Histerektomi vNOTES yöntemi kullanılarak gerçekleştirilir
vNOTES nedir?
Beşinci: vajinal
N: Doğal
O: yuva
T: lümen boyunca
E: Laparoskopik olarak
Soru: Ameliyat
Doğal bir açıklık olan vajinadan, karın duvarında herhangi bir kesi yapılmadan, laparoskopik aletler kullanılarak yapılan cerrahi operasyonlar olarak tanımlanmaktadır.
Hangi hastalıklarda uygulanabilir?
Özellikle çocuk sahibi olmak istemeyen büyük miyomlar, düzensiz adet kanaması, sık idrara çıkma, kabızlık, ilişki sırasında ağrı, kasıkta geçmeyen ağrı nedeniyle histerektomi yapılması gereken hastalara uygulanabilmektedir. Bunun dışında özellikle rahmin dış kısmına yakın yerleşen miyomlarda rahmi korumak isteyen hastalara da rahatlıkla uygulanabilmektedir.
bunun dışında;
Yumurtalık korunurken kistlerin çıkarılması,
Yumurtalıkların tamamen çıkarılması
Tüplerde tıkanıklık varsa tüpler çıkarılırsa
Dış gebelik vakalarında
Rahim sarkması olan hastalarda yama kullanılmadan rahim yerinde tutulursa vNOTES uygulanabilir.
vNOTES nasıl uygulanır?
Tam histerektomi veya uterusun korunmasının yapıldığı durumlarda vajinal bölgenin en derin noktasından yapılan 2-3 cm’lik kesilerden karın boşluğuna girilir. Bu ameliyat için özel olarak geliştirilmiş vajinal koruyucu pedler sayesinde karın organları görünür hale gelir. Kamera ve laparoskopik aletler yardımıyla rahim, destekleyici bağlarından ve damarlarından uygun şekilde ayrılarak karın dışına çıkarılır. İşlem vajinal dokunun onarılmasıyla sona erer.
vNOTES ameliyatı ne kadar sürer?
Üreme organları vajinal bölgeye komşu ve ulaşılması kolay organlardır. Rahmin vajina yoluyla alınması ve rahim korunarak kist, tüp veya yumurtalıkların alınması işlemi ortalama 15 ila 45 dakika sürer. Almak. Ameliyat süresi kısa olduğundan ve karın bölgesinde kesi yapılmadığından,
Daha azını söylememiş miydim?
Ağrı kesicilere daha az ihtiyaç
Daha az kan kaybı
Daha az hastanede kalış süresi (6-24 saat)
Erken taburculuk
Daha kısa sürede günlük işlere dönmek mümkündür.
Ameliyat sonrası ortalama taburculuk 6-18 saat sonradır.
vNOTES ooferektomi ülkemizde ilk kez 2016 yılında uygulanmış ve bilimsel literatürde yerini almıştır. Bu konuyla ilgili 15’ten fazla uluslararası makaleye ve çok sayıda ulusal ve uluslararası toplantıya katkıda bulunmuştur.
Bizim ülkemizde; Ankara, İstanbul, İzmir, Kütahya ve Ordu’da
Yurt dışında Lübnan, Ürdün, Umman, Kuveyt, BAE ve Suudi Arabistan’da 500’e yakın doktora bu tekniği öğrenmeleri için eğitim verdim.
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