Tezcan AKIN, Hüseyin BERKEM, Ayetullah TEMİZ, Sabri ÖZDEN, Metin YALAZA

Hemoroidektomi Sonrası Her Spesmenin Histopatolojik İncelenmesi Gerekli mi?

Amaç: Hemoroidektomi sonrası her spesmenin patolojik incelemeye gönderilip gönderilmemesini sorgulamaktır. Gereç ve Yöntemler: Çalışmamıza, 2010-2017 yılları arasında Ankara Numune Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniğinde hemoroidektomi sonrası spesmenlerin histopatolojik incelemesi yapılan hastalar dahil edildi. Hastaların yaş, cinsiyet, operasyon tipi ve patoloji sonuçları retrospektif olarak değerlendirildi.Bulgular: Toplam 1524 hastanın 1058 % 69 ’i erkek ve 466 % 31 ’i kadındı. Hastaların ortanca yaşı 41 min:21, maks:83 idi. Hastaların histopatolojik sonuçlarına bakıldığında; tamamının benign natürde olduğu ve malignite lehine bir sonucun olmadığı görüldü.Sonuç: Serimizde malignitenin saptanmaması nedeniyle rutin spesmenin patolojik incelenmesini önermiyoruz. Cerrahi öncesi şüpheli lezyon varlığında, seçilmiş hasta grubunda spesmen incelemeye gönderilebilir

Anahtar Kelimeler:

Hemoroidal hastalık, Hemoroidektomi, Patolojik inceleme

Is Histopathological Examination of Every Specimen After Hemorrhoidectomy Necessary?

Objective: To query whether each specimen should be sent for pathological examination after hemorrhoidectomy.Material and Methods: The study included patients who underwent histopathological examination of specimens after hemorrhoidectomy at the Ankara Numune Training and Research Hospital General Surgery Clinic between 2010 and 2017. The age, gender, type of operation and pathology results of the patients were evaluated retrospectively.Results: 1058 69% of the 1524 patients were male and 466 31% were female. The median age of the patients was 41 years min: 21, max: 83 . When the histopathological results of the patients were evaluated, it was seen that they were all benign and there was no result in favor of malignancy. Conclusion: We do not recommend pathologic examination of the routine specimens because of the absence of malignancy in our series. Lesions that look suspicious before surgery can be sent for a specific study in the selected patient group

Keywords:

Hemorrhoidal disease, Hemorrhoidectomy, Pathological examination,

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