Abstract
Servikal konizasyon özellikle genç hastalarda ileri lezyonlarda altın
standart olmakla beraber, jinekolojide komplikasyon oranı en yüksek
cerrahilerden biri olarak kabul edilmektedir. Konizasyon komplikasyonları;
intra operatif ve postoperatif kanama , infeksiyon , servikal
stenoz, servikal mukus sekrete eden glandların kaybına bağlı olarak
infertilite oran›nda artma ve servikal yetmezlik olarak sıralanabilir
(1). Servikal stenoz nispeten sık görülen, yönetimi zor, ve eşlik eden
faktörler ve yönetime yaklaşımının henüz tam ortaya konulamadığı
bir komplikasyon olarak gözükmektedir. Servikal stenoz ve hematometra
yönetimi ile ilgili kabul edilen kesin bir yönetim flekli olmamakla
beraber servikal dilatasyon ve abdominal yoldan histerotomi gibi
yöntemler kullanılmaktadır. Biz olgu sunumumuzda soğuk konizasyon
sonrası oluşan servikal stenoz yönetiminde foley sonda ve hormon
replasman tedavisinin kullanımı ve sonuçlarını yayınlamayı
amaçladık
Keywords
References
- 1. Ali Ayhan, Nicholas Reed, Murat Gültekin, Polat Dursun: Textbook of Gynaecological Oncology,Günefl Publishing, 2012.
- 2. Gustafsson L, Adami HO. Natural history of cervical neoplasia: consistent results obtained by an identification technique. Br J Cancer 1989;60:132,
- 3. McCredie MR, Sharples KJ, Paul C, et al. Natural history of cervical neoplasia and risk of invasive cancer in women with cervical intraepithelial neoplasia 3: a retrospective cohort study. Lancet Oncol 2008; 9: 425.
- 4. Arbyn M, Kyrgiou M , Simoens C, Raifu AO, Koliopoulos G, Martin Hirsch P, Prendville W, Paraskevaidis E. Perinatal mortality and other severe adverse pregnancy outcomes associated with treatment of cervical, intraepithelial neoplasia: meta-analysis. BMJ 2008 Sep 18; 337: a1284.doi: 10.1136/bmj.a1284. Review
Abstract
Cervical conization is regarded as gold standart in the patients
with high grade lesions. However it has the highest complication rate
of any type of gynaecologic surgery. Complications of conization
include intraoperative and postoperative bleeding; infection, cervical
stenosis, loss of cervical mucus-secreting glands causing infertility
and cervical incompetence (1). Cervical stenosis is relatively common,
difficult to manage, and still remains unknown because of lack of
acknowledgement about risk factors and accompanying factors. There
is no certain modality of management about cervical stenosis and
hematometra; but cervical dilatation and transabdominal hysterotomy
are being used. We aimed the using urinary catheter and hormon
replasman treatment in management of servical stenosis following
cold-knife conization in our case report.
Keywords
References
- 1. Ali Ayhan, Nicholas Reed, Murat Gültekin, Polat Dursun: Textbook of Gynaecological Oncology,Günefl Publishing, 2012.
- 2. Gustafsson L, Adami HO. Natural history of cervical neoplasia: consistent results obtained by an identification technique. Br J Cancer 1989;60:132,
- 3. McCredie MR, Sharples KJ, Paul C, et al. Natural history of cervical neoplasia and risk of invasive cancer in women with cervical intraepithelial neoplasia 3: a retrospective cohort study. Lancet Oncol 2008; 9: 425.
- 4. Arbyn M, Kyrgiou M , Simoens C, Raifu AO, Koliopoulos G, Martin Hirsch P, Prendville W, Paraskevaidis E. Perinatal mortality and other severe adverse pregnancy outcomes associated with treatment of cervical, intraepithelial neoplasia: meta-analysis. BMJ 2008 Sep 18; 337: a1284.doi: 10.1136/bmj.a1284. Review
Details
| Other ID | JA26KC85KH |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | January 1, 2013 |
| Submission Date | January 1, 2013 |
| Published in Issue | Year 2013 Volume: 16 Issue: 1 |