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Yıl 2015, Cilt: 8 Sayı: 1, 31 - 36, 17.11.2015

Öz

Transvaginal hydrolaparoscopy is such an alternative procedure to hysterosalpingography and laparoscopy, allowing direct visualization of the female peritoneal cavity. Although transvaginal hydrolaparoscopy has an extensive history of use in Europe, it is rarely conducted in Turkey. This is probably because of the lack of knowledge and experience on transvaginal hydrolaparoscopy. No abdominal incision was required, and the procedure can be accomplished in an office setting with less pain than hysterosalpingography procedure. In contrast to traditional hysterosalpingography for evaluation of tubal patency, No abdominal incision was required, and the procedure can be accomplished in an office setting with less pain than HSG procedure. In contrast to traditional HSG for evaluation of tubal patency, transvaginal hydrolaparoscopy additionally permits direct inspection of the tubal mucosa. Transvaginal hydrolaparoscopy can also be performed in conjunction with chromopertubation, salpingoscopy, microsalpingoscopy, and hysteroscopy. The operative port on the vaginal trocar also allows insertion of a single operative instrument for adhesiolysis, ablation of endometriosis, and ovaryan drilling. The risks associated with transvaginal hydrolaparoscopy range from bleeding to more adverse outcomes, rectal puncturing. The occurrence of rectal injury was about 0.6%. This complication was succesfully managed with conservative treatment consisting of prophylactic antibiotics for 2 days following laparoscopic confirmation of peritoneal integrity. Transvaginal hydrolaparoscopy appears to be a relatively safe alternative to hysterosalpingography and laparoscopy for evaluation of tubal patency and pelvic pathology

Kaynakça

  • Kaynaklar:
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İnfertilite Tanısında Transvajinal Hidrolaparoskopi Kullanımı

Yıl 2015, Cilt: 8 Sayı: 1, 31 - 36, 17.11.2015

Öz

Transvajinal hidrolaparoskopi,  histerosalpingografi  ve laparoskopiye alternatif olarak kadın periton boşluğunun direk olarak gözlenmesine izin veren bir yöntemdir. Transvajinal hydrolaparoskopi Avrupa'da yaygın olarak kullanılmasına rağmen Türkiye’de nadiren yapılmaktadır. Bu da muhtemelen transvajinal hidrolaparoskopi ile ilgili bilgi ve deneyim eksikliğine bağlıdır. Bu yöntem hiçbir karın kesisine ihtiyaç olmadan, ofis şartlarında yapılabilen, histerosalpingografi işlemine göre daha az ağrılı olarak yapılabilmektedir. Tubal açıklık değerlendirilmesinde geleneksel olarak kullanılan histerosalpingografinin aksine transvajinal hidrolaparoskopi ek olarak tubal mukazanın direk olarak gözlenmesine de izin vermektedir. ransvajinal hidrolaparoskopi ile birlikte kromopertubasyon, salpingoskopi, mikrosalpingoskopi ve histereskopi yapılabilmektedir. Vajinal trokar üzerindeki operatif port ile adezyolizis, endometriyozis ablazyonu ve ovaryan drilling yapılabilmektedir.  Transvajinal hidrolaparoskopiile ilişkili riskler olarak kanama ve daha ileri olarak rektal delinme olabilmektedir. Rektal zedelenme %0.6 civarında olmaktadır. Bu komplikasyon konservatif olarak 2 gün antibiyoterapi ve ertesinde laparoskopi ile peritoneal devamlılığın kontrolü ile başarılı bir şekilde yönetilmektedir. Transvajinal hidrolaparoskopi, histerosalpingografi ve laparoskopiye göre tubal açıklık ve patolojinin değerlendirilmesinde nispeten güvenilir bir alternatif olarak gözükmektedir.

Anahtar Kelimeler: İnfertilite; tubal faktör; endoskopi

Kaynakça

  • Kaynaklar:
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  • Hu XL, XuHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Xu%20HL%5BAuthor%5D&cauthor=true&cauthor_uid=15363343" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Xu%20HL%5BAuthor%5D&cauthor=true&cauthor_uid=15363343"HL.Study on combined transvaginal hydrolaparoscopy and hysteroscopy in patients with infertility]. ZhonghuaHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/15363343" Fu HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/15363343"ChanHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/15363343" Ke HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/15363343"ZaHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/15363343" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/15363343"ZhiHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/15363343". 2004 Aug;39(8):508-10
  • CampoHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Campo%20R%5BAuthor%5D&cauthor=true&cauthor_uid=10360929" R, GordtsHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Gordts%20S%5BAuthor%5D&cauthor=true&cauthor_uid=10360929" S, RombautsHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Rombauts%20L%5BAuthor%5D&cauthor=true&cauthor_uid=10360929" L, BrosensHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Brosens%20I%5BAuthor%5D&cauthor=true&cauthor_uid=10360929" I. Diagnostic accuracy of transvaginal hydrolaparoscopy in infertility FertilHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/10360929" Steril. 1999 Jun;71(6):1157-60.
  • Brosens I, Gordts S, Campo R. Transvaginal hydrolaparoscopy but not standard laparoscopy reveals subtle endometriotic adhesions of the ovary. Fertil Steril 2001;75:1009–1012.
  • AbergelHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Abergel%20A%5BAuthor%5D&cauthor=true&cauthor_uid=24461467" A, RubodHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Rubod%20C%5BAuthor%5D&cauthor=true&cauthor_uid=24461467" C, MerlotHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Merlot%20B%5BAuthor%5D&cauthor=true&cauthor_uid=24461467" B, PetitHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Petit%20E%5BAuthor%5D&cauthor=true&cauthor_uid=24461467" E, LeroyHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Leroy%20M%5BAuthor%5D&cauthor=true&cauthor_uid=24461467" M, DewaillyHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Dewailly%20D%5BAuthor%5D&cauthor=true&cauthor_uid=24461467" D, LucotHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Lucot%20JP%5BAuthor%5D&cauthor=true&cauthor_uid=24461467" JP. Transvaginal hydrolaparoscopy for infertility investigation: a retrospective study, about 262 patients]. GynecolHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/24461467" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/24461467"ObstetHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/24461467" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/24461467"FertilHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/24461467". 2014 Feb;42(2):97-103. doi: 10.1016/j.gyobfe.2013.12.005. Epub 2014 Jan 21.
  • Ahinko-Hakamaa KM, Huhtala H, Tinkanen H. Confirmation of tubal patency in hysterosalpingo-contrast sonography by transvaginal hydrolaparoscopy. Acta Obstet Gynecol Scand 2009;88:286–290.
  • Khouri A, Magos A. The cost of out-patient culdoscopy compared to in-patient laparoscopy in women with infertility. J Obstet Gynaecol 2005;25:160–165.
  • ShibaharaHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Shibahara%20H%5BAuthor%5D&cauthor=true&cauthor_uid=17845334" H, ShimadaHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Shimada%20K%5BAuthor%5D&cauthor=true&cauthor_uid=17845334" K, KikuchiHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Kikuchi%20K%5BAuthor%5D&cauthor=true&cauthor_uid=17845334" K, HiranoHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Hirano%20Y%5BAuthor%5D&cauthor=true&cauthor_uid=17845334" Y, Suzuki T, TakamizawaHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Takamizawa%20S%5BAuthor%5D&cauthor=true&cauthor_uid=17845334" S, FujiwaraHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Fujiwara%20H%5BAuthor%5D&cauthor=true&cauthor_uid=17845334" H, Suzuki HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Suzuki%20M%5BAuthor%5D&cauthor=true&cauthor_uid=17845334"M.Major complications and outcome of diagnostic and operative transvaginal hydrolaparoscopy.JHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Major+complications+and+outcome+of+diagnostic+and+transvaginal+hydrolaparoscopy" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Major+complications+and+outcome+of+diagnostic+and+transvaginal+hydrolaparoscopy"ObstetHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Major+complications+and+outcome+of+diagnostic+and+transvaginal+hydrolaparoscopy" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Major+complications+and+outcome+of+diagnostic+and+transvaginal+hydrolaparoscopy"GynaecolHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Major+complications+and+outcome+of+diagnostic+and+transvaginal+hydrolaparoscopy" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Major+complications+and+outcome+of+diagnostic+and+transvaginal+hydrolaparoscopy"ResHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/?term=Major+complications+and+outcome+of+diagnostic+and+transvaginal+hydrolaparoscopy". 2007 Oct;33(5):705-9.
  • MaHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Ma%20C%5BAuthor%5D&cauthor=true&cauthor_uid=22289262" C, WangHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Wang%20Y%5BAuthor%5D&cauthor=true&cauthor_uid=22289262" Y, LiHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Li%20TC%5BAuthor%5D&cauthor=true&cauthor_uid=22289262" TC, QiaoHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Qiao%20J%5BAuthor%5D&cauthor=true&cauthor_uid=22289262" J, YangHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Yang%20Y%5BAuthor%5D&cauthor=true&cauthor_uid=22289262" Y, SongHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Song%20X%5BAuthor%5D&cauthor=true&cauthor_uid=22289262" X, YangHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Yang%20S%5BAuthor%5D&cauthor=true&cauthor_uid=22289262" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Yang%20S%5BAuthor%5D&cauthor=true&cauthor_uid=22289262"S.Trans-abdominal ultrasound guided transvaginal hydrolaparoscopy is associated with reduced complication rate. EurHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/22289262" J HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/22289262"ObstetHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/22289262" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/22289262"GynecolHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/22289262" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/22289262"ReprodHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/22289262" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/22289262"BiolHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/22289262". 2012 Feb;160(2):166-9.
  • SobekHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Sobek%20A%20Jr%5BAuthor%5D&cauthor=true&cauthor_uid=17357342" A Jr, VodickaHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Vodicka%20J%5BAuthor%5D&cauthor=true&cauthor_uid=17357342" J, SobekHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Sobek%20A%5BAuthor%5D&cauthor=true&cauthor_uid=17357342" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Sobek%20A%5BAuthor%5D&cauthor=true&cauthor_uid=17357342"A.Transvaginal hydrolaparoscopy and ultrasonographically guided transvaginal hydrolaparoscopy--two outpatient methods of pelvis examination. CeskaHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/17357342" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/17357342"GynekolHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/17357342". 2007 Jan;72(1):11-5.
  • Balsak D, Uysal F, Sadık S, Güler A, Tınar S, Taşkın O. Comparison of hysterosalpingography and transvaginal hydrolaparoscopy in patients with tubal factor infertility: a prospective cohort study. Wideochir Inne Tech Malo Inwazyjne. 2014 Jun;9(2):190-5
  • KataokaHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Kataoka%20A%5BAuthor%5D&cauthor=true&cauthor_uid=23047139" A, HirakawaHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Hirakawa%20S%5BAuthor%5D&cauthor=true&cauthor_uid=23047139" S, IwamotoHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Iwamoto%20M%5BAuthor%5D&cauthor=true&cauthor_uid=23047139" M, SakumuraHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Sakumura%20Y%5BAuthor%5D&cauthor=true&cauthor_uid=23047139" Y, YoshinagaHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Yoshinaga%20R%5BAuthor%5D&cauthor=true&cauthor_uid=23047139" R. Transvaginal hydrolaparoscopy by flexible fiberscope--a study of preliminary cases. KurumeHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/23047139" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/23047139"MedHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/23047139" J. 2011;58(4):99-103.
  • Casa A, Sesti F, Marziali M, Gulemi L, Piccione E. Transvaginal hydrolaparoscopic ovarian drilling using bipolar electrosurgery to treat anovulatory women with polycystic ovary syndrome. J Am Assoc Gynecol Laparosc 2003;10:219–222.
  • Fernandez H, Alby J-D, Gervaise A, Tayrac R, Frydman R. Operative transvaginal hydrolaparoscopy for treatment of polycystic ovary syndrome: a newminimally invasive surgery. Fertil Steril 2001;75:607–611.
  • Gordts S, Campo R, Brosens I. Operative transvaginal hydrolaparoscopy of a large ovarian endometrioma. Gynaecol Endosc 2000;9:227–231.
  • StredaHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Streda%20R%5BAuthor%5D&cauthor=true&cauthor_uid=19408850" R, MardesicHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Mardesic%20T%5BAuthor%5D&cauthor=true&cauthor_uid=19408850" T, KultHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Kult%20D%5BAuthor%5D&cauthor=true&cauthor_uid=19408850" D, LazarovskáHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Lazarovsk%C3%A1%20S%5BAuthor%5D&cauthor=true&cauthor_uid=19408850" S, SlámováHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Sl%C3%A1mov%C3%A1%20J%5BAuthor%5D&cauthor=true&cauthor_uid=19408850" J, VoborilHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Voboril%20J%5BAuthor%5D&cauthor=true&cauthor_uid=19408850" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Voboril%20J%5BAuthor%5D&cauthor=true&cauthor_uid=19408850"J.The diagnostic value of hysterosalpingography in the diagnosis of tubal disease.. CeskaHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/19408850" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/19408850"GynekolHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/19408850". 2009 Feb;74(1):18-21.
  • CicinelliHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Cicinelli%20E%5BAuthor%5D&cauthor=true&cauthor_uid=11704133" E, MatteoHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Matteo%20M%5BAuthor%5D&cauthor=true&cauthor_uid=11704133" M, CausioHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Causio%20F%5BAuthor%5D&cauthor=true&cauthor_uid=11704133" F, SchonauerHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Schonauer%20LM%5BAuthor%5D&cauthor=true&cauthor_uid=11704133" LM, PintoHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Pinto%20V%5BAuthor%5D&cauthor=true&cauthor_uid=11704133" V, GalantinoHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Galantino%20P%5BAuthor%5D&cauthor=true&cauthor_uid=11704133" HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Galantino%20P%5BAuthor%5D&cauthor=true&cauthor_uid=11704133"P.Tolerability of the mini-pan-endoscopic approach (transvaginal hydrolaparoscopy and minihysteroscopy) versus hysterosalpingography in an outpatient infertility investigation. FertilHYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed/11704133" Steril. 2001 Nov;76(5):1048-51.
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Derleme
Yazarlar

Deniz Balsak

Emrah Töz Bu kişi benim

Ahmet Eser Bu kişi benim

Yayımlanma Tarihi 17 Kasım 2015
Gönderilme Tarihi 27 Haziran 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 8 Sayı: 1

Kaynak Göster

APA Balsak, D., Töz, E., & Eser, A. (2015). İnfertilite Tanısında Transvajinal Hidrolaparoskopi Kullanımı. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 8(1), 31-36.
AMA Balsak D, Töz E, Eser A. İnfertilite Tanısında Transvajinal Hidrolaparoskopi Kullanımı. Mersin Univ Saglık Bilim Derg. Aralık 2015;8(1):31-36.
Chicago Balsak, Deniz, Emrah Töz, ve Ahmet Eser. “İnfertilite Tanısında Transvajinal Hidrolaparoskopi Kullanımı”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 8, sy. 1 (Aralık 2015): 31-36.
EndNote Balsak D, Töz E, Eser A (01 Aralık 2015) İnfertilite Tanısında Transvajinal Hidrolaparoskopi Kullanımı. Mersin Üniversitesi Sağlık Bilimleri Dergisi 8 1 31–36.
IEEE D. Balsak, E. Töz, ve A. Eser, “İnfertilite Tanısında Transvajinal Hidrolaparoskopi Kullanımı”, Mersin Univ Saglık Bilim Derg, c. 8, sy. 1, ss. 31–36, 2015.
ISNAD Balsak, Deniz vd. “İnfertilite Tanısında Transvajinal Hidrolaparoskopi Kullanımı”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 8/1 (Aralık 2015), 31-36.
JAMA Balsak D, Töz E, Eser A. İnfertilite Tanısında Transvajinal Hidrolaparoskopi Kullanımı. Mersin Univ Saglık Bilim Derg. 2015;8:31–36.
MLA Balsak, Deniz vd. “İnfertilite Tanısında Transvajinal Hidrolaparoskopi Kullanımı”. Mersin Üniversitesi Sağlık Bilimleri Dergisi, c. 8, sy. 1, 2015, ss. 31-36.
Vancouver Balsak D, Töz E, Eser A. İnfertilite Tanısında Transvajinal Hidrolaparoskopi Kullanımı. Mersin Univ Saglık Bilim Derg. 2015;8(1):31-6.

MEÜ Sağlık Bilimleri Dergisi Doç.Dr. Gönül Aslan'ın Editörlüğünde Mersin Üniversitesi Sağlık Bilimleri Enstitüsüne bağlı olarak 2008 yılında yayımlanmaya başlanmıştır. Prof.Dr. Gönül Aslan Mart 2015 tarihinde Başeditörlük görevine Prof.Dr. Caferi Tayyar Şaşmaz'a devretmiştir. 01 Ocak 2023 tarihinde Prof.Dr. C. Tayyar Şaşmaz Başeditörlük görevini Prof.Dr. Özlem İzci Ay'a devretmiştir. 

Yılda üç sayı olarak (Nisan - Ağustos - Aralık) yayımlanan dergi multisektöryal hakemli bir bilimsel dergidir. Dergide araştırma makaleleri yanında derleme, olgu sunumu ve editöre mektup tipinde bilimsel yazılar yayımlanmaktadır. Yayın hayatına başladığı günden beri eposta yoluyla yayın alan ve hem online hem de basılı olarak yayımlanan dergimiz, Mayıs 2014 sayısından itibaren sadece online olarak yayımlanmaya başlamıştır. TÜBİTAK-ULAKBİM Dergi Park ile Nisan 2015 tarihinde yapılan Katılım Sözleşmesi sonrasında online yayın kabul ve değerlendirme sürecine geçmiştir.

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