Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma

SENTÜRK, MUSTAFA; KADIYORAN, Cengiz; vatansev, hülya; Iyisoy, Mehmet Sinan; YILDIRIM, Mehmet Aykut

doi:10.30733/std.2020.01398

Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma

Mehmet Aykut YILDIRIM, (Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Genel Cerrahi Anabilim Dalı)

Hülya VATANSEV, (Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı)

Mustafa ŞENTÜRK, (Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Genel Cerrahi Anabilim Dalı)

Cengiz KADIYORAN, (Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Radyoloji Anabilim Dalı)

Mehmet Sinan İYİSOY (Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Eğitim ve Tıp Bilişimi Bölümü)

Selçuk Tıp Dergisi

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Yıl: 2021 Cilt: 37 Sayı: 1 Sayfa Aralığı: 57 - 63 Metin Dili: İngilizce DOI: 10.30733/std.2020.01398 İndeks Tarihi: 05-06-2021

Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma

Öz:

Aim: There is still no consensus on nonoperative management (NOM) for the treatment of patients withliver injury due to multiple trauma. In this study, we aimed to present our experience in patients whounderwent NOM in our hospital due to liver injury resulting fro m blunt trauma.Patients and Methods: The study was evaluated retrospectively in 104 patients due to blunt multipletraumato our hospital between 2008-2014 with applied liver injuries. Patients with successful NOM andthose who underwent laparotomy due to failure of NOM were group ed.Results: All of the 104 patients had solid organ injury due to blunt abdominal trauma, and 58 of these hadthorax trauma. NOM was successfully performed in 94 patients with liver injury due to blunt abdominaltrauma. The treatment was converted to surgery in 10 patients during conservative follow-up. Accordingto injury grades; 35 patients were graded as Grade 1, 23 patients as Grade 2, 24 patients as Grade 3, and12 patients as Grade 4. Data of 10 patients with liver trauma and NOM failed were compared with thoseof the NOM group.Conclusion: The development of complications increases in patients with high-grade injury or thoseaccompanied by thorax trauma. The rate of complications is high in patients who receive NOM in Grade4 injury.

Anahtar Kelime:

Multiple Künt T ravması Olan Karaciğer Yaralanmalı Hastalardaki Nonoperatif Tedavi Deneyimlerimiz

Öz:

Amaç: Künt multiple travma nedeniyle nonoperatif tedavi (NOT) uygulanan karaciğer travmalı hastaların takibinde halen fikir birliği yoktur. Çalışmamızda hastanemizde NOT uygulanan künt travma sonucu karaciğer yaralanması olan hastalara ait deneyimlerimizi sunmay ı amaçladık. Hastalar ve Yöntem: Çalışma 2008-2014 yılları arasında hastanemize multiple travma nedeniyle başvuran ve karaciğer yaralanması olan 104 hasta retrospektif olarak değerlendirildi. NOT başarılı olan hastalar ve NOT başarısız olup laparatomi yapılan hastalar tasnif edildi. Bulgular: Künt karın travmasına bağlı 104 hastanın tamamında solid organ yaralanması olup bunların 58’inde toraks travması mevcuttu. Künt karın travması nedeniyle karaciğer yaralanması olan 94 hastaya NOT başarı ile uygulandı.10 hastada konservatif takip sırasında cerrahi tedaviye dönüldü. Yaralanma derecesine göre 35 hasta grade 1, 23 hasta grade 2, 24 hasta grade 3 ve 12 hasta grade 4 olarak derecelendirildi. NOT’un başarısız olduğu karaciğer travmalı 10 hastanın verileri NOT uygulanan grupla karşılaştırıldı. Sonuç: Yaralanma derecesi yüksek veya toraks travmasının eşlik ettiği hastalarda komplikasyon gelişimi de artmaktadır. Grade 4 yaralanmalarda NOT uygulanan vakalarda komplikasyonların görülme oranı yüksektir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	YILDIRIM M, vatansev h, SENTÜRK M, KADIYORAN C, Iyisoy M (2021). Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma. , 57 - 63. 10.30733/std.2020.01398
Chicago	YILDIRIM Mehmet Aykut,vatansev hülya,SENTÜRK MUSTAFA,KADIYORAN Cengiz,Iyisoy Mehmet Sinan Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma. (2021): 57 - 63. 10.30733/std.2020.01398
MLA	YILDIRIM Mehmet Aykut,vatansev hülya,SENTÜRK MUSTAFA,KADIYORAN Cengiz,Iyisoy Mehmet Sinan Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma. , 2021, ss.57 - 63. 10.30733/std.2020.01398
AMA	YILDIRIM M,vatansev h,SENTÜRK M,KADIYORAN C,Iyisoy M Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma. . 2021; 57 - 63. 10.30733/std.2020.01398
Vancouver	YILDIRIM M,vatansev h,SENTÜRK M,KADIYORAN C,Iyisoy M Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma. . 2021; 57 - 63. 10.30733/std.2020.01398
IEEE	YILDIRIM M,vatansev h,SENTÜRK M,KADIYORAN C,Iyisoy M "Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma." , ss.57 - 63, 2021. 10.30733/std.2020.01398
ISNAD	YILDIRIM, Mehmet Aykut vd. "Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma". (2021), 57-63. https://doi.org/10.30733/std.2020.01398

APA	YILDIRIM M, vatansev h, SENTÜRK M, KADIYORAN C, Iyisoy M (2021). Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma. Selçuk Tıp Dergisi, 37(1), 57 - 63. 10.30733/std.2020.01398
Chicago	YILDIRIM Mehmet Aykut,vatansev hülya,SENTÜRK MUSTAFA,KADIYORAN Cengiz,Iyisoy Mehmet Sinan Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma. Selçuk Tıp Dergisi 37, no.1 (2021): 57 - 63. 10.30733/std.2020.01398
MLA	YILDIRIM Mehmet Aykut,vatansev hülya,SENTÜRK MUSTAFA,KADIYORAN Cengiz,Iyisoy Mehmet Sinan Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma. Selçuk Tıp Dergisi, vol.37, no.1, 2021, ss.57 - 63. 10.30733/std.2020.01398
AMA	YILDIRIM M,vatansev h,SENTÜRK M,KADIYORAN C,Iyisoy M Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma. Selçuk Tıp Dergisi. 2021; 37(1): 57 - 63. 10.30733/std.2020.01398
Vancouver	YILDIRIM M,vatansev h,SENTÜRK M,KADIYORAN C,Iyisoy M Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma. Selçuk Tıp Dergisi. 2021; 37(1): 57 - 63. 10.30733/std.2020.01398
IEEE	YILDIRIM M,vatansev h,SENTÜRK M,KADIYORAN C,Iyisoy M "Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma." Selçuk Tıp Dergisi, 37, ss.57 - 63, 2021. 10.30733/std.2020.01398
ISNAD	YILDIRIM, Mehmet Aykut vd. "Our Experience of Nonoperative Management in Patients with Liver Injury Due to Multiple Blunt Trauma". Selçuk Tıp Dergisi 37/1 (2021), 57-63. https://doi.org/10.30733/std.2020.01398