CURRENT APPROACHES IN MINIMAL INVASIVE SURGERY

Abstract

In recent years, developments in energy, instrumentation and imaging methods have also significantly improved minimally invasive surgery. In this process, surgical approaches, in a way that will positively affect patient treatment and care; has evolved towards a number of positive changes such as smaller scarring, less postoperative pain, better cosmetic results and shorter recovery time. From the past to the present, important developments in minimally invasive surgery include single-incision laparoscopic surgery, transluminal endoscopic surgery from natural orifices, video-assisted thoracoscopic surgery and hand-assisted laparoscopic surgery and robotic surgery. The role of nursing treatment and care is very important in the success of these surgical methods. However, it is seen that the resources related to nursing care for minimally invasive surgery are limited in the literature. In the literature, it is understood that prospective studies with a long follow-up period regarding minimally invasive surgical methods are insufficient. The lack of cumulative data is particularly striking. In this article, it is aimed to examine the important developments in minimally invasive surgery in the light of the latest technologies from the past to the present and to present the current nursing care with the literature data on the subject

Keywords

• minimal invasive surgery
• laparoscopic surgery
• robotics
• nursing
• COVID-19

MİNİMAL İNVAZİV CERRAHİDE GÜNCEL YAKLAŞIMLAR

Abstract

Son yıllarda enerji, enstrümantasyon ve görüntüleme yöntemlerinde yaşanan gelişmeler minimal invaziv cerrahiyi de önemli ölçüde iyileştirmiştir. Bu süreçte cerrahi yaklaşımlar, hasta tedavi ve bakımını olumlu etkileyecek şekilde; daha küçük skar, daha az postoperatif ağrı, daha iyi kozmetik sonuçlar ve daha kısa iyileşme süresi gibi birtakım pozitif değişimler yönünde evrilmiştir. Geçmişten günümüze kadar geçen dönemde, minimal invaziv cerrahiye ilişkin önemli gelişmeler arasında, tek kesiden yapılan laparoskopik cerrahi, doğal orifislerden transluminal endoskopik cerrahi, video yardımlı torakoskopik cerrahi, el yardımlı laparoskopik cerrahi ve robotik cerrahi yer almaktadır. Bu cerrahi yöntemlerin başarısında hemşirelik tedavi ve bakımının rolü oldukça önemlidir. Ancak literatürde minimal invaziv cerrahiye yönelik hemşirelik bakımına ilişkin kaynakların sınırlı olduğu görülmektedir. Bununla birlikte minimal invaziv cerrahi yöntemlerine ilişkin takip süresi uzun, prospektif çalışmaların yetersiz olduğu anlaşılmaktadır. Özellikle kümülatif veri eksikliği dikkat çekicidir. Bu makalede, geçmişten günümüze son teknolojiler ışığında minimal invaziv cerrahide yaşanan önemli gelişmelerin incelenmesi ve konuya ilişkin literatür verileri ile güncel hemşirelik bakımının sunulması amaçlanmıştır

Keywords

• minimal invaziv cerrahi
• laparoskopik cerrahi
• robotik
• hemşirelik
• COVID-19

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