Myomlara cerrahi yaklaşımda laparoskopik myomektomi yönteminin laparoskopik yardımlı myomektomi yöntemi ile karşılaştırılması
Yükleniyor...
Dosyalar
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Myomların yönetiminde laparoskopik myomektomi ve laparoskopik yardımlı myomektomi yöntemlerinin intraoperatif ve postoperatif kısa dönem sonuçlarının karşılaştırılması Planlama: Myom tanısı alarak ameliyat kararı verilen hastaların dosyalarına ulaşıldı ve ilgili veriler dosyalardan bulunarak kaydedildi. Doğrudan abdominal histerektomiye alınan vakalar ayrıldı. Ortam: Abant İzzet Baysal Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalı, Bolu. Hastalar: Jinekoloji poliklinigine başvurusunda myoma uteri tanısı alan ve laparoskopik yolla ameliyat kararı verilen toplam 44 hasta. Girisim: Laparoskopik myomektomi ve laparoskopik yardımlı myomektomi Degerlendirme parametreleri: Hasta yaşı,vücut kitle indeksi, doğum sayısı, myom büyüklügü ve sayısı, intraoperatif zaman, aspire edilen kan miktarı, intraoperatif ve postoperatif komplikasyonlar ve hastanede yatış süresinin kullanılan cerrahi yontemle ilişkisi Sonuç: Her iki gruptaki hastalar arasında hasta demografik değerleri, vücut kitle indeksleri, intraoperatif komplikasyonlar ve hastanede yatış süresi açısından anlamlı bir fark saptanmadı. Sırasıyla myom sayı ve çapı laparoskopik yardımlı myomektomi grubunda anlamlı olarak fazlaydı(1,79 ± 0,76 vs 1,45 ± 0,58, p<0.05; 58,0 ± 9,6 vs 51,45 ± 8,0, p<0.05 ). Operasyon süreleri ve aspire edilen kan miktarı ise laparoskopik myomektomi grubunda anlamlı olarak fazlaydı. (105±15 vs 68, ± 14 p<0.05; 372 ± 65 vs 266 ± 52 p<0.05 ) Yorum: Çalışmamızda toplanan veriler laparoskopik myomektominin, laparoskopik yardımlı myomektomiye göre daha geçerli bir yöntem olduğunu göstermemekle birlikte hızlı morselatörler gibi ameliyat süresini kısaltan ekipmanların elde edilmesi ve laparoskopik sütürasyon tekniğinin gelişmesiyle laparoskopik myomektomi, laparoskopik asiste myomektomiye iyi bir cerrahi alternatif olacaktır.
Objective: to compare the intraoperative and postoperative short-term outcomes of laparoscopic and laparoscopically assisted myomectomy for the management of uterine myomas. Design: Data from the files of the patients operated for uterin myomata were obtained and assessed. The cases operated directly with abdominal hysterectomy were excluded. Setting: Abant Izzet Baysal University, Faculty of Medicine, Department of Obstetrics and Gynecology, Bolu Patients: A total of 44 patients who admitted outpatient clinic of gynecology with the diagnosis of uterine myomatas and elected for laparoscopic surgical procedure. Interventions: Laparoscopic and laparoscopically assisted myomectomy . Main Outcome Measures: The association of surgical technique with patients’ age, body mass index, parity, the size and number of myomas, intraoperative time, aspirated blood volume, intraoperative and postoperative complications and time of hospital stay. Results: No significant difference were found between both groups in patient demographics, body mass index, intraoperative complications and hospitalization day. The size and number of myomas were significantly higher in laparoscopy assisted myomectomy group than the laparoscopic myomectomy group,respectively (58,0 ± 9,6 vs 51,45 ± 8,0, p < 0.05; 1,79 ± 0,76 vs 1,45 ± 0,58 p < 0.05 ). Operation time and aspirated blood volume were significantly higher in laparoscopic myomectomy group than the laparoscopy assisted myomectomy group. (105 ± 15 vs 68, ± 14 p < 0.05; 372 ± 65 vs 266 ± 52 p < 0.05 ) Conclusion: The collected data in our research did not show a superiority for laparoscopic myomectomy over laparoscopic assisted myomectomy. However, after obtaining the surgical instrumentation such as faster morcellators which decrease operation time and gaining surgical expertise, laparoscopic myomectomy will be a good surgical alternative to laparoscopically assisted myomectomy.
Objective: to compare the intraoperative and postoperative short-term outcomes of laparoscopic and laparoscopically assisted myomectomy for the management of uterine myomas. Design: Data from the files of the patients operated for uterin myomata were obtained and assessed. The cases operated directly with abdominal hysterectomy were excluded. Setting: Abant Izzet Baysal University, Faculty of Medicine, Department of Obstetrics and Gynecology, Bolu Patients: A total of 44 patients who admitted outpatient clinic of gynecology with the diagnosis of uterine myomatas and elected for laparoscopic surgical procedure. Interventions: Laparoscopic and laparoscopically assisted myomectomy . Main Outcome Measures: The association of surgical technique with patients’ age, body mass index, parity, the size and number of myomas, intraoperative time, aspirated blood volume, intraoperative and postoperative complications and time of hospital stay. Results: No significant difference were found between both groups in patient demographics, body mass index, intraoperative complications and hospitalization day. The size and number of myomas were significantly higher in laparoscopy assisted myomectomy group than the laparoscopic myomectomy group,respectively (58,0 ± 9,6 vs 51,45 ± 8,0, p < 0.05; 1,79 ± 0,76 vs 1,45 ± 0,58 p < 0.05 ). Operation time and aspirated blood volume were significantly higher in laparoscopic myomectomy group than the laparoscopy assisted myomectomy group. (105 ± 15 vs 68, ± 14 p < 0.05; 372 ± 65 vs 266 ± 52 p < 0.05 ) Conclusion: The collected data in our research did not show a superiority for laparoscopic myomectomy over laparoscopic assisted myomectomy. However, after obtaining the surgical instrumentation such as faster morcellators which decrease operation time and gaining surgical expertise, laparoscopic myomectomy will be a good surgical alternative to laparoscopically assisted myomectomy.
Açıklama
Anahtar Kelimeler
Laparoskopik Myomektomi, Laparoskopik Yardımlı Myomektomi, Myoma Uteri, Laparoscopic Assisted Myomectomy, Laparoscopic Myomectomy, Myomas
Kaynak
Türk Jinekoloji ve Obstetrik Derneği Dergisi
Turkish Journal of Obstetrics and Gynecology
Turkish Journal of Obstetrics and Gynecology
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
8
Sayı
1
