| dc.creator |
KIRMIZI, Serdar; YOZGAT ŞEHİR HASTANESİ |
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| dc.creator |
AKIN, Süleyman Emre; SÜLEYMAN DEMİREL ÜNİVERSİTESİ, TIP FAKÜLTESİ |
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| dc.date |
2021-08-22T00:00:00Z |
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| dc.date.accessioned |
2021-12-03T11:47:04Z |
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| dc.date.available |
2021-12-03T11:47:04Z |
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| dc.identifier |
https://dergipark.org.tr/tr/pub/sdutfd/issue/64600/874071 |
|
| dc.identifier |
10.17343/sdutfd.874071 |
|
| dc.identifier.uri |
http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/94262 |
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| dc.description |
ObjectiveTo contribute to the literature by sharing the treatmentapproach and results of thoracoabdominal injurieswith a thorax abbreviated injury scale score of 2 orabove.Materials and MethodsThe study was carried out retrospectively at YozgatCity Hospital between January 2017 and December2020. Patients who underwent tube thoracostomy orthoracotomy after trauma were identified. Subsequently,patients older than 18 years of age with concurrentabdominal organ injury and diaphragmatic injurywere identified. The demographic characteristics, laboratoryvalues, imaging reports, treatment methods,and perioperative data were obtained from the electronicrecorded patient information of the hospital.ResultsThoracoabdominal injuries were detected in 23(19.3%) of 119 patients with a thorax abbreviatedinjury scale score of 2 or above. In thoracoabdominalinjuries, 19 (82.6%) of the attempts to the thoraxcomprised tube thoracostomy, and 4 (17.4%) thoracotomy.Thoracotomy was not indicated in any of thepatients who had a tube inserted at the beginning,and tube thoracostomy was a sufficient treatment.The laparotomy rate of all thoracoabdominal traumaswas 44.8%. Surgical treatment was significantly morepreferred in penetrating injuries. Spleen (35%) and liver(32.5%) were the most frequently injured organs,respectively. Solid organ injuries comprised 74.2% ofthe total injured organs, and conservative treatmentwas applied in 76% of these cases. Surgical treatmentwas performed in all diaphragm and hollow organinjuries. Death occurred in two patients (8.7%) intotal and these cases were patients who underwentthoracotomy.ConclusionManagement of thoracoabdominal trauma vary dependingon the source of the trauma, the hospital'sequipment, and the surgeon's experience. Thoracotomyand laparotomy rates are higher in penetratinginjuries. Tube thoracostomy and conservative treatmentare usually sufficient in blunt traumas and canbe successfully applied in secondary service hospitals. |
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| dc.description |
AmaçToraks abbreviated injury scale skoru 2 ve üzeri torakoabdominalyaralanmalarda uygulanan tedavi yaklaşımıve sonuçlarını paylaşarak literatüre katkı sunmak.Gereç ve YöntemÇalışma Ocak 2017-Aralık 2020 tarihleri arasındaYozgat Şehir Hastanesi’nde retrospektif olarak gerçekleştirildi.Travma sonrası tüp torakostomi veyatorakotomi yapılmış hastalar tespit edildi. Ardındaneş zamanlı karın organ yaralanması ve diyafragmayaralanması olan 18 yaşından büyük hastalar belirlendi.Hastaların demografik özellikleri, labaratuvardeğerleri, görüntüleme raporları, uygulanan tedaviyöntemleri, perioperatif verileri hastane elektronik kayıtlıhasta bilgilerinden elde edildi.BulgularToraks abbreviated injury scale skoru 2 ve üzeriolan toplam 119 hastanın 23’ünde (% 19,3) torakoabdominalyaralanma saptandı. Torakoabdominal yaralanmalardatoraksa yönelik girişimlerin 19’unu (%82,6) tüp torakostomi ve 4’ünü (% 17,4) torakotomioluşturuyordu. Başlangıçta tüp takılan hiçbir hastadatorakotomi endikasyonu oluşmadı ve tüp torakostomiyeterli bir tedavi oldu. Tüm torakoabdominal travmalarınlaparotomi oranı ise % 44,8 ’idi. Cerrahi tedavininanlamlı bir şekilde penetran yaralanmalarda dahasık tercih edildiği görüldü. Dalak (% 35) ve karaciğer(% 32,5) sırasıyla en sık yaralanan organlardı. Solidorgan yaralanmaları toplam yaralanan organların %74,2’ini oluşturuyordu ve bunların % 76’sında konservatiftedavi uygulandı. Diafragma ve içi boş organ yaralanmalarınıntamamında cerrahi tedavi yapıldı. Toplamiki hastada (% 8,7) ölüm görüldü ve bu vakalartorakotomi uygulanan hastalardı.SonuçTorakoabdominal travmaların yönetimi travmanınkaynağına, hastanenin donanımına ve cerrahın deneyiminegöre değişebilir. Penetran yaralanmalarda torakotomive laparotomi oranları daha yüksektir. Küntyaralanmalarda tüp torakostomi ve konservatif tedavigenellikle yeterli olmaktadır ve ikinci basamak bir hizmethastanesinde de başarıyla uygulanabilir. |
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| dc.format |
application/pdf |
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| dc.language |
tr |
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| dc.publisher |
Süleyman Demirel Üniversitesi |
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| dc.publisher |
Süleyman Demirel University |
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| dc.relation |
https://dergipark.org.tr/tr/download/article-file/1554617 |
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| dc.source |
Volume: 28, Issue: 2
301-308 |
en-US |
| dc.source |
1300-7416 |
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| dc.source |
2602-2109 |
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| dc.source |
SDÜ Tıp Fakültesi Dergisi |
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| dc.subject |
Trauma,Abdominal injury,Tube thoracostomy,Thoracotomy |
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| dc.subject |
Travma,Karın yaralanması,Tüp torakostomi,Torakotomi |
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| dc.title |
MANAGEMENT OF CONCURRENT ABDOMINAL INJURIES IN PATIENTS WHO UNDERWENT THORACOSTOMY/THORACOTOMY SECONDARY TO TRAUMA |
en-US |
| dc.title |
TRAVMAYA SEKONDER TÜP TORAKOSTOMİ/ TORAKOTOMİ UYGULANAN HASTALARDA EŞ ZAMANLI GÖRÜLEN KARIN YARALANMALARI VE YÖNETİMİ |
tr-TR |
| dc.type |
info:eu-repo/semantics/article |
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