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Hayattir / Duygu ÖZEL Tapan Bölüm 148 - PART 2 Konuk: Kadın Hastalıkları ve Doğum Uzmanı Prof. Dr. Ahmet Kale #WomanTV #Sağlık Laparoskopi Yöntemi Nedir? Nasil Uygulanir? DAHA Fazlasi...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/3796987/d7f74950f498df0b1a5538b7fff23edc/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/AdIWsgAAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"1","reqid":"1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL","summary":{"isFull":true,"fullTextUrl":"/video/result?ask_summarization=1&numdoc=1&noreask=1&nomisspell=1&parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=videoid:6973592488952900793","teaser":[{"list":{"type":"unordered","items":["Bu video, bir sağlık programı formatında olup, sunucu ve konuk olarak Sağlık Bilimleri Üniversitesi öğretim üyesi, Eğitim ve Araştırma Hastanesi Kadın Doğum Eğitim ve İdari Sorumlusu, Kadın Hastalıkları ve Doğum Uzmanı Profesör Dr. Ahmet Kale arasında geçen bir röportajdır. Profesör Kale aynı zamanda Endometri Derneği Yönetim Kurulu Üyesi olarak da görev yapmaktadır.","Video, laparoskopik cerrahinin ne olduğu, avantajları, uygulama alanları ve kadın sağlığı üzerindeki etkileri hakkında kapsamlı bilgiler sunmaktadır. Program, yumurtalık kistleri, miyomlar, çikolata kistleri ve endometriozis gibi kadın hastalıklarının tedavisi, laparoskopi tekniklerinin nasıl uygulandığı ve hastaların sorularına verilen yanıtlar şeklinde yapılandırılmıştır.","Programda laparoskopi'nin açık cerrahiden farkları, hastaların hastanede kalma süresinin kısalması, ağrı çekme riskinin azalması, estetik kaygıların giderilmesi ve yumurtalık rezervi koruma gibi avantajları detaylı şekilde anlatılmaktadır. Ayrıca, laparoskopi eğitimi için gerekli olan uzmanlık süresi, ameliyat sırasında karşılaşılabilecek komplikasyonlar ve SGK'nın bu tür ameliyatları karşılaması gibi konular da ele alınmaktadır."]},"endTime":2023,"title":"Laparoskopik Cerrahi ve Kadın Sağlığı Bilgilendirme Programı","beginTime":0}],"fullResult":[{"index":0,"title":"Yumurtalık Kisti ve Laparoskopik Cerrahi","list":{"type":"unordered","items":["Yumurtalık kisti (over kist) hemen hemen bütün kadınlarda görülen, bazı durumlarda belirti göstermeyen bir durumdur.","Programda yumurtalık kistlerinin oluşma sebebi, belirtileri, tedavi yolları ve laparoskopik cerrahi yaklaşımı ele alınacaktır.","Stüdyoda laparoskopik cerrahi konusunda haberlere konu olan, Sağlık Bilimleri Üniversitesi öğretim üyesi ve Kadın Hastalıkları ve Doğum Uzmanı Profesör Dr. Ahmet Kale bulunuyor."]},"beginTime":10,"endTime":74,"href":"/video/preview/6973592488952900793?parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=Ahmet+Kale&t=10&ask_summarization=1"},{"index":1,"title":"Laparoskopi Tekniğinin Tanımı","list":{"type":"unordered","items":["Laparoskopi, Latince kökenli bir terim olup karın boşluğunun optik kamera yardımıyla gözlenmesi anlamına gelir.","Bu teknikte açık cerrahi yerine, yaklaşık 10-15 santimlik bir kesi olmadan 10 milimetre veya 1 santimlik küçük kesirlerle cerrahi işlemler gerçekleştirilir.","Laparoskopi, karın boşluğundaki patolojik oluşumların cerrahi olarak tedavi edilmesi anlamına gelir."]},"beginTime":74,"endTime":150,"href":"/video/preview/6973592488952900793?parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=Ahmet+Kale&t=74&ask_summarization=1"},{"index":2,"title":"Laparoskopik Cerrahi Uygulamaları","list":{"type":"unordered","items":["Laparoskopik cerrahi sadece tanı amaçlı biyopsi almak için değil, yumurtalık kisti tedavisi, rahim alınma işlemi, rahim kanseri ameliyatı ve sarkma ameliyatları gibi çeşitli durumlarda da uygulanabilir.","Dünya genelinde laparoskopi açık cerrahiden uzaklaşarak tercih edilmekte ve Türkiye'de de bu trend popüler hale gelmiştir.","Son 20-30 senedir laparoskopi güncel bir şekilde Türkiye'de ve dünyada yapılmaya başlanmış, bu konuda yurt içinde ve yurt dışında kongreler düzenlenmektedir."]},"beginTime":150,"endTime":259,"href":"/video/preview/6973592488952900793?parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=Ahmet+Kale&t=150&ask_summarization=1"},{"index":3,"title":"Laparoskopik Cerrahi Eğitimi","list":{"type":"unordered","items":["Normal rutin kadın doğum hekimi olmak için 4 senelik eğitim yeterli olurken, laparoskopi eğitimi için yaklaşık 3-5 sene kadın doğum uzmanlığı süresi ve 6-7 sene laparoskopi ile uğraşma gereklidir.","Laparoskopik dikiş atma gibi teknikler normal açık dikiş atmaktan farklıdır ve el-beyin koordinasyonu için 3-6 ay alışma süresi gerekebilir.","Laparoskopi eğitimi uzun bir süreçtir ve hala öğrenme aşamasında olunabilir."]},"beginTime":259,"endTime":315,"href":"/video/preview/6973592488952900793?parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=Ahmet+Kale&t=259&ask_summarization=1"},{"index":4,"title":"Laparoskopik Cerrahi Süreci","list":{"type":"unordered","items":["Laparoskopi ameliyatında göbek deliğinden yaklaşık 1 santimlik (10 milimetrelik) bir kesi yapılarak optikler yerleştirilir.","Karın kısmının yan taraflarına 5 milimetrelik küçük prokar aletleri yerleştirilir ve ameliyat ekrandan izlenir.","Ameliyat sırasında karın iç organları ekranda seyredilir ve gerekli cerrahi işlemler gerçekleştirilir."]},"beginTime":315,"endTime":383,"href":"/video/preview/6973592488952900793?parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=Ahmet+Kale&t=315&ask_summarization=1"},{"index":5,"title":"Laparoskopik Cerrahinin Avantajları","list":{"type":"unordered","items":["Laparoskopi, açık cerrahiden (laparatomi) daha kısa hastanede kalma süresi sunar ve hastalar birkaç gün içerisinde işine dönmek isteyebilir.","Laparoskopi, ağrı çekme riskini azaltır ve hastalar daha az ağrı çekerek bir an önce işine dönmek isteyebilir.","Laparoskopi estetik açıdan avantajlıdır çünkü iz bırakmaz, bu da hastaların hayat kalitesini artırır ve ekonomik harcamaları engeller."]},"beginTime":383,"endTime":509,"href":"/video/preview/6973592488952900793?parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=Ahmet+Kale&t=383&ask_summarization=1"},{"index":6,"title":"Laparoskopik Cerrahinin Avantajları","list":{"type":"unordered","items":["Laparoskopik cerrahi estetik bir cerrahi olup, kanser ameliyatları da alttan vajinal yoldan yapılabilir.","Tek port ameliyatı (single port) olarak adlandırılan yöntemde, tüm cerrahi işlemler sadece göbekten gerçekleştirilir ve dışarıdan iz görünmez.","Vajinal yoldan laparoskopi (WINS) ile yapılan ameliyatlar çok hızlı sonuç verir; hastalar bir gün sonra evlerine dönebilir ve iz kalmaz."]},"beginTime":527,"endTime":630,"href":"/video/preview/6973592488952900793?parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=Ahmet+Kale&t=527&ask_summarization=1"},{"index":7,"title":"Ameliyat Süreleri ve Maliyetler","list":{"type":"unordered","items":["Kist ameliyatı yaklaşık yarım saat kırkbeş dakika, rahim alınma ameliyatı ortalama bir saatte, miyom ameliyatları bir saat bir buçuk saat, kanser ameliyatları iki saati geçmez.","Amerika'da ameliyathane odalarının saatlik kullanım ücretleri vardır ve hasta ne kadar süre hastanede kalırsa o kadar maliyet artar.","Laparoskopik cerrahi, estetik, kanama azlığı, hastanede yatış süresinin kısalması, ağrı azlığı ve işe dönüşün hızlı olması gibi avantajlar sunar."]},"beginTime":630,"endTime":741,"href":"/video/preview/6973592488952900793?parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=Ahmet+Kale&t=630&ask_summarization=1"},{"index":8,"title":"Komplikasyonlar ve Ekip Çalışması","list":{"type":"unordered","items":["Laparoskopik cerrahinin komplikasyonları açık cerrahiye göre daha az değil, ancak hemen hemen aynıdır.","Laparoskopik cerrahi sırasında sorun yaşanması durumunda açık cerrahiye geçiş yapılabilir, bu nedenle ekibin hazırlıklı olması gerekir.","Kalp damar cerrahı, genel cerrah ve üroloji doktoru gibi farklı uzmanların ameliyata dahil olabileceği bir ekip çalışması gereklidir."]},"beginTime":741,"endTime":835,"href":"/video/preview/6973592488952900793?parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=Ahmet+Kale&t=741&ask_summarization=1"},{"index":9,"title":"Hastanenin Donanımlı Olması","list":{"type":"unordered","items":["Hastanede sadece kadın doğumcunun olması yeterli değildir, tam deneyimli ve donanımlı bir ekip olması gerekir.","Hastanede genel cerrah, kalp damar cerrahı ve kan merkezi gibi acil durumlarda gerekli donanımların bulunması önemlidir.","Kartal Eğitim Araştırma Hastanesi gibi tam teşekküllü hastanelerde laparoskopik cerrahi daha konforlu ve güvenli bir şekilde yapılabilir."]},"beginTime":835,"endTime":895,"href":"/video/preview/6973592488952900793?parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=Ahmet+Kale&t=835&ask_summarization=1"},{"index":10,"title":"Laparoskopik Cerrahinin Uygulanma Alanları","list":{"type":"unordered","items":["Türkiye'de her hastanede laparoskopik cerrahi yapan hekim ve ekipmanlar bulunmaz, özellikle eğitim araştırma hastanelerinde ve bazı özel hastanelerde mevcuttur.","Cerrahın deneyimli olması ve haftada iki-üç tane laparoskopik cerrahi gerçekleştirmesi gerekir.","Doğu ve Güneydoğu Anadolu bölgelerinde de laparoskopik cerrahi yapan cerrahlar bulunmakta, ancak merkezler İstanbul ve Ankara'dadır."]},"beginTime":895,"endTime":1006,"href":"/video/preview/6973592488952900793?parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=Ahmet+Kale&t=895&ask_summarization=1"},{"index":11,"title":"Laparoskopik Cerrahinin Uygulanamayacağı Hastalar","list":{"type":"unordered","items":["Çok morbit obez hastalar (200 kilo gibi) laparoskopik cerrahiye uygun değildir.","Vajinal laparoskopi ile rahim veya yumurtalık kistleri çıkarılabilir.","Sistemik hastalıklar, anestezi sorunları veya karbondioksit gazı kullanımı gibi durumlarda laparoskopik cerrahi uygulanamayabilir."]},"beginTime":1006,"endTime":1032,"href":"/video/preview/6973592488952900793?parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=Ahmet+Kale&t=1006&ask_summarization=1"},{"index":12,"title":"Karbondioksit Gazı ve Laparoskopi","list":{"type":"unordered","items":["Karbondioksit gazı, batının şişirmek için kullanılır ve optik kamera ile görüntüleme yapılır.","Astım olan hastalarda karbondioksit gazı batına girdiğinde akciğer ve diyafram hareketleri engellenir, bu nedenle laparoskopi zor olabilir.","Akciğer ile ilgili problem olan hastalarda mümkünse vajinal laparoskopi veya işsiz cerrahi tercih edilir."]},"beginTime":1038,"endTime":1114,"href":"/video/preview/6973592488952900793?parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=Ahmet+Kale&t=1038&ask_summarization=1"},{"index":13,"title":"Rahim Septum ve Korusa","list":{"type":"unordered","items":["Rahim septum, rahmin iç kısmında bir perde olması durumudur ve trans vajinal ultrason ile tanısı konulabilir.","Korusa, rahmin üst kısmının düz olması yerine çift olması durumudur ve de ultrasonografi ile tanısı konulabilir.","Rahim septum ve korusa tanısını koymak için laparoskopi gerekmez, histeroskopi ile müdahale edilebilir."]},"beginTime":1114,"endTime":1214,"href":"/video/preview/6973592488952900793?parent-reqid=1791512046622799-17257649883103832482-balancer-l7leveler-kubr-yp-vla-159-BAL&text=Ahmet+Kale&t=1114&ask_summarization=1"},{"index":14,"title":"Laparoskopi Uygulaması","list":{"type":"unordered","items":["Laparoskopi, deneyimli ve infertilite ile spesifik ilgilenen bir hekime başvurulmalıdır.","Her hastaya laparoskopi yapılmaz, tanıyı koyduktan sonra gerekli hastalarda uygulanır.","SGK, laparoskopi işlemlerine karşılık verir ve maliyet farkı 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