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İki farklı histerektomi cerrahisi yönteminin solunum fonksiyonuna etkisinin karşılaştırılması: Laparoskopik veya abdominal

Year 2020, Volume: 51 Issue: 4, 216 - 220, 15.12.2020
https://doi.org/10.16948/zktipb.714679

Abstract

Amaç:Laparoskopik veya abdominal histerektomi uygulanan kadınlarda ameliyat öncesi ve sonrası solunum fonksiyonlarını karşılaştırmayı amaçladık.
Metot:Ocak 2015 - Kasım 2016 tarihleri ​​arasında Sağlık Bilimleri Üniversitesi Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesinde prospektif olarak veri topladık. Histerektomi endikasyonu ile Kadın Hastalıkları ve Doğum kliniğine başvuran hastalar, hasta öncelikleri ve cerrahların tercihine göre rastgele olarak laparoskopi grubu (n = 24) ve açık cerrahi grubu (n = 26) olmak üzere 2 gruba ayrıldı. Karın ameliyatı geçiren hastalar ve sistemik bozukluklar çalışma dışı bırakıldı. Solunum fonksiyon testleri değerlendirildi ve ameliyat öncesi ve ameliyat sonrası 5. gündeki değerler karşılaştırıldı.
Sonuç:Total abdominal histerektomi uygulanan kadınlarda PaCO2, PaO2 ve SaO2 düzeyleri hariç cerrahi sonrası solunum fonksiyon testi parametrelerinin çoğunda bazal ölçümlere göre anlamlı değişiklikler vardı. Total laparoskopik histerektomi uygulanan kadınlarda PaCO2 düzeyleri hariç cerrahi sonrası solunum fonksiyon testi parametrelerinin çoğunda bazal ölçümlere göre anlamlı değişiklikler vardı
Karar:Hem laparoskopik hem de abdominal histerektomiler bozulmuş solunum fonksiyon testleri ile ilişkiliydi.

References

  • 1. Puri GD, Singh H. Ventilatory effects of laparoscopy under general anaesthesia. Br J Anaesth 1992;68:211-3. 2. Wittgen CM, Andrus CH, Fitzgerald SD, Baudendistel LJ, Dahms TE, Kaminski DL. Analysis of the hemodynamic and ventilatory effects of laparoscopic cholecystectomy. Arch Surg 1991;126:997-1001. 3. Baratz RA, Karis JH. Blood gas studies during laparoscopy under general anesthesia. Anesthesiology 1969;30:463-4. 4. Rutkow IM. Obstetric and gynecologic operations in the United States, 1979 to 1984. Obstet Gynecol. 1986;67:755-9. 4 5. Aarts JW, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BW, et al. Surgical approach 5 to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 6 2015;8:CD003677. 6. Bablekos GD, Michaelides SA, Analitis A, Charalabopoulos KA: Effects of laparoscopic cholecystectomy on lung function: A systematic review. World J Gastroenterol, 2014; 20(46): 17603–17 7. Hall JC, Tarala RA, Hall JL, Mander J: A multivariate analysis of the risk of pulmonary complications after laparotomy. Chest, 1991; 99: 923–27 8. Yıldırım O, Ayser F, Arıkan S et al: The comparison of pulmonary functions in open versus laparoscopic cholecystectomy. J Pak Med Assoc, 2009; 51(4): 201–4 9. Koc A, Inan G, Bozkirli F et al: The evaluation of pulmonary function and blood gas analysis in patients submitted to laparoscopic versus open nephrectomy. Int Braz J Urol, 2015; 41(6): 1202–8. 10. Miller MR, Hanskinson J, Brusasco F, Burgos R, Casaburi A, Coates R, et al.; ATS/ERS Task Force. Standardisation of spirometry. Eur Respir J. 2005;26(2):319-38. 11. Pappachen S, Smith PR, Shah S, Brito V, Bader F, Khoury B. Postoperative pulmonary complications after gynecologic surgery. Int J Gynaecol Obstet. 2006 Apr;93(1):74-6. 12. Qaseem A, Snow V, Fitterman N, et al. Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians. Ann Intern Med 2006; 144: 575e80. 13. Berggren U, Gordh T, Grama D et al: Laparoscopic versus open cholecystectomy:Hospitalization, sick leave, analgesia and trauma responses. Br J Surg, 1994; 81: 1362–65 14. Celik S, Yılmaz EM. Effects of Laparoscopic and Conventional Methods on Lung Functions in Colorectal Surgery. Med Sci Monit. 2018 May 17;24:3244-3248. 15. Ozdogan HK, Cetinkunar S, Karateke F, Cetinalp S, Celik M, Ozyazici S. The effects of sevoflurane and desflurane on the hemodynamics and respiratory functions in laparoscopic sleeve gastrectomy. J Clin Anesth. 2016 Dec;35:441-445. doi: 10.1016/j.jclinane.2016.08.028. Epub 2016 Oct 18. 16. Koc A, Inan G, Bozkirli F, Coskun D, Tunc L. The evaluation of pulmonary function and blood gas analysis in patients submitted to laparoscopic versus open nephrectomy. Int Braz J Urol. 2015 Nov-Dec;41(6):1202-8. 17. Burks C, Nelson L, Kumar D, Fogg L, Saha C, Guirguis A, Rotmensch J, Dewdney S. Evaluation of Pulmonary Complications in Robotic-Assisted Gynecologic Surgery. J Minim Invasive Gynecol. 2017 Feb;24(2):280-285. 18. Shah DK, Van Voorhis BJ, Vitonis AF, Missmer SA. Association Between Body Mass Index, Uterine Size, and Operative Morbidity in Women Undergoing Minimally Invasive Hysterectomy. J Minim Invasive Gynecol. 2016 Nov - Dec;23(7):1113-1122.

Comparison of the effect of two different routes of hysterectomy surgeries on the pulmonary function: Laparoscopic versus abdominal

Year 2020, Volume: 51 Issue: 4, 216 - 220, 15.12.2020
https://doi.org/10.16948/zktipb.714679

Abstract

Aim: We aimed to compare pre and post-operative pulmonary function between women who underwent laparoscopic or abdominal hysterectomy.
Methods: We prospectively collected data between January 2015 and November 2016 at Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research Hospital. Patients who were admitted to the Obstetrics and Gynecology clinic with a hysterectomy indication were non-randomly allocated into 2 groups as the laparoscopy group (n=24) and the open surgery group (n=26) according to patient priorities and surgeons’ preference. Patients who had already undergone an abdominal operation and systemic disorders were excluded from the study. Pulmonary function tests were assessed and compared preoperatively and at postoperative day five.
Results: There were significant changes in majority of the parameters of pulmonary function test after surgery compared to baseline measurements except PaCO2, PaO2 and SaO2 levels in group of women who underwent total abdominal hysterectomy. There were significant changes in majority of the parameters of pulmonary function test after surgery compared to baseline measurements except PaCO2 levels in group of women who underwent total laparoscopic hysterectomy
Conclusion: Both laparoscopic and abdominal hysterectomies were associated with deteriorated pulmonary function tests.

References

  • 1. Puri GD, Singh H. Ventilatory effects of laparoscopy under general anaesthesia. Br J Anaesth 1992;68:211-3. 2. Wittgen CM, Andrus CH, Fitzgerald SD, Baudendistel LJ, Dahms TE, Kaminski DL. Analysis of the hemodynamic and ventilatory effects of laparoscopic cholecystectomy. Arch Surg 1991;126:997-1001. 3. Baratz RA, Karis JH. Blood gas studies during laparoscopy under general anesthesia. Anesthesiology 1969;30:463-4. 4. Rutkow IM. Obstetric and gynecologic operations in the United States, 1979 to 1984. Obstet Gynecol. 1986;67:755-9. 4 5. Aarts JW, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BW, et al. Surgical approach 5 to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 6 2015;8:CD003677. 6. Bablekos GD, Michaelides SA, Analitis A, Charalabopoulos KA: Effects of laparoscopic cholecystectomy on lung function: A systematic review. World J Gastroenterol, 2014; 20(46): 17603–17 7. Hall JC, Tarala RA, Hall JL, Mander J: A multivariate analysis of the risk of pulmonary complications after laparotomy. Chest, 1991; 99: 923–27 8. Yıldırım O, Ayser F, Arıkan S et al: The comparison of pulmonary functions in open versus laparoscopic cholecystectomy. J Pak Med Assoc, 2009; 51(4): 201–4 9. Koc A, Inan G, Bozkirli F et al: The evaluation of pulmonary function and blood gas analysis in patients submitted to laparoscopic versus open nephrectomy. Int Braz J Urol, 2015; 41(6): 1202–8. 10. Miller MR, Hanskinson J, Brusasco F, Burgos R, Casaburi A, Coates R, et al.; ATS/ERS Task Force. Standardisation of spirometry. Eur Respir J. 2005;26(2):319-38. 11. Pappachen S, Smith PR, Shah S, Brito V, Bader F, Khoury B. Postoperative pulmonary complications after gynecologic surgery. Int J Gynaecol Obstet. 2006 Apr;93(1):74-6. 12. Qaseem A, Snow V, Fitterman N, et al. Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians. Ann Intern Med 2006; 144: 575e80. 13. Berggren U, Gordh T, Grama D et al: Laparoscopic versus open cholecystectomy:Hospitalization, sick leave, analgesia and trauma responses. Br J Surg, 1994; 81: 1362–65 14. Celik S, Yılmaz EM. Effects of Laparoscopic and Conventional Methods on Lung Functions in Colorectal Surgery. Med Sci Monit. 2018 May 17;24:3244-3248. 15. Ozdogan HK, Cetinkunar S, Karateke F, Cetinalp S, Celik M, Ozyazici S. The effects of sevoflurane and desflurane on the hemodynamics and respiratory functions in laparoscopic sleeve gastrectomy. J Clin Anesth. 2016 Dec;35:441-445. doi: 10.1016/j.jclinane.2016.08.028. Epub 2016 Oct 18. 16. Koc A, Inan G, Bozkirli F, Coskun D, Tunc L. The evaluation of pulmonary function and blood gas analysis in patients submitted to laparoscopic versus open nephrectomy. Int Braz J Urol. 2015 Nov-Dec;41(6):1202-8. 17. Burks C, Nelson L, Kumar D, Fogg L, Saha C, Guirguis A, Rotmensch J, Dewdney S. Evaluation of Pulmonary Complications in Robotic-Assisted Gynecologic Surgery. J Minim Invasive Gynecol. 2017 Feb;24(2):280-285. 18. Shah DK, Van Voorhis BJ, Vitonis AF, Missmer SA. Association Between Body Mass Index, Uterine Size, and Operative Morbidity in Women Undergoing Minimally Invasive Hysterectomy. J Minim Invasive Gynecol. 2016 Nov - Dec;23(7):1113-1122.
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Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Original Research
Authors

Resul Karakuş

Enis Özkaya

Ahter Tayyar

Doğukan Yıldırım

Ebru Çöğendez

Publication Date December 15, 2020
Published in Issue Year 2020 Volume: 51 Issue: 4

Cite

APA Karakuş, R., Özkaya, E., Tayyar, A., Yıldırım, D., et al. (2020). İki farklı histerektomi cerrahisi yönteminin solunum fonksiyonuna etkisinin karşılaştırılması: Laparoskopik veya abdominal. Zeynep Kamil Tıp Bülteni, 51(4), 216-220. https://doi.org/10.16948/zktipb.714679
AMA Karakuş R, Özkaya E, Tayyar A, Yıldırım D, Çöğendez E. İki farklı histerektomi cerrahisi yönteminin solunum fonksiyonuna etkisinin karşılaştırılması: Laparoskopik veya abdominal. Zeynep Kamil Tıp Bülteni. December 2020;51(4):216-220. doi:10.16948/zktipb.714679
Chicago Karakuş, Resul, Enis Özkaya, Ahter Tayyar, Doğukan Yıldırım, and Ebru Çöğendez. “İki Farklı Histerektomi Cerrahisi yönteminin Solunum Fonksiyonuna Etkisinin karşılaştırılması: Laparoskopik Veya Abdominal”. Zeynep Kamil Tıp Bülteni 51, no. 4 (December 2020): 216-20. https://doi.org/10.16948/zktipb.714679.
EndNote Karakuş R, Özkaya E, Tayyar A, Yıldırım D, Çöğendez E (December 1, 2020) İki farklı histerektomi cerrahisi yönteminin solunum fonksiyonuna etkisinin karşılaştırılması: Laparoskopik veya abdominal. Zeynep Kamil Tıp Bülteni 51 4 216–220.
IEEE R. Karakuş, E. Özkaya, A. Tayyar, D. Yıldırım, and E. Çöğendez, “İki farklı histerektomi cerrahisi yönteminin solunum fonksiyonuna etkisinin karşılaştırılması: Laparoskopik veya abdominal”, Zeynep Kamil Tıp Bülteni, vol. 51, no. 4, pp. 216–220, 2020, doi: 10.16948/zktipb.714679.
ISNAD Karakuş, Resul et al. “İki Farklı Histerektomi Cerrahisi yönteminin Solunum Fonksiyonuna Etkisinin karşılaştırılması: Laparoskopik Veya Abdominal”. Zeynep Kamil Tıp Bülteni 51/4 (December 2020), 216-220. https://doi.org/10.16948/zktipb.714679.
JAMA Karakuş R, Özkaya E, Tayyar A, Yıldırım D, Çöğendez E. İki farklı histerektomi cerrahisi yönteminin solunum fonksiyonuna etkisinin karşılaştırılması: Laparoskopik veya abdominal. Zeynep Kamil Tıp Bülteni. 2020;51:216–220.
MLA Karakuş, Resul et al. “İki Farklı Histerektomi Cerrahisi yönteminin Solunum Fonksiyonuna Etkisinin karşılaştırılması: Laparoskopik Veya Abdominal”. Zeynep Kamil Tıp Bülteni, vol. 51, no. 4, 2020, pp. 216-20, doi:10.16948/zktipb.714679.
Vancouver Karakuş R, Özkaya E, Tayyar A, Yıldırım D, Çöğendez E. İki farklı histerektomi cerrahisi yönteminin solunum fonksiyonuna etkisinin karşılaştırılması: Laparoskopik veya abdominal. Zeynep Kamil Tıp Bülteni. 2020;51(4):216-20.