{"id":10823,"date":"2021-12-22T17:48:17","date_gmt":"2021-12-22T14:48:17","guid":{"rendered":"https:\/\/drcihankaya.com\/?p=160"},"modified":"2024-07-11T15:27:39","modified_gmt":"2024-07-11T12:27:39","slug":"rahim-alinmasi-operasyonlarinda-vnotes-mu-laparoskopi-mi","status":"publish","type":"post","link":"https:\/\/drcihankaya.com\/index.php\/2021\/12\/22\/rahim-alinmasi-operasyonlarinda-vnotes-mu-laparoskopi-mi\/","title":{"rendered":"Rahim al\u0131nmas\u0131 operasyonlar\u0131nda vNOTES mu Laparoskopi mi?"},"content":{"rendered":"\r\n<p id=\"tw-target-text\">Histerektomi (rahim al\u0131nmas\u0131), \u00e7e\u015fitli rahim kaynakl\u0131 patolojilerin cerrahi tedavisi amac\u0131yla s\u0131kl\u0131kla yap\u0131lan jinekolojik i\u015flemlerden birisidir. A\u00e7\u0131k, vajinal, laparoskopik (kapal\u0131) ve robotik dahil olmak \u00fczere histerektomi yapmak i\u00e7in \u00e7e\u015fitli yakla\u015f\u0131mlar vard\u0131r. Son zamanlarda, do\u011fal a\u00e7\u0131kl\u0131klardan (vajina-do\u011fum kanal\u0131) endoskopik cerrahi (NOTES), klasik histerektomi cerrahilerine alternatif bir yakla\u015f\u0131m olarak ortaya \u00e7\u0131km\u0131\u015ft\u0131r.<\/p>\r\n\r\n\r\n\r\n<p id=\"tw-target-text\">Bu \u00e7al\u0131\u015fmam\u0131zda iyi huylu jinekolojik hastal\u0131klar\u0131n tedavisinde laparoskopik histerektomi (TLH) ve vajinal yol kullan\u0131larak NOTES (vNOTES) histerektomi i\u015flemlerinin sonu\u00e7lar\u0131n\u0131 kar\u015f\u0131la\u015ft\u0131rmay\u0131 ama\u00e7lad\u0131k. Bu \u00e7al\u0131\u015fmaya klasik laparoskopik veya vNOTES histerektomi uygulanan 99 hasta dahil edildi. Ameliyat s\u00fcresi, ameliyat s\u0131ras\u0131nda\/ameliyat sonras\u0131 komplikasyon varl\u0131\u011f\u0131, ameliyat sonras\u0131 6.ve 24. saatlerde a\u011fr\u0131 (VAS) skorlar\u0131 ve hastanede kal\u0131\u015f s\u00fcreleri analiz edildi.<\/p>\r\n\r\n\r\n\r\n<p id=\"tw-target-text\">Ameliyat s\u00fcresi, vNOTES histerektomi grubunda (79,56\u00b1\u200932,54\u2009dakika) laparoskopi grubuna (120,67\u2009\u00b138,35\u2009dak) g\u00f6re anlaml\u0131 olarak daha k\u0131sayd\u0131 (p: &lt; 0,001). Ayr\u0131ca, ameliyat sonras\u0131 hastanede kal\u0131\u015f s\u00fcreleri, laparoskopi grubuna (57.86\u00b1\u200921.31\u2009s) k\u0131yasla vNOTES histerektomi grubu lehine (44\u00b1\u200916.47\u2009h) anlaml\u0131 olarak daha k\u0131sayd\u0131 (p: .002).<\/p>\r\n\r\n\r\n\r\n<p id=\"tw-target-text\">Bu sonu\u00e7lar, vNOTES histerektomi tekni\u011finin \u00e7e\u015fitli rahim kaynakl\u0131 patolojilerin cerrahi tedavisi i\u00e7in umut verici bir yakla\u015f\u0131m olabilece\u011fini ve ayr\u0131ca laparoskopiye bir alternatif olabilece\u011fini g\u00f6stermektedir.<\/p>\r\n\r\n\r\n\r\n<p>\u00c7al\u0131\u015fmam\u0131n tam metni i\u00e7in <a href=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/01443615.2020.1741523\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/01443615.2020.1741523<\/a><\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>Histerektomi (rahim al\u0131nmas\u0131), \u00e7e\u015fitli rahim kaynakl\u0131 patolojilerin cerrahi tedavisi amac\u0131yla s\u0131kl\u0131kla yap\u0131lan jinekolojik i\u015flemlerden birisidir. A\u00e7\u0131k, vajinal, laparoskopik (kapal\u0131) ve robotik dahil olmak \u00fczere histerektomi yapmak i\u00e7in \u00e7e\u015fitli yakla\u015f\u0131mlar vard\u0131r. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":427,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[52,53,54,55,56,57,58,59],"class_list":["post-10823","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr","tag-endometriozis","tag-izsiz-ameliyat","tag-izsiz-cerrahi","tag-laparoskopi","tag-miyom","tag-rahim","tag-rahim-ameliyati","tag-yumurtalik-kisti"],"_links":{"self":[{"href":"https:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/posts\/10823","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/comments?post=10823"}],"version-history":[{"count":1,"href":"https:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/posts\/10823\/revisions"}],"predecessor-version":[{"id":11003,"href":"https:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/posts\/10823\/revisions\/11003"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/media\/427"}],"wp:attachment":[{"href":"https:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/media?parent=10823"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/categories?post=10823"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drcihankaya.com\/index.php\/wp-json\/wp\/v2\/tags?post=10823"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}