Tiroid cerrahisinde oksitlenmiş selüloz kullanımının postoperatif hipokalsemi üzerine etkisi

Year 2021, Volume: 16 Issue: 2, 214 - 218, 07.07.2021

Mehmet Fatih Ekici Sezgin Zeren Ali Cihat Yıldırım Faik Yaylak Özlem Arık Uğur Deveci Mustafa Algın

https://doi.org/10.17517/ksutfd.794176

Abstract

Giriş
Hipokalsemi, tiroid cerrahisi sonrası hastalarda sık görülen bir komplikasyondur. Özellikle kalıcı hipokalsemi en sık görülen komplikasyondur ve önemli morbiditeye neden olabilir. Ayrıca postoperatif hemoraji, tiroid cerrahisinin nadir görülen, hayatı tehdit eden bir komplikasyonudur. Bu çalışmada, oksitlenmiş rejenere selüloz gazlı bezi (OC) + geleneksel hemostaz ile geleneksel hemostazı tiroid cerrahisi ile ilgili komplikasyonla ve kalsiyum seviyelerinin farkını inceleyerek karşılaştırıyoruz..
YÖNTEMLER
İki yüz seksen sekiz hasta iki gruba ayrıldı: Grup 1 (144 hasta) konvansiyonel hemostaz, grup 2 (144 hasta) Okside selüloz + konvansiyonel hemostaz. Preoperatif ve postoperatif Ca düzeyleri, operasyon süresi, hastanede kalış süresi, komplikasyonlar (kanama, rekürren laringeal sinir yaralanması, hipokalsemi) değerlendirildi.
SONUÇLAR
Gruplar arasında cinsiyet, ameliyat öncesi ve sonrası Ca düzeyleri, hastanede kalış süresi, kanama, tekrarlayan sinir yaralanması açısından anlamlı fark yoktu. Ortalama yaş grup 1'de grup 2'ye göre anlamlı olarak daha yüksekti (52,4 yıla karşı 49,6 yıl, p <0,05). Grup 2'de operasyon süresi grup 1'e göre anlamlı olarak daha düşüktü (77,2 dk.vs 87,2 dk., P <0,05).
SONUÇ
Klasik hemostaz yöntemlerine kıyasla hemostaz için Oksitlenmiş Selüloz gazlı bezin hemostaza amaçlı kullanımının kalsiyum metabolizmasında pozitif-negatif fark yaratmadığını ve operasyon süresini kısaltırken komplikasyon oranlarında fark oluşturmadığını düşünüyoruz.

Keywords

tiroid cerrahisi, seluloz yama, hemostaz, hipokalsemi

Supporting Institution

yok

The effect of oxidized cellulose use on postoperative hypocalcemia development in thyroid surgery

Abstract

BACKGROUND
Hypocalcemia is a frequent complication in patients after thyroid surgery. Especially permanent hypocalcemia is the most common complication and it can cause significant morbidity. Also postoperative haemorhage is uncommon life-threatening complication of thyroid surgery. In this study we compare calcium metabolism and complications between oxidized regenerated cellulose gauze (OC) + conventional haemostasis versus conventional haemostasis in thyroid surgery.
METHODS
Two hundred and eighty eight patients were divided in to two groups: Group 1(144 patients) conventional haemostasis, group 2 (144 patients) Oxidized cellulose + conventional haemeostasis. Preoperative and postoperative Ca levels, operation time, hospital stay, complications (bleeding, recurrent laringeal nerve injury, hypocalcemia) were evaluated.
RESULTS
There was no significant difference between groups in sex, preoperative and postoperative Ca levels, hospital stay, bleeding, recurrent nerve injury. The avarage age was significantly higher in group 1 compared to group 2( 52,4 years vs 49,6 years, p< 0,05). The operation time was significanly lower in group 2 compared to group 1(77,2 min.vs 87,2 min., p< 0,05).
CONCLUSION
Compared with conventional haemostasis methods, we think that addition Oxidized Cellulose gauze for haemostasis does not create a positive- negative difference in calcium matebolism and does not make a difference in complication rates, while shortening the operation time.

Keywords

thyroid surgery, cellulose patch, haemostasis, hypocalcemia

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