{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T13:02:46Z","timestamp":1763643766357},"reference-count":14,"publisher":"Akademiai Kiado Zrt.","issue":"7","license":[{"start":{"date-parts":[[2023,2,19]],"date-time":"2023-02-19T00:00:00Z","timestamp":1676764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2023,2,19]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A l\u00e1gy\u00e9ks\u00e9rv a leggyakoribb, m\u0171t\u00e9ti ell\u00e1t\u00e1st ig\u00e9nyl\u0151\n                    k\u00f3rk\u00e9p gyermekkorban. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A tanulm\u00e1ny c\u00e9lja a\n                    laparoszk\u00f3pos l\u00e1gy\u00e9ks\u00e9rvm\u0171t\u00e9t (PIRS \u2013 percutaneous internal ring suturing)\n                    betanul\u00e1si id\u0151szak\u00e1nak vizsg\u00e1lata volt. <jats:italic>M\u00f3dszer:<\/jats:italic> Prospekt\u00edv,\n                    megfigyel\u00e9sen alapul\u00f3 vizsg\u00e1latot v\u00e9gezt\u00fcnk a 2018 \u00e9s 2019 k\u00f6z\u00f6tt elekt\u00edv\n                    PIRS-m\u0171t\u00e9ten \u00e1tesett 0\u201318 \u00e9ves betegek bevon\u00e1s\u00e1val. Az akut m\u0171t\u00e9ten\n                    (l\u00e1gy\u00e9ks\u00e9rv-kiz\u00e1r\u00f3d\u00e1s) \u00e1tesett betegeket, az egy \u00fcl\u00e9sben m\u00e1s m\u0171t\u00e9tet is ig\u00e9nyl\u0151\n                    eseteket kiz\u00e1rtuk. A m\u0171t\u00e9ti id\u0151t, a konverzi\u00f3k \u00e9s a sz\u00f6v\u0151dm\u00e9nyek sz\u00e1m\u00e1t, a\n                    metakr\u00f3n s\u00e9rvek jelenl\u00e9t\u00e9t vizsg\u00e1ltuk. A szem\u00e9lyes vizittel j\u00e1r\u00f3 nyomon k\u00f6vet\u00e9si\n                    id\u0151 a PIRS-m\u0171t\u00e9tet k\u00f6vet\u0151en 1\u20134 h\u00e9t volt, illetve a betegeket telefonon kerest\u00fck\n                    meg 2022-ben. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A vizsg\u00e1lt id\u0151szakban 126 betegben\n                    (57 fi\u00fa, 69 le\u00e1ny) t\u00f6rt\u00e9nt PIRS-m\u0171t\u00e9t, \u00e1tlag\u00e9letkoruk 4,6 \u00e9v volt. Az \u00e1tlagos\n                    m\u0171t\u00e9ti id\u0151 26,5 perc, szakorvos eset\u00e9n 22,9 perc volt, s fi\u00fabetegek eset\u00e9ben\n                    hosszabbnak bizonyult, mint l\u00e1nyokn\u00e1l (30,5 <jats:italic>vs.<\/jats:italic> 23 perc). Az\n                    egyoldali m\u0171t\u00e9tek r\u00f6videbbek voltak, mint a k\u00e9toldaliak (23,7\n                        <jats:italic>vs.<\/jats:italic> 33,6 perc). Kezdetben l\u00e1nyok eset\u00e9ben t\u00f6rt\u00e9nt PIRS:\n                    folyamatosan cs\u00f6kkent a m\u0171t\u00e9ti id\u0151. K\u00e9s\u0151bb, amikor szakorvosjel\u00f6ltek is v\u00e9geztek\n                    m\u00e1r PIRS-m\u0171t\u00e9teket, azok ism\u00e9t hosszabb\u00e1 v\u00e1ltak, majd ism\u00e9t cs\u00f6kkentek. Hasonl\u00f3\n                    trend figyelhet\u0151 meg a fi\u00fak m\u0171t\u00e9tein\u00e9l. 3 esetben t\u00f6rt\u00e9nt konverzi\u00f3, 3\n                    intraoperat\u00edv, 4 posztoperat\u00edv sz\u00f6v\u0151dm\u00e9nyt, 1 recid\u00edv\u00e1t figyeltek meg, 28\n                    metakr\u00f3n s\u00e9rv ker\u00fclt felismer\u00e9sre. A telefonos megkeres\u00e9s sor\u00e1n 92\/126 beteget\n                    \u00e9rt\u00fcnk el: tov\u00e1bbi 1 recid\u00edv\u00e1t, 6 kr\u00f3nikus panaszt r\u00f6gz\u00edtett\u00fcnk.\n                        <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> A PIRS j\u00f3 laparoszk\u00f3pos \u201etanul\u00f3m\u0171t\u00e9t\u201d a\n                    gyermekseb\u00e9szek k\u00e9pz\u00e9s\u00e9ben. A PIRS mellett gyermekkorban helye van a hagyom\u00e1nyos\n                    l\u00e1gy\u00e9ks\u00e9rvm\u0171t\u00e9tnek is. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A PIRS-m\u0171t\u00e9t biztons\u00e1gos,\n                    hamar elsaj\u00e1t\u00edthat\u00f3 technika. A metakr\u00f3n s\u00e9rvek felismer\u00e9s\u00e9ben \u00e9s a\n                    szakorvosjel\u00f6ltek k\u00e9pz\u00e9s\u00e9ben l\u00e1that\u00f3 el\u0151nye. Orv Hetil. 2023; 164(7):\n                    260\u2013264.<\/jats:p>","DOI":"10.1556\/650.2023.32703","type":"journal-article","created":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T11:21:23Z","timestamp":1676978483000},"page":"260-264","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":2,"title":["Gyermekkori laparoszk\u00f3pos l\u00e1gy\u00e9ks\u00e9rvm\u0171t\u00e9t: a betanul\u00e1si id\u0151szak \u00e9rt\u00e9kel\u00e9se"],"prefix":"10.1556","volume":"164","author":[{"given":"Bal\u00e1zs","family":"Fadgyas","sequence":"first","affiliation":[{"name":"Heim P\u00e1l Orsz\u00e1gos Gyermekgy\u00f3gy\u00e1szati Int\u00e9zet, Seb\u00e9szeti \u00e9s Traumatol\u00f3giai Oszt\u00e1ly Budapest, \u00dcll\u0151i \u00fat 86., 1089 Magyarorsz\u00e1g"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Gyermekgy\u00f3gy\u00e1szati Klinika P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor Istv\u00e1n","family":"Garai","sequence":"additional","affiliation":[{"name":"Heim P\u00e1l Orsz\u00e1gos Gyermekgy\u00f3gy\u00e1szati Int\u00e9zet, Seb\u00e9szeti \u00e9s Traumatol\u00f3giai Oszt\u00e1ly Budapest, \u00dcll\u0151i \u00fat 86., 1089 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enik\u0151","family":"De\u00e1k","sequence":"additional","affiliation":[{"name":"Toldy Ferenc K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, Seb\u00e9szeti Oszt\u00e1ly Cegl\u00e9d Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"Vajda","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Gyermekgy\u00f3gy\u00e1szati Klinika P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1 Ramachandran V, Edwards CF, Bichianu DC. 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