Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center
Yıl: 2022 Cilt: 30 Sayı: 4 Sayfa Aralığı: 565 - 573 Metin Dili: İngilizce DOI: 10.5606/tgkdc.dergisi.2022.21790 İndeks Tarihi: 04-05-2023
Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center
Öz: Background: In this study, we present diagnostic and therapeutic approaches in diaphragmatic rupture cases secondary to trauma and treated using surgical intervention. Methods: Between March 2010 and December 2020, a total of 24 patients (23 males, 1 female; mean age: 35.0±13.7 years; range, 18 to 61 years) who were operated for traumatic diaphragm rupture were retrospectively reviewed. Preoperative, intraoperative, and postoperative data of the patients were evaluated. Differences between the groups with and without morbidity were analyzed. Results: The mean total length of stay in the hospital was 16.2±10.9 (range, 6 to 56) days. The morbidity rate was 50% (n=12), and the mortality rate was 4.2% (n=1). In the comparison of groups with and without morbidity, three factors were found to be statistically significant: instability at the time of admission (p=0.009), gastrointestinal system perforation regardless of its location (p=0.014), and rib fracture (p=0.027). There was a significant difference in the total length of hospital stay (p=0.045). Conclusion: Patients whose condition is unstable at the time of admission to the emergency room and who have gastrointestinal system perforations and rib fractures are more prone to developing morbidity, which prolongs the duration of hospital stay.
Anahtar Kelime: Travmatik diyafragma rüptürleri: Üçüncü basamak sağlık merkezinde multidisipliner bir çalışma
Öz: Amaç: Bu çalışmada travmaya bağlı diyafragma rüptürü olan ve cerrahi girişim ile tedavi edilen olgularda tanısal ve tedavi yaklaşımları sunuldu. Çalışma planı: Mart 2010 - Aralık 2020 tarihleri arasında travmatik diyafragma rüptürü nedeniyle ameliyat edilen toplam 24 hasta (23 erkek, 1 kadın; ort. yaş: 35.0±13.7 yıl; dağılım, 18-61 yıl) retrospektif olarak incelendi. Hastaların ameliyat öncesi, sırası ve sonrası verileri değerlendirildi. Morbiditesi olan ve olmayan gruplar arasındaki farklılıklar araştırıldı. Bulgular: Hastanede toplam ortalama kalış süresi 16.2±10.9 (dağılım, 6 to 56) gün idi. Morbidite oranı %50 (n=12) ve mortalite oranı %4.2 (n=1) idi. Morbidite olan ve olmayan grupların karşılaştırılmasında üç faktör istatistiksel olarak anlamlı bulundu: başvuru sırasında instabilite (p=0.009), lokasyonundan bağımsız olarak gastrointestinal sistem perforasyonu (p=0.014) ve kaburga kırığı (p=0.027). Toplam hastanede kalış süresinde anlamlı bir farklılık vardı (p=0.045). Sonuç: Acil servise kabul anında durumu stabil olmayan ve gastrointestinal sistem perforasyonları ve kaburga kırıkları olan hastalar morbidite geliştirmeye daha yatkındır ve bu da hastanede kalış süresini uzatır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA | İLİKLERDEN Ü, Mergan iliklerden D, KALAYCI T (2022). Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center. , 565 - 573. 10.5606/tgkdc.dergisi.2022.21790 |
Chicago | İLİKLERDEN ÜMİT HALUK,Mergan iliklerden Duygu,KALAYCI Tolga Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center. (2022): 565 - 573. 10.5606/tgkdc.dergisi.2022.21790 |
MLA | İLİKLERDEN ÜMİT HALUK,Mergan iliklerden Duygu,KALAYCI Tolga Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center. , 2022, ss.565 - 573. 10.5606/tgkdc.dergisi.2022.21790 |
AMA | İLİKLERDEN Ü,Mergan iliklerden D,KALAYCI T Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center. . 2022; 565 - 573. 10.5606/tgkdc.dergisi.2022.21790 |
Vancouver | İLİKLERDEN Ü,Mergan iliklerden D,KALAYCI T Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center. . 2022; 565 - 573. 10.5606/tgkdc.dergisi.2022.21790 |
IEEE | İLİKLERDEN Ü,Mergan iliklerden D,KALAYCI T "Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center." , ss.565 - 573, 2022. 10.5606/tgkdc.dergisi.2022.21790 |
ISNAD | İLİKLERDEN, ÜMİT HALUK vd. "Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center". (2022), 565-573. https://doi.org/10.5606/tgkdc.dergisi.2022.21790 |
APA | İLİKLERDEN Ü, Mergan iliklerden D, KALAYCI T (2022). Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 30(4), 565 - 573. 10.5606/tgkdc.dergisi.2022.21790 |
Chicago | İLİKLERDEN ÜMİT HALUK,Mergan iliklerden Duygu,KALAYCI Tolga Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center. Türk Göğüs Kalp Damar Cerrahisi Dergisi 30, no.4 (2022): 565 - 573. 10.5606/tgkdc.dergisi.2022.21790 |
MLA | İLİKLERDEN ÜMİT HALUK,Mergan iliklerden Duygu,KALAYCI Tolga Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.30, no.4, 2022, ss.565 - 573. 10.5606/tgkdc.dergisi.2022.21790 |
AMA | İLİKLERDEN Ü,Mergan iliklerden D,KALAYCI T Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2022; 30(4): 565 - 573. 10.5606/tgkdc.dergisi.2022.21790 |
Vancouver | İLİKLERDEN Ü,Mergan iliklerden D,KALAYCI T Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2022; 30(4): 565 - 573. 10.5606/tgkdc.dergisi.2022.21790 |
IEEE | İLİKLERDEN Ü,Mergan iliklerden D,KALAYCI T "Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 30, ss.565 - 573, 2022. 10.5606/tgkdc.dergisi.2022.21790 |
ISNAD | İLİKLERDEN, ÜMİT HALUK vd. "Traumatic diaphragmatic ruptures: A multidisciplinary study in a tertiary health center". Türk Göğüs Kalp Damar Cerrahisi Dergisi 30/4 (2022), 565-573. https://doi.org/10.5606/tgkdc.dergisi.2022.21790 |