki oksijenizasyon farkları değerlendirildi.BULGULAR: Yaş ortalaması 65±14 olan, 14’ü kadın (%35.0) ve 26’sı erkek (%65.0) toplam 40 hasta bu çalışmaya alındı. Hastaların redükte edilemeyen herni bölgesinde bağırsak oksijenizasyonları normal bölgelerine göre düşüktü (p<0.001). Bağırsak oksijenizasyonları düşük olan inguinal herni keseleri ameliyat edildiğinde inkarserasyon ve/veya strangülasyon tespit edildi. NIRS ölçümlerinin düşük ölçülmesi bağırsaktaki inkarserasyon ve/ veya strangülasyonu tespit edebiliyordu fakat ikisi birbirinden ayırt edilemiyordu.TARTIŞMA: Bu çalışmanın bulguları ışığında, strangülasyondan hapsedilmeyi ayırt edememesine rağmen, NIRS bozulmuş bağırsak oksijenasyonu için iyi bir yöntem olarak görünmektedir. NIRS, indirgenemez fıtıklarda ultrasonografi bulgularını desteklemek için kullanılabilir. Bu nedenle, gelecekte acil serviste bağırsak oksijenasyonunu değerlendirmek ve izlemek için bu teknik kullanılabilir
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | ZİYAN M, Kalkan A, Bilir O, ERSUNAN G, Özel D, UZUN Ö, KORKU S (2020). A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy. , 178 - 185. 10.14744/tjtes.2019.72627 |
| Chicago | ZİYAN Murat,Kalkan Asım,Bilir Ozlem,ERSUNAN Gökhan,Özel Deniz,UZUN Özlem,KORKU Semih A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy. (2020): 178 - 185. 10.14744/tjtes.2019.72627 |
| MLA | ZİYAN Murat,Kalkan Asım,Bilir Ozlem,ERSUNAN Gökhan,Özel Deniz,UZUN Özlem,KORKU Semih A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy. , 2020, ss.178 - 185. 10.14744/tjtes.2019.72627 |
| AMA | ZİYAN M,Kalkan A,Bilir O,ERSUNAN G,Özel D,UZUN Ö,KORKU S A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy. . 2020; 178 - 185. 10.14744/tjtes.2019.72627 |
| Vancouver | ZİYAN M,Kalkan A,Bilir O,ERSUNAN G,Özel D,UZUN Ö,KORKU S A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy. . 2020; 178 - 185. 10.14744/tjtes.2019.72627 |
| IEEE | ZİYAN M,Kalkan A,Bilir O,ERSUNAN G,Özel D,UZUN Ö,KORKU S "A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy." , ss.178 - 185, 2020. 10.14744/tjtes.2019.72627 |
| ISNAD | ZİYAN, Murat vd. "A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy". (2020), 178-185. https://doi.org/10.14744/tjtes.2019.72627 |
| APA | ZİYAN M, Kalkan A, Bilir O, ERSUNAN G, Özel D, UZUN Ö, KORKU S (2020). A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy. Ulusal Travma ve Acil Cerrahi Dergisi, 26(2), 178 - 185. 10.14744/tjtes.2019.72627 |
| Chicago | ZİYAN Murat,Kalkan Asım,Bilir Ozlem,ERSUNAN Gökhan,Özel Deniz,UZUN Özlem,KORKU Semih A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy. Ulusal Travma ve Acil Cerrahi Dergisi 26, no.2 (2020): 178 - 185. 10.14744/tjtes.2019.72627 |
| MLA | ZİYAN Murat,Kalkan Asım,Bilir Ozlem,ERSUNAN Gökhan,Özel Deniz,UZUN Özlem,KORKU Semih A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy. Ulusal Travma ve Acil Cerrahi Dergisi, vol.26, no.2, 2020, ss.178 - 185. 10.14744/tjtes.2019.72627 |
| AMA | ZİYAN M,Kalkan A,Bilir O,ERSUNAN G,Özel D,UZUN Ö,KORKU S A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(2): 178 - 185. 10.14744/tjtes.2019.72627 |
| Vancouver | ZİYAN M,Kalkan A,Bilir O,ERSUNAN G,Özel D,UZUN Ö,KORKU S A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(2): 178 - 185. 10.14744/tjtes.2019.72627 |
| IEEE | ZİYAN M,Kalkan A,Bilir O,ERSUNAN G,Özel D,UZUN Ö,KORKU S "A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy." Ulusal Travma ve Acil Cerrahi Dergisi, 26, ss.178 - 185, 2020. 10.14744/tjtes.2019.72627 |
| ISNAD | ZİYAN, Murat vd. "A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy". Ulusal Travma ve Acil Cerrahi Dergisi 26/2 (2020), 178-185. https://doi.org/10.14744/tjtes.2019.72627 |
