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Journals / Selçuk Tıp Dergisi / 2021 / Cilt: 37 - Sayı: 1

Multiple Künt T ravması Olan Karaciğer Yaralanmalı Hastalardaki Nonoperatif Tedavi Deneyimlerimiz

Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma

Mehmet Aykut YILDIRIM
Hülya VATANSEV
MUSTAFA ŞENTÜRK
Cengiz KADIYORAN
Mehmet Sinan İYİSOY
Pages
57–63
DOI
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AI Summary & Key Takeaways

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

Grade 4 yaralanmalarda NOT uygulanan vakalarda komplikasyonların görülme oranı yüksektir.

📌 3 Key Takeaways

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Objective & Hypothesis:Amaç: Künt multiple travma nedeniyle nonoperatif tedavi (NOT) uygulanan karaciğer travmalı hastaların takibinde halen fikir birliği yoktur.
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Key Findings & Data:Hastalar ve Yöntem: Çalışma 2008-2014 yılları arasında hastanemize multiple travma nedeniyle başvuran ve karaciğer yaralanması olan 104 hasta retrospektif olarak değerlendirildi.
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Conclusion & Impact:Grade 4 yaralanmalarda NOT uygulanan vakalarda komplikasyonların görülme oranı yüksektir.
🔬Design:Research Article
📍Scope:2008-2014 · 104 hasta
⚙️Variables:Domain Parameters

Abstract

Amaç: Künt multiple travma nedeniyle nonoperatif tedavi (NOT) uygulanan karaciğer travmalı hastaların takibinde halen fikir birliği yoktur. Çalışmamızda hastanemizde NOT uygulanan künt travma sonucu karaciğer yaralanması olan hastalara ait deneyimlerimizi sunmay ı amaçladık. Hastalar ve Yöntem: Çalışma 2008-2014 yılları arasında hastanemize multiple travma nedeniyle başvuran ve karaciğer yaralanması olan 104 hasta retrospektif olarak değerlendirildi. NOT başarılı olan hastalar ve NOT başarısız olup laparatomi yapılan hastalar tasnif edildi. Bulgular: Künt karın travmasına bağlı 104 hastanın tamamında solid organ yaralanması olup bunların 58’inde toraks travması mevcuttu. Künt karın travması nedeniyle karaciğer yaralanması olan 94 hastaya NOT başarı ile uygulandı.10 hastada konservatif takip sırasında cerrahi tedaviye dönüldü. Yaralanma derecesine göre 35 hasta grade 1, 23 hasta grade 2, 24 hasta grade 3 ve 12 hasta grade 4 olarak derecelendirildi. NOT’un başarısız olduğu karaciğer travmalı 10 hastanın verileri NOT uygulanan grupla karşılaştırıldı. Sonuç: Yaralanma derecesi yüksek veya toraks travmasının eşlik ettiği hastalarda komplikasyon gelişimi de artmaktadır. Grade 4 yaralanmalarda NOT uygulanan vakalarda komplikasyonların görülme oranı yüksektir.

Özet

Aim: There is still no consensus on nonoperative management (NOM) for the treatment of patients with liver injury due to multiple trauma. In this study, we aimed to present our experience in patients who underwent NOM in our hospital due to liver injury resulting fro m blunt trauma. Patients and Methods: The study was evaluated retrospectively in 104 patients due to blunt multiple traumato our hospital between 2008-2014 with applied liver injuries. Patients with successful NOM and those who underwent laparotomy due to failure of NOM were group ed. Results: All of the 104 patients had solid organ injury due to blunt abdominal trauma, and 58 of these had thorax trauma. NOM was successfully performed in 94 patients with liver injury due to blunt abdominal trauma. The treatment was converted to surgery in 10 patients during conservative follow-up. According to injury grades; 35 patients were graded as Grade 1, 23 patients as Grade 2, 24 patients as Grade 3, and 12 patients as Grade 4. Data of 10 patients with liver trauma and NOM failed were compared with those of the NOM group. Conclusion: The development of complications increases in patients with high-grade injury or those accompanied by thorax trauma. The rate of complications is high in patients who receive NOM in Grade 4 injury.

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Cite This Article

YILDIRIM, M. A., VATANSEV, H., ŞENTÜRK, M., KADIYORAN, C., İYİSOY, M. S. (2021). Multiple Künt T ravması Olan Karaciğer Yaralanmalı Hastalardaki Nonoperatif Tedavi Deneyimlerimiz. Selçuk Tıp Dergisi, Cilt: 37 - Sayı: 1, 57–63. https://ajindex.com/articles/319241

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