Labial nekrozda hirudoterapi denemesi: Olgu sunumu

Abstract

Bartolin kist eksizyonu sonrası labial nekroz gelişen bir hastanın hirudoterapi ile tedavisi amaçlandı. Büyük kist boyutundan dolayı labial asimetri mevcuttu, bu nedenle sol labium majusta labial rekonstrüksiyon yapıldı. Ameliyat sonrası 2. günde iskemi ve nekroz gelişen hastaya hirudoterapi uygulandı, ancak 4. ve 5. günden sonra bir fark izlenmedi ve nekrotik labiumun bir kısmı alttaki sağlıklı dokudan kendiliğinden ayrıldı. Sülük tedavisi uzun süredir kullanılmaktadır, ancak 2004 yılında FDA tarafından onaylanmıştır ve jinekolojide çok nadir kullanılan bir tedavi yöntemidir. Sülük uygulamasının süresine ilişkin bir kılavuz yoktur, bu nedenle olgumuzun bir örnek oluşturması istenmiştir. Bizim vakamızda, nihayetinde nekrotik labiumu eksize etmek zorunda kalınmıstır, ancak bu sülük tedavisinin gecikmesine bağlı olabilir veya tedavi süresi yeterince uzun olmayabilir.

Keywords

• Hirudoterapi
• Nekroz
• Labioplasti
• Postoperatif bakım
• Sülük terapisi

Trial of hirudotherapy in labial necrosis: A case report

Abstract

Treatment of a patient who developed post-operative labial necrosis was aimed with hirudotherapy. A Bartholin cyst was excised but because of the size of the cyst, labial asymmetry occurred, therefore, labial reconstruction was performed on the left labium majus. On post-operative Day 2, the labia became ischemic and necrosis began to develop. We applied hirudotherapy, but no difference was observed after the 5th day. Part of necrotic labium spontaneously split from the healthy tissue underneath. Leech therapy has been used for a long time; however, it was approved by FDA in 2004 and it is a very rarely used treatment method in gynecology. There are no guidelines on duration of leech application, and we wanted our case to set an example. In our case, we eventually had to excise the necrotic labium, which may be due to delay or the insufficient length of leech therapy.

Keywords

• Hirudotherapy
• necrosis
• labiaplasty
• postoperative care
• Leech therapy

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