vajinal kaf prolapsusunda tedavi seçenekleri
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Vajinal kaf prolapsusundatedavi seçenekleri
Dr. Tevfik YoldemirMarmara Üniversitesi
Kadın Hastalıkları ve Doğum A.D.
Pelvik organ prolapsus cerrahisi
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Histerektomi sonrası ilk 5 yılda yaşa özel prolapsus cerrahisi
Histerektomiden 5 yıldan daha sonrayaşa özel prolapsus cerrahisi
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Tanıya yönelik anatomik bölgelere göre semptomlar
The Female Pelvic Floor. Function,
Dysfunction and Management According
to the Integral Theory. Second Edition
Tanıya yönelik Klinik muayene
The Female Pelvic Floor. Function,
Dysfunction and Management
According to the Integral Theory.
Second Edition
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Sentetik graftlar
Obstet Gynecol Clin N Am 36 (2009) 615–635
MSC- Meş/Sütür erozyon riskiMeş ve sütür özellikleri
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MSC- Meş/Sütür erozyon riskiDemografik ve cerrahi özellikler
MSC- PelvicFloorDistressInventory
B J U I 2009;1 0 4 : 1 6 7 6 – 1 6 7 9
Pelvik organ prolpasus distres envanteri
Kolorektal-anal distres envanteri
Uriner distres envanteri
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MSC- PelvicFloorDistressInventory
Obstet Gynecol Clin N Am 36 (2009) 615–635
ASC – POP-Q evreleri pre/post-op
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ASC- Pelvik taban disfonksiyonu pre/post-op
ASC – Peri/post-op komplikasyon
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ASC – Uzun dönem sonuçlar
ASC
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LSC – POP-Q pre-op vs 2yıl post-op
LSC – Uriner semptomlarda değişim
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LSC- Barsak semptomlarında değişim
LSC- PelvicFloorDistressInventory / PelvicFloorImpactQ
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LSC- PelvicFloorDistressInventory değişimleri
LSC – Subjektif prolaps semptomları pre/post-op
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LSC- Pelvik rahatsızlık, yaşam kalitesi, cinsellik sonuçları
LS için gereken el aletleri
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LS- Batına giriş
LSC
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Ön meşi vajene dikme (LSC)
• https://www.youtube.com/watch?v=41ZUbE3sc2s
Arka meşi vajene dikme
• https://www.youtube.com/watch?v=oxhGprvGpaE
Ön ve arka meşi birleştirme
• https://www.youtube.com/watch?v=F3bzzhxYSF8
• https://www.youtube.com/watch?v=ZPi9saueBr4
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Promontoriuma meşi dikme
• https://www.youtube.com/watch?v=KofD76_gcbM
• https://www.youtube.com/watch?v=qaMYV4V3WdI
LSC
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LSC
LSC
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LSC
Int Urogynecol J (2008) 19:1415–1422
LSC
Int Urogynecol J (2008) 19:1415–1422
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AUSS
Am J Obstet Gynecol 2009;200:656.e1-656.e5.
AUSS- POP-Q pre/post-op ve operatif komplikasyonlar
Am J Obstet Gynecol 2009;200:656.e1-656.e5.
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AUSS – Erozyona kadar geçen süre
Am J Obstet Gynecol 2009;200:656.e1-656.e5.
L-USS
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TV VVS
Int Urogynecol J (2008) 19:1393–1398
TV VVS
Int Urogynecol J (2008) 19:1393–1398
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TV VVS
Int Urogynecol J (2008) 19:1393–1398
TV USLS
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TV USLS
TV USLS- Post-op anatomik destek
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TV USLS – Post-op anterior vaginal duvar desteği
TV USLS – Subjektif sonuçlar
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TV USLS – Subjektif sonuçlar
SSL
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SSL
SSL
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Hastaya pozisyon verilmesi
SSF
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SSF
Kolpokleisis
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Kolpokleisis
Kolpokleisis
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Dikkatiniz için teşekkür ederim.
Dr. Tevfik Yoldemir
http://www.slideshare.net/dryoldemir