Araştırma Makalesi
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Evisserasyona Neden Olan Risk Faktörleri

Yıl 1996, Cilt: 1 Sayı: 1, 25 - 27, 30.11.1996

Öz



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.

Kaynakça

  • Alexander HC,Prudden JF. The causes of abdominal wound disruption. SGO. 1966;122(6):1223-1229.
  • Riou JA, Cohen JR, Johnson H. Factor influencing wound dehiscence. Am J Sur. 1992;163:324-330.
  • Richards PC, Balch CM, Aldrete JS. Abdominal wound closure. Ann Surg. 1983;197(2):238-243.
  • Utkan NZ, Cantürk NZ, Yıldırır C, Analay H. Karin 19i ameliyat geçiren hastalarda erken relaparatomi nedenleri. Cerrahi Tıp Bülteni. 1995;4:92-94.
  • Mendoza CB, Postlethwait RW, Johnson WD. Incidence of wound disruption following operation. Arch Surg. 1970;101: 396-398.
  • Pennickx FM. Poelmans SV, Kerremans RP, Beckers JP. Abdominal wound dehiscence in gastro­enterological surgery. Ann Surg. 1979;189(3):345-352.
  • Irvin TT, Stoddard CJ, Greaney MG, Duthie HL. Abdominal wound healing: A prospective clinical study. Br Med J. 1977;2(6083):351-352. doi: 10.1136/bmj.2.6083.351
  • Banarjee SR, Daoud I, Russell JC, Becker DR. Abdominal wound evisseration. Curr Surg. 1983;40: 432-434.
  • KeilL RH, Keitzer WF, Nichols WK, Henzel J,DeWeese MS. Abdominal wound dehisience. Arch Surg. 1973;106(4):573-577.
  • Johnson BW, Scott PG, Brunton JL, Petrik PK, Williams HT. Primary and secondary healing in infected wounds. Arch Surg. 1982;117(9):1189-1193. doi:10.1001/archsurg.1982.01380330047012
  • Makela JT, Kivinemi H, Juvoren H, Laitinon S. Factors influencing wound dehiscence after midline laparotomy. Am J Surg. 1995;170(4):387-90.
  • Poole GV. Mechanical factors in abdominal wound closure. The prevention of fascial dehiscence. Surgery. 1985;97(6):631-639.
  • Marsh RL, Coxe JW, Ross WL, Stevens GA. Factors involving wound dehiscence. JAMA. 1954;155:1197- 1200. doi:10.1001/jama.1954.03690320001001
  • Sanders R, Diclementi D, Ireland K. Principle of abdominal wound closure. I&II. Arch Surg. 1977;112(10):1184-1191.
  • Carlson MA, Ludwig KA, Candon PE. Ventral hernia and other complications of midline incisions. South Med J. 1995;88(4):450-453.
  • Stone HH, Hoejling SJ, Strom PR, Dunlop WE, Fabian TC. Abdominal incisions:transverse vs. vertical placement and continious vs. Interrupted closure. South Med J. 1983;6(9):1106-1109.
  • Carlson MA, Candon PE. Polyglyconat (Maxon) versus nylon suture in midline abdominal incision closure: A prospective randomized trial. Am J Surg. 1995;61(11):980-983.
  • Binnie NR, Bainbridge CL, Macintyre IMC. Abdominal wound closure with polydioxanone. JR Coll Surg Edinb. 1986;31(3):147-150.
  • Leaper D, Allan A, May RE, Corjield AP, Kennedy RH. Abdominal wound closure: A controlled trial of polyamine and polydioxanone suture. Br J Surg. 1976;63:273-275.
  • Niggebrugge AH, Hansen BE, Trimbos JB, van de VeLde CJ, Zwaveling A. Mechanical factors the incidence of burst abdomen. Eur J Surg. 1995;161(9):655-661.

Risk Factors Influencing Wound Dehisience

Yıl 1996, Cilt: 1 Sayı: 1, 25 - 27, 30.11.1996

Öz



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.

Kaynakça

  • Alexander HC,Prudden JF. The causes of abdominal wound disruption. SGO. 1966;122(6):1223-1229.
  • Riou JA, Cohen JR, Johnson H. Factor influencing wound dehiscence. Am J Sur. 1992;163:324-330.
  • Richards PC, Balch CM, Aldrete JS. Abdominal wound closure. Ann Surg. 1983;197(2):238-243.
  • Utkan NZ, Cantürk NZ, Yıldırır C, Analay H. Karin 19i ameliyat geçiren hastalarda erken relaparatomi nedenleri. Cerrahi Tıp Bülteni. 1995;4:92-94.
  • Mendoza CB, Postlethwait RW, Johnson WD. Incidence of wound disruption following operation. Arch Surg. 1970;101: 396-398.
  • Pennickx FM. Poelmans SV, Kerremans RP, Beckers JP. Abdominal wound dehiscence in gastro­enterological surgery. Ann Surg. 1979;189(3):345-352.
  • Irvin TT, Stoddard CJ, Greaney MG, Duthie HL. Abdominal wound healing: A prospective clinical study. Br Med J. 1977;2(6083):351-352. doi: 10.1136/bmj.2.6083.351
  • Banarjee SR, Daoud I, Russell JC, Becker DR. Abdominal wound evisseration. Curr Surg. 1983;40: 432-434.
  • KeilL RH, Keitzer WF, Nichols WK, Henzel J,DeWeese MS. Abdominal wound dehisience. Arch Surg. 1973;106(4):573-577.
  • Johnson BW, Scott PG, Brunton JL, Petrik PK, Williams HT. Primary and secondary healing in infected wounds. Arch Surg. 1982;117(9):1189-1193. doi:10.1001/archsurg.1982.01380330047012
  • Makela JT, Kivinemi H, Juvoren H, Laitinon S. Factors influencing wound dehiscence after midline laparotomy. Am J Surg. 1995;170(4):387-90.
  • Poole GV. Mechanical factors in abdominal wound closure. The prevention of fascial dehiscence. Surgery. 1985;97(6):631-639.
  • Marsh RL, Coxe JW, Ross WL, Stevens GA. Factors involving wound dehiscence. JAMA. 1954;155:1197- 1200. doi:10.1001/jama.1954.03690320001001
  • Sanders R, Diclementi D, Ireland K. Principle of abdominal wound closure. I&II. Arch Surg. 1977;112(10):1184-1191.
  • Carlson MA, Ludwig KA, Candon PE. Ventral hernia and other complications of midline incisions. South Med J. 1995;88(4):450-453.
  • Stone HH, Hoejling SJ, Strom PR, Dunlop WE, Fabian TC. Abdominal incisions:transverse vs. vertical placement and continious vs. Interrupted closure. South Med J. 1983;6(9):1106-1109.
  • Carlson MA, Candon PE. Polyglyconat (Maxon) versus nylon suture in midline abdominal incision closure: A prospective randomized trial. Am J Surg. 1995;61(11):980-983.
  • Binnie NR, Bainbridge CL, Macintyre IMC. Abdominal wound closure with polydioxanone. JR Coll Surg Edinb. 1986;31(3):147-150.
  • Leaper D, Allan A, May RE, Corjield AP, Kennedy RH. Abdominal wound closure: A controlled trial of polyamine and polydioxanone suture. Br J Surg. 1976;63:273-275.
  • Niggebrugge AH, Hansen BE, Trimbos JB, van de VeLde CJ, Zwaveling A. Mechanical factors the incidence of burst abdomen. Eur J Surg. 1995;161(9):655-661.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Cerrahi
Bölüm Araştırma Makaleleri
Yazarlar

Nuh Zafer Cantürk Bu kişi benim

Cihan Yıldırır Bu kişi benim

Nihat Zafer Utkan Bu kişi benim

Nuri Gönüllü Bu kişi benim

Mustafa Dülger Bu kişi benim

Yayımlanma Tarihi 30 Kasım 1996
Gönderilme Tarihi 1 Ocak 1996
Kabul Tarihi 1 Ekim 1996
Yayımlandığı Sayı Yıl 1996 Cilt: 1 Sayı: 1

Kaynak Göster

AMA Cantürk NZ, Yıldırır C, Utkan NZ, Gönüllü N, Dülger M. Evisserasyona Neden Olan Risk Faktörleri. Acta Med Nicomedia. Kasım 1996;1(1):25-27.

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