KLİNİĞİMİZDE YAPILAN 412 TOTAL LAPAROSKOPİK HİSTEREKTOMİNİN İNTRAOPERATİF VE POSTOPERATİF SONUÇLARININ RETROSPEKTİF ANALİZİ

Giriş: Bu çalışmada İzmir Tepecik Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniğinde ocak 2016 ve ocak 2018 arasında yapılmış total laparoskopik histerektomilerin intraoperatif ve postoperatif sonuçlarının retrospektif analizini amaçladık. Gereç veYöntem: Ocak 2016 ve ocak 2018 tarihleri arasında benign jinekolojik endikasyonlar nedeni ile total laparoskopik histerektomi uygulanmış 412 hastanın sonuçları hastane bilgi yönetim sistemi kullanılarak tarandı. Hastaların intraoperatif ve postoperatif sonuçları analiz edildi. Bulgular: Çalışmaya dahil edilen 412 hastada en sık histerektomi endikasyonu %46,8 ile myoma uteri idi. Bu hastaların %33,9’unda geçirilmiş batın cerrahisi öyküsü mevcuttu. Ortalama ameliyat süreleri 108  34,2 (35-145) dk olarak saptandı. Toplam majör komplikasyon oranı %6,55, laparotomiye dönüş %0,97 olarak hesaplandı. Sonuç: Uygun hastalarda total laparoskopik histerektomi hastaların postoperatif konforunu artıran, cerrahi ekip tecrübesi arttıkça komplikasyon oranlarının düştüğü bir ameliyat seçeneği olabilir.

RETROSPECTIVE ANALYSIS OF INTRAOPERATIVE AND POSTOPERATIVE RESULTS OF 412 TOTAL LAPAROSCOPIC HYSTERECTOMIES PERFORMED IN OUR CLINIC

Introduction: In this study, we aimed to retrospectively analyze the intraoperative and postoperative results of total laparoscopic hysterectomies performed between January 2016 and January 2018 in İzmir Tepecik Training and Research Hospital Obstetrics and Gynecology Clinic Material and Method: The results of 412 patients who underwent total laparoscopic hysterectomy for benign gynecological indications between January 2016 and January 2018 were screened using the hospital information management system. The intraoperative and postoperative results of the patients were analyzed. Results: The most frequent indication for hysterectomy was myoma uterus with 46.8% in 412 patients included in the study. 33.9% of these patients had a previous history of surgery. Mean operative times were 108  34,2 (35- 145) min. Total major complication rate was calculated as 6.55%, convertion to laparotomy rate was 0.97%. Conclusion: In appropriate patients, total laparoscopic hysterectomy may be a surgical option that increases the postoperative comfort and reduces complication rates as surgical team experience increases.

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