Turkiye Klinikleri Archives of Lung

.: ORIGINAL RESEARCH
Elastofibroma Dorsi Rezeksiyonu Sonrası Seroma Oluşumunu Engellemede Talk Pudra: Tanımlayıcı Araştırma
Talc Powder to Prevent Seroma Formation After Elastofibroma Dorsi Resection: Descriptive Research
Hıdır ESMEa, Ferdane Melike DURANa
aKonya Şehir Hastanesi, Göğüs Cerrahisi Kliniği, Konya, TÜRKİYE
Turkiye Klinikleri Arch Lung. 2021;20(3):77-81
doi: 10.5336/archlung.2021-83337
Article Language: TR
Full Text
ÖZET
 Amaç: Elastofibroma dorsi, göğüs duvarının yumuşak doku tümörüdür. Bu çalışmada, elastofibroma dorsi nedeniyle ameliyat edilen hastalarda, postoperatif seroma oluşumunu önlemek için aldığımız önlemleri ve seroma oluştuğunda talk pudrası ile elde ettiğimiz başarıyı sunmak istedik. Gereç ve Yöntemler: Tanımlayıcı nitelikte olan çalışmamızda, Sağlık Bilimleri Üniversitesi Konya Şehir Hastanesi Göğüs Cerrahi Kliniğinde, 2010-2020 yılları arasında elastofibroma dorsi tanısı ile ameliyat edilen 29 hasta geriye dönük olarak incelendi. Hastalar; yaş, cinsiyet, semptom, klinik bulgular, tanısal ve radyolojik yöntemler, cerrahi tedavi, postoperatif komplikasyon, nüks ve takipler açısından değerlendirildi. Hastaların tanısı için anamnez, fizik muayene ve radyolojik tetkikler yeterli oldu. Bulgular: Yirmi dokuz hastada toplam 39 kitle eksizyonu yapıldı. 2010-2017 yılları arasında ameliyat ettiğimiz 22 hastanın 3'ünde, 3 günden fazla uzamış drenaj süresi; 2'sinde ise hemovakın sonlandırılmasından sonra aspirasyonu gerektiren seroma görüldü. Bundan dolayı son 3 yılda postoperatif takiplerinde, hemovaktan günlük 50 mL üzerinde drenaj olması ve drenajın 3 günden fazla devam etmesi durumunda 2 g talk hemovaktan verilerek seroma tedavi edildi. Sonuç: Seromanın oluşumunu engellemede, kitlenin eksizyonundan sonra ayrıntılı hemostaz, rutin hemovak drenajı ve baskılı bandaj önemlidir. Seroma oluşumunu engelleyici önlemlerle birlikte drenaj miktarının fazla olduğu veya drenaj süresinin uzadığı hastalarda talk kullanımının seroma tedavisinde faydalı olacağı kanaatindeyiz.

Anahtar Kelimeler: Elastofibroma dorsi; seroma; talk
ABSTRACT
 Objective: Elastofibroma dorsi is a soft tissue tumor of the chest wall. In this study, we wanted to present the precautions we took in preventing postoperative seroma formation in patients who were operated due to elastofibroma dorsi and the success we achieved with talc powder when seroma occurred. Material and Methods: In our descriptive study, 29 patients who were operated on with the diagnosis of elastofibroma dorsi in Health Sciences University Konya City Hospital Thoracic Surgery Clinic between 2010 and 2020 were retrospectively analyzed. Patients were evaluated in terms of age, gender, complaints, clinical findings, diagnostic and radiological methods, surgical treatment, postoperative complications, recurrence and followup. Anamnesis, physical examination and radiological examinations were sufficient for the diagnosis of the patients. Results: A total of 39 mass excisions were performed in 29 patients. Of the 22 patients we operated between 2010 and 2017, 3 had prolonged drainage duration of more than 3 days and seroma requiring aspiration was observed in 2 of them after hemovac termination. Therefore, in the postoperative follow-up of our last 3 years, if there was a drainage of more than 50 mL daily from the hemovac and the drainage continued for more than 3 days, 2g of talc was given from the hemovac and the seroma was treated. Conclusion: Detailed hemostasis, routine hemovac drainage and pressure bandage after excision of the mass are important in preventing seroma formation. In addition to preventing seroma formation, we believe that the use of talc will be beneficial in the treatment of seroma in patients with excessive drainage or prolonged drainage time.

Keywords: Elastofibroma dorsi; seroma; talc
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