.: ORİJİNAL ARAŞTIRMA
Assessment of Patients Whose Pars Plana Vitrectomy Operations Were Postponed in the Operating Room: Retrospective Study
Pars Plana Vitrektomi Cerrahisi Ameliyathanede Ertelenen Hastaların Değerlendirmesi: Retrospektif Çalışma
Turkiye Klinikleri J Ophthalmol. 2023;32(3):169-75
doi: 10.5336/ophthal.2023-96073
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: To determine the reasons related to the cancellation of the surgeries of the patients who were taken to the operating table for pars plana vitrectomy and the precautions needed to be taken to prevent them. Material and Methods: Twenty-five patients who were planned to be operated on for different retinal diseases between January 2018 and June 2019, but whose surgeries were canceled due to medical reasons, were included in this study. Demographic data of the patients and indications of surgery and causes of operation cancellation were analyzed. Results: 11 (44%) of the patients were female and 14 (56%) were male, and 15 (60.2%) of them needed to have a vitreoretinal surgery in the right eye while the other 10 (39.8%) in the left eye. Surgical indications were diabetic intravitreal hemorrhage in 8 (32%) cases, retinal detachment in 7 (28%) cases, cataract, and epiretinal membrane in 5 (20%) cases, intraocular lens dislocation in 4 (16%) eyes and 1 (4%) case with retinal detachment and prephytisis. 16 (64%) of the patients had hypertension (HT), 11 (44%) of the patients had diabetes mellitus, 7 (28%) of the patients had coronary heart disease (CHD), 2 (8%) of the patients had obesity, 2 (8%) of the patients had a chronic renal failure and 1 (4%) of the patients had epilepsy. The most common medical reason for cancellation of the surgery was HT and CHD (64%). Conclusion: Careful assessment of the reasons for cancellation will lessen time loss and financial losses for both the patient and the healthcare system.
Keywords: Pars plana vitrectomy; systemic disease; operating room
Objective: To determine the reasons related to the cancellation of the surgeries of the patients who were taken to the operating table for pars plana vitrectomy and the precautions needed to be taken to prevent them. Material and Methods: Twenty-five patients who were planned to be operated on for different retinal diseases between January 2018 and June 2019, but whose surgeries were canceled due to medical reasons, were included in this study. Demographic data of the patients and indications of surgery and causes of operation cancellation were analyzed. Results: 11 (44%) of the patients were female and 14 (56%) were male, and 15 (60.2%) of them needed to have a vitreoretinal surgery in the right eye while the other 10 (39.8%) in the left eye. Surgical indications were diabetic intravitreal hemorrhage in 8 (32%) cases, retinal detachment in 7 (28%) cases, cataract, and epiretinal membrane in 5 (20%) cases, intraocular lens dislocation in 4 (16%) eyes and 1 (4%) case with retinal detachment and prephytisis. 16 (64%) of the patients had hypertension (HT), 11 (44%) of the patients had diabetes mellitus, 7 (28%) of the patients had coronary heart disease (CHD), 2 (8%) of the patients had obesity, 2 (8%) of the patients had a chronic renal failure and 1 (4%) of the patients had epilepsy. The most common medical reason for cancellation of the surgery was HT and CHD (64%). Conclusion: Careful assessment of the reasons for cancellation will lessen time loss and financial losses for both the patient and the healthcare system.
Keywords: Pars plana vitrectomy; systemic disease; operating room
ÖZET
Amaç: Pars plana vitrektomi (PPV) için ameliyathaneye alınan ancak ameliyatı ertelenen hastaların ameliyatlarının ertelenme sebepleri ve bunlara yönelik alınabilecek önlemleri tespit etmek. Gereç ve Yöntemler: Ocak 2018-Haziran 2019 tarihleri arasında farklı retina hastalıkları nedeniyle ameliyat edilmesi planlanan ancak tıbbi nedenlerle ameliyatları iptal edilen 25 hasta bu çalışmaya dahil edildi. Hastaların demografik bilgileri ve ameliyat olma endikasyonları ve ameliyatlarının ertelenme sebepleri analiz edildi. Bulgular: Hasta grubunda 11'i (%44) kadın ve 14'ü (%56) erkek ve 15'inin (%60,2) sağ gözünde, 10'unun (%39,8) sol gözünde vitreoretinal cerrahi ihtiyacı vardı. Ameliyat endikasyonu 8 (%32) hastada diyabetik intravitreal hemoroji, 7 (%28) hastada retina dekolmanı, 5 (%20) hastada katarakt ve epiretinal membran, 4 (%16) hastada göz içi lens dislokasyonu ve 1 (%4) hastada retina dekolmanlı prefitizik göz idi. Öz geçmişlerinde 16 (%64) hastada hipertansiyon (HT), 11 (%44) hastada diabetes mellitus, 7 (%28) hastada koroner kalp hastalığı (KKH), 2 (%8) hastada obezite, 2 (%8) hastada kronik böbrek yetersizliği ve 1 (%4) hastada epilepsi vardı. En çok karşılaşılan ameliyat erteleme sebebi HT ve KKH (%64) idi. Sonuç: Ameliyat erteleme sebeplerini dikkatli şekilde değerlendirmek ve daha fazla önlem almak hem hasta hem de sağlık sisteminin zaman ve diğer kayıplarını azaltacaktır.
Anahtar Kelimeler: Pars plana vitrektomi; sistemik hastalık; ameliyathane
Amaç: Pars plana vitrektomi (PPV) için ameliyathaneye alınan ancak ameliyatı ertelenen hastaların ameliyatlarının ertelenme sebepleri ve bunlara yönelik alınabilecek önlemleri tespit etmek. Gereç ve Yöntemler: Ocak 2018-Haziran 2019 tarihleri arasında farklı retina hastalıkları nedeniyle ameliyat edilmesi planlanan ancak tıbbi nedenlerle ameliyatları iptal edilen 25 hasta bu çalışmaya dahil edildi. Hastaların demografik bilgileri ve ameliyat olma endikasyonları ve ameliyatlarının ertelenme sebepleri analiz edildi. Bulgular: Hasta grubunda 11'i (%44) kadın ve 14'ü (%56) erkek ve 15'inin (%60,2) sağ gözünde, 10'unun (%39,8) sol gözünde vitreoretinal cerrahi ihtiyacı vardı. Ameliyat endikasyonu 8 (%32) hastada diyabetik intravitreal hemoroji, 7 (%28) hastada retina dekolmanı, 5 (%20) hastada katarakt ve epiretinal membran, 4 (%16) hastada göz içi lens dislokasyonu ve 1 (%4) hastada retina dekolmanlı prefitizik göz idi. Öz geçmişlerinde 16 (%64) hastada hipertansiyon (HT), 11 (%44) hastada diabetes mellitus, 7 (%28) hastada koroner kalp hastalığı (KKH), 2 (%8) hastada obezite, 2 (%8) hastada kronik böbrek yetersizliği ve 1 (%4) hastada epilepsi vardı. En çok karşılaşılan ameliyat erteleme sebebi HT ve KKH (%64) idi. Sonuç: Ameliyat erteleme sebeplerini dikkatli şekilde değerlendirmek ve daha fazla önlem almak hem hasta hem de sağlık sisteminin zaman ve diğer kayıplarını azaltacaktır.
Anahtar Kelimeler: Pars plana vitrektomi; sistemik hastalık; ameliyathane
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