Does a penetrating diaphragm injury have an effect on morbidity and mortality? [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2013; 19(1): 45-48 | DOI: 10.5505/tjtes.2013.14194  

Does a penetrating diaphragm injury have an effect on morbidity and mortality?

Bünyami Özoğul1, Abdullah Kisaoglu1, Gurkan Ozturk1, Sabri Selçuk Atamanalp1, Yener Aydin2, Bülent Aydinli1, Mehmet İlhan Yildirgan1
1Department Of General Surgery, Ataturk University, Medical Faculty, Erzurum, Turkey
2Department Of Thoracic Surgery, Ataturk University, Medical Faculty, Erzurum, Turkey

Aim: In this study, we investigated the diaphragmatic ruptures that accompanied penetrating abdominal injury.
Material and Methods: Retrospectively 237 patients records with penetrating abdominal trauma in General Surgery Clinics between January 1996 and December 2010 were investigated. Patients with diaphragmatic rupture were designated to Group 1 and those without were designated to Group 2.
Results: There was no diaphragmatic injury in 177 patients, and there was diaphragmatic injury in 60 patients. Diaphragmatic injury was on the right side in 12, on the left side in 41, and bilateral in 7. Eleven had thoracic herniation and the most common hernia contents were colon, stomach, greater omentum, the small bowel and the spleen. The postoperative complication rate was 50% in Group 1 (n=89) and 47% in Group 2 (n=28). There was no significant difference between the two groups (p˃0.05). The length of hospital stay was slightly increased, but not significant in Group 2 (p˃0.05). Seventeen patients (9.6%) in Group 1 and four patients (6.6%) in Group 2 died. The mortality rates between the two groups were not significant (p˃0.05).
Conclusion: Diaphragmatic rupture is not common among patients with penetrating abdominal trauma. There was no difference between patients that had penetrating injuries with or without diaphragmatic injuries in terms of mortality and morbidity.

Keywords: Diaphragmatic injury, morbidity, mortality


Penetran Diafragma Yaralanması Morbidite ve Mortaliteyi Etkiler mi?

Bünyami Özoğul1, Abdullah Kisaoglu1, Gurkan Ozturk1, Sabri Selçuk Atamanalp1, Yener Aydin2, Bülent Aydinli1, Mehmet İlhan Yildirgan1
1Atatürk Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Erzurum
2Atatürk Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Erzurum

Amaç: Bu çalışmada penetran abdominal hasar ile birlikte olan diafragma rüptürlerini inceledik.
Gereç ve yöntem: Bu çalışmaya Ocak 1996- Aralık 2010 tarihleri arasında Genel Cerrahi Kliniği’nde penetran abdominal travmalı 237 hastanın kayıtları retrospektif olarak incelendi. Diafragmatik rüptüre sahip olmayan hastalar Grup 1 ve diafragmatik rüptüre sahip olan hastalar Grup 2 olarak ayrıldı.
Bulgular: 177 hastada diafragmatik hasar yoktu ve 60 hastada ise diafragmatik hasar vardı. Diafragmatik hasar hastaların 12’sinde sağda, 7’sinde bilateral ve 41’inde sol tarafta idi. 11 vakada toraksa herniasyon vardı ve en fazla kolon, mide, omentum, ince barsaklar ve dalak torakal kaviteye herniye idi. Postoperatif komplikasyon oranımız Grup 1’de %50 (n=89) ve Grup 2’de %47 (n=28) idi. Her iki grup arasında istatistiksel olarak anlamlı bir fark yoktu (p˃0.05). Hastanede kalış süresi Grup 2’de az miktar fazla olmasına rağmen anlamlı bir fark yoktu (p˃0.05). Grup 1 ‘de 17 hasta (%9.6) ve Grup 2’de 4 hasta (%6.6) eksitus oldu. Mortalite hızları iki grup arasında anlamlı değil idi (p˃0.05).
Sonuç: Penetran abdominal travmalı hastalarda diafragmatik rüptür yaygın değildir. Penetran yaralanmalarda diafragma yaralanması olan hastalarla olmayan hastalar arasında fark bulunamamıştır.

Anahtar Kelimeler: Diyafragma yaralanması, morbidite, mortalite


Bünyami Özoğul, Abdullah Kisaoglu, Gurkan Ozturk, Sabri Selçuk Atamanalp, Yener Aydin, Bülent Aydinli, Mehmet İlhan Yildirgan. Does a penetrating diaphragm injury have an effect on morbidity and mortality?. Ulus Travma Acil Cerrahi Derg. 2013; 19(1): 45-48

Corresponding Author: Bünyami Özoğul, Türkiye


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