Total laparoskopik histerektomi sonrası dren uygulamasının etkileri

Öz

Amaç: Benign nedenlerle yapılan total laparoskopik histerektomiden (TLH) sonra dren kullanımı rutin bir uygulama olmayıp tartışılan bir konudur. Amacımız dren kullanımının hasta kan değerlerine, postoperatif takip parametrelerine ve taburcu olma sürelerine etkisini araştırmaktır.

Gereç ve Yöntemler: Kartal Dr. Lütfi Kırdar Eğitim ve Araştırma Hastanesi’nde Ocak 2015 ile Aralık 2017 arasında benign jinekolojik nedenlerle TLH yapılan hastalar retrospektif olarak tarandı. Çalışmaya 103 hasta dahil edildi. Hastalar dren kullanılan (n:57) ve kullanılmayan (n:46) olmak üzere iki gruba ayrıldı. Gruplar; operasyon süresi, kullanılan port sayısı, hemoglobin-hematokrit düşüşü, ateş, ilave analjezik ihtiyacı ve taburcu olma süresi açısından karşılaştırıldı. Bulgular SPSS 15 programı ile analiz edildi.

Bulgular: Dren kullanılan vakalarda hemoglobin ve hematokrit değerleri istatistiksel olarak anlamlı şekilde düşük izlendi. Postoperatif analjezik ihtiyacında artış, kan transfüzyonu ihtiyacı ve taburcu olma süreleri açısından anlamlı farklılıklar olmadığı belirlendi. Hastaların hiçbirinde relaparatomi ihtiyacı olmadı.

Sonuç: Benign jinekolojik nedenlerle TLH yapılan hastalarda dren kullanılması hemoglobin ve hematokrit değerlerinde düşüş ile birliktelik göstermektedir. Bu tip operasyonlarda dren kullanılmasını gerekli görülmedikçe önermiyoruz.

Anahtar Kelimeler

• Total laparoskopik histerektomi,dren

Effects of drain after total laparoscopic hysterectomy

Abstract

Aim: The use of drain after total laparoscopic hysterectomy (TLH) with benign causes is not a routine practice and is a matter of debate. Our aim is to investigate the effect of drainage on patient blood values, postoperative follow-up parameters and discharge times.

Material and Methods: Patients who underwent TLH for benign gynecological reasons between January 2015 and December 2017 were retrospectively screened at Kartal Dr. Lütfi Kırdar Training and Research Hospital. A hundred and three patients were included in the study.Patients were divided into two groups: drain (n: 57) and no-drain (n: 46). The groups were compared in terms of duration of operation, number of ports, hemoglobin-hematocrit reduction, fever, additional analgesic requirement and discharge time.The findings were analyzed by SPSS 15.

Results: Hemoglobin ve hematocrit values were statistically significantly lower in cases with drainage. There were no significant differences in postoperative analgesic requirement, need for blood transfusion and duration of discharge. None of the patients needed relaparatomy.

Conclusion: The use of drain after TLH in patients with benign gynecologic disease is associated with a decrease in hemoglobin and hematocrit values. We do not recommend using drains in such operations unless it is necessary.

Keywords

• total laparoscopic hysterectomy,drain

Kaynakça

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