Experıence On Surgıcal Treatment Of Sıngle-Level Thoracıc Dısc Hernıatıons Vıa Costotransversectomy Approach
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Tarih
2014
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info:eu-repo/semantics/openAccess
Özet
Amaç: Kostotransversektomi yaklaşımı ile tedavi edilen tek seviyeli torakal disk hernisi hastalarının sonuçlarını sunmak ve yaklaşımın avantaj ve dezavantajlarını tartışmak. Hastalar ve Yöntem: 2004 ve 2011 yılları arasında kostotransversektomi yöntemi ile ameliyat edilen 21 hastanın disk seviyeleri, geliş yakınmaları, izlem süresinde bulgu ve belirtilerindeki düzelmeler ve komplikasyon oranları sunuldu.Sonuçlar: Genel komplikasyon oranı komplike olay bazında % 38, hasta topluluğu bazında ise %19 olarak hesaplandı. En sık başvuru yakınması ağrı olup aksiyal, bölgesel ya da radiküler olarak görülebilmektedir. En yüksek iyileşme oranı ağrı yakınmasında izlenmiştir. Bu yaklaşımda ameliyat süresi kısa, kan kaybı azdır.Son Çıkarım: Kostotransversektomi iyi bir posterolateral görüş sağlayan, güvenli, kolay, az invaziv bir yaklaşım olarak torakal disk hernilerinin cerrahi tedavisinde ilk sıralarda akılda bulundurulması gereken bir yöntemdir
Objective: To present the surgical results of the patients who have single-level thoracic disc herniation treated by costotransversectomy approach and to discuss advantages and disadvantages of this method.Patients and Method: Presenting symptoms, signs, recovery of symptoms after surgery and complication rates of twenty-one consecutive patients with single-level thoracic disc herniation treated via costotransversectomy in between 2004 and 2010 were presented. Results: Overall complication rate is 38% based on complicated events, and 19% based on patient population. The most common presenting symptom was axial, localized or radicular pain. The highest recovery rate was detected for pain. Operating time was short and blood loss was minimal for this method of operation.Conclusions: Costotransversectomy should be kept in mind as a first line surgical option due to its safety and less invasiveness. It provides excellent posterolateral vision to surgeon
Objective: To present the surgical results of the patients who have single-level thoracic disc herniation treated by costotransversectomy approach and to discuss advantages and disadvantages of this method.Patients and Method: Presenting symptoms, signs, recovery of symptoms after surgery and complication rates of twenty-one consecutive patients with single-level thoracic disc herniation treated via costotransversectomy in between 2004 and 2010 were presented. Results: Overall complication rate is 38% based on complicated events, and 19% based on patient population. The most common presenting symptom was axial, localized or radicular pain. The highest recovery rate was detected for pain. Operating time was short and blood loss was minimal for this method of operation.Conclusions: Costotransversectomy should be kept in mind as a first line surgical option due to its safety and less invasiveness. It provides excellent posterolateral vision to surgeon
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Anahtar Kelimeler
Cerrahi
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Cilt
25
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4