Protez Enfeksiyonunda Penis Protezinin Modifiye Doğrudan Kurtarma İşlemiyle Reimplantasyonu: Olgu Sunumu Ve Literatür Taraması
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Dosyalar
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi Dergisi
Erişim Hakkı
Özet
Penil protez implantasyonu medikal tedaviye dirençli erektil disfonksiyonun tedavisinde en fazla popüler ve kabul
edilebilir cerrahi tedavi yöntemi olmuştur. Bununla birlikte protez enfeksiyonu diğer protez cerrahilerinde olduğu
gibi bu tip cerrahinin en ciddi ve tahrip edici komplikasyonudur. Bu komplikasyon genellikle enfekte protezin
çıkarılması ve yenisinin reimplantasyonunu gerektirir, bu yüzden hasta açısından önemli morbiditeye neden olur ve
sağlık giderlerini artırır. Bu raporda bükülebilir protez enfeksiyonu nedeniyle modifiye doğrudan kurtarma işlemi
uygulanan bir hasta sunulmuştur. Bu olguda enfekte protez çıkarılıp implant boşluğuna seftriakson, amikasin ve
rifampin içeren 4 aşamalı kuvvetli intraoperatif irrigasyon uygulandı. Protez değişik solüsyonlarla temizlenip sterilize
edildikten sonra eş zamanlı reimplantasyon uygulandı.
Penile prosthesis implantation has become the most popular and acceptable mode of surgical intervention in the treatment of erectile dysfunction refractory to medical treatment. However, prosthesis infection is the most serious and devastating complication of this type of the surgery, as in other prosthesis surgeries. This complication usually necessitates the removal of infected prosthesis and reimplantation of a new one, therefore causes to significant morbidity for the patient and increases the healthcare cost. In this report a patient who underwent modified immediate salvage procedure for malleable prosthesis infection is presented. In this case, infected prostheses were removed and a 4-step vigorous intraoperative irrigation of implant space with 4 different solutions, including ceftriaxone, amikacin and rifampin was done. After prostheses were cleaned and sterilized with different solutions, simultaneous reimplantation was performed.
Penile prosthesis implantation has become the most popular and acceptable mode of surgical intervention in the treatment of erectile dysfunction refractory to medical treatment. However, prosthesis infection is the most serious and devastating complication of this type of the surgery, as in other prosthesis surgeries. This complication usually necessitates the removal of infected prosthesis and reimplantation of a new one, therefore causes to significant morbidity for the patient and increases the healthcare cost. In this report a patient who underwent modified immediate salvage procedure for malleable prosthesis infection is presented. In this case, infected prostheses were removed and a 4-step vigorous intraoperative irrigation of implant space with 4 different solutions, including ceftriaxone, amikacin and rifampin was done. After prostheses were cleaned and sterilized with different solutions, simultaneous reimplantation was performed.
Açıklama
İnönü Üniversitesi Tıp Fakültesi Dergisi
12(4)261-264 (2005)
Anahtar Kelimeler
Penil protez, Protez enfeksiyonu, Doğrudan kurtarma işlemi, Antibiyotik tedavisi, Reimplantasyon, Penile prosthesis, Prosthesis infection, Immediate salvage procedure, Antibiotic therapy, Reimplantation
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Kılıç, Süleyman ;Beytur, Ali ;Ergin, Hüseyin ;Baydinç, Can ;İnönü Üniversitesi Tıp Fakültesi Dergisi 12(4)261-264 (2005)
