Genel Cerrah Emin Ye\u011finboy, anal fist\u00fcl ameliyat\u0131nda lazer uygulamas\u0131ndan ba\u015far\u0131l\u0131 sonu\u00e7lar al\u0131nd\u0131\u011f\u0131n\u0131 s\u00f6yledi. Ye\u011finboy, \u201cAmeliyat\u0131n temel prensibi anal fist\u00fcl kanal\u0131n\u0131n saptan\u0131p mekanik temizli\u011fi yap\u0131ld\u0131ktan sonra lazer enerjisiyle fist\u00fcl yolunun yak\u0131larak \u2018m\u00fch\u00fcrlenmesi\u2019dir. Lazer y\u00f6ntemi anal fist\u00fcl tedavisinde standart olma yolunda ilerliyor\u201d dedi.<\/p>\n
Kent Bayrakl\u0131 T\u0131p Merkezi Genel Cerrahi Uzman\u0131 Op. Dr. Emin Ye\u011finboy anal apseli her d\u00f6rt ki\u015fiden birinde fist\u00fcl geli\u015febildi\u011fini ifade etti. Ye\u011finboy, cilt ve ba\u011f\u0131rsak aras\u0131nda normalde olmamas\u0131 gereken bir ba\u011flant\u0131n\u0131n (kanal\u0131n) olu\u015fmas\u0131na fist\u00fcl denildi\u011fini hat\u0131rlatt\u0131. Ye\u011finboy, anal fist\u00fcl\u00fcn, ba\u011f\u0131rsa\u011f\u0131n son k\u0131sm\u0131 ile an\u00fcs \u00e7evresindeki deri aras\u0131nda geli\u015fen t\u00fcnel \u015feklindeki anormal yap\u0131lar oldu\u011funu, genellikle an\u00fcs \u00e7evresindeki bir enfeksiyonun sonucu olarak geli\u015fen apse nedeniyle ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 kaydetti.<\/p>\n
Anal fist\u00fcl tedavisinin genel cerrahinin en komplike hastal\u0131klar\u0131ndan biri oldu\u011funu s\u00f6yleyen Op. Dr. Ye\u011finboy, \u015f\u00f6yle konu\u015ftu: \u201c\u0130lk ameliyat sonras\u0131 tam iyile\u015fme oran\u0131 t\u0131bb\u0131n t\u00fcm ilerlemelerine kar\u015f\u0131n y\u00fczde 70 civar\u0131ndad\u0131r. Anal fist\u00fcl \u00fcst ba\u015fl\u0131\u011f\u0131 alt\u0131nda hastal\u0131\u011f\u0131n farkl\u0131 \u015fekillerdeki anatomik yerle\u015fimi cerrahi ba\u015far\u0131s\u0131zl\u0131\u011f\u0131n en \u00f6nemli etkenidir. Cerrahi giri\u015fim s\u0131ras\u0131nda, sfinkter (makat\u0131 kontrol eden kas) kaslar\u0131 aras\u0131nda yer alan apse bo\u015flu\u011funun yeterince bo\u015falt\u0131lamamas\u0131 veya yan yollar\u0131n saptanamayarak, enfeksiyonun oralardan yoluna devam etmesi ba\u015far\u0131s\u0131zl\u0131\u011f\u0131 etkileyen birincil nedenler aras\u0131ndad\u0131r. T\u0131bbi uygulamalarda laser her ge\u00e7en g\u00fcn kendisine yeni uygulama alanlar\u0131 a\u00e7\u0131yor. Nitekim 2010\u2019lu y\u0131llardan itibaren 1470 nm dalga boyu ve 10 W-12 W g\u00fcc\u00fcnde lazer sondas\u0131 kullan\u0131larak yap\u0131lan FiLaC (Laserli Fist\u00fcl Kapatma ameliyat\u0131) ba\u015far\u0131 oran\u0131 gittik\u00e7e y\u00fckselmektedir. Ameliyat\u0131n temel prensibi anal fist\u00fcl kanal\u0131 saptan\u0131p, kanal\u0131n mekanik temizli\u011fi yap\u0131ld\u0131ktan sonra lazer sondas\u0131yla 10W g\u00fcc\u00fcnde sal\u0131nan lazer enerjisiyle fist\u00fcl yolunun yak\u0131larak \u2018m\u00fch\u00fcrlenmesidir\u2019. Lazer enerjisinin d\u00fc\u015f\u00fck infiltrasyon \u00f6zelli\u011fi sfinkter kas\u0131 \u00fczerinde travma olas\u0131l\u0131\u011f\u0131n\u0131 azaltmakta, bu durum da ameliyat\u0131n en \u00f6nemli komplikasyonu olan enkontinans (ka\u00e7\u0131rma- tutamama) riskini azaltmaktad\u0131r. Ameliyat s\u00fcresi ortalama 20 dakikad\u0131r. Ameliyat sonras\u0131 hastan\u0131n a\u011fr\u0131 yak\u0131nmas\u0131 minimal d\u00fczeydedir. D\u0131\u015fk\u0131lamada herhangi bir sorun olmamaktad\u0131r. \u00c7abuk yara iyile\u015fmesi ameliyat\u0131n en \u00f6nemli art\u0131lar\u0131 aras\u0131ndad\u0131r. \u00c7evre doku anatomik yap\u0131s\u0131nda b\u00fcy\u00fck bir de\u011fi\u015fime yol a\u00e7mamas\u0131, olas\u0131 bir n\u00fcks durumunda, ikinci ameliyat\u0131 teknik olarak zorla\u015ft\u0131rmamaktad\u0131r. Lazer ile ikinci bir giri\u015fimi m\u00fcmk\u00fcn k\u0131lmaktad\u0131r. Uzun y\u0131llara dayanan bir uygulama olmamas\u0131 nedeniyle, hen\u00fcz \u00e7ok say\u0131da hasta takibinin olmamas\u0131, \u015fimdilik bilimsel bir dezavantaj olarak de\u011ferlendirilebilir. Bu dezavantaja kar\u015f\u0131n lazer y\u00f6ntemi anal fist\u00fcl tedavisinde standart olma yolunda ilerliyor.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
GENEL CERRAH EM\u0130N YE\u011e\u0130NBOY, ANAL F\u0130ST\u00dcL AMEL\u0130YATINDA LASER UYGULAMASINDAN BA\u015eARILI SONU\u00c7LAR ALINDI\u011eINI S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":245805,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[45626,61154,61155,8953,5839],"class_list":["post-245804","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-anal","tag-fistul","tag-muhurleme","tag-tedavisinde","tag-yontemi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/12\/anal-fistul-tedavisinde-muhurleme-yontemi_6d2b0eb.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-11WA","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/245804","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=245804"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/245804\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/245805"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=245804"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=245804"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=245804"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}