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VARİKOSELEKTOMİ OPERASYONU SONRASI İŞE GERİ DÖNÜŞ ZAMANI VE İŞ GÜNÜ KAYBI

Year 2023, Volume: 14 Issue: 1, 142 - 147, 23.03.2023
https://doi.org/10.18663/tjcl.1255355

Abstract

Amaç: Varikoselektomi operasyonları çoğunlukla 20-35 yaşları arasında uygulanmaktadır. Bu yaş grubu aynı zamanda etkin iş gücü için de oldukça önemlidir. Varikoselektomide iş günü kaybı üzerine literatürde çalışma bulunmamaktadır. Bu çalışmamızla varikoselektomi ameliyatının iş günü kaybına etkisi üzerine farkındalık oluşturmak ve literatüre katkıda bulunmayı amaçladık.
Gereç ve Yöntemler: Aksaray Özel İnova Hastanesi’nde 07.03.2019-14.10.2022 tarihleri arasında varikoselektomi yapılan 77 hasta çalışmaya dahil edildi. Varikoselektomi tek cerrah tarafından subinguinal yöntem kullanılarak, Carl-Zeiss operasyon mikroskopu (Carl Zeiss, Thornwood, NY) ile 10’luk büyütme altında uygulandı. Hastaların erken dönem komplikasyonları ve iş günü kaybı ameliyat sonrası 10. gün ve 1. ay kontrollerinde sorgulandı. Araştırma verilerinin istatistiksel analizi için Statistical Package for Social Sciences (SPSS), sürüm 22.0 (SPSS Inc. Chicago, ABD) bilgisayar paket programı kullanıldı. p <0.05 istatistiksel olarak anlamlı kabul edildi.
Bulgular: Hastaların ortalama yaşı 27,01 ± 4,91 yıl; ve ortalama VKİ 24,72 ± 4,21 kg/m² . Hastaların 42’sinde (54,5) grade 3 varikosel mevcuttu. Çalışmamızda mikroskopik varikoselektomi operasyonu sonrası iş günü kaybını (16,09 ± 14,27) gün olarak tespit ettik. Ameliyat sonrası 21 (%27,3) hastada erken dönem komplikasyon tespit edildi. Eğitim durumu, komplikasyon ve cerrahi deneyim ile iş günü kaybı arasında istatistiksel anlamlı ilişki saptanmadı(p>0,05). İş türü, medeni durum ve erken dönem komplikasyonların çeşitleri ile iş günü kaybı arasında istatistiksel anlamlı farklılık bulundu (p:0,014, p:0,03 ve p:0,02; sırasıyla).
Sonuç: Mavi yakalı çalışanların varikoselektomi operasyonu sonrası beyaz yakalı çalışanlara göre işe dönüş zamanı birkaç gün daha uzun olmaktadır. Yaklaşık olarak varikoselektomi sonrası çalışanlar 15 gün sonra işbaşı yapabilmektedir. Bu konuda prospektif, daha büyük merkezlerin geniş vaka serilerine ihtiyaç olduğu kanaatindeyiz.
Anahtar Kelimeler: iş günü kaybı; varikoselektomi; mikrocerrahi

References

  • 1. Dubin, L. and R.D. Amelar, Etiologic factors in 1294 consecutive cases of male infertility. Fertil Steril, 1971. 22(8): p. 469-74.
  • 2. Nagler, H. and M. FG, Lipshultz LI, Howards SS, editors. Varicocele. Infertility in the male, 1997: p. 336-359.
  • 3. Ficarra, V., et al., Treatment of varicocele in subfertile men: The Cochrane Review--a contrary opinion. Eur Urol, 2006. 49(2): p. 258-63.
  • 4. Mirilas, P. and A. Mentessidou, Microsurgical subinguinal varicocelectomy in children, adolescents, and adults: surgical anatomy and anatomically justified technique. J Androl, 2012. 33(3): p. 338-49.
  • 5. Ishikawa, T. and M. Fujisawa, Effect of age and grade on surgery for patients with varicocele. Urology, 2005. 65(4): p. 768-72.
  • 6. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet, 2016. 388(10053): p. 1545-1602.
  • 7. Garolla, A., et al., Twenty-four-hour monitoring of scrotal temperature in obese men and men with a varicocele as a mirror of spermatogenic function. Hum Reprod, 2015. 30(5): p. 1006-13.
  • 8. Agarwal, A., K. Makker, and R. Sharma, Clinical relevance of oxidative stress in male factor infertility: an update. Am J Reprod Immunol, 2008. 59(1): p. 2-11.
  • 9. Eisenberg, M.L. and L.I. Lipshultz, Varicocele-induced infertility: Newer insights into its pathophysiology. Indian J Urol, 2011. 27(1): p. 58-64.
  • 10. Tharakan, T., et al., European Association of Urology Guidelines Panel on male sexual and reproductive health: a clinical consultation guide on the indications for performing sperm DNA fragmentation testing in men with infertility and testicular sperm extraction in nonazoospermic men. European Urology Focus, 2022. 8(1): p. 339-350.
  • 11. Donovan, J.F. and H.N. Winfield, Laparoscopic varix ligation. The Journal of urology, 1992. 147(1): p. 77-81.
  • 12. Marmar, J.L., T.J. DeBenedictis, and D. Praiss, The management of varicoceles by microdissection of the spermatic cord at the external inguinal ring. Fertil Steril, 1985. 43(4): p. 583-8.
  • 13. Palomo, A., Radical cure of varicocele by a new technique; preliminary report. J Urol, 1949. 61(3): p. 604-7.
  • 14. Adhikari, R., K. Soonthorndhada, and F. Haseen, Labor force participation in later life: evidence from a cross-sectional study in Thailand. BMC Geriatr, 2011. 11: p. 15.
  • 15. Alavinia, S.M., D. Molenaar, and A. Burdorf, Productivity loss in the workforce: associations with health, work demands, and individual characteristics. Am J Ind Med, 2009. 52(1): p. 49-56.
  • 16. Akkoç, N., et al., Direct and indirect costs associated with ankylosing spondylitis and related disease activity scores in Turkey. Rheumatol Int, 2015. 35(9): p. 1473-8.
  • 17. Gil-Gouveia, R. and R. Miranda, Indirect costs attributed to headache: A nation-wide survey of an active working population. Cephalalgia, 2022. 42(4-5): p. 317-325.
  • 18. van der Heijde, D., et al., Infliximab improves productivity and reduces workday loss in patients with ankylosing spondylitis: results from a randomized, placebo-controlled trial. Arthritis Rheum, 2006. 55(4): p. 569-74.
  • 19. Aladesuru, O., et al., Review of the Economics of Surgical Treatment Options for Benign Prostatic Hyperplasia. Curr Urol Rep, 2022. 23(1): p. 11-18.
  • 20. Bolenz, C., et al., Costs of radical prostatectomy for prostate cancer: a systematic review. Eur Urol, 2014. 65(2): p. 316-24.
  • 21. Bradshaw, P.J., et al., Return to work after coronary artery bypass surgery in a population of long-term survivors. Heart Lung Circ, 2005. 14(3): p. 191-6.
  • 22. Myrtek, M., et al., Stress and strain of blue and white collar workers during work and leisure time: results of psychophysiological and behavioral monitoring. Appl Ergon, 1999. 30(4): p. 341-51.
  • 23. Ghanem, H., et al., Subinguinal microvaricocelectomy versus retroperitoneal varicocelectomy: comparative study of complications and surgical outcome. Urology, 2004. 64(5): p. 1005-9.
  • 24. Lee, J.Y., et al., Microsurgical intermediate subinguinal varicocelectomy. Int Surg, 2014. 99(4): p. 398-403.

BACK TO WORK TIME AND LOSS OF WORKING DAYS AFTER VARICOSELECTOMY OPERATION

Year 2023, Volume: 14 Issue: 1, 142 - 147, 23.03.2023
https://doi.org/10.18663/tjcl.1255355

Abstract

Aim: Varicocelectomy operations are mostly performed between the ages of 20-35. This age group is also very important for an effective workforce. There is no study in the literature on the loss of working days in varicocelectomy. With this study, we aimed to raise awareness on the effect of varicocelectomy surgery on loss of working days and to contribute to the literature.
Materials and Methods: 77 patients who underwent varicocelectomy at Aksaray Private Inova Hospital between 07.03.2019 and 14.10.2022 were included in the study. Varicocelectomy was performed by a single surgeon using the subinguinal method with a Carl-Zeiss operating microscope (Carl Zeiss, Thornwood, NY) under 10 magnification. The early complications of the patients and the loss of working days were questioned at the postoperative 10th day and 1st month follow-ups. Statistical Package for Social Sciences (SPSS), version 22.0 (SPSS Inc. Chicago, USA) computer package program was used for statistical analysis of research data. p <0.05 was considered statistically significant.
Results: The mean age of the patients was 27.01 ± 4.91 years; and an average BMI of 24.72 ± 4.21 kg/m². Grade 3 varicocele was present in 42 (54.5) patients. In our study, we found the loss of working days (16.09 ± 14.27) days after microscopic varicocelectomy operation. Postoperative early complications were detected in 21 (27.3%) patients. No statistically significant relationship was found between education status, complications, surgical experience and loss of work days (p>0.05). A statistically significant difference was found between work type, marital status, types of early complications and lost work days (p:0.014, p:0.03 and p:0.02, respectively).
Conclusion: After varicocelectomy, blue-collar employees return to work a few days longer than white-collar employees. Employees can return to work after approximately 15 days after varicocelectomy. We believe that prospective, larger case series of advanced centers are needed in this regard.
Keywords: lost working days; varicocelectomy; microsurgery

References

  • 1. Dubin, L. and R.D. Amelar, Etiologic factors in 1294 consecutive cases of male infertility. Fertil Steril, 1971. 22(8): p. 469-74.
  • 2. Nagler, H. and M. FG, Lipshultz LI, Howards SS, editors. Varicocele. Infertility in the male, 1997: p. 336-359.
  • 3. Ficarra, V., et al., Treatment of varicocele in subfertile men: The Cochrane Review--a contrary opinion. Eur Urol, 2006. 49(2): p. 258-63.
  • 4. Mirilas, P. and A. Mentessidou, Microsurgical subinguinal varicocelectomy in children, adolescents, and adults: surgical anatomy and anatomically justified technique. J Androl, 2012. 33(3): p. 338-49.
  • 5. Ishikawa, T. and M. Fujisawa, Effect of age and grade on surgery for patients with varicocele. Urology, 2005. 65(4): p. 768-72.
  • 6. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet, 2016. 388(10053): p. 1545-1602.
  • 7. Garolla, A., et al., Twenty-four-hour monitoring of scrotal temperature in obese men and men with a varicocele as a mirror of spermatogenic function. Hum Reprod, 2015. 30(5): p. 1006-13.
  • 8. Agarwal, A., K. Makker, and R. Sharma, Clinical relevance of oxidative stress in male factor infertility: an update. Am J Reprod Immunol, 2008. 59(1): p. 2-11.
  • 9. Eisenberg, M.L. and L.I. Lipshultz, Varicocele-induced infertility: Newer insights into its pathophysiology. Indian J Urol, 2011. 27(1): p. 58-64.
  • 10. Tharakan, T., et al., European Association of Urology Guidelines Panel on male sexual and reproductive health: a clinical consultation guide on the indications for performing sperm DNA fragmentation testing in men with infertility and testicular sperm extraction in nonazoospermic men. European Urology Focus, 2022. 8(1): p. 339-350.
  • 11. Donovan, J.F. and H.N. Winfield, Laparoscopic varix ligation. The Journal of urology, 1992. 147(1): p. 77-81.
  • 12. Marmar, J.L., T.J. DeBenedictis, and D. Praiss, The management of varicoceles by microdissection of the spermatic cord at the external inguinal ring. Fertil Steril, 1985. 43(4): p. 583-8.
  • 13. Palomo, A., Radical cure of varicocele by a new technique; preliminary report. J Urol, 1949. 61(3): p. 604-7.
  • 14. Adhikari, R., K. Soonthorndhada, and F. Haseen, Labor force participation in later life: evidence from a cross-sectional study in Thailand. BMC Geriatr, 2011. 11: p. 15.
  • 15. Alavinia, S.M., D. Molenaar, and A. Burdorf, Productivity loss in the workforce: associations with health, work demands, and individual characteristics. Am J Ind Med, 2009. 52(1): p. 49-56.
  • 16. Akkoç, N., et al., Direct and indirect costs associated with ankylosing spondylitis and related disease activity scores in Turkey. Rheumatol Int, 2015. 35(9): p. 1473-8.
  • 17. Gil-Gouveia, R. and R. Miranda, Indirect costs attributed to headache: A nation-wide survey of an active working population. Cephalalgia, 2022. 42(4-5): p. 317-325.
  • 18. van der Heijde, D., et al., Infliximab improves productivity and reduces workday loss in patients with ankylosing spondylitis: results from a randomized, placebo-controlled trial. Arthritis Rheum, 2006. 55(4): p. 569-74.
  • 19. Aladesuru, O., et al., Review of the Economics of Surgical Treatment Options for Benign Prostatic Hyperplasia. Curr Urol Rep, 2022. 23(1): p. 11-18.
  • 20. Bolenz, C., et al., Costs of radical prostatectomy for prostate cancer: a systematic review. Eur Urol, 2014. 65(2): p. 316-24.
  • 21. Bradshaw, P.J., et al., Return to work after coronary artery bypass surgery in a population of long-term survivors. Heart Lung Circ, 2005. 14(3): p. 191-6.
  • 22. Myrtek, M., et al., Stress and strain of blue and white collar workers during work and leisure time: results of psychophysiological and behavioral monitoring. Appl Ergon, 1999. 30(4): p. 341-51.
  • 23. Ghanem, H., et al., Subinguinal microvaricocelectomy versus retroperitoneal varicocelectomy: comparative study of complications and surgical outcome. Urology, 2004. 64(5): p. 1005-9.
  • 24. Lee, J.Y., et al., Microsurgical intermediate subinguinal varicocelectomy. Int Surg, 2014. 99(4): p. 398-403.
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Article
Authors

Mehmet Emin Şirin 0000-0003-1186-2856

Mehmet Yılmaz 0000-0003-3774-9982

Mustafa Karaaslan 0000-0003-3453-3334

Publication Date March 23, 2023
Published in Issue Year 2023 Volume: 14 Issue: 1

Cite

APA Şirin, M. E., Yılmaz, M., & Karaaslan, M. (2023). VARİKOSELEKTOMİ OPERASYONU SONRASI İŞE GERİ DÖNÜŞ ZAMANI VE İŞ GÜNÜ KAYBI. Turkish Journal of Clinics and Laboratory, 14(1), 142-147. https://doi.org/10.18663/tjcl.1255355
AMA Şirin ME, Yılmaz M, Karaaslan M. VARİKOSELEKTOMİ OPERASYONU SONRASI İŞE GERİ DÖNÜŞ ZAMANI VE İŞ GÜNÜ KAYBI. TJCL. March 2023;14(1):142-147. doi:10.18663/tjcl.1255355
Chicago Şirin, Mehmet Emin, Mehmet Yılmaz, and Mustafa Karaaslan. “VARİKOSELEKTOMİ OPERASYONU SONRASI İŞE GERİ DÖNÜŞ ZAMANI VE İŞ GÜNÜ KAYBI”. Turkish Journal of Clinics and Laboratory 14, no. 1 (March 2023): 142-47. https://doi.org/10.18663/tjcl.1255355.
EndNote Şirin ME, Yılmaz M, Karaaslan M (March 1, 2023) VARİKOSELEKTOMİ OPERASYONU SONRASI İŞE GERİ DÖNÜŞ ZAMANI VE İŞ GÜNÜ KAYBI. Turkish Journal of Clinics and Laboratory 14 1 142–147.
IEEE M. E. Şirin, M. Yılmaz, and M. Karaaslan, “VARİKOSELEKTOMİ OPERASYONU SONRASI İŞE GERİ DÖNÜŞ ZAMANI VE İŞ GÜNÜ KAYBI”, TJCL, vol. 14, no. 1, pp. 142–147, 2023, doi: 10.18663/tjcl.1255355.
ISNAD Şirin, Mehmet Emin et al. “VARİKOSELEKTOMİ OPERASYONU SONRASI İŞE GERİ DÖNÜŞ ZAMANI VE İŞ GÜNÜ KAYBI”. Turkish Journal of Clinics and Laboratory 14/1 (March 2023), 142-147. https://doi.org/10.18663/tjcl.1255355.
JAMA Şirin ME, Yılmaz M, Karaaslan M. VARİKOSELEKTOMİ OPERASYONU SONRASI İŞE GERİ DÖNÜŞ ZAMANI VE İŞ GÜNÜ KAYBI. TJCL. 2023;14:142–147.
MLA Şirin, Mehmet Emin et al. “VARİKOSELEKTOMİ OPERASYONU SONRASI İŞE GERİ DÖNÜŞ ZAMANI VE İŞ GÜNÜ KAYBI”. Turkish Journal of Clinics and Laboratory, vol. 14, no. 1, 2023, pp. 142-7, doi:10.18663/tjcl.1255355.
Vancouver Şirin ME, Yılmaz M, Karaaslan M. VARİKOSELEKTOMİ OPERASYONU SONRASI İŞE GERİ DÖNÜŞ ZAMANI VE İŞ GÜNÜ KAYBI. TJCL. 2023;14(1):142-7.


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