Evisserasyona Neden Olan Risk Faktörleri

Year 1996, Volume: 1 Issue: 1, 25 - 27, 30.11.1996

Nuh Zafer Cantürk Cihan Yıldırır Nihat Zafer Utkan Nuri Gönüllü Mustafa Dülger

Abstract

Amaç: Evisserasyon önemli postoperatif
komplikasyonlardandır. Preoperatif ve postoperatif bakımdaki gelişmelere,
antibiyotik kullanımı ve yeni sütür materyallerine rağmen bu komplikasyonun
insidansı değişmemiştir. Evisserasyonun etiyolojisinde lokal ve sistemik faktörlerin
rol oynadığına inanılmaktadır. Çalışmamızın amacı bu konudaki deneyimlerimizi
gözden geçirmek ve risk faktörlerini ortaya
koymaktır.

Yöntem: 3383 vakada 30 evisserasyon
olgusu ile karşılaştık.

Bulgular ve Sonuç: İstatistiki
olarak önemli risk faktörleri 65 yaş üzeri, kapatma şekli, yara yeri
enfeksiyonu, anemi, hipoalbuminemi ve/veya diğer metabolik bozukluklar ve acil
cerrahi girişimlerdi.

Keywords

evisserasyon, risk faktörleri

Risk Factors Influencing Wound Dehisience

Abstract

Objective:  The disruption of an abdominal wound is one of
the most serious postoperative complications. In spite of improved preoperative
and postoperative care. The use of antibiotics and new types of new suture
material, the incidence of this complication has remained static. The etiology
of abdominal wound dehisience is beleived to be a result of both local and
systemic factors. The purpose of this study was to review our clinical
experience and to determine risk factors.

Methos: In this
study we determined thirty abdominal wound dehisiences in 3383 patients
undergoing major abdominal surgery.

Results and Conlusion:
Significant factors were age over 65, type of closure, wound infection, anemia,
hypoalbuminemia and/or other metabolic disorders and emergency surgery.

Keywords

wound dehisience, risk factors

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