{"id":101177,"date":"2023-07-26T13:52:06","date_gmt":"2023-07-26T10:52:06","guid":{"rendered":"https:\/\/sanatate.md\/?p=101177"},"modified":"2023-07-26T13:52:06","modified_gmt":"2023-07-26T10:52:06","slug":"tumoare-gigant-de-50-de-cm-la-o-adolescenta","status":"publish","type":"post","link":"https:\/\/sanatate.md\/ro\/tumoare-gigant-de-50-de-cm-la-o-adolescenta\/","title":{"rendered":"Tumoare gigant de 50 de cm la o adolescent\u0103, operat\u0103 minim invaziv de echipa Medpark"},"content":{"rendered":"

O forma\u021biune de peste 50 de cm localizat\u0103 \u00een abdomenul unei adolescente de 14 ani – o problem\u0103 medical\u0103 cu care s-au confruntat chirurgii ginecologi Medpark \u0219i care a fost rezolvat\u0103 printr-o interven\u021bie minim invaziv\u0103 cu aplicarea biopsiei intraoperatorii pentru a identifica tipul tumorii: benign sau malign, chiar \u00een timpul opera\u021biei.<\/p>\n

Pacienta a ajuns la consult invoc\u00e2nd dureri abdominale \u0219i cre\u0219terea bur\u021bii \u00een volum. Un examen ecografic a ar\u0103tat c\u0103 durerile erau cauzate de forma\u021biunea care a invadat o bun\u0103 parte din cavitatea abdominal\u0103 \u0219i care s-a triplat \u00een volum \u00eentr-un singur an.<\/p>\n

\"\"<\/p>\n

Operat\u0103 minim invaziv, cu p\u0103strarea func\u021biei reproductive 100%<\/h3>\n

Din dorin\u021ba de a p\u0103stra func\u021bia reproductiv\u0103 \u00een totalitate, dar \u0219i pentru a nu supune pacienta unei reabilit\u0103ri \u00eendelungate, echipa chirurgilor ginecologi Medpark, dr. Natalia Sablina, medicul curant al pacientei \u0219i dr. Natalia Raiu, au decis efectuarea opera\u021biei pe cale laparoscopic\u0103 dup\u0103 tehnologia Hasson cu aplicarea Alexis Laparoscopic System<\/strong>, disponibil doar la Medpark.<\/p>\n

Unicitatea acestei tehnici const\u0103 \u00een posibilitatea pe care o ofer\u0103 chirurgului. \u00cen cazul prezen\u021bei unei forma\u021biuni lichidiene voluminoase, Alexis system permite vizualizarea marginilor tumorii \u0219i men\u021binerea con\u021binutului tumorii \u00een afara cavit\u0103\u021bii abdominale.<\/p>\n

\"\"<\/p>\n

Natalia Sablina, chirurg ginecolog, onco-ginecolog<\/strong>: \u201eForma\u021biunea pacientei era \u00eentr-at\u00e2t de mare, \u00eenc\u00e2t \u00een timpul ecografiei am \u00een\u021beles c\u0103 aceast\u0103 tumoare gigant atinge diafragma. Din cauza dimensiunilor enorme, toate organele erau comprimate. Iar atunci c\u00e2nd a efectuat un IRM bazin mic \u0219i abdomen, polul superior al forma\u021biunii nu a \u00eenc\u0103put \u00een imagine. \u0218i, de\u0219i \u00een toate institu\u021biile la care au mers pacienta cu mama ei primeau recomandarea de interven\u021bie prin laparatomie larg\u0103, vertical\u0103, adic\u0103 abord clasic, noi am decis s\u0103 facem interven\u021bia pe cale minim invaziv\u0103. Pe l\u00e2ng\u0103 aspectul estetic, am p\u0103strat ovarul st\u00e2ng \u00een totalitate, respectiv \u00een viitor, \u0219ansele s\u0103 devin\u0103 mam\u0103 sunt de 100%.\u201d<\/em><\/p>\n

\u00cen timpul interven\u021biei s-a constatat c\u0103 forma\u021biunea avea 5 litri de lichid, iat\u0103 de ce adolescenta se pl\u00e2ngea de cre\u0219terea bur\u021bii \u00een volum.<\/p>\n

Natalia Raiu, chirurg ginecolog<\/strong>: \u201e\u00cen cazul pacientei am efectuat o chistectomie \u0219i salpingectomie pe st\u00e2nga, de pe urma c\u0103reia am eliminat \u0219i acel lichid care era stocat \u00een interiorul tumorii. Imagina\u021bi-v\u0103 o sticl\u0103 de 5 litri cu ap\u0103 pe care mul\u021bi dintre noi o cump\u0103r\u0103 la magazin. Cum ar fi ca to\u021bi ace\u0219ti cinci litri s\u0103 fie \u00een interiorul nostru \u0219i constant s\u0103 purt\u0103m aceast\u0103 sticl\u0103 cu noi. Obositor, nu? Pacienta operat\u0103 a dat dovad\u0103 de mult curaj \u0219i suntem bucuro\u0219i c\u0103 am reu\u0219it s\u0103 o ajut\u0103m, av\u00e2nd grij\u0103 nu doar de \u00eenl\u0103turarea forma\u021biunii, dar \u0219i de aspectul estetic. Pe abdomen \u00een locul unei mari cicatrici, adolescenta va avea doar 4 g\u0103urele, care cu timpul vor deveni invizibile.\u201d<\/em><\/p>\n

Biopsia intraoperatorie \u2013 factor de decizie \u00een timpul interven\u021biilor<\/h3>\n

Decizia de a realiza o biopsie intraoperatorie a fost luat\u0103 \u00eenc\u0103 \u00eenainte de interven\u021bie, pentru a exclude un diagnostic malign. Astfel, datorit\u0103 posibilit\u0103\u021bilor unice ale Spitalului Interna\u021bional Medpark, interven\u021bia a fost realizat\u0103 \u00een volum complet \u0219i \u00een condi\u021bii de maxim\u0103 siguran\u021b\u0103.<\/p>\n

Alexandru Neguleanu, medic anatomo-patolog<\/strong>: \u201eAu fost prelevate probe intraoperator dintr-o tumoare mare, cu con\u021binut lichidian, transparent, din care au fost extrase 4 fragmente pentru examenul extemporaneu. Rezultatul biopsiei intraoperatorii este ulterior confirmat prin metoda histopatologic\u0103 clasic\u0103. La moment, avem un rezultat pozitiv, ambele investiga\u021bii au ar\u0103tat c\u0103 forma\u021biunea este una benign\u0103.\u201d<\/em><\/p>\n

\"\"<\/p>\n

Imediat dup\u0103 \u00eenl\u0103turarea tumorii gigant, a reap\u0103rut talia<\/h3>\n

A doua zi dup\u0103 interven\u021bie, pacienta a fost \u00eencurajat\u0103 s\u0103 se ridice \u0219i s\u0103 revin\u0103 la activitatea ei cotidian\u0103.<\/p>\n

Vera, pacient\u0103<\/strong>: \u201e\u00cemi d\u0103deam seama c\u0103 ceva nu era \u00een regul\u0103 \u0219i c\u0103utam r\u0103spunsuri. Sunt bucuroas\u0103 c\u0103 am ajuns la medicii de aici. De\u0219i \u00eemi era fric\u0103 de interven\u021bie, doamna Raiu \u0219i Sablina au avut grij\u0103 s\u0103 \u00eemi explice tot ce urmeaz\u0103 \u0219i s\u0103 \u00eemi insufle siguran\u021b\u0103 \u0219i calmitate. Acum, dup\u0103 interven\u021bie am observat c\u0103 a ap\u0103rut \u0219i talia care era invizibil\u0103 din cauza acestui chist. Aveam o burt\u0103 proeminent\u0103 \u0219i nu \u00eemi pl\u0103cea asta, mai ales c\u0103 nu era din cauza alimenta\u021biei. Mul\u021bumesc mult medicilor Medpark!\u201d<\/em><\/p>\n

\"\"<\/p>\n

Postoperator, Vera a sl\u0103bit cu 6 kg \u0219i au disp\u0103rut edemele de pe membrele inferioare cauzate tot ce aceast\u0103 tumoare care comprima vena cav\u0103 inferioar\u0103, cel mai mare vas din organismul uman.<\/p>\n

Pentru informa\u021bii \u0219i program\u0103ri acceseaz\u0103 www.medpark.md<\/a> sau contacteaz\u0103-ne la tel. (+373) 22 40 00 40, disponibil 24\/7.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

O forma\u021biune de peste 50 de cm localizat\u0103 \u00een abdomenul unei adolescente de 14 ani – o problem\u0103 medical\u0103 cu care s-au confruntat chirurgii ginecologi Medpark \u0219i care a fost rezolvat\u0103 printr-o interven\u021bie minim invaziv\u0103 cu aplicarea biopsiei intraoperatorii pentru a identifica tipul tumorii: benign sau malign, chiar \u00een timpul opera\u021biei. Pacienta a ajuns la […]<\/p>\n","protected":false},"author":591,"featured_media":101178,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[1276,1332],"tags":[5586],"class_list":{"0":"post-101177","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-noutati","8":"category-sanatate-noutati","9":"tag-medpark-ro"},"yoast_head":"\nTumoare gigant de 50 de cm la o adolescent\u0103, operat\u0103 minim invaziv de echipa Medpark<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sanatate.md\/ro\/tumoare-gigant-de-50-de-cm-la-o-adolescenta\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tumoare gigant de 50 de cm la o adolescent\u0103, operat\u0103 minim invaziv de echipa Medpark\" \/>\n<meta property=\"og:description\" content=\"O forma\u021biune de peste 50 de cm localizat\u0103 \u00een abdomenul unei adolescente de 14 ani – o problem\u0103 medical\u0103 cu care s-au confruntat chirurgii ginecologi Medpark \u0219i care a fost rezolvat\u0103 printr-o interven\u021bie minim invaziv\u0103 cu aplicarea biopsiei intraoperatorii pentru a identifica tipul tumorii: benign sau malign, chiar \u00een timpul opera\u021biei. 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