Klasik cerrahi tedavinin spinal anestezi altında varisli hastalarda venöz tromboembolizme etkisi

Amaç: Varis tedavisinde minimal invaziv yöntemler özellikle son yıllarda hızla gelişme göstermesine rağmen klasik cerrahi tedavi olan yüksek ligasyon+stripping (S/L) halen altın standart kabul edilir. Varis hastalığına bağlı bazı tromboembolik olaylar meydana gelebilmektedir. Amacımız, spinal anestezi ve S/L uygulaması olan hastalarda işlem sonrası ortalama trombosit parametrelerindeki değişiklikleri belirlemek ve bu işlemin tromboembolik olaylara etkisini araştırmaktır. Yöntemler: Bu çalışma retrospektif kohort çalışması olarak tasarlandı. Çalışmaya dahil edilen hastalar Adıyaman Üniversitesi Tıp Fakültesi Anestezi Reanimasyon polikliniğine başvuran ve spinal anestezi ile S/L yapılan hastalardan seçildi. Veriler elektronik ortamda dosya taraması şeklinde toplandı. Dosya taramasından operasyon öncesi ve 1 gün sonrası hemogram alınan hastalar çalışmaya dahil edildi. Laboratuar tetkiklerinden MPV, PLT, trombosit dağılım genişliği (PDW) ve plateletcrit (PCT) tespit edilerek kaydedildi. İstatistiksel analizler SPSS 22,0 kullanılarak yapıldı. Bulgular: Postoperatif MPV (P

Anahtar Kelimeler:

Mean platelet volüm, Tromboembolizm, Stripping ve ligasyon, Spinal anestezi

Effect of classical surgical treatment under spinal anesthesia on venous thromboembolism in varicose veins patients

Aim: Although minimally invasive methods have developed rapidly in the treatment of varicose veins in recent years, high ligation + stripping (S/L), which is the classical surgical treatment, is still considered gold standard. Some thromboembolic events may occur due to varicose disease. Our aim is to determine the changes in mean platelet parameters after the procedure in patients who underwent S/L with spinal anesthesia and investigate the effect of this procedure on thromboembolic events. Methods: Patients who visited the Anesthesia Reanimation outpatient clinic of Adiyaman University Faculty of Medicine and underwent S/L with spinal anesthesia were evaluated in this retrospective cohort study. Data was collected electronically with file scanning. Patients whose hemograms were obtained before and 1 day after the operation were included. Among the laboratory tests, MPV, PLT, platelet distribution width (PDW) and plateletcrit (PCT) were noted. Results: Postoperative MPV (P

Keywords:

Mean platelet volume, Thromboembolism, Stripping and ligation, Spinal anesthesia,

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