Firearm injury and the Deloyers procedure: case report and literature review

dc.contributor.authorCeylan, Cengiz
dc.date.accessioned2024-08-04T20:10:24Z
dc.date.available2024-08-04T20:10:24Z
dc.date.issued2024
dc.departmentİnönü Üniversitesien_US
dc.description.abstractFollowing extended colon resections, it may not always be possible to perform colorectal anastomosis. The Deloyers procedure, which involves the transposition of the right colon, has been identified as a viable solution. This report aims to discuss the circumstances under which the Deloyers procedure was performed, as well as to evaluate the early and late postoperative outcomes, by reviewing cases conducted between 2010 and 2023. In a 22 -year -old female patient who suffered major organ and tissue loss (with injuries to the sigmoid colon, descending colon, transverse colon, and mesentery) due to a firearm injury, the Deloyers procedure was applied during restorative surgery following initial damage control surgery. The procedure involved mobilizing the cecum and right colon, performing a cranio-caudal rotation over the ileocolic artery pedicle, followed by an appendectomy, and creating a colorectal anastomosis using circular staplers. There were no complications during the postoperative follow-ups. By the 14th postoperative day, the patient was discharged and experienced bowel movements four times a day, managed with 2.5 mg of diphenoxylate hydrochloride and 0.025 mg of atropine sulfate. At the 6 -month follow-up, the frequency of bowel movements had decreased to twice daily without the need for medical treatment. Given the functional outcomes in patients after extended left colectomies, the Deloyers procedure, with its low associated morbidity, stands out as a viable option.en_US
dc.identifier.doi10.14744/tjtes.2024.20813
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue4en_US
dc.identifier.pmid38634843en_US
dc.identifier.scopus2-s2.0-85190897484en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.trdizinid1240458en_US
dc.identifier.urihttps://doi.org/10.14744/tjtes.2024.20813
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1240458
dc.identifier.urihttps://hdl.handle.net/11616/92768
dc.identifier.volume30en_US
dc.identifier.wosWOS:001200239600005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDeloyers procedureen_US
dc.subjectfirearm injuryen_US
dc.subjectright colon transpositionen_US
dc.subjectright colon to rectal anastomosisen_US
dc.titleFirearm injury and the Deloyers procedure: case report and literature reviewen_US
dc.typeReview Articleen_US

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