{"id":339,"date":"2020-04-06T22:46:00","date_gmt":"2020-04-06T19:46:00","guid":{"rendered":"https:\/\/drcihankaya.com\/?p=339"},"modified":"2024-07-16T09:00:15","modified_gmt":"2024-07-16T06:00:15","slug":"yorumlar","status":"publish","type":"post","link":"http:\/\/drcihankaya.com\/index.php\/2020\/04\/06\/yorumlar\/","title":{"rendered":"Yorumlar"},"content":{"rendered":"\r\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\r\n<div class=\"wp-block-embed__wrapper\">\r\n<p>Histerektomi vNOTES y\u00f6ntemi kullan\u0131larak ger\u00e7ekle\u015ftirilir<\/p>\r\n<p><br \/>vNOTES nedir?<\/p>\r\n<p>Be\u015finci: vajinal<\/p>\r\n<p>N: Do\u011fal<\/p>\r\n<p>O: yuva<\/p>\r\n<p>T: l\u00fcmen boyunca<\/p>\r\n<p>E: Laparoskopik olarak<\/p>\r\n<p>Soru: Ameliyat<\/p>\r\n<p>Do\u011fal bir a\u00e7\u0131kl\u0131k olan vajinadan, kar\u0131n duvar\u0131nda herhangi bir kesi yap\u0131lmadan, laparoskopik aletler kullan\u0131larak yap\u0131lan cerrahi operasyonlar olarak tan\u0131mlanmaktad\u0131r.<\/p>\r\n<p>Hangi hastal\u0131klarda uygulanabilir?<\/p>\r\n<p>\u00d6zellikle \u00e7ocuk sahibi olmak istemeyen b\u00fcy\u00fck miyomlar, d\u00fczensiz adet kanamas\u0131, s\u0131k idrara \u00e7\u0131kma, kab\u0131zl\u0131k, ili\u015fki s\u0131ras\u0131nda a\u011fr\u0131, kas\u0131kta ge\u00e7meyen a\u011fr\u0131 nedeniyle histerektomi yap\u0131lmas\u0131 gereken hastalara uygulanabilmektedir. Bunun d\u0131\u015f\u0131nda \u00f6zellikle rahmin d\u0131\u015f k\u0131sm\u0131na yak\u0131n yerle\u015fen miyomlarda rahmi korumak isteyen hastalara da rahatl\u0131kla uygulanabilmektedir.<\/p>\r\n<p>bunun d\u0131\u015f\u0131nda;<\/p>\r\n<p>Yumurtal\u0131k korunurken kistlerin \u00e7\u0131kar\u0131lmas\u0131,<\/p>\r\n<p>Yumurtal\u0131klar\u0131n tamamen \u00e7\u0131kar\u0131lmas\u0131<\/p>\r\n<p>T\u00fcplerde t\u0131kan\u0131kl\u0131k varsa t\u00fcpler \u00e7\u0131kar\u0131l\u0131rsa<\/p>\r\n<p>D\u0131\u015f gebelik vakalar\u0131nda<\/p>\r\n<p>Rahim sarkmas\u0131 olan hastalarda yama kullan\u0131lmadan rahim yerinde tutulursa vNOTES uygulanabilir.<\/p>\r\n<p>vNOTES nas\u0131l uygulan\u0131r?<\/p>\r\n<p>Tam histerektomi veya uterusun korunmas\u0131n\u0131n yap\u0131ld\u0131\u011f\u0131 durumlarda vajinal b\u00f6lgenin en derin noktas\u0131ndan yap\u0131lan 2-3 cm&#8217;lik kesilerden kar\u0131n bo\u015flu\u011funa girilir. Bu ameliyat i\u00e7in \u00f6zel olarak geli\u015ftirilmi\u015f vajinal koruyucu pedler sayesinde kar\u0131n organlar\u0131 g\u00f6r\u00fcn\u00fcr hale gelir. Kamera ve laparoskopik aletler yard\u0131m\u0131yla rahim, destekleyici ba\u011flar\u0131ndan ve damarlar\u0131ndan uygun \u015fekilde ayr\u0131larak kar\u0131n d\u0131\u015f\u0131na \u00e7\u0131kar\u0131l\u0131r. \u0130\u015flem vajinal dokunun onar\u0131lmas\u0131yla sona erer.<\/p>\r\n<p>vNOTES ameliyat\u0131 ne kadar s\u00fcrer?<\/p>\r\n<p>\u00dcreme organlar\u0131 vajinal b\u00f6lgeye kom\u015fu ve ula\u015f\u0131lmas\u0131 kolay organlard\u0131r. Rahmin vajina yoluyla al\u0131nmas\u0131 ve rahim korunarak kist, t\u00fcp veya yumurtal\u0131klar\u0131n al\u0131nmas\u0131 i\u015flemi ortalama 15 ila 45 dakika s\u00fcrer. Almak. Ameliyat s\u00fcresi k\u0131sa oldu\u011fundan ve kar\u0131n b\u00f6lgesinde kesi yap\u0131lmad\u0131\u011f\u0131ndan,<\/p>\r\n<p>Daha az\u0131n\u0131 s\u00f6ylememi\u015f miydim?<\/p>\r\n<p>A\u011fr\u0131 kesicilere daha az ihtiya\u00e7<\/p>\r\n<p>Daha az kan kayb\u0131<\/p>\r\n<p>Daha az hastanede kal\u0131\u015f s\u00fcresi (6-24 saat)<\/p>\r\n<p>Erken taburculuk<\/p>\r\n<p>Daha k\u0131sa s\u00fcrede g\u00fcnl\u00fck i\u015flere d\u00f6nmek m\u00fcmk\u00fcnd\u00fcr.<\/p>\r\n<p>Ameliyat sonras\u0131 ortalama taburculuk 6-18 saat sonrad\u0131r.<\/p>\r\n<p>vNOTES ooferektomi \u00fclkemizde ilk kez 2016 y\u0131l\u0131nda uygulanm\u0131\u015f ve bilimsel literat\u00fcrde yerini alm\u0131\u015ft\u0131r. Bu konuyla ilgili 15&#8217;ten fazla uluslararas\u0131 makaleye ve \u00e7ok say\u0131da ulusal ve uluslararas\u0131 toplant\u0131ya katk\u0131da bulunmu\u015ftur.<\/p>\r\n<p>Bizim \u00fclkemizde; Ankara, \u0130stanbul, \u0130zmir, K\u00fctahya ve Ordu&#8217;da<\/p>\r\n<p>&nbsp;<\/p>\r\n<p>Yurt d\u0131\u015f\u0131nda L\u00fcbnan, \u00dcrd\u00fcn, Umman, Kuveyt, BAE ve Suudi Arabistan&#8217;da 500&#8217;e yak\u0131n doktora bu tekni\u011fi \u00f6\u011frenmeleri i\u00e7in e\u011fitim verdim.<\/p>\r\n<\/div>\r\n<\/figure>\r\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-339","post","type-post","status-publish","format-standard","hentry","category-uncategorized-tr"],"_links":{"self":[{"href":"http:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/posts\/339","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/comments?post=339"}],"version-history":[{"count":5,"href":"http:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/posts\/339\/revisions"}],"predecessor-version":[{"id":12948,"href":"http:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/posts\/339\/revisions\/12948"}],"wp:attachment":[{"href":"http:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/media?parent=339"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/categories?post=339"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/tags?post=339"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}