Jinekolojik Cerrahide Bakım
Özet
Jinekolojik cerrahi, kadın üreme organlarında meydana gelen sorunların ortadan kaldırılması amacıyla uygulanan cerrahi girişimleri ifade etmektedir. Bu cerrahi girişimler, minimal invaziv (kapalı) veya laparotomi (açık cerrahi) teknikleri ile uygulanabilmektedir. Jinekoloik cerrahiler kapsamında; uterus ve servikse yönelik cerrahiler, adneks cerrahisi, üro-jinekolojik cerrahiler, estetik jinekoloji cerrahileri ve jine-onkoloji cerrahileri yer almaktadır. Jinekolojik cerrahi girişim sürecinde hemşireler; cerrahi girişime neden olabilecek hastalıkları bilmeli, bilgi ve becerilerini kullanarak ameliyat öncesi, sırası ve sonrasında güncel hemşirelik bakımı uygulamalarını yapabilmelidir. Bu kapsamda; hemşirelik bakım uygulamaları arasında hasta danışmanlığı ve eğitimi, ameliyat öncesi optimizasyon, tromboemboli profilaksisi, bağırsak hazırlığı, beslenme, antimikrobiyal profilaksi ve cilt hazırlığı, ameliyat sonrası yaşamsal bulguların takibi, tromboemboli profilaksisi, spirometre (triflo) kullanımı, sıvı tedavisi, beslenme, ileusun önlenmesi, glikoz kontrolü, analjezi, üriner drenaj, erken mobilizasyon yer almaktadır. Ayrıca jinekolojik cerrahi girişimler kadının beden imajı, benlik algısı ve cinsellik örüntüsünde bozulmalara yol açabilmektedir. Bu nedenle jinekolojik cerrahi sürecinde kadının bütüncül olarak ele alınması ve psikososyal bakım sağlanması önemlidir.
Gynecological surgery refers to surgical interventions performed to eliminate problems occurring in female reproductive organs. These surgical interventions can be performed with minimally invasive (closed) or laparotomy (open surgery) techniques. Within the scope of gynecological surgeries; Surgeries for the uterus and cervix, adnexal surgery, uro-gynecological surgeries, aesthetic gynecology surgeries and gynecological-oncology surgeries are included. During the gynecological surgery procedure, nurses; They should know the diseases that may cause surgical intervention and be able to apply current nursing care practices before, during and after surgery by using their knowledge and skills. In this context; Nursing care practices include patient counseling and education, preoperative optimization, thromboembolism prophylaxis, bowel preparation, nutrition, antimicrobial prophylaxis and skin preparation, postoperative vital signs monitoring, thromboembolism prophylaxis, use of spirometer (triflo), fluid therapy, nutrition, prevention of ileus, glucose control, analgesia, urinary drainage, early mobilization. In addition, gynecological surgical interventions can lead to disruptions in a woman's body image, self-perception and sexuality pattern. Therefore, it is important to consider the woman holistically and provide psychosocial care during the gynecological surgery process.
Referanslar
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Hotun Şahin N. Kadın sağlığı hastalıkları ve doğum. İstanbul: İstanbul Nobel Tıp Kitabevleri; 2023. s: 395-486.
Perkins RB, Guido RS, Castle PE, et al. 2019 ASCCP risk-based management consensus guidelines for abnormal cervical cancer screening tests and cancer precursors. Journal of Lower Genital Tract Disease. 2020; 24(2):102-131. doi: 10.1097/LGT.0000000000000525
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Santesso N, Mustafa RA, Wiercioch W, et al. Systematic reviews and meta-analyses of benefits and harms of cryotherapy, LEEP, and cold knife conization to treat cervical intraepithelial neoplasia. International Journal of Gynecology & Obstetrics. 2016; 132(3): 266-271. doi: 10.1016/j.ijgo.2015.07.026
Tosun Güleroğlu F. Jinekolojik Minör Cerrahilerde Bakım. Arslan S (ed) Jinekolojik ve Obstetrik Cerrahide Bakım içinde. İstanbul: İstanbul Tıp Kitabevi; 2023.s.124-130.
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Luerti M, Vitagliano A, Sardo ADS, et al. Effectiveness of hysteroscopic techniques for endometrial polyp removal: the Italian multicenter trial. Journal of Minimally Invasive Gynecology. 2019; 26(6):1169-1176. doi: 10.1016/j.jmig.2018.12.002
Ludwin A, Lindheim SR, Booth R, et al. Removal of uterine polyps: clinical management and surgical approach. Climacteric. 2020; 23(4):388–396. doi: 10.1080/13697137.2020.1784870
Kyriaki S, Ioannis K, Ioannis T, et al. Myomectomy during pregnancy: A systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2020; 254:15-24. doi: 10.1016/j.ejogrb.2020.08.018.
Flyckt R, Coyne K, Falcone T. Minimally invasive myomectomy. Clinical Obstetrics and Gynecology. 2017; 60(2): 252-272. doi: 10.1097/GRF.0000000000000275
Al-Shukri M, Al-Ghafri W, Al-Dhuhli H, et al. Vaginal myomectomy for prolapsed submucous fibroid: It is not only about size. Oman Medical Journal. 2019; 34(6):556-559. doi:10.5001/omj.2019.100
Marín-Buck A, Karaman E, Amer-Cuenca JJ, et al. Minimally invasive myomectomy: An overview on the surgical approaches and a comparison with mini-laparotomy. Journal of Investigative Surgery. 2021; 34(4): 443-450. doi:10.1080/08941939.2019.1642422
Dumitrașcu MC, Nenciu CG, Nenciu AE, et al. Laparoscopic myomectomy–The importance of surgical techniques. Frontiers in Medicine. 2023; 10: 1158264. doi: 10.3389/fmed.2023.1158264
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Whiteside JL, Kaeser CT, Ridgeway B. Achieving high value in the surgical approach to hysterectomy. American Journal of Obstetrics and Gynecology. 2019; 220 (3): 242-245. doi: 10.1016/j.ajog.2018.11.124
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Dedden SJ, Geomini PMAJ, Huirne JAF, et al. Vaginal and Laparoscopic hysterectomy as an outpatient procedure: A systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2017; 216:212-23. doi: 10.1016/j.ejogrb.2017.07.015
Buhur A, Erdem D. Total laparoskopik histerektomi ile total abdominal histerektomi olgularının karşılaştırılması. Ege Tıp Dergisi. 2022; 61 (4): 541-548. doi: 10.19161/etd.1208961
Sokol AI, Green IC. Laparoscopic hysterectomy. Clinical Obstetrics and Gynecology. 2009; 52(3):304-312. doi:10.1097/GRF.0b013e3181b0879f
Ural A. Jinekolojik Minör Cerrahilerde Bakım. Arslan S (ed.) Jinekolojik ve Obstetrik Cerrahide Bakım içinde. İstanbul: İstanbul Tıp Kitabevi; 2023. S. 134-145.
Carugno J, Fatehi M. Abdominal Hysterectomy. StatPearls Publishing, Treasure Island (FL); 2023.
Ciobotaru OC, Ciobotaru OR, Voicu DC, et al. Postoperative pain after total abdominal hysterectomy and bilateral salpingo-oophorectomy depending on the type of anaesthesia administration. Biotechnology & Biotechnological Equipment. 2016; 30(2): 341–345. doi:10.1080/13102818.2015.1135759
Louie M, Strassle PD, Moulder JK, et al. Uterine weight and complications after abdominal, laparoscopic, and vaginal hysterectomy. American Journal of Obstetrics and Gynecology. 2018; 219(5):480.e1-480.e8. doi: 10.1016/j.ajog.2018.06.015
Gupta M, Gupta P, Yadav P. A randomized comparative study to compare karman's cannula and pipelle biopsy for evaluation of abnormal uterine bleeding. Journal of Mid-life Health. 2022; 13(1):67-73. doi: 10.4103/jmh.jmh_292_20
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Winata GS, Setiawan WA, Kornia GBR, et al. Three types of curettage: a literatüre review. International Journal of Innovation Scientific Research and Review. 2023; 5(5):4471-4474.
Kaneshiro B, Tschann M, Jensen J, et al. Blood loss at the time of surgical abortion up to 14 weeks in anticoagulated patients: a case series. Contraception. 2017; 96(1):14-18. doi: 10.1016/j.contraception.2017.03.003
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Referanslar
Arslan S. Jinekolojik ve obstetrik cerrahide bakım. İstanbul: İstanbul Tıp Kitabevi; 2023. s:1-219.
Hotun Şahin N. Kadın sağlığı hastalıkları ve doğum. İstanbul: İstanbul Nobel Tıp Kitabevleri; 2023. s: 395-486.
Perkins RB, Guido RS, Castle PE, et al. 2019 ASCCP risk-based management consensus guidelines for abnormal cervical cancer screening tests and cancer precursors. Journal of Lower Genital Tract Disease. 2020; 24(2):102-131. doi: 10.1097/LGT.0000000000000525
Cai L, Huang Y, Lin C, et al. A comparison study of post-operative infection analysis of cold-knife conization and loop electrosurgical excision procedure for cervical high-grade squamous intraepithelial lesion. Translational Cancer Research. 2020; 9(2): 949-957. doi: 10.21037/tcr.2019.12.34
Zhang W, Lin Y. (2022). Modified method of cervical conization with hybrid use of a cold knife and an electric knife for high-grade squamous intraepithelial lesions. Journal of International Medical Research. 2022; 50(6): 03000605221106414. doi: 10.1177/03000605221106414
Santesso N, Mustafa RA, Wiercioch W, et al. Systematic reviews and meta-analyses of benefits and harms of cryotherapy, LEEP, and cold knife conization to treat cervical intraepithelial neoplasia. International Journal of Gynecology & Obstetrics. 2016; 132(3): 266-271. doi: 10.1016/j.ijgo.2015.07.026
Tosun Güleroğlu F. Jinekolojik Minör Cerrahilerde Bakım. Arslan S (ed) Jinekolojik ve Obstetrik Cerrahide Bakım içinde. İstanbul: İstanbul Tıp Kitabevi; 2023.s.124-130.
Raz N, Feinmesser L, Moore O, et al. Endometrial polyps: diagnosis and treatment options–a review of literatüre. Minimally Invasive Therapy & Allied Technologies. 2021; 30(5): 278-287. doi: 10.1080/13645706.2021.1948867
Luerti M, Vitagliano A, Sardo ADS, et al. Effectiveness of hysteroscopic techniques for endometrial polyp removal: the Italian multicenter trial. Journal of Minimally Invasive Gynecology. 2019; 26(6):1169-1176. doi: 10.1016/j.jmig.2018.12.002
Ludwin A, Lindheim SR, Booth R, et al. Removal of uterine polyps: clinical management and surgical approach. Climacteric. 2020; 23(4):388–396. doi: 10.1080/13697137.2020.1784870
Kyriaki S, Ioannis K, Ioannis T, et al. Myomectomy during pregnancy: A systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2020; 254:15-24. doi: 10.1016/j.ejogrb.2020.08.018.
Flyckt R, Coyne K, Falcone T. Minimally invasive myomectomy. Clinical Obstetrics and Gynecology. 2017; 60(2): 252-272. doi: 10.1097/GRF.0000000000000275
Al-Shukri M, Al-Ghafri W, Al-Dhuhli H, et al. Vaginal myomectomy for prolapsed submucous fibroid: It is not only about size. Oman Medical Journal. 2019; 34(6):556-559. doi:10.5001/omj.2019.100
Marín-Buck A, Karaman E, Amer-Cuenca JJ, et al. Minimally invasive myomectomy: An overview on the surgical approaches and a comparison with mini-laparotomy. Journal of Investigative Surgery. 2021; 34(4): 443-450. doi:10.1080/08941939.2019.1642422
Dumitrașcu MC, Nenciu CG, Nenciu AE, et al. Laparoscopic myomectomy–The importance of surgical techniques. Frontiers in Medicine. 2023; 10: 1158264. doi: 10.3389/fmed.2023.1158264
Neis KJ, Zubke W, Fehr M, et al. Clinical practice guideline: Hysterectomy for benign uterine disease. Deutsches Ärzteblatt International. 2016; 113: 242–249. doi:10.3238/arztebl.2016.0242
Topsoee MF, Ibfelt EH, Settnes A. The Danish hysterectomy and hysteroscopy database. Clinical Epidemiology. 2016; 8: 515-520. doi: 10.2147/CLEP.S99465
Whiteside JL, Kaeser CT, Ridgeway B. Achieving high value in the surgical approach to hysterectomy. American Journal of Obstetrics and Gynecology. 2019; 220 (3): 242-245. doi: 10.1016/j.ajog.2018.11.124
Lin CH, Long CY, Huang KH, et al. Surgical trend and volume effect on the choice of hysterectomy benign gynecologic conditions. Gynecology and Minimally Invasive Therapy. 2021; 10(1):1-9. doi: 10.4103/GMIT.GMIT_68_20
Özel, B. Vaginal Hysterectomy: Indications, Avoiding Complications. Shoupe D. (eds) Handbook of Gynecology ın. Springer; 2023.
Maldonado DV, Yi J, Trabuco E. Route of hysterectomy: Vaginal. Journal of Gynecologic Surgery. 2021; 37(2): 101-106. doi: 10.1089/gyn.2020.0234
Dedden SJ, Geomini PMAJ, Huirne JAF, et al. Vaginal and Laparoscopic hysterectomy as an outpatient procedure: A systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2017; 216:212-23. doi: 10.1016/j.ejogrb.2017.07.015
Buhur A, Erdem D. Total laparoskopik histerektomi ile total abdominal histerektomi olgularının karşılaştırılması. Ege Tıp Dergisi. 2022; 61 (4): 541-548. doi: 10.19161/etd.1208961
Sokol AI, Green IC. Laparoscopic hysterectomy. Clinical Obstetrics and Gynecology. 2009; 52(3):304-312. doi:10.1097/GRF.0b013e3181b0879f
Ural A. Jinekolojik Minör Cerrahilerde Bakım. Arslan S (ed.) Jinekolojik ve Obstetrik Cerrahide Bakım içinde. İstanbul: İstanbul Tıp Kitabevi; 2023. S. 134-145.
Carugno J, Fatehi M. Abdominal Hysterectomy. StatPearls Publishing, Treasure Island (FL); 2023.
Ciobotaru OC, Ciobotaru OR, Voicu DC, et al. Postoperative pain after total abdominal hysterectomy and bilateral salpingo-oophorectomy depending on the type of anaesthesia administration. Biotechnology & Biotechnological Equipment. 2016; 30(2): 341–345. doi:10.1080/13102818.2015.1135759
Louie M, Strassle PD, Moulder JK, et al. Uterine weight and complications after abdominal, laparoscopic, and vaginal hysterectomy. American Journal of Obstetrics and Gynecology. 2018; 219(5):480.e1-480.e8. doi: 10.1016/j.ajog.2018.06.015
Gupta M, Gupta P, Yadav P. A randomized comparative study to compare karman's cannula and pipelle biopsy for evaluation of abnormal uterine bleeding. Journal of Mid-life Health. 2022; 13(1):67-73. doi: 10.4103/jmh.jmh_292_20
Allen RH, Goldberg AB. Cervical dilation before first-trimester surgical abortion (<14 weeks' gestation). Contraception. 2016; 93(4):277-291. doi: 10.1016/j.contraception.2015.12.001
Winata GS, Setiawan WA, Kornia GBR, et al. Three types of curettage: a literatüre review. International Journal of Innovation Scientific Research and Review. 2023; 5(5):4471-4474.
Kaneshiro B, Tschann M, Jensen J, et al. Blood loss at the time of surgical abortion up to 14 weeks in anticoagulated patients: a case series. Contraception. 2017; 96(1):14-18. doi: 10.1016/j.contraception.2017.03.003
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