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Journals / Gülhane Tıp Dergisi / 2004 / Cilt: 46 - Sayı: 2

Damage control surgery in rectal tumors, 5-year experience

Rektal tümörlerde "hasar kontrol" cerrahisi, beş yıllık deneyim

SEZAİ DEMİRBAŞ
Yavuz KURT
M. Levhi AKIN
Yüksel AYDIN
Tuncay ÇELENK
Pages
149–153
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In conclusion, we can say that damage control surgery is lifesaving in SVB despite high postoperative complication rate and longer ICU stay disadvantages.

📌 3 Key Takeaways

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Objective & Hypothesis:Sacral Venous Bleeding (SVB) which is a life threatening surgical injury is a rare but serious complication of colorectal cancer surgery.
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Key Findings & Data:In this retrospective study, efficiency of pelvic packing procedure as damage control surgery for SVB is analyzed. 6 out of 57 rectum cancer patients undergoing 3 different types of surgery in five years time had SVB.
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Conclusion & Impact:In conclusion, we can say that damage control surgery is lifesaving in SVB despite high postoperative complication rate and longer ICU stay disadvantages.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Kanama · Rektum neoplazmları · Geriyedönük çalışma

Abstract

Sacral Venous Bleeding (SVB) which is a life threatening surgical injury is a rare but serious complication of colorectal cancer surgery. In this retrospective study, efficiency of pelvic packing procedure as damage control surgery for SVB is analyzed. 6 out of 57 rectum cancer patients undergoing 3 different types of surgery in five years time had SVB. Patients were evaluated for the parameters of bleeding control type, body temperature, duration of surgery, blood transfusion need and length of stay in the intensive care unit (ICU). Pelvic Packing procedure was used in all cases of bleeding . Duration of surgery of the SVB patients was longer than that of the non-SVB patients and SVB patients were hypothermic with blood transfusion need exceeding 3 units and significantly longer ICU stay. In conclusion, we can say that damage control surgery is lifesaving in SVB despite high postoperative complication rate and longer ICU stay disadvantages.

Özet

Rektal tam mobilizasyon sırasında, sakral ven kanamaları (SVK) sık olmasa da görüldüğü zaman, hastanın peroperatif durumunu ciddi olarak bozmaktadır. Bu retrospektif çalışmadan amaç, SVK da hasar kontrol cerrahisinin rektal kanser olgularında üstünlüğünün ortaya konulmasıdır. Gereçler ve metot, son 5 yılda 57 hasta rektum kanseri nedeniyle, 3 farklı operasyona gitmiş ve bunlardan 6'sında SVK olmuştu. Hastalar kanama kontrol tipi, vücut sıcaklığı, operasyon süresi, kan ihtiyacı, ve yoğun bakım ünitesinde (YBU) kalma süreleri ile değerlendirildi. Sonuçlar, pelvik "packing" turn kanamalarda uygulandı. Operasyon süresi kanama olmayanlara göre daha uzun ve hasta sıcaklığı ise hipotermik bulundu. Bu 6 hastada, kan ihtiyacı ortalama 3 ünitenin üzerindeydi. Yoğun bakımda kalma süreleri de belirgin olarak uzundu. Sonuç, SVK postoperatif yüksek komplikasyon oranı ve uzun süre YBU'de kalma gibi dezavantajlarına rağmen hasar kontrol cerrahisi hastalarda hayat kurtarıcıdır.

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Cite This Article

DEMİRBAŞ, S., KURT, Y., AKIN, M. L., AYDIN, Y., ÇELENK, T. (2004). Damage control surgery in rectal tumors, 5-year experience. Gülhane Tıp Dergisi, Cilt: 46 - Sayı: 2, 149–153. https://ajindex.com/articles/225708

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