Meme küçültme cerrahisinin solunum fonksiyon testleri üzerine etkisi

Bilateral meme küçültme cerrahisi, bilateral memehipertrofisinin cerrahi tedavisidir. Kadınlar tarafından istenen,plastik cerrahlar tarafınca en yaygın yapılan memeoperasyonlarından birisidir. Hastaların bu ameliyatı isteme nedenleri; sarkan göğüslerini estetik açıdan düzeltmek, göğüs, sırt, omuz ve boyun ağrıları gibi somatik semptomlardan kurtulmaktır.Meme küçültme cerrahisinin estetik dışında objektif olumlu etkileri olduğunu düşünmekteyiz. Çalışmamızda meme küçültme cerrahisiolacak hastalara operasyon öncesi ve operasyondan altı ay sonrasında solunum fonksiyon testi (SFT) ve daha önce hiçbir çalışmadayapılmamış olan karbonmonoksit difüzyon testi yaparak, bu cerrahinin akciğer üzerine varsa olumlu etkilerini ortaya çıkarmayıamaçladık.Materyal ve Metod: Otuz hasta çalışmamıza katılmayı kabul etti. On dokuz hasta ile çalışma tamamlandı. Hastaların hepsinepreoperatif dönemde ve postoperatif dönem altıncı ayda SFT ve karbonmonoksit difüzyon testi yapıldı. Hastaların hepsinin akciğerröntgenogramı çekildi ve boy, kilo, vücut kitle indeksi (kg/m2) ölçüldü. Parmaktan satürasyon ölçen cihaz ile satürasyonları ölçüldü.Bulgular: Postoperatif dönemde uygulanan solunum fonksiyon testleri preoperatif dönemde uygulananlar ile karşılaştırıldığında FEV1ve FVC'de anlamlı derecede artış bulunmuştur. DLCO ise postoperatif dönemde preoperatif döneme göre anlamlı derecede azalmıştır.Sonuç: Meme küçültme cerrahisinin, hastaları klinik olarak rahatlatan ve solunum fonksiyon testi değerleri üzerine olumlu etkileri vargibi gözükmektedir. Göğüs hastalıkları polikliniğine nefes darlığı ile başvuran büyük memeli hastalar bu açıdan değerlendirilmelidir.

Effect of reduction mammoplasty on the pulmonary function tests

Introduction: Bilateral breast reduction surgery is the surgical treatment of bilateral breast hypertrophy. This is one of the most common breast surgery requested by women, and performed by plastic surgeons. The reasons that patients want this surgery are to re-size sagging breasts aesthetically, and to get rid of somatic symptoms such as shoulder, chest, back, and neck pain. We believe that the objective positive effects of breast reduction surgery exist beside aesthetic. In our study, our aim is to elicit positive effects of surgery on lungs, if there are, by making pulmonary function test and carbon monoxide diffusion test before surgery and after 6 months of surgery. Materials and Methods: Thirty patients agreed to participate in the study. Study is completed with 19 patients. Pulmonary function test and carbon monoxide diffusion test were made to all patients in preoperative and 6 months of postoperative period. Lung roentgenogram of all patients was performed and height, weight, body mass index were measured. Saturation level was measured.Results: There was a meaningful increase in FEV and FVC values in the postoperative period in comparison with pulmonary function test performed in preoperative period. DLCO in postoperative period decreased meaningfully as compared to the preoperative period.Conclusion: Breast reduction surgery seems to have positive effects on pulmonary function test values and relaxes patients clinically. Patients with big breasts should be evaluated from this perspective if they apply chest diseases clinic with shortness of breath.

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