OBSTETRİK VE JİNEKOLOJİK OPERASYONLAR SONRASINDA GELİŞEN VEZİKOVAJİNAL FİSTÜLLERİN RETROSPEKTİF DEĞERLENDİRİLMESİ

Year 2014, Volume: 21 Issue: 3, 72 - 77, 30.09.2014

Önder Kaplan , Mehmet Güney

Abstract

ÖZET
Amaç:
Obstetrik ve jinekolojik operasyonlar sonrasında gelişen vezikovajinal fistüllerin cerrahi sonuçları değerlendirildi.
Materyal ve Metod:
Obstetrik ve Jinekolojik operasyonlar sonrasında veziko vajinal fistül gelişen 37 hastanın retrospektif analizi yapıldı. Hastaların demografik özellikleri, klnik özellikleri, risk faktörleri ve operasyon türleri incelendi.
Bulgular:
Hastaların ortalama yaşı 43,2±3,7 bulundu. Olguların %50'si jinekolojik, %40'ı obstetrik, %10'u diğer nedenler (radyoterapi, travma) sonrası vezikovajinal fistül oluşmuştu. Her olguya cerrahi tedavi uygulandı. İlk operasyon sonrasında hastaların %59'unun , ikinci operasyon sonrası hastaların %89'unun, üçüncü operasyon sonrası hastaların %94'ünün tedavi edildiği tesbit edildi.
Tartışma:
Jinekolojik ve obstetrik vakalar sonrasında gelişen fistül onarımında hastalar detaylı şekilde bilgilendirilmeli, fistül yerleşim yeri tam olarak tespit edilmeli ve vezikovajinal fistül onarımı için tekrar cerrahi bir müdahale gerekebileceği hastaya anlatılmalıdır.
 
Objective
To investigate the results of surgical interventions of vesico vaginal fistula secondary to obstetrical and gynecological operations.
Material and methods
This is a retrospective analysis of thirty-seven patients with VVF secondary to obstetrical and gynecological operations. The demographical features, clinical features, risk factors and operation types were analyzed.
Results
The mean age of the patients was 43.2±3.7 years. The etiologies of VVF were gynecological interventions in 50% of the patients, obstetrical interventions in the 40% of the patients. Trauma and radiotherapy were determined in 10% of the patients. The treatments of VVF were administered after first operation in 59% of the patients, after second operation in 89% and after third operation in 94% of the patients.
Conclusions
Detailed information should be given to the patients undergoing secondary VVF repairment. The fistula localization should be determined before the operation. The possible re-intervention requirement should be explained to the patients.

Keywords

Vezikovajinal Fistül, Obstetri, Jinekoloji, Operasyon Tipleri

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