ÜMİT GÖRKEM, CİHAN TOĞRUL, Hasan Ali İNAL, Tayfun GÜNGÖR

Konvansiyonel Heaney Tekniği ile On-Basamak Vajinal Histerektomi Tekniğinin Karşılaştırılması

Amaç: Bu çalışmada vajinal histerektomi uygulanmış hastalarda Konvansiyonel Heaney tekniği ile On-Basamak Vajinal Histerektomi tekniğinin karşılaştırılması ve bu tekniklerin klinik sonuçlar üzerine etkisinin değerlendirilmesi amaçlanmıştır.Gereç ve Yöntemler:Uterin prolapsus nedeniyle vajinal histerektomi yapılmış 49 hasta retrospektif olarak değerlendirildi. Bu hastaların 24’üne konvansiyonel Heaney tekniği, 25’ine ise yeni On-Basamak Vajinal Histerektomi tekniği uygulanmıştı. Her iki teknik, yaş, vücut kitle endeksi (BMI), gebelik sayısı, canlı doğum sayısı, ameliyat öncesi ve sonrası hemoglobin düzeyleri, ameliyat süresi, hastanede kalış süresi ve analjezik gereksinim süresi açısından karşılaştırıldı.Bulgular: Ortalama yaş, BMI, gebelik sayısı, canlı doğum sayısı, ameliyat öncesi ve sonrası hemoglobin düzeyleri iki grupta da benzerdi (P > 0,05). On-Basamak Vajinal Histerektomi tekniği uygulanmış hastalarda ameliyat süresinin (P = 0,001), hastane kalış süresinin (P = 0,020) ve analjezik gereksinim süresinin (P = 0,006) daha kısa olduğu saptandı.Sonuçlar: Ameliyat süresi, hastanede kalış süresi ve analjezik gereksinim günleri açısından On-Basamak Vajinal Histerektomi tekniğinin klinik sonuçları konvansiyonel Heaney tekniğine göre daha iyi olarak değerlendirilmiştir.Anahtar kelimeler: Vajinal Histerektomi; Konvansiyonel Heaney Tekniği; On-Basamak Tekniği; Klinik Sonuçlar

Anahtar Kelimeler:

Vajinal Histerektomi; Konvansiyonel Heaney Tekniği; On-Basamak Tekniği; Klinik Sonuçlar

Comparison of Conventional Heaney’s Technique and Ten-Step Vaginal Hysterectomy Technique

Aim: In this study, we aimed to compare conventional Heaney’s method and the Ten-Step Vaginal Hysterectomy method and to analyse the effects of the both techniques on the clinical outcomes.Material and Methods: Forty-nine patients who underwent vaginal hysterectomy with the diagnosis of uterine prolapses were retrospectively evaluated. Among them, 24 patients had underwent the conventional Heaney’s method and 25 patients had underwent the Ten-Step Vaginal Hysterectomy method. The age, body mass index (BMI), number of pregnancies, number of live births, pre- and post-operative levels of haemoglobin, operation time, duration of hospitalization and analgesic requirement period were compared in both methods.Results: The averages of ages, BMI, numbers of pregnancies, number of live births, pre- and post-operative haemoglobin levels were similar in both methods (P > 0.05). But the patients who underwent Ten-Step Vaginal Hysterectomy method had a significantly shorter operation time (P = 0.001), shorter hospital stay (P = 0.020) and shorter time of analgesics requirement (P = 0.006).Conclusion: We concluded that in terms of operation time, hospital stay and analgesic requirement, the Ten-Step Vaginal Hysterectomy method had better clinical outcome than the conventional Heaney’s method.Key words: Vaginal Hysterectomy; Conventional Heaney’s Method; Ten-Steps Method; Clinical Outcomes

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