Kazim DUMAN, Ahmet Fikret YUCEL, Ahmet PERGEL, Ayse Burce Karantinaci TUNA

Abdominoplasti Esnasinda Laparoskopik Kolesistektomi: Olgu Sunumu

Abdominal gevşeklik, rektus diastazı ve kolelitiyazis tanısı koyup aynı seansta trokar giriş yeri izi olmadan yapmış olduğumuz laparoskopik kolesistektomi ve abdominoplasti olgusunu sunmayı amaçladık. 58 yaşında kadın hasta karında sarkma nedeniyle plastik cerrahi polikliniğine müracaat etti. Hastaya diastazis rekti tanısı kondu. Patolojinin düzeltilmesi amacı ile hastaya diastazis rekti tamiri ile birlikte abdominoplasti önerildi. Aynı zamanda mide bulantısı, yemeklerden sonra şişkinlik, sırt ağrısı şikayetlerinin de olması üzerine genel cerrahi konsültasyonu istendi. Yapılan batın ultrasonografisinde safra kesesinde en büyüğü 15 mm olan multipl kalküller saptandı. Aynı seansta kolesistektomi ve abdominoplasti planlandı. Ameliyat sonrası takiplerde komplikasyon gelişmeyen hasta postoperatif 4. Günde şifa ile taburcu edildi. Abdominoplasti gibi operasyonlar sonrasında batında oluşabilecek cerrahi gerektiren patolojiler hasta kozmetiğini çok ciddi derecede etkileyebilecektir. Bu açıdan abdominoplasti planlanan hastalarda ek şikayetler varsa ilave konsultasyon ve tetkikler istenmelidir.

Anahtar Kelimeler:

Laparoskopi, kolesistektomi, abdominoplasti

Laparoscopic Cholecystectomy During Abdominoplasty: Case Report

We aimed to present the phenomenon of laparoscopic cholecystectomy and abdominoplasty which we diagnosed at the same period the abdominal laxation, diastase of rectum and cholelithiasis that we think in the literature the first samples without leaving any trocar entrance mark.A 58 year old female patient has consulted to the polyclinic of plastic surgery due to prolapsus on the abdominal region. Gall bladder multiplestones were ascertained through abdominal ultrasonograpy. On request and to provide minimal cosmetic failure to the patient, cholecystectomy and abdominoplasty is performed at the same session. Patients with abdominal pathologies that may occur after operations requiring surgery such as abdominoplasty very serious impact on cosmetics. Concordantly, we strongly suggest to take abdominal USG, even if there is no additional complaints especially before the plastic surgery operations and abdominoplasty, for ascertain the existent patologies.

Keywords:

Abdominoplasty, Laparoscopy, Cholecystectomy.,

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Yazışma Adresi / Address for Correspondence: Dr. Kazim Duman Gümüşsuyu Military Hospital Department of Surgery İSTANBUL e-mail: drkduman@gmail.com geliş tarihi/received :07.08.2012 kabul tarihi/accepted:07.12.2012