Sosyal devletlerin temel görevlerinden biri de ulus bütünlüğünün korunması ve ülke güvenliğinin sağlanmasıdır. Tehlikelere karşı devletler savunma stratejileri oluşturup bu doğrultuda savunma mekanizmaları üretirler. Tam kamusal mal niteliğinde olan savunma hizmetinin sunumu için Türkiye'de 1980 öncesi dönemde dışa bağımlılık söz konusuyken 1980 yılından itibaren dışa bağımlılıktan yavaş yavaş uzaklaşılmaya başlanmıştır. Bu çalışmada Türkiye'nin savunma sanayi sektörü kapsamlı şekilde incelenecek, bu doğrultuda sektörde meydana gelen değişiklikler, araştırma-geliştirme çalışmaları, savunma sanayi harcama rakamları açıklanacaktır.
Aims: The aim of this study was to determine whether seroma formation was affected by reduction of the potential dead space with the flap fixation method and obliteration of the axillary region in patients with breast cancer who underwent either mastectomy and axillary lymph node dissection or sentinel lymph node biopsy. A total of 105 patients with breast cancer were divided into two groups according to wound closure patterns. Patients and Methods: The operating time, postoperative pain and complications, time to drain removal, seroma formation, amount of fluid aspirated and number of aspirations were recorded prospectively. Results: No significant difference was found between groups in the rates of seroma development (P = 0.7), complication rates (P = 0.6), time to drain removal (P = 0.5), length of hospital stay (P = 0.3) or numbers of aspiration (P = 0.7). The operating time for fixation was determined to be longer than that of the classic procedure (P = 0.02). Conclusions: Reducing potential dead space with flap fixation and obliteration of the axillary region may be useful in decreasing the development of seroma in patients who have undergone mastectomy because of breast cancer. However, surgical technique must be careful, and appropriate patient follow-up must be conducted.
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