Yara Yeri İyileşme Sorunu Olan Paratiroid Adenomlu Hastada Endoskopik Gazsız Trans-Aksiller Paratiroidektomi

Öz

Primer hiperparatriodizim toplumda sık görülen endokrinolojik bir hastalıktır. Hastalık semptomatik veya non-semptomatik tedadüfen saptanabilir. Bu hastalığın temel tedavisi cerrahi olarak adenomun ekzisyonudur. Görüntüleme yöntemlerinin artması ile lokalizasyonları daha doğru saptanmaktadır. Hastaların genellikle kadın olması ve boyun bölgesinde insizyon istememesi hastalarda insizyonların görünmeyen bölgelere taşınmasına (aksillar bölge, meme altı) ve vücut içinde bırakılması (transoral yaklaşım) gibi yeni tekniklerin geliştirilmesine yardımcı olmuştur. Olgumuz 55 yaşında geçirilmiş cerrahilere bağlı geçmeyen skarları olan kadın hastada insizyonu aksillaya taşıyan endoskopik gazsız trans-aksiller paratiroidektomi tercih edildi.

Anahtar Kelimeler

• Hiperparatiroidizm
• Endoskopik
• Aksilla

In A Patient with Parathyroid Adenoma Who Has Wound Healing Problems: Endoscopic Gasless Trans-Axillary Parathyroidectomy

Öz

Primary hyperparathyroidism is a common endocrinological disease in the society. The disease can be detected symptomatically or non-symptomatically. The basic treatment of this disease is surgical excision of the adenoma. With the increase in imaging methods, localizations are determined more accurately. The fact that the patients are usually women and do not want incisions in the neck region has helped the development of new techniques such as moving the incisions to invisible areas (axillary region, under the breast) and leaving them inside the body (transoral approach). In our case, Endoscopic Gasless Trans-Axillary Parathyroidectomy, which moves the incision to the axilla, was preferred in a 55-year-old female patient with persistent scars due to previous surgeries.

Anahtar Kelimeler

• Axilla
• Endoscopic
• Hyperparathyroidism

Kaynakça

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