| dc.creator |
ESME, Hıdır; SBU Konya ŞH |
|
| dc.date |
2021-09-13T00:00:00Z |
|
| dc.date.accessioned |
2021-12-03T11:47:03Z |
|
| dc.date.available |
2021-12-03T11:47:03Z |
|
| dc.identifier |
https://dergipark.org.tr/tr/pub/sdutfd/issue/64881/747906 |
|
| dc.identifier |
10.17343/sdutfd.747906 |
|
| dc.identifier.uri |
http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/94244 |
|
| dc.description |
AmaçNüks primer spontan pnömotoraksın cerrahi tedavisi,apikal bül rezeksiyonu ve plörodezisi içerir. Postoperatifnüks oranları %5 ile %10 arasında bildirilmektedir.Bu çalışmada, kliniğimizde uyguladığımız iki farklı mekanikplevral abrazyon yönteminin etkinliğini ve nüksoranlarını karşılaştırmayı amaçladık.Gereç ve YöntemOcak 2012 ve Aralık 2019 tarihleri arasında 112 hastayaprimer spontan pnömotoraks için cerrahi tedaviolarak videotorakoskopik bül rezeksiyonu ve paryetalplevra abrazyonu uygulandı. Hastaların yaş, cinsiyet,sigara içme hikayesi, ameliyat nedeni, ameliyatta bülvarlığı, plörodez yöntemi, göğüs tüpü drenaj süresi,hastanede yatış süresi, ameliyat sonrası komplikasyonlar,ameliyat sonrası nüks ve takipleri geriye dönükolarak incelendi.BulgularAmeliyat endikasyonu, hastaların 91’inde (%81.2) nükspnömotoraks iken 21’inde (%18.7) 7 günden fazla devameden uzamış hava kaçağı idi. Paryetal plevrayamekanik plöredezis için abrazyon; 38 (%33.9) hastadagazlı bez ile uygulanırken, 74 (%66.1) hastada sterilzımpara ile uygulandı. Paryetal plevra abrazyonu içinsteril zımpara kullandığımız grupta göğüs tüpü drenajsüresi, gazlı bez kullandığımız gruba göre istatistikselolarak anlamı derecede yüksekti. Ancak steril zımparakullandığımız grupta, nüks ve takip süresi istatistikselolarak anlamlı derecede düşüktü. Diğer parametreleraçısından iki grup arasında istatistiksel olarak anlamlıbir ilişki saptanmadı.SonuçSonuç olarak nüks primer spontan pnömotoraks veyauzamış hava kaçağı tedavisinde videotorakoskopikbül rezeksiyonu ve plevral abrazyon, düşük nüks oranıile güvenli bir yöntemdir. Ayrıca paryetal plevra abrazyonuiçin steril zımpara kullanımı göğüs tüpü drenajsüresini bir miktar artırmakla birlikte daha az nüks oranınasahiptir. |
|
| dc.description |
ObjectiveSurgical treatment of recurrent primary spontaneouspneumothorax involves resection of apical bulla andpleurodesis. Postoperative recurrence rates between5 and 10% are reported. In this study, we aimed tocompare the effectiveness and recurrence rates of twodifferent mechanical pleural abrasion methods that weapplied in our clinic.Materials and MethodsBetween January 2012 and December 2019, 112patients underwent videothoracoscopic bullectomyand parietal pleural abrasion as a surgical treatmentfor primary spontaneous pneumothorax. Patients' age,gender, smoking history, reason for surgery, presenceof bulla in surgery, pleurodesis method, chest tubedrainage time, length of hospital stay, postoperativecomplications, postoperative recurrence and follow-upwere retrospectively analyzed.ResultsThe indication for surgery was recurrent pneumothoraxin 91 (81.2%) of the patients, while prolonged airleakage continued for more than 7 days in 21 (18.7%)patients. For mechanical pleurodesis to the parietalpleura, 38 (33.9%) patients were abrasion withgauze, while 74 (66.1%) patients were performed withsterile sandpaper. In the group where we used sterilesandpaper for parietal pleural abrasion, the chest tubedrainage time was statistically significantly higherthan the group in which we used gauze. However,the recurrence and follow-up time was statisticallysignificantly lower in the group in which we usedsterile sandpaper. There was no statistically significantrelationship between the two groups in terms of otherparameters.DiscussionIn conclusion, videothoracoscopic bullectomy andpleural abrasion is a safe method with low recurrencein the treatment of recurrent primary spontaneouspneumothorax or prolonged air leakage. In addition, theuse of sterile sandpaper for parietal pleural abrasionincreases the chest tube drainage time slightly but hasless recurrence rate. |
|
| dc.format |
application/pdf |
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| dc.language |
tr |
|
| dc.publisher |
Süleyman Demirel Üniversitesi |
|
| dc.publisher |
Süleyman Demirel University |
|
| dc.relation |
https://dergipark.org.tr/tr/download/article-file/1135898 |
|
| dc.source |
Volume: 28, Issue: 3
385-390 |
en-US |
| dc.source |
1300-7416 |
|
| dc.source |
2602-2109 |
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| dc.source |
SDÜ Tıp Fakültesi Dergisi |
|
| dc.subject |
Primer spontan pnömotoraks,nüks,plevral abrazyon |
|
| dc.subject |
Primary spontaneous pneumothorax,recurrent,pleural abrasion |
|
| dc.title |
NÜKS PRİMER SPONTAN PNÖMOTORAKS TEDAVİSİNDE İKİ FARKLI MEKANİK PLEVRAL ABRAZYON YÖNTEMİNİN KARŞILAŞTIRILMASI |
tr-TR |
| dc.title |
COMPARISON OF TWO DIFFERENT MECHANICAL PLEURAL ABRASION METHODS IN THE TREATMENT OF RECURRENT PRIMARY SPONTANEOUS PNEUMOTHORAX |
en-US |
| dc.type |
info:eu-repo/semantics/article |
|
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