Sunullah SOYSAL, Mustafa UĞUR, Turgut VAR

Sezaryende kullanılan iki farklı abdominal insizyon tekniğinin vizüel analog ağrı skorlarının karşılaştırılması: Prospektif randomize bir çalışma

Amaç: Bu çalışmada Joel-Cohen insizyon ve Pfannenstiel insizyon kullanılarak yapılmış sezaryen operasyonlarında vizüel analog skala ile ağrı değerlendirilmesinin ve perioperatif bulguların karşılaştırılması amaçlanmıştır. Hastalar ve Yöntem: Yüz gebe hasta iki gruba randomize edilmiştir. Bir gruba Joel-Cohen insizyon diğer gruba ise standart Pfannenstiel insizyon uygulanmıştır. İntraoperatif bulgular ve vizüel analog skorlama dahil postoperatif bulgular kayıt edilmiştir. Bulgular: Joel-Cohen insizyon grubunda ortanca toplam ameliyat süresi 1500 (1140-3600) saniye, Pfannenstiel insizyon grubunda benzer olarak ortanca toplam ameliyat süresi 1740 (1140- 3600) saniye olarak bulunmuştur. Ortalama bebek çıkartma süreleri karşılaştırıldığında Joel-Cohen grubunda (146,9±74,4 saniye) Pfannenstiel grubuna (193,9±56,5 saniye) göre bu sürenin daha kısa olduğu bulunmuştur. Postoperatif VAS ağrı değerlendirilmesi her iki grupta benzer bulunmuştur. Sonuç: Bebeğin acil çıkarılması gereken durumlarda JoelCohen insizyon tercih edilmelidir. Diğer olgularda Joel-Cohen insizyonun Pfannenstiel insizyona postoperatif ağrı açısından üstünlüğü yoktur.

Anahtar Kelimeler:

Sezaryen teknikleri, Joel-Cohen insizyon, Pfannenstiel insizyon, VAS

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Objectives: This study compared the Joel-Cohen and Pfannenstiel incisions for cesarean sections by using visual analog scale (VAS) scores and perioperative findings. Patients and Methods: One hundred pregnant patients were randomly assigned to one of two groups. One group had Joel-Cohen incisions and the other group had the standard Pfannenstiel incision, both by the same surgeon. Intraoperative and postperative findings including the VAS scores of the patients were recorded.Results: The median total operation time for the Joel-Cohen group was 1500 (1140-3600) seconds and was 1740 (1140-3600) seconds for the Pfannenstiel group. The mean extraction time of the fetus was shorter for the Joel-Cohen group (146.9±74.4 seconds) when compared to Pfannenstiel group (193.9±56.5 seconds). Postoperative pain assessment by VAS was similar for both groups.Conclusion: When urgent extraction of the fetus is needed the Joel-Cohen incision should be chosen for cesarean sections. In other cases, the Joel-Cohen incision technique has no advantage over the standard Pfannenstiel incision so far as postoperative pain is concerned

Keywords:

Cesarean techniques, Joel-Cohen incision, Pfannenstiel incision, VAS.,

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