Ayşegül CELAYİR

Rex shunt ameliyattında yeni bir hipotez: İnternal jugular ven grefti yerine umbilikal ven transpozisyonu

Bu yazıda Rex shunt ameliyatı hakkında yeni bir hipotez tariflenmektedir. Rex shunt ameliyatı özellikle çocuklar olmak üzere ekstrahepatik portal ven trombozlu olgular için ümit vaad eden bir tedavi seçeneğidir. Bu teknik tariflemede; internal juguler ven grefti yerine umbilikal ven transpozisyonu kullanılarak portal baypas oluşturulması düşünülmüştür. Bu yöntemde, original Rex shunt ameliyatındaki bypass yapılan internal juguler venin iki ucunun anastomozu yerine, sadece bir anastomoz ile ameliyat gerçekleştirilebilir. Böylece anastomoz koplikasyonları azalır ve juguler internal ven sağlam kalmış olur.

Anahtar Kelimeler:

Hipertansiyon, portal, Umbilikal venler

A new hipothesis about the rex-shunt operation: Using of umblical vein transpozition instead of intestinal jugulary vein graft

In this paper, a new hipothesis about the Rex-shunt operation had been idendiftcation. Rex-shunt operation is new promising treatment modalities for extra-hepatic portal vein trombosis especially in children. In this tecnical innovation; using ofumblical vein transposition instead of internal vein graft is recommended that constructing portal vein by-passing. According to this theory, only one anastomosis could be created instead of two anastomosis of internal jugular vein in original Rex-shunt operation. Thus, complications of anastomosis could be decreased, and internal jugulary vein could be safe as intact.

Keywords:

Hypertension, Portal, Umbilical Veins,

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