Mehmet Emin ŞİRİN, Mehmet YILMAZ, Mustafa KARAASLAN

VARİKOSELEKTOMİ OPERASYONU SONRASI İŞE GERİ DÖNÜŞ ZAMANI VE İŞ GÜNÜ KAYBI

Amaç: Varikoselektomi operasyonları çoğunlukla 20-35 yaşları arasında uygulanmaktadır. Bu yaş grubu aynı zamanda etkin iş gücü için de oldukça önemlidir. Varikoselektomide iş günü kaybı üzerine literatürde çalışma bulunmamaktadır. Bu çalışmamızla varikoselektomi ameliyatının iş günü kaybına etkisi üzerine farkındalık oluşturmak ve literatüre katkıda bulunmayı amaçladık. Gereç ve Yöntemler: Aksaray Özel İnova Hastanesi’nde 07.03.2019-14.10.2022 tarihleri arasında varikoselektomi yapılan 77 hasta çalışmaya dahil edildi. Varikoselektomi tek cerrah tarafından subinguinal yöntem kullanılarak, Carl-Zeiss operasyon mikroskopu (Carl Zeiss, Thornwood, NY) ile 10’luk büyütme altında uygulandı. Hastaların erken dönem komplikasyonları ve iş günü kaybı ameliyat sonrası 10. gün ve 1. ay kontrollerinde sorgulandı. Araştırma verilerinin istatistiksel analizi için Statistical Package for Social Sciences (SPSS), sürüm 22.0 (SPSS Inc. Chicago, ABD) bilgisayar paket programı kullanıldı. p <0.05 istatistiksel olarak anlamlı kabul edildi. Bulgular: Hastaların ortalama yaşı 27,01 ± 4,91 yıl; ve ortalama VKİ 24,72 ± 4,21 kg/m² . Hastaların 42’sinde (54,5) grade 3 varikosel mevcuttu. Çalışmamızda mikroskopik varikoselektomi operasyonu sonrası iş günü kaybını (16,09 ± 14,27) gün olarak tespit ettik. Ameliyat sonrası 21 (%27,3) hastada erken dönem komplikasyon tespit edildi. Eğitim durumu, komplikasyon ve cerrahi deneyim ile iş günü kaybı arasında istatistiksel anlamlı ilişki saptanmadı(p>0,05). İş türü, medeni durum ve erken dönem komplikasyonların çeşitleri ile iş günü kaybı arasında istatistiksel anlamlı farklılık bulundu (p:0,014, p:0,03 ve p:0,02; sırasıyla). Sonuç: Mavi yakalı çalışanların varikoselektomi operasyonu sonrası beyaz yakalı çalışanlara göre işe dönüş zamanı birkaç gün daha uzun olmaktadır. Yaklaşık olarak varikoselektomi sonrası çalışanlar 15 gün sonra işbaşı yapabilmektedir. Bu konuda prospektif, daha büyük merkezlerin geniş vaka serilerine ihtiyaç olduğu kanaatindeyiz. Anahtar Kelimeler: iş günü kaybı; varikoselektomi; mikrocerrahi

Anahtar Kelimeler:

iş günü kaybı, varikoselektomi, mikrocerrahi

BACK TO WORK TIME AND LOSS OF WORKING DAYS AFTER VARICOSELECTOMY OPERATION

Aim: Varicocelectomy operations are mostly performed between the ages of 20-35. This age group is also very important for an effective workforce. There is no study in the literature on the loss of working days in varicocelectomy. With this study, we aimed to raise awareness on the effect of varicocelectomy surgery on loss of working days and to contribute to the literature. Materials and Methods: 77 patients who underwent varicocelectomy at Aksaray Private Inova Hospital between 07.03.2019 and 14.10.2022 were included in the study. Varicocelectomy was performed by a single surgeon using the subinguinal method with a Carl-Zeiss operating microscope (Carl Zeiss, Thornwood, NY) under 10 magnification. The early complications of the patients and the loss of working days were questioned at the postoperative 10th day and 1st month follow-ups. Statistical Package for Social Sciences (SPSS), version 22.0 (SPSS Inc. Chicago, USA) computer package program was used for statistical analysis of research data. p <0.05 was considered statistically significant. Results: The mean age of the patients was 27.01 ± 4.91 years; and an average BMI of 24.72 ± 4.21 kg/m². Grade 3 varicocele was present in 42 (54.5) patients. In our study, we found the loss of working days (16.09 ± 14.27) days after microscopic varicocelectomy operation. Postoperative early complications were detected in 21 (27.3%) patients. No statistically significant relationship was found between education status, complications, surgical experience and loss of work days (p>0.05). A statistically significant difference was found between work type, marital status, types of early complications and lost work days (p:0.014, p:0.03 and p:0.02, respectively). Conclusion: After varicocelectomy, blue-collar employees return to work a few days longer than white-collar employees. Employees can return to work after approximately 15 days after varicocelectomy. We believe that prospective, larger case series of advanced centers are needed in this regard. Keywords: lost working days; varicocelectomy; microsurgery

Keywords:

lost working days, varicocelectomy, microsurgery,

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