Histeroskopik Cerrahide Göz içi Basıncının Değerlendirilmesi

ÖZET Amaç: Histeroskopi öncesinde, esnasında ve sonrasında göz içi basıncı (GİB) değişimlerini değerlendirmek ve iki farklı histeroskopi metodunda ölçümleri karşılaştırmak Gereç ve Yöntem: Bu retrospektif çalışmaya, Ekim 2017-Şubat 2020 tarihleri arasında bir üçüncü basamak üniversite hastanesinin Kadın Hastalıkları ve Doğum kliniğine başvuran ve histeroskopi işlemi uygulanan 52 kadın hasta dahil edildi. Katılımcılar yaş, vücut kitle indeksi ve cerrahi öncesi GİB değerlerine göre eşleştirildi ve histeroskopi yöntemine iki eşit gruba ayrıldı; monopolar prob-glisin 1.5% solüsyon (MG) ve bipolar prob- izotonik solüsyon (BI). Cerrahi öncesi, esnasında ve 12 saat sonrasında GİB ölçümleri taşınabilir tonometri cihazı kullanılarak yapıldı. Bulgular: Katılımcıların ortalama yaşı MG grubunda 50.69±7.56 yıl, BI grubunda ise 52.69±6.66 yıldı. Cerrahi öncesinde, esnasında ve sonrasında ortalama GİB ölçümleri MG grubunda sırasıyla 13.69 ± 2.22, 26.62 ± 3.08, 14.69 ± 2.57 mm-Hg ve BI grubunda sırasıyla 13.38 ± 1.81, 20.31 ± 2.05, 13.69 ± 1.59 mm-Hg idi. Her iki grupta da cerrahi esnasında ortalama GİB ölçümleri cerrahi öncesi ve sonrasına kıyasla anlamlı olarak yüksekti. Ancak, cerrahi öncesi ve sonrası değerler arasında her iki grupta da anlamlı fark yoktu. Sonuç: Her iki yöntemde de histeroskopi esnasında GİB pikleri meydana geldi ve monopolar prob ve glisin 1.5% solüsyonu kullanımı belirgin olarak daha yüksek dalgalanmalara neden oldu. Bu nedenle, cerrahi esnasında GİB’nın yakın izlemi ciddi oküler komplikasyonların gelişimini önleyebilir. Anahtar Kelimeler: Glisin; histeroskopi; göz içi basıncı; tonometri

Anahtar Kelimeler:

Glisin, histeroskopi, göz içi basıncı, tonometre

Evaluation of Intraocular Pressure in Hysteroscopic Surgery

EVALUATION OF INTRAOCULAR PRESSURE IN HYSTEROSCOPIC SURGERY ABSTRACT Objective: To assess the intraocular pressure (IOP) alterations before, during, and after hysteroscopy and to compare the measurements of two different hysteroscopy methods. Materials and Methods: In this retrospective study included 52 female patients who applied to the Obstetrics and Gynecology clinic of a tertiary university hospital between October 2017 and February 2020 and underwent hysteroscopy procedures. The participants were age, body mass index and preoperative IOP matched and separated into 2 groups according to the hysteroscopy method; monopolar probe-glycin 1.5% solution (MG) and bipolar probe-isotonic solution (BI). The IOP measurements were performed preoperatively, intraoperatively, and 12 hours after the procedure by using a portable tonometer. Results: The mean age of the participants was 50.69±7.56 years in the MG and 52.69±6.66 years in the BI groups. The mean preoperative, intraoperative and postoperative IOP measurements of the MG and BI groups were 13.69 ± 2.22, 26.62 ± 3.08, 14.69 ± 2.57 mm-Hg and 13.38 ± 1.81, 20.31 ± 2.05, 13.69 ± 1.59 mm-Hg, respectively. The mean intraoperative IOP values were significantly higher than preoperative and postoperative measurements in both groups. However, there was no significant difference between the mean intraoperative and postoperative values in any of the groups. Conclusion: The IOP peaks occurred during hysteroscopy in both methods and the utilization of monopolar probe and glycine 1.5% solution caused significantly higher fluctuations. Therefore, close monitoring of intraoperative IOP may help to prevent severe ocular complications. Keywords: Glycine; hysteroscopy; intraocular pressure; tonometry

Keywords:

Glycine, hysteroscopy, intraocular pressure, tonometry,

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