{"id":63155,"date":"2020-06-22T07:13:39","date_gmt":"2020-06-22T07:13:39","guid":{"rendered":"https:\/\/www.humanitas.net\/?post_type=treatment&#038;p=63155"},"modified":"2020-10-27T11:44:49","modified_gmt":"2020-10-27T11:44:49","slug":"minimalno-invazivna-vitrektomija","status":"publish","type":"treatment","link":"https:\/\/www.humanitas.net\/sl\/treatments\/minimalno-invazivna-vitrektomija\/","title":{"rendered":"Minimalno invazivna vitrektomija"},"content":{"rendered":"<p>Vitrektomija je operacija zadnjega segmenta o\u010desnega jabolka (vitrealne votline), ki se sestoji iz odstranitve steklastega gela. Prvotno je tehnika vklju\u010devala rezanje in odpiranje veznice in odpiranje sklere za vstop v steklovino votlino; pozneje so konjunktivo in sklero za\u0161ili z resorbiranimi \u0161ivi. Zahvaljujo\u010d tehnolo\u0161kemu razvoju instrumentov zmanj\u0161anega kalibra, minimalno invazivna vitrektomija ohranja enake zmogljivosti in omogo\u010da ustvarjanje samoreznih zarez velikosti 0,5 mm, ki ne potrebujejo \u0161ivov.<\/p>\n<p>&nbsp;<\/p>\n<h2>Kaj je minimalno invazivna vitrektomija?<\/h2>\n<p>Indikacije za minimalno invazivno vitrektomijo so razli\u010dne, danes pa lahko s to tehniko opravimo skoraj vse operacije zadnjega segmenta.<\/p>\n<p>&nbsp;<\/p>\n<p>Na\u0161i kirurgi za mre\u017enice so pionirji v Italiji pri uporabi te tehnolo\u0161ke evolucije.<\/p>\n<p>&nbsp;<\/p>\n<p>Ta tehnika se uporablja v naslednjih primerih:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Odvajanje mre\u017enice, preprosto ali zapleteno s \u0161irjenjem<\/li>\n<li>Diabeti\u010dna retinopatija z ali brez odtegnitve mre\u017enice<\/li>\n<li>Epiretinalna membrana ali makularni Pucker<\/li>\n<li>popolna ali psevdo-luknja makularne luknje<\/li>\n<li>Motnost steklaste ko\u017ee, povezana s krvavitvami ali vnetnimi te\u017eavami<\/li>\n<li>Uveitis<\/li>\n<li>Kot orodje za diagnosticiranje redkih bolezni zadnjega segmenta<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Katere so prednosti in slabosti minimalno invazivne vitrektomije?<\/h2>\n<p>Operacija se izvaja skozi zelo majhne zareze, ki ne potrebujejo \u0161ivov. Posledica tega je hitrej\u0161e funkcionalno okrevanje z manj intraokularnimi vnetji. Tudi bolniki imajo manj prito\u017eb kot pri tradicionalni operaciji. Varnost tehnike je bila potrjena v ve\u010d klini\u010dnih \u0161tudijah, ki dokazujejo, da je varnostni profil enak ali ve\u010dji kot pri obi\u010dajni tehniki.<\/p>\n<p>&nbsp;<\/p>\n<p>Pri minimalno invazivni vitrektomiji je pri\u0161lo tudi do spremembe vrste anestezije, saj je splo\u0161no anestezijo nadomestila lokoregionalna anestezija. Ve\u010d kot 90% vitrektomij v na\u0161em centru se izvaja pod loko-regionalno anestezijo, ki blokira gibanje in ob\u010dutljivost zrkla in skupaj s skrbno sedacijo pacienta naredi operacijo veliko bolj varno. To je izbolj\u0161alo udobje pacienta in hkrati zmanj\u0161alo mo\u017ena resna tveganja splo\u0161ne anestezije, hkrati pa tudi omejilo \u010das hospitalizacije.<\/p>\n<h2><\/h2>\n<h2>Ali obstajajo pravila glede priprave na operacijo?<\/h2>\n<p>Od natan\u010dne diagnoze bolnike s kirur\u0161ko patologijo mre\u017enice spremljamo v posebnih klinikah, ki so na voljo na\u0161im kirurgom.<\/p>\n<p>&nbsp;<\/p>\n<p>Ob izdaji dovoljenja za operacijo je bolnik obve\u0161\u010den o vrsti operacije, ki mu bo opravljena, in o tem, ali se bo operacija izvajala v dnevni bolnici.<\/p>\n<p>&nbsp;<\/p>\n<p>Pacient bo moral po\u010dakati na klic tajnikov Oddelka za oftalmologijo, ki bodo na\u010drtovali vse preiskave pred sprejemom, ki pa so potrebne za operacijo (krvne preiskave, obisk pri anesteziologu in morda kardiologu ali diabetologu). Na koncu postopka bo dolo\u010den datum intervencije.<\/p>\n<p>&nbsp;<\/p>\n<p>Terapije po operaciji dolo\u010di kirurg glede na vrsto izvedene operacije. Praviloma bi morali vsi bolniki prve \u0161tiri dni po operaciji prejemati \u00a0oralno antibioti\u010dno terpaijo in pribli\u017eno mesec dni po operaciji vna\u0161ati antibioti\u010dne protivnetne kapljice.<\/p>\n<p>&nbsp;<\/p>\n<p>Kirurg bo v\u010dasih uporabljal endokularne tampone. \u010ce uporabljamo plinsko ali silikonsko olje, mora bolnik prve dni po operaciji vzdr\u017eevati posebno dr\u017eo po navodilih kirurga, da se mre\u017enici omogo\u010di pravilno celjenje.<\/p>\n<p>&nbsp;<\/p>\n<h2>Spremljanje<\/h2>\n<p>Po opravljeni operaciji se vsi bolniki pregledajo vsak teden v enem mesecu, tretji mesec po posegu pa se pregled opravi v posebnih ambulantnih oddelkih vitrereinalne patologije, da se kirurgom omogo\u010di natan\u010dno sledenje vitreo -renalni poti zdravljenja.<\/p>\n","protected":false},"author":11,"featured_media":0,"template":"","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.7.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Minimalno invazivna vitrektomija - Humanitas.net<\/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:\/\/www.humanitas.net\/sl\/treatments\/minimalno-invazivna-vitrektomija\/\" \/>\n<meta property=\"og:locale\" content=\"sl_SI\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Minimalno invazivna vitrektomija - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Vitrektomija je operacija zadnjega segmenta o\u010desnega jabolka (vitrealne votline), ki se sestoji iz odstranitve steklastega gela. 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Prvotno je tehnika vklju\u010devala rezanje in odpiranje veznice in odpiranje sklere za vstop v steklovino votlino; pozneje so konjunktivo in sklero za\u0161ili z resorbiranimi \u0161ivi. 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