\u018fm\u0259liyyat h\u0259m a\u00e7\u0131q, h\u0259m d\u0259 laparoskopik \u015f\u0259kild\u0259 icra edil\u0259 bil\u0259r. Hal-haz\u0131rda Nissen \u00fczr\u0259 fundoplikasiya, h\u0259m\u00e7inin onun m\u00fcxt\u0259lif modifikasiyalar\u0131 antirefl\u00fcks c\u0259rrahiy\u0259sind\u0259 “q\u0131z\u0131l standart” hesab edilir. Bel\u0259likl\u0259, fundoplikasiya Qastroezofageal refl\u00fcks x\u0259st\u0259liyinin (QERX) m\u00fcalic\u0259sind\u0259 \u0259n geni\u015f istifad\u0259 olunan \u0259m\u0259liyyatd\u0131r. $\"Nissen-fundoplication\"$ \u018fm\u0259liyyat\u0131n m\u0259qs\u0259di a\u015fa\u011f\u0131 qida borusu sfinkterind\u0259 t\u0259zyiqin art\u0131r\u0131lmas\u0131, bununla da refl\u00fckslar\u0131n qar\u015f\u0131s\u0131n\u0131n al\u0131nmas\u0131d\u0131r. T\u0259cr\u00fcb\u0259li (\u0259n az\u0131 30-50 laparoskopik \u0259m\u0259liyyat icra etmi\u015f) c\u0259rrah t\u0259r\u0259find\u0259n icra edildikd\u0259, fundoplikasiyan\u0131n n\u0259tic\u0259l\u0259ri \u00a0d\u00fczg\u00fcn planla\u015fd\u0131r\u0131lm\u0131\u015f v\u0259 d\u0259qiq yerin\u0259 yetirilmi\u015f proton pompas\u0131n\u0131n inhibitorlar\u0131 il\u0259 terapevtik m\u00fcalic\u0259d\u0259n al\u0131nan n\u0259tic\u0259l\u0259r q\u0259d\u0259r u\u011furlu olur. \u018fm\u0259liyyat il\u0259 ba\u011fl\u0131 \u0259lav\u0259 t\u0259sirl\u0259r v\u0259 a\u011f\u0131rla\u015fmalar 5-20% hallarda rast g\u0259linir. \u018fn geni\u015f yay\u0131lm\u0131\u015f \u0259lav\u0259 t\u0259sir disfagiyad\u0131
\nr. Disfagiya, bir qayda olaraq, m\u00fcv\u0259qq\u0259ti olub 3-6 aydan sonra \u00f6z-\u00f6z\u00fcn\u0259 ke\u00e7ib gedir. B\u0259zi x\u0259st\u0259l\u0259rd\u0259 meydana \u00e7\u0131xan dig\u0259r problem g\u0259yirm\u0259 v\u0259 qusma akt\u0131n\u0131n \u00e7\u0259tinl\u0259\u015fm\u0259si, b\u0259z\u0259n h\u0259tta m\u00fcmk\u00fcns\u00fczl\u00fcy\u00fcd\u00fcr. Bunun s\u0259b\u0259bi \u0259m\u0259liyyat n\u0259tic\u0259sind\u0259 m\u0259d\u0259 m\u00f6ht\u0259viyyat\u0131n\u0131n ist\u0259nil\u0259n tip geriy\u0259 h\u0259r\u0259k\u0259ti \u00fc\u00e7\u00fcn fiziki baryerin yarad\u0131lmas\u0131d\u0131r. Effektiv g\u0259yirm\u0259nin m\u00fcmk\u00fcns\u00fczl\u00fcy\u00fc n\u0259tic\u0259sind\u0259 x\u0259st\u0259d\u0259 “gas-bloat” sindromu – qar\u0131nda k\u00f6p v\u0259 diskomfort hissi \u0259m\u0259l\u0259 g\u0259lir.<\/span><\/span><\/span><\/span><\/span><\/div>\n

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<\/iframe><\/p>\n<\/div>\n<div class=\"\" data-block=\"true\" data-offset-key=\"5maa0-0-0\">\n<div class=\"_1mf _1mj\" data-offset-key=\"5maa0-0-0\">\n<p><a href=\"https:\/\/agtmed-congress.org\/wp-content\/uploads\/2016\/02\/004.jpg\"><br \/>\n<\/a><\/p>\n<\/div>\n<\/div>\n<div class=\"_1mf _1mj\" data-offset-key=\"5maa0-0-0\"><\/div>\n<p>[:en]<img loading=\"lazy\" decoding=\"async\" class=\" wp-image-493 aligncenter\" src=\"https:\/\/agtmed-congress.org\/wp-content\/uploads\/2016\/02\/004-300x125.jpg\" alt=\"004\" width=\"492\" height=\"205\" srcset=\"https:\/\/agtmed-congress.org\/wp-content\/uploads\/2016\/02\/004-300x125.jpg 300w, https:\/\/agtmed-congress.org\/wp-content\/uploads\/2016\/02\/004-200x83.jpg 200w, https:\/\/agtmed-congress.org\/wp-content\/uploads\/2016\/02\/004.jpg 800w\" sizes=\"auto, (max-width: 492px) 100vw, 492px\" \/><\/p>\n<p>One of the surgeries to be taught to the participants of advanced level in laparoscopy group is laparoscopic\u00a0Nissen\u00a0fundoplica<wbr \/>tion.<br \/>\nundoplication\u00a0is\u00a0antireflux\u00a0<wbr \/>surgery when\u00a0gastric fundus is\u00a0wrapped around the\u00a0esophagus. This treatment wrap prevents stomach contents from returning to the\u00a0esophagus. As a result of\u00a0fundoplication,\u00a0not only automatic, but also functional\u00a0structure of sphincter of lower\u00a0esophagusis restored \u2013 tone is normalized,\u00a0the number of transient discharges during the stretch of the stomach decreases,\u00a0gastric emptying becomes\u00a0easier.<img loading=\"lazy\" decoding=\"async\" class=\" wp-image-494 alignright\" src=\"https:\/\/agtmed-congress.org\/wp-content\/uploads\/2016\/02\/Nissen-fundoplication-300x296.jpg\" alt=\"Nissen-fundoplication\" width=\"209\" height=\"206\" srcset=\"https:\/\/agtmed-congress.org\/wp-content\/uploads\/2016\/02\/Nissen-fundoplication-300x296.jpg 300w, https:\/\/agtmed-congress.org\/wp-content\/uploads\/2016\/02\/Nissen-fundoplication-200x197.jpg 200w, https:\/\/agtmed-congress.org\/wp-content\/uploads\/2016\/02\/Nissen-fundoplication.jpg 355w\" sizes=\"auto, (max-width: 209px) 100vw, 209px\" \/><\/p>\n<p>Surgery can be carried out both in open and laparoscopic condition.\u00a0Currently,\u00a0Nissenfu<wbr \/>ndoplication, as well as its various modifications\u00a0are\u00a0considered \u201cgold standard\u201d\u00a0for\u00a0antirefluxsurger<wbr \/>y. So,\u00a0fundoplication\u00a0is the most widely used in the treatment of\u00a0Gastroesophageal\u00a0reflux disease (GERD).<\/p>\n<p>The aim of the\u00a0surgery\u00a0is\u00a0the\u00a0increase\u00a0of<wbr \/>\u00a0pressure on the lower\u00a0esophagus\u00a0sphincter,\u00a0the<wbr \/>reby\u00a0prevention of refluxes.<\/p>\n<p> <\/p>\n<p><iframe loading=\"lazy\" title=\"Laparoskopik fundoplikasiya. Oper. - Prof. Dr. Med. Q.M\u00fcsl\u00fcmov\" width=\"1080\" height=\"810\" src=\"https:\/\/www.youtube.com\/embed\/SmE2pXTa4Xo?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe>[:]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[:az] Laparoskopiya qrupunun advanced s\u0259viyy\u0259sind\u0259 i\u015ftirak\u00e7\u0131lara \u00f6yr\u0259dil\u0259c\u0259k \u0259m\u0259liyyatlardan biri Nissen texnikas\u0131 il\u0259 Laparoskopik fundoplikasiyad\u0131r. \u00a0 Fundoplikasiya – antirefl\u00fcks \u0259m\u0259liyyat\u0131 olub, m\u0259zmunu ondan ibar\u0259tdir ki, m\u0259d\u0259nin dibi qida borusu \u0259traf\u0131na sar\u0131naraq manjet yarad\u0131l\u0131r. Bu manjet m\u0259d\u0259 m\u00f6ht\u0259viyyat\u0131n\u0131n qida borusuna at\u0131lmas\u0131n\u0131n qar\u015f\u0131s\u0131n\u0131 al\u0131r. Fundoplikasiya n\u0259tic\u0259sind\u0259 a\u015fa\u011f\u0131 qida borusu sfinkterinin n\u0259inki anatomik, h\u0259m\u00e7inin funksional qurulu\u015fu b\u0259rpa olunur – […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-492","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/agtmed-congress.org\/index.php?rest_route=\/wp\/v2\/posts\/492","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/agtmed-congress.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/agtmed-congress.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/agtmed-congress.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/agtmed-congress.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=492"}],"version-history":[{"count":4,"href":"https:\/\/agtmed-congress.org\/index.php?rest_route=\/wp\/v2\/posts\/492\/revisions"}],"predecessor-version":[{"id":545,"href":"https:\/\/agtmed-congress.org\/index.php?rest_route=\/wp\/v2\/posts\/492\/revisions\/545"}],"wp:attachment":[{"href":"https:\/\/agtmed-congress.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=492"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/agtmed-congress.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=492"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/agtmed-congress.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}