MAYER-ROKİTANSKY-KÜSTER-HAUSER SENDROMU VE LAPAROSKOPİK YARDIMLI NEOVAJİNA OLUŞTURULMASI (MODİFİYE VECCHİETTİ)
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objektif: Kliniğimizde "Neovagina Set" kullanarak ilk kez laparoskopik yardımlı neovagina oluşturulmuş MayerRokitansky-Küster-Hauser (MRKH) sendromlu 3 hastanın 6 aylık sonuçlarının değerlendirilmesi. Planlama: Prospektif değerlendirme. Ortam: Üniversite hastanesi Hastalar: MHRK sendromu tanılı üç hasta. Girişim: Neovajina set ile laparoskopik yardımlı neovagina (Modifiye Vecchietti) oluşturulması. Değerlendirme Parametreleri: Operasyon zamanı, per-post operatif komplikasyonlar, anatomik ve fonksiyonel vaginal uzunluk, postoperatif bakım ve takip, vaginal epitelizasyon ve cinsel ilişki memnuniyeti değerlendirilmiştir. Sonuç: Operasyon süresi sırası ile 60, 55, 50 dakikadır. Hastanede kalış süresi üç hasta içinde 7 gündür. Operasyon sonrası anatomik vaginal uzunluk sırası ile 7, 8, 9.5 cm dir. Vajinal epitelizasyon sırası ile 24, 20 ve 24. haftalarda tamamlandığı tespit edildi. Yorum: Neovajina oluşturulması için laparoskopik modifiye Vecchietti tekniğinin bu amaç için oluşturulmuş ve standardize edilmiş "neovajina set" kullanılarak gerçekleştirilmesi MHRK sendromu olan hastalar için ilk tedavi seçenekleri arasında olduğu akılda tutulmalıdır.
Objective: To report the postoperative 6 month results of tree patients with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome who underwent laparoscopic assisted creation of neovagina (Modified Vecchietti) by using "Neovagina Set" for the first time in our clinic. Design: Prospective evaluation. Setting: University hospital Patients: Three patients with MHRK syndrome. Interventions: Laparoscopic assisted creation of neovagina (Modified Vecchietti) by using neovagina set. Main outcome measures: Duration of surgery, duration of hospitalisation, intraoperative and postoperative complications, postoperative respect and maintenance, anatomical and functional results, sexual satisfaction, vaginal epithelization. Results: Operation times were 60, 55, 50 minutes, respectively. Hospitalisation was 7 days for three patients.Anatomical vaginal lenght was 7, 8, 9.5 cm, respectively and vaginal epithelization was completed at 24, 20, 24 months after surgery, respectively. Conclusions: Laparoscopic modified Vecchietti technique with using "neovagina set", which was created and was standardized for this operation, to performe a neovagina should be kept in mind as one of the first step option for patients with MHRK syndrome.
Objective: To report the postoperative 6 month results of tree patients with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome who underwent laparoscopic assisted creation of neovagina (Modified Vecchietti) by using "Neovagina Set" for the first time in our clinic. Design: Prospective evaluation. Setting: University hospital Patients: Three patients with MHRK syndrome. Interventions: Laparoscopic assisted creation of neovagina (Modified Vecchietti) by using neovagina set. Main outcome measures: Duration of surgery, duration of hospitalisation, intraoperative and postoperative complications, postoperative respect and maintenance, anatomical and functional results, sexual satisfaction, vaginal epithelization. Results: Operation times were 60, 55, 50 minutes, respectively. Hospitalisation was 7 days for three patients.Anatomical vaginal lenght was 7, 8, 9.5 cm, respectively and vaginal epithelization was completed at 24, 20, 24 months after surgery, respectively. Conclusions: Laparoscopic modified Vecchietti technique with using "neovagina set", which was created and was standardized for this operation, to performe a neovagina should be kept in mind as one of the first step option for patients with MHRK syndrome.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Türk Jinekoloji ve Obstetrik Derneği Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
4