Melike DOĞANAY, S. Orhan AKSAKAL, M. Gülnur ÖZAKŞİT

Zekai Tahir Burak Kadın sağlığı eğitim ve araştırma hastanesi'nde histerektomi oranları ve endikasyonları; 10 yıllık izlem

Amaç: Benign nedenlerle yapılan histerektomilerin tiplerine göre oranlarını ve endikasyonlarını belirlemek Yöntem ve Gereçler: Nisan 2001 ile Mayıs 2011 arasında Zekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesi Jinekoloji Bölümünde opere edilen toplam 8066 hasta çalışmaya dahil edilmiştir. Çalışma retrospektif olarak planlanmış olup, bilgiler hasta dosyasındaki kayıtlardan elde edilmiştir. Etik kurul onayı ve çalışma öncesi her hastadan bilgilendirilmiş onam alınmıştır. Hastaların operasyon süresi, preoperatif ve postoperatif hemoglobin seviyeleri, postoperatif analjezi ihtiyacı, hastanede kalış süresi ve demografik özellikleri kaydedilmiştir. İstatistiksel çalışmalar da varyans analizi ve t-test kullanılmıştır.P < 0.05 istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Benign nedenlerle yapılan 8066 histerektominin en yaygın olarak %68.1ni abdominal histerektomi, daha sonra %30.1 ile vajinal histerektomi ve % 1.7 ile laparoskopik histerektomi oluşturmuştur. Bütün histerektomiler için en yaygın endikasyonu % 48 ile leiomyomlar, % 18 menstrüel düzensizlikler, % 16 uterin prolapsus, % 14 endometriozis ve % 4 tubo-ovarian abseler oluşturmaktadır. Sonuç: Vajinal ve laparoskopik histerektominin hastanede kalış süresi kısa, postoperatif analjezi ihtiyacı az olmasına rağmen benign nedenlerle abdominal histerektomiden daha az uygulanmaktadır.

Hysterectomy rates and indications in Zekai Tahir Burak Women s Health education and resarch hospital; 10 year follow- up

Objective: The types of hysterectomies for benign diseases according to the indications and rates were investigated. Material and Methods: Study was performed on total number of 8066 patients who were operated in Zekai Tahir Burak Women Health Educational and Research Hospital s Gynecology department between April 2001 and May 2011. Study was planned retrospective and datas were obtained patient s recorded. Ethical comity approval and informed patient consent for each patient had taken before the initiation of study. Patients were evaluated with respect to the operative time, preoperative and postoperative hemoglobin levels, postoperative analgesic requirement, hospital stay and demographic measures. Analysis of variance and t test used for statistical analysis. A P value < 0.05 was considered statistically significant. Results: Of the 8066 hysterectomies for benign disease, the abdominal route was the most common (68.1%), followed by vaginal (30.1%) and laparoscopic (1.7%) routes. For all hysterectomies, the most common indications were leiomyomata (48%), menstrual disorders (18%), prolapse (16%), endometriosis (14%) and tuboovarian absess (4%). Conclusion: Despite a shorter length of stay, less postoperative analgesic requirement, vaginal and laparoscopic hysterectomies remain far less common than abdominal hysterectomy for benign disease.

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