CURRENT APPROACHES IN MINIMAL INVASIVE SURGERY

Yıl 2022, Cilt: 3 Sayı: 1, 79 - 104, 24.03.2022

Aysel Gül Hande Cengiz Açıl Dilek Aygin

Öz

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

Anahtar Kelimeler

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

MİNİMAL İNVAZİV CERRAHİDE GÜNCEL YAKLAŞIMLAR

Öz

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

Anahtar Kelimeler

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

Kaynakça

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