dc.contributor.author |
Bozkurt, Betül |
|
dc.contributor.author |
Özdemir, Buket Altun |
|
dc.contributor.author |
Koçer, Havva Belma |
|
dc.contributor.author |
Ünal, Bülent |
|
dc.contributor.author |
Dolapçı, Mete |
|
dc.contributor.author |
Cengiz, Ömer |
|
dc.date.accessioned |
2017-08-15T08:21:44Z |
|
dc.date.available |
2017-08-15T08:21:44Z |
|
dc.date.issued |
2006 |
|
dc.identifier.citation |
Bozkurt, B. Özdemir, B. A. Koçer, H. B. Ünal, B. Dolapçı, M. Cengiz, Ö. (2006). Operative approach in traumatic injuries of the duodenum. Acta Chir Belg. 106, 4; 405-408. |
tr_TR |
dc.identifier.uri |
http://dx.doi.org/10.1080/00015458.2006.11679916 |
|
dc.identifier.uri |
http://hdl.handle.net/11616/7560 |
|
dc.description.abstract |
Abstract. Background : The management of duodenal traumas remains controversial. The experience of Ankara
Numune Training and Research Hospital Emergency Surgery Department with duodenal injuries during a 10-year period
was analyzed to identify trends in operative management and sources of duodenum-related morbidity and mortality.
Methods and Results : Between 1994 and 2003, 1799 patients with blunt abdominal trauma were operated on and the
incidence of duodenal trauma was 2.8% (50 patients). The injuries were penetrating in 31 (62%) patients and blunt in
19 (38%). Primary repair (PR) of injury was performed in 24 (48%) patients, primary repair and tube duodenostomy
(PRTd) in 8 (16%) patients, complex repair (CR) in 11 (22%) patients, and exploration only without a duodenal procedure
in 5 (10%) patients. Two of the patients died during laparotomy. The mortality rate was 12% and the incidence of
duodenum-related morbidity was 12%. The overall morbidity rate was 40% (20 patients). The most commonly injured
portion of the duodenum was DII (58%), and the most frequent cause of duodenum-related and overall morbidity in our
series was Grade III duodenal injury.
Conclusion : Our experience suggests that the use of primary repair in grade III injury may be associated with higher
duodenum-related morbidity. Our recommendation is to use complex repair for grade III duodenal injuries. |
tr_TR |
dc.language.iso |
eng |
tr_TR |
dc.publisher |
Acta Chir Belg |
tr_TR |
dc.relation.isversionof |
10.1080/00015458.2006.11679916 |
tr_TR |
dc.rights |
info:eu-repo/semantics/openAccess |
tr_TR |
dc.subject |
Trauma |
tr_TR |
dc.subject |
Duodenal injury |
tr_TR |
dc.title |
Operative approach in traumatic injuries of the duodenum |
tr_TR |
dc.type |
article |
tr_TR |
dc.relation.ispartof |
Acta Chir Belg |
tr_TR |
dc.department |
İnönü Üniversitesi |
tr_TR |
dc.authorid |
116537 |
tr_TR |
dc.identifier.volume |
106 |
tr_TR |
dc.identifier.issue |
4 |
tr_TR |
dc.identifier.startpage |
405 |
tr_TR |
dc.identifier.endpage |
408 |
tr_TR |