İki farklı histerektomi cerrahisi yönteminin solunum fonksiyonuna etkisinin karşılaştırılması: Laparoskopik veya abdominal

Öz

Amaç:Laparoskopik veya abdominal histerektomi uygulanan kadınlarda ameliyat öncesi ve sonrası solunum fonksiyonlarını karşılaştırmayı amaçladık. Metot:Ocak 2015 - Kasım 2016 tarihleri ​​arasında Sağlık Bilimleri Üniversitesi Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesinde prospektif olarak veri topladık. Histerektomi endikasyonu ile Kadın Hastalıkları ve Doğum kliniğine başvuran hastalar, hasta öncelikleri ve cerrahların tercihine göre rastgele olarak laparoskopi grubu (n = 24) ve açık cerrahi grubu (n = 26) olmak üzere 2 gruba ayrıldı. Karın ameliyatı geçiren hastalar ve sistemik bozukluklar çalışma dışı bırakıldı. Solunum fonksiyon testleri değerlendirildi ve ameliyat öncesi ve ameliyat sonrası 5. gündeki değerler karşılaştırıldı. Sonuç:Total abdominal histerektomi uygulanan kadınlarda PaCO2, PaO2 ve SaO2 düzeyleri hariç cerrahi sonrası solunum fonksiyon testi parametrelerinin çoğunda bazal ölçümlere göre anlamlı değişiklikler vardı. Total laparoskopik histerektomi uygulanan kadınlarda PaCO2 düzeyleri hariç cerrahi sonrası solunum fonksiyon testi parametrelerinin çoğunda bazal ölçümlere göre anlamlı değişiklikler vardı Karar:Hem laparoskopik hem de abdominal histerektomiler bozulmuş solunum fonksiyon testleri ile ilişkiliydi.

Anahtar Kelimeler

• histerektomi,solunum fonksiyon testi

Comparison of the effect of two different routes of hysterectomy surgeries on the pulmonary function: Laparoscopic versus abdominal

Abstract

Aim: We aimed to compare pre and post-operative pulmonary function between women who underwent laparoscopic or abdominal hysterectomy. Methods: We prospectively collected data between January 2015 and November 2016 at Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research Hospital. Patients who were admitted to the Obstetrics and Gynecology clinic with a hysterectomy indication were non-randomly allocated into 2 groups as the laparoscopy group (n=24) and the open surgery group (n=26) according to patient priorities and surgeons’ preference. Patients who had already undergone an abdominal operation and systemic disorders were excluded from the study. Pulmonary function tests were assessed and compared preoperatively and at postoperative day five. Results: There were significant changes in majority of the parameters of pulmonary function test after surgery compared to baseline measurements except PaCO2, PaO2 and SaO2 levels in group of women who underwent total abdominal hysterectomy. There were significant changes in majority of the parameters of pulmonary function test after surgery compared to baseline measurements except PaCO2 levels in group of women who underwent total laparoscopic hysterectomy Conclusion: Both laparoscopic and abdominal hysterectomies were associated with deteriorated pulmonary function tests.

Kaynakça

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