SPLENIC TRAUMA AND ITS TREATMENT (SURGICAL TREATMENT METHODS USED IN HASEKI EDUCATIONAL AND RESEARCH HOSPITAL IN SPLENIC TRAUMA)

184 patients were admitted with splenic injuries, between 1992 and 1998. 131(71%) patients were male and 53 (29%) patients were female. The avarage age of patients were 20.4 years. There were 176 (95%) blunt and 8 (5%) panetrating injuries. The management of our cases involved splenectomy in 164 (89%), splenorraphy in 12 (7%) and partial splenectomy in 8 (4%). 172 (93%) of the operated patients had isolated splenic injuries and 12 (7%) concomitant organ injuries. The lenght of hospital stay of splenectomies; partial splenectomy and splenorraphy were 7.9, 7 and 6 days respectively. The complication rate of splenectomy, partial splenectomies; and splenorraphy after the operation were 3 (2%), 1 (0.5%) and 0. No deaths occurred as a result of splenic injury and operation.

DALAK YARALANMALARI VE TEDAVÝSÝ HASEKÝ EÐÝTÝM VE ARAÞTIRMA HASTANESÝ ACÝL CERRAHÝ SERVÝSÝNDE DALAK YARALANMALARINDA UYGULANAN CERRAHÝ GÝRÝÞÝMLER

Hastanemize, 1992-98 yýllarý arasýnda 184 dalak travmalý hasta baþvurmuþtur. Hastalarýn 13' ü (%71) erkek, 53'ü (%29) kadýndýr. Hastalarýn yaþ ortalamasý 20.4 yýldýr. Hastalardaki dalak yaralanmasý 176 (%95) tanesinde künt, 8 (%5) tanesinde de penetran karýn travmasýna baðlý idi. Dalak travmalý hastalarýn 164'üne (%89) splenektomi, 12'sine (%7) splenorafi ve 8'ine (%4) kýsmi splenektomi yapýldý. 172 (%93) hastada izole dalak travmasý varken, 12 (%7) hastada diðer organ yaralanmalarý da mevcuttu. Hastanede ortalama kalýþ süresi, splenektomilerde 7.9, kýsmi splenektomilerde 7 ve splenorafilerde 6 gündü. Ameliyat sonrasý komplikasyon oranlarý splenektomilerde %2, kýsmi splenektomide %0.5 saptanmýþ olup, splenorafide komplikasyon saptanmamýþtýr. Tüm gruplarda mortaliteye rastlanmamýþtýr.