Oskay KAYA, Tevfik KÜÇÜKPINAR, Köksal BİLGEN, İbrahim ÇOLHAN, Rıza DERYOL, Cem AZILI, Şahin KAHRAMANCA

Karın Duvarında Endometriozis ve Cerrahi Tedavi

Amaç: Karın duvarında endometirozis ön tanısıyla opere edilen 16 hastada uyguladığımız tedavi protokolü irdelendi. Yöntem ve Gereçler: Ocak 2000Ekim 2012 yılları arasında endometriozis tanısıyla opere edilen hastaların yaş,lokalizasyon, geçirilmiş jinekolojik operasyon ile semptomların başlangıç zamanı arasında geçen süre, uygulanancerrahi yöntemleri ve histopatolojik sonuçları retrospektif olarak hastane kayıtlarından çıkartıldı. Bulgular: On altı hastanın yaş ortalaması 30,8 idi. Hastaların 11inde pfannenstiel insizyon, 3ünde göbek altı me- dian insziyon, 2sinde de pararektal insizyon skarında endometirozis dokusu tespit edildi. Dokuz hastada preoperatifdönemde endometriozis saptandı. Hastaların tamamında geçirilmiş jinekolojik operasyon öyküsü vardı ve operasyonile semptomların başlangıç zamanları arasındaki süre ortalama 39.8 ay olarak tespit edildi. Tüm hastalardaki endome- triozis odakları 2 cmlik sağlam kenarlar ile eksize edildi. Sonuç: Endometriozis, ciddi semptomları, nüks ihtimali ve çok nadir görülen malign dejenerasyon riski nedeniyletedavi edilmelidir. Küratif tedavi cerrahi olup, en az 1 cmlik sağlam kenarlar ile eksizyon yapılmalıdır.

Endometriosis In Abdominal Wall and Surgical Treatment

Aim: WAim: We evaluated the results of surgical treatments in sixteen patients with prediagnosed endometriosis intheir abdominal wall. Material and Method: The results for the patients who were diagnosed with endometriosis and operated from Janu- ary 2000 to October 2012 were evaluated. Their age, localization of endometriosis, the time period from the previousgynaecological surgery to beginning of symptoms, the type of surgical procedure and postoperative histopathologicalresults were enrolled from the database retrospectively. Results: The mean age of sixteen patients was 30.8. There were endometriosis tissues in 11 pfannenstiel, 3 lowerumbilical midline, and 2 pararectal incision scars of the patients. Endometriosis was diagnosed in nine patients inpreoperative period. There were gynaecological operation histories in all patients. The mean time from the operationto the symptoms was 39.8 months. In all patients endometriosis foci were excised with 2 cm free margins. Conclusion: Endometriosis should be treated because of serious symptoms, risks of recurrence and low possibility ofmalignancy. The curative treatment is surgery and it must be done with total excision and at least 1 cm free margins.

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