STAGED ABDOMINAL REPAIR (STAR) PROCEDURES IN OUR CLlNICEdiz Altınlı, Birol Ağca, Murat Arıdoğan, Cemal Kaya, Mehmet MihmanlıŞişli Etfal Eğitim Ve Araştırma Hastanesi, 3.genel Cerrahi Kliniği, Şişli, İstanbul, Turkey
Aim: In this study we assessed the results of staged abdominal repair (STAR) applications in our clinic. METHODS: Retrospective analysis ofsix cases who were operated by staged abdominal repair (STAR) between December 1998-1January 2002 were assessed according to operation indications, type of operation, presentation ofthe complications and mortality. RESULTS: The initial operations for two ischemic bowel disease cases were right hemicolectomy + end ileostomy + mucous fistula and partial small bowel resection + right hemicolectomy + ileotransversostomy. The operative indications were fistula formation following strangulatedfemoral hernia, diverticular perforation, diverticulitis + massive lower gastrointestinal bleeding and abdominal ! gunshot trauma, and operations were right hemicolectomy + ileotransversostomy, subtotal colectomy + ileorectostomy + diverting ileostomy, subtotal colectomy + Hartmann procedure and primary repair of vena cava + distal pancreatectomy + left hemicolectomy+ Hartmann procedure respectively. Median hospital stay was 28 days. Two cases had pulmonary problems (pleural effiısion and 1 atelectasis). Gunshot trauma patient died four days after the abdominal closure probably due to pulmonary emboli. CONCLUTIONS: Relaparotomy decision may be made prior to the operation but the final decision is made per-operatively. Staged abdominal repair gives an opportunity for sufficient debridement and peritoneallavage and also gives a chance to evaluate the anastomosis sites..
KLİNİĞİMİZDE AŞAMALI ABDOMİNAL ONARIM (STAR) UYGULAMALARIEdiz Altınlı, Birol Ağca, Murat Arıdoğan, Cemal Kaya, Mehmet MihmanlıŞişli Etfal Eğitim Ve Araştırma Hastanesi, 3.genel Cerrahi Kliniği, Şişli, İstanbul, Turkey
Ediz Altınlı, Birol Ağca, Murat Arıdoğan, Cemal Kaya, Mehmet Mihmanlı. STAGED ABDOMINAL REPAIR (STAR) PROCEDURES IN OUR CLlNIC. Ulus Travma Acil Cerrahi Derg. 2002; 8(3): 147-151
Corresponding Author: Ediz Altınlı |
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