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2013, vol. 19, br. 1-2, str. 39-42
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Sistem za histeroskopsku tubarnu okluziju - prikaz dva slučaja
Hysteroscopic tubal occlusion system: Two case report
Department of Obstetrics and Gynecology, Izmir Ataturk Training and Research Hospital, Izmir, Turkey
e-adresa: hayriautf2009@yahoo.com
Sažetak
Cilj rada. Prikaz naših prvih slučajeva histeroskopske Essure mikroinsert sterilizacije (HEMS), i provere stanja pacijenata posle 5 godina. Metod. HEMS je izvršen kod dve žene koje su zahtevale trajnu sterilizaciju, na odeljenju za ginekologiju i akušerstvo na našem institutu (İzmir Atatürk Training and Research Hospital, Turska), u januaru 2007. Kontrola pacijenata vizuelizacionim tehnikama izvršena je posle 3 i posle 5 godina od postupka Rezultati. Nije bilo komplikacija ni u perioperativnom niti u postoperativnom periodu. Postupak je uspešno proveden. Položaj mikroinsert sistema i potpuna okluzija tuba, potvrđeni su postoperativno. Pet godina posle postupka pacijenti nemaju tegobe, a pregled je izvršen transvaginalnom ultrasonografijom. Zaključak. HEMS tehnika je bezbedna, lako se primenjuje i veoma je efikasna. Iako ima mnoge prednosti u odnosu na tradicionalne metode, ne izvodi se često, zbog neiskustva u našoj zemlji.
Abstract
Objective: To review Hysteroscopic Essure Microinsert Sterilization (HEMS) technique of our first applications and to evaluate their 5-years follow-up. Method: HEMS was performed to two women asking for permanent sterilization in the department of obstetrics and gynecology, in our institute (İzmir Atatürk Training and Research Hospital, Turkey), in January 2007. Three months after the procedure and 5 years after the procedure, patients were evaluated using imaging technique. Results: There had been no complications in perioperative and postoperative period. The procedure was successfully performed. The placement of the system and total tubal occlusion were confirmed postoperatively. Five years after the procedure patients had no complaints, and they were evaluated by transvaginal ultrasonography. Conclusion: HEMS procedure is safe, easy, well-tolerated and highly effective. Although it has many advantages compared to the traditional methods, it is not performed often, because of inexperience in our country.
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