Cerrahi kongresi kongre biLİmsel programi ve biLDİRİ Özetleri

 www.minimalinvazivjinekolojikcerrahi.org
21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
VS-59 
PlasmaJet: an Energy Device Modality in Gynecology Surgery
Fatema Alkhan
1
, Emine Karabuk
1
, Mehmet Murat Naki
1
, Mete Gungor
2
, Mehmet Faruk Kose
1
1
Acibadem University Atakent Hospital, Istanbul, Turkey
2
Acibadem Maslak Hospital, Istanbul, Turkey
OBJECTIVE: To demonstrate the usage of Plasmajet in laparoscopic ovarian cystectomy
 
INTRODUCTION: The PlasmaJet System uses a low DC voltage applied between internal bipolar 
electrodes to produce highly energetic pure argon plasma that is electrically neutral. When the 
plasma comes into contact with tissue, it rapidly gives up its energy in three useful forms; first as 
light that is useful for illuminating the surgical field in laparoscopic procedures, secondly as heat 
that results in coagulation of bleeding surfaces, and thirdly as kinetic energy, which is harnessed 
to cut and ablate tissue. The kinetic energy produced by the device first removes blood and 
liquids from the tissue surface. This is followed by the transfer of thermal energy to the tissue 
resulting in the formation of a thin and flexible yet complete sealing layer.
 
METHOD: The PlasmaJet system is not strictly an electrosurgical device either, but use of direct 
current electrical energy is necessary to eventually create the heat needed to treat tissue. The 
PlasmaJet system releases its energy in 3 ways: light, heat, and kinetic energy. The effect at the 
tissue level is influenced by how close the jet of ionized gas is to the tissue, which handpiece is 
chosen, and which button is pushed on the handpiece. The maximum depth of tissue penetration 
effect is only 2 mm, reached after 5 seconds of continuous application. This video will show the 
ovarian cystectomy by PlasmaJet.
 
CONCLUSION: Plasmajet can be used as a modality of electrosurgery in laparoscopic procedure, 
depending on the surgeon’s preference and its availability in the institute. Studies are needed to 
compare this modality with others in term of feasibility and the outcome on the follicles.
 
Keywords: Laparoscopy, Ovarian, Cyst
 
 
 

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21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
 www.minimalinvazivjinekolojikcerrahi.org
VS-60 
Risk-reducing salpingo-oophorectomy plus hysterectomy in a BRCA mutation carrier: 
surgical techinique based on ocological point of view
Tayfun Toptas
1
, Isin Ureyen
1
, Aysel Uysal
2
1
Department of Gynecologic Oncology, SBU Antalya Research and Training Hospital, Antalya, 
Turkey
2
Department of Gynecologic Surgery, SBU Antalya Research and Training Hospital, Antalya, 
Turkey
OBJECTIVE: Women with mutations of BRCA1 or BRCA2 genes have up to a 54% lifetime risk 
of developing ovarian cancer. A risk-reducing bilateral salpingo-oophorectomy (RRSO) lowers 
their chances of developing ovarian and fallopian tube cancer by up to 80%. In this video 
demonstration, we aimed to show oncological aspects of a much performed but less known 
surgical technique.
 
SURGICAL TECHNIQUE: A gravidity and parity 2, 36-year of woman with breast cancer and 
BRCA1 mutation was referred to our clinic by her clinical oncologist. Her breast disease was 
under complet clinical remission. She has regularly taking tamoxiphene 20mg/d. An endometrial 
biopsy revealed benign endometrial polyp. After counselling with genetician, a RRSO was 
offerred. Addition of hysterectomy to the RRSO was left to patient’s discretion. The procedure 
was performed according to a surgical protocol, which was defined firstly by Powell et al. in 
2011, and later, proposed by NCCN guidelines. The protocol inculdes following steps: operative 
laparoscopy; carefull inspection of upper abdomen, bowel surfaces, omentum, appendix (if 
present), and pelvic organs; biopsy of any abnormal peritoneal findings; obtaining pelvic washing 
for cytology (50 cc normal saline instilled and aspirated immediately); performance of total BSO, 
removing 2 cm of proximal ovarian vasculature, all tube up to the cornua, and all peritoneum 
surrounding the ovaries and tubes, especially peritoneum underlying areas of adhesion between 
tube and/or ovary and the pelvic sidewall. To avoid traumatic exfoliation of cells, handling of the 
tubes and ovaries during surgery was minimized. 
 
CONCLUSION: In this video presentation, we demonstrated the steps of proposed surgical 
protocol for RRSO. The use of standardized surgical and pathologic algorhythms is essential in 
detecting occult malignancies in BRCA carriers.
 
Keywords: BRCA mutation, laparoscopy, salpingo-oophorectomy, ovarian cancer
 
 
 

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 www.minimalinvazivjinekolojikcerrahi.org
21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
VS-61
Laparoskopik Vena Kava Onarımı
Seda Yüksel Şimşek, Hüsnü Çelik, Songül Alemdaroğlu, Şafak Yılmaz Baran, Erhan Şimşek
Başkent Üniversitesi Adana t noyan Arastirma Hastanesi
laparoskopik lenfadenektomi yapılan bir endometrium kanseri vakamızda oluşan vena kava 
defektinin laparoskopik olarak onarılmasını gösteren bir olgu sunumudur
 
Anahtar Kelimeler: laparoskopi, vena kava, intraabdominal kanama
 
 
 

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