ZEKAİ TAHİR BURAK KADIN SAĞLIĞI EĞİTİM VE ARAŞTIRMA HASTANESİ'NDE HİSTEREKTOMİ ORANLARI VE ENDİKASYONLARI; 10 YILLIK İZLEM

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 Bölümü’nde opere edilen toplam 8066 hasta çalışmaya dahil edilmiştir. Çalışma retrospektif olarak planlanmış olup, bilgiler hasta dos- yasındaki 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
Anahtar Kelimeler:

Histerektomi, Endikasyon, Prevelans

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 di- seases according to the indications and rates were investigated. Material and Methods: Study was performed on to- tal number of 8066 patients who were operated in Zekai Tahir Burak Women Health Educational and Rese- arch 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 pa- tient had taken before the initiation of study. Patients were evaluated with respect to the operative time, preoperative and postoperative hemoglobin levels, postope- rative analgesic requirement, hospital stay and demographic measures. Analysis of variance and t test used for statistical analysis. A P value

___

  • Keshavarz H, Hillis SD, Kieke BA, Marchbanks PA. Hysterectomy surveillance-United States, 1994-1999. MMWR CDC Surveill Summ ; 51(SS-5): 1-8
  • Reich H, Decaprio J, McGlynn F. Laparoscopic hysterectomy. J Gyne- col Surg 1989; 5: 213-7.
  • Johnson N, Barlow D, Lethaby A, Tavender E, Curr E, Garry R. Surgi- cal approach to hysterectomy for benign gynaecological disease (Coch- rane Review). In: The Cochrane Library. Issue 2, 2006. Oxford : Upda- te Software.
  • Meikle SF, Nugent EW, Orleans M. Complications and recovery from laparoscopy- assisted vaginal hysterectomy compared with abdominal and vaginal hysterectomy. Obstet Gynecol 1997; 89: 304-11.
  • Farquhar CM, Steiner CA. Hysterectomy rates in the United States 1997. Obstet Gynecol 2002; 99: 229-34.
  • Jacobson GF, Shaber RE, Armstrong MA, Hung YY. Hysterectomy ra- tes for benign indications. Obstet Gynecol 2006; 107: 1278-83.
  • Summitt RL Jr, Stovall TG, Lipscomb GH, Ling FW. Randomized comparison of laparoscopy-assisted vaginal hysterectomy with standard vaginal hysterectomy in an outpatient setting. Obstet Gynecol 1992; 80: 901.
  • Appropriate use of laparoscopically assisted vaginal hysterectomy. ACOG Committee Opinion No. 311. American College of Obstetricians and Gynecologists. Obstet Gynecol 2005; 105: 929-30.
  • Garry R, Fountain J, Brown J, Manca A, Mason S, Scalpher M, et al. EVALUATE hysterectomy trial : a multicentre randomised trial compa- ring abdominal, vaginal and laparoscopic methods of hysterectomy . He- alth Technol Assess 2004; 8: 1-154.
  • Sculpher M, Manca A, Abbott J, Fountain J, Mason S, Garry R. Cost effectiveness analysis of laparoscopic hysterectomy compared with stan- dard hysterectomy: results from a randomised trial. BMJ 2004; 328: 134.
  • Jennifer M. Wu, Mary Ellen Wechter, Elizabeth J. Geller, Thao V. Nguyen, Anthony G. Visco. Hysterectomy Rates in the United States, Obstet Gynecol 2007; 110: 1091-5.
  • Marana R, Busacca M, Zupi E, Garcea N, Paparella P, Catalano GF. Laparoscopically assisted vaginal hysterectomy versus total abdominal hysterectomy: a prospective, randomized, multicenter study. Am J Obs- tet Gynecol 1999; 180: 270-5.
  • Falcone T, Paraiso MF, Mascha E. Prospective randomized clinical trial of laparoscopically assisted vaginal hysterectomy versus total abdo- minal hysterectomy. Am J Obstet Gynecol 1999; 180: 955-62.
  • Stovall DW, Fernandez AS, Cohen SA. Laparoscopy training in Uni- ted States obstetric and gynecology residency programs. JSLS 2006; 10: 5.
  • Einarsson JI, Young A, Tsien I, Sangi-Haghpeykar H. Perceived profi- ciency in endoscopic techniques among senior obstetrics and gynecology residents. J AM Assoc Gynecol Laparosc 2002; 9: 158-64.
  • Hoffman CP, Kennedy J, Borschel L, Burchette R, Kidd A. Laparos- copic hysterectomy: the Kaiser Permanente San Diego experience. J Mi- nim Invasive Gynecol 2005; 12: 16-24.
  • Dorsey JH, Holtz PM, Griffiths RI, McGrath MM, Steinberg EP. Costs and charges associated with three alternative techniques of hyste- rectomy. N Engl J Med 1996; 335: 476-82.
  • Gendy R, Walsh CA, Walsh SR,et al. Vaginal hysterectomy versus to- tal laparoscopic hysterectomy for benign disease: a metaanalysis of ran- domized controlled trials. Am J Obstet Gynecol 2011; 204: 388-8.
  • Jonsdottir GM, Jorgensen S, Cohen SL, Wright KN, Shah NT, Cha- van N, Einarsson JI. Increasing minimally invasive hysterectomy: effect on cost and complications. Obstet Gynecol 2011; 117(5): 1142-9.
Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi-Cover
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2004
  • Yayıncı: -
Sayıdaki Diğer Makaleler

Preterm eylemin erken tanısında ınterlökin-8'in prediktif değeri

Hacer Cavidan GÜLERMAN, Sibel ÖZLER, Leyla MOLLAMAHMUTOĞLU

Remaining alive after amniotic fluid embolism: A case report

Sevtap HAMDEMİR, Ayhan SUCAK, Reyyan TEMİZKAN ÖZCAN, Şevki ÇELEN

PRETERM EYLEMİN ERKEN TANISINDA INTERLÖKİN-8’İN PREDİKTİF DEĞERİ

Sibel ÖZLER, Hacer Cavidan GÜLERMAN, Leyla MOLLAMAHMUTOĞLU

Hayıt meyvesi (vitex agnus castus) ve prolaktin

Başar ALTINTERİM

Kardiotokografide hafif fetal taşikardi tespit edilen olguların değerlendirilmesi

Ayla AKTULAY, Leyla MOLLAMAHMUTOĞLU, Özlem YÖRÜK, Yaprak ÜSTÜN ENGİN, Elif Gül EYİ YAPAR, Mehmet Şahin ÖZKAN

POLİKİSTİK OVER HASTALARINDA İNSULİN DİRENCİ, METABOLİK DURUM VE METABOLİK PARAMETRELER ARASINDAKİ İLİŞKİ

Yunus YILDIZ, Gülnur ÖZAKŞİT, Elif Gül Yapar EYİ, Emre ÖZGÜ, Bekir Serdar ÜNLÜ, Hasan ENERGİN

AMNİYON SIVI EMBOLİSİ SONRASI SAĞ KALIM : OLGU SUNUMU

Reyyan ÖZCAN TEMİZKAN, Şevki ÇELEN, Ayhan SUCAK, Sevtap HAMDEMİR

Insulin resistance, metabolic status and relation between metabolic parameters in polycystic ovary syndrome patients

Gülnur ÖZAKŞİT, Elif Gül EYİ YAPAR, Yunus YILDIZ, Hasan ENERGİN, Emre ÖZGÜ, Bekir Serdar ÜNLÜ

ZEKAİ TAHİR BURAK KADIN SAĞLIĞI EĞİTİM VE ARAŞTIRMA HASTANESİ'NDE HİSTEREKTOMİ ORANLARI VE ENDİKASYONLARI; 10 YILLIK İZLEM

Melike DOĞANAY, Orhan AKSAKAL, M.gülnur ÖZAKŞİT

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

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