Zeynep Kamil Med J. 2020; 51(4): 216-220 | DOI: 10.16948/zktipb.714679

Comparison of the Effect of Two Different Routes of Hysterectomy Surgeries on the Pulmonary Function: Laparoscopic Versus Abdominal

Resul Karakuþ¹, Enis Özkaya¹, Ahter Tanay Tayyar¹, Doðukan Yýldýrým², Ebru Çöðendez^1
1Department of Obstetrics and Gynecology, Health Sciences University, Zeynep Kamil Women and Children’s Diseases Training and Research Hospital, Ýstanbul, Turkiye
²Department of Obstetrics and Gynecology, Health Sciences University, Kartal Lutfu Kirdar Training and Research Hospital, Ýstanbul, Türkiye

INTRODUCTION: We aimed to compare pre and post-operative pulmonary function between women who underwent laparoscopic or abdominal hysterectomy.
METHODS: We prospectively collected data between January 2015 and November 2016 at Health Sciences University Zeynep Kamil Women and Children’s Diseases Training and Research Hospital. Patients who were admitted to the Obstetrics and Gynecology clinic with a hysterectomy indication were non-randomly allocated into 2 groups as the laparoscopy group (n=24) and the open surgery group (n=26) according to patient priorities and surgeons’ preference. Patients who had already undergone an abdominal operation and systemic disorders were excluded from the study. Pulmonary function tests were assessed and compared preoperatively and at postoperative day five.
RESULTS: There were significant changes in majority of the parameters of pulmonary function test after surgery compared to
baseline measurements except PaCO2, PaO2 and SaO2 levels in group of women who underwent total abdominal hysterectomy.
There were significant changes in majority of the parameters of pulmonary function test after surgery compared to baseline measurements except PaCO2 levels in group of women who underwent total laparoscopic hysterectomy.
DISCUSSION AND CONCLUSION: Both laparoscopic and abdominal hysterectomies were associated with deteriorated pulmonary function tests.

Keywords: histerektomi, solunum fonksiyon testi

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Ýki Farklý Histerektomi Cerrahisi Yönteminin Solunum Fonksiyonuna Etkisinin Karþýlaþtýrýlmasý: Laparoskopik veya Abdominal

Resul Karakuþ¹, Enis Özkaya¹, Ahter Tanay Tayyar¹, Doðukan Yýldýrým², Ebru Çöðendez^1
1Saðlýk Bilimleri Üniversitesi Zeynep Kamil Kadýn ve Çocuk Hastalýklarý Eðitim ve Araþtýrma Hastanesi Kadýn Hastalýklarý ve Doðum Kliniði, Ýstanbul, Türkiye
²Saðlýk Bilimleri Üniversitesi, Kartal Lütfü Kýrdar Eðitim ve Araþtýrma Hastanesi, Kadýn Hastalýklarý ve Doðum Kliniði, Ýstanbul, Türkiye

GÝRÝÞ ve AMAÇ: Laparoskopik veya abdominal histerektomi uygulanan kadýnlarda ameliyat öncesi ve sonrasý solunum fonksiyonlarýný karþýlaþtýrmayý amaçladýk.
YÖNTEM ve GEREÇLER: Ocak 2015 - Kasým 2016 tarihleri arasýnda Saðlýk Bilimleri Üniversitesi Zeynep Kamil Kadýn ve Çocuk Hastalýklarý Eðitim ve Araþtýrma Hastanesinde prospektif olarak veri topladýk. Histerektomi endikasyonu ile Kadýn Hastalýklarý ve Doðum kliniðine baþvuran hastalar, hasta öncelikleri ve cerrahlarýn tercihine göre rastgele olarak laparoskopi grubu (n= 24) ve açýk cerrahi grubu (n= 26) olmak üzere 2 gruba ayrýldý. Karýn ameliyatý geçiren hastalar ve sistemik bozukluklar çalýþma dýþý býrakýldý. Solunum fonksiyon testleri deðerlendirildi ve ameliyat öncesi ve ameliyat sonrasý 5. gündeki deðerler karþýlaþtýrýldý.
BULGULAR: Total abdominal histerektomi uygulanan kadýnlarda PaCO2, PaO2 ve SaO2 düzeyleri hariç cerrahi sonrasý solunum fonksiyon testi parametrelerinin çoðunda bazal ölçümlere göre anlamlý deðiþiklikler vardý. Total laparoskopik histerektomi uygulanan kadýnlarda PaCO2 düzeyleri hariç cerrahi sonrasý solunum fonksiyon testi parametrelerinin çoðunda bazal ölçümlere göre anlamlý deðiþiklikler vardý
TARTIÞMA ve SONUÇ: Hem laparoskopik hem de abdominal histerektomiler bozulmuþ solunum fonksiyon testleri ile iliþkiliydi.

Anahtar Kelimeler: pulmonary function test, laparoscopic hysterectomy, abdominal hysterectomy

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