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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2013 / Cilt: 19 - Sayı: 5

General approach to penetrating abdominal traumas of Turkish general surgeons: Survey of practice

Türkiye’deki genel cerrahların penetran karın travmalarına yaklaşımı: Uygulama anketi

Faruk KARATEKE
Sefa ÖZYAZICI
KORAY DAŞ
Ebru MENEKŞE
Safa ÖNEL
Mehmet ÖZDOĞAN
Mehmet Mahir ÖZMEN
Fatih AĞALAR
CEMALETTİN ERTEKİN
Pages
463–468
DOI
—
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AI Summary & Key Takeaways

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

We believe that approval of trauma and emergency surgery disciplines as subspecialties and funding- centralized trauma centers might correct this deficiency.

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: In patients with penetrating abdominal traumas (PATs), selective non-operative management (SNOM) has been widely accepted.
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Key Findings & Data:Participants’ demographic characteristics and their management trends and opinions regarding patients with PATs and SNOM were studied.
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Conclusion & Impact:We believe that approval of trauma and emergency surgery disciplines as subspecialties and funding- centralized trauma centers might correct this deficiency.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: In patients with penetrating abdominal traumas (PATs), selective non-operative management (SNOM) has been widely accepted. This study was designed to investigate the practice trends among Turkish surgeons regarding SNOM. MEHTOHDS: The study was conducted as an online survey. Participants’ demographic characteristics and their management trends and opinions regarding patients with PATs and SNOM were studied. Data were recorded using MS Excel® and analyzed. RESULTS: A total of 180 surgeons participated in the survey. SNOM approach rate in patients with stab injuries (SI) was 64%, whereas in patients with gunshot injuries (GSI), this rate was 52%. However, more than 90% of the surgeons declared that additional diagnostic studies were required before selecting SNOM approach in both SI and GSI. In addition, most of the surgeons who did not use SNOM in practice reported that they did not want to risk the patients’ lives or their careers. DISCUSSION: Although our surgeons have constructive opinions and tendencies regarding contemporary approaches in the management of PATs, it is seen that nearly half of them prefer not to perform SNOM in practice for various reasons. We believe that approval of trauma and emergency surgery disciplines as subspecialties and funding- centralized trauma centers might correct this deficiency.

Özet

AMAÇ: Penetran karın travmalı (PKT) hastalarda selektif non-operatif yönetim (SNOY) genel kabul gören yaklaşım haline gelmiştir. Bu çalışma ülkemizdeki genel cerrahların SNOY ile ilgili görüşlerini ve klinik uygulamadaki eğilimlerini belirlemek amacıyla yapıldı. GEREÇ VE YÖNTEM: Anket soruları cerrahlara online olarak sunuldu. Ankette katılımcıların demografik özellikleri, PKT’li hastaların yönetimi ve SNOY ile ilgili görüşleri ve klinik uygulamalardaki eğilimleri araştırıldı. Veriler Microsoft® Excel®’de kayıt edilerek analiz edildi. BULGULAR: Çalışmaya toplam 180 genel cerrahi uzmanı katıldı. Delici-kesici alete bağlı karın yaralanması (DKAY) olan hastalarda SNOY yaklaşımını klinik pratikte uygulayanların oranı %64 iken, bu oran ateşli silaha bağlı karın yaralanması (ASY) olan hastalarda %52 idi. Ancak cerrahların %90’dan fazlası hem DKAY’de, hem de ASY’de SNOY yaklaşımını uygulamadan önce ek görüntüleme ve ilave incelemelere gerek olduğunu savundu. SNOY yaklaşımını klinik pratiklerinde uygulamayan cerrahların büyük çoğunluğu ise hem hastanın yaşamını hem de kendilerini adli olarak riske etmek istemediklerini belirtti. SONUÇ: Ülkemizdeki genel cerrahların penetran karın travması olan hastaların yönetimindeki güncel yaklaşımlar hakkında olumlu görüş ve eğilimleri olmasına rağmen yaklaşık yarısının çeşitli sebeplerden dolayı pratikte yeteri kadar uygulamadıkları saptandı. Travma ve acil cerrahinin yan dal olarak kabul edilmesi ve travma merkezlerinin yapılandırılmasının bu eksiklikleri ortadan kaldıracağını düşünmekteyiz.

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Cite This Article

KARATEKE, F., ÖZYAZICI, S., DAŞ, K., MENEKŞE, E., ÖNEL, S., ÖZDOĞAN, M., ÖZMEN, M. M., AĞALAR, F., ERTEKİN, C. (2013). General approach to penetrating abdominal traumas of Turkish general surgeons: Survey of practice. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 19 - Sayı: 5, 463–468. https://ajindex.com/articles/324509

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References (15)

  1. Shaftan GW. Indications for operation in abdominal trauma. Am J Surg 1960;99:657-64
  2. Demetriades D, Vandenbossche P, Ritz M, Goodmann D, Kowalszik J. Non-therapeutic operations for penetrating trauma: early morbidity and mortality. Br J Surg 1993;80:860-1
  3. Leppäniemi A, Salo J, Haapiainen R. Complications of negative laparotomy for truncal stab wounds. J Trauma 1995;38:54-8
  4. Taviloglu K, Günay K, Ertekin C, Calis A, Türel O. Abdominal stab wounds: the role of selective management. Eur J Surg 1998;164:17-21
  5. Plackett TP, Fleurat J, Putty B, Demetriades D, Plurad D. Selective non- operative management of anterior abdominal stab wounds: 1992-2008. J Trauma 2011;70:408-14
  6. Demetriades D, Rabinowitz B. Indications for operation in abdominal stab wounds. A prospective study of 651 patients. Ann Surg 1987;205:129-32
  7. Leppäniemi AK, Haapiainen RK. Selective nonoperative management of abdominal stab wounds: prospective, randomized study. World J Surg 1996;20:1101-6
  8. Ertekin C, Yanar H, Taviloglu K, Güloglu R, Alimoglu O. Unneces- sary laparotomy by using physical examination and different diagnostic modalities for penetrating abdominal stab wounds. Emerg Med J 2005;22:790-4
  9. McAlvanah MJ, Shaftan GW. Selective conservatism in penetrating ab- dominal wounds: a continuing reappraisal. J Trauma 1978;18:206-12
  10. Jansen JO, Inaba K, Rizoli SB, Boffard KD, Demetriades D. Selective non-operative management of penetrating abdominal injury in Great Britain and Ireland: survey of practice. Injury 2012;43:1799-804
  11. Demetriades D, Velmahos G, Cornwell E 3rd, Berne TV, Cober S, Bha- sin PS, et al. Selective nonoperative management of gunshot wounds of the anterior abdomen. Arch Surg 1997;132:178-83
  12. Velmahos GC, Demetriades D, Cornwell EE 3rd, Belzberg H, Murray J, Asensio J, et al. Selective management of renal gunshot wounds. Br J Surg 1998;85:1121-4
  13. Velmahos GC, Demetriades D, Toutouzas KG, Sarkisyan G, Chan LS, Ishak R, et al. Selective nonoperative management in 1,856 patients with abdominal gunshot wounds: should routine laparotomy still be the standard of care? Ann Surg 2001;234:395-403
  14. Demetriades D, Hadjizacharia P, Constantinou C, Brown C, Inaba K, Rhee P, et al. Selective nonoperative management of penetrating abdominal solid organ injuries. Ann Surg 2006;244:620-8
  15. Inaba K, Barmparas G, Foster A, Talving P, David JS, Green D, et al. Selective nonoperative management of torso gunshot wounds: when is it safe to disch