Operative approach in traumatic injuries of the duodenum
| dc.authorid | 116537 | en_US |
| dc.contributor.author | Bozkurt, Betül | |
| dc.contributor.author | Özdemir, Buket Altun | |
| dc.contributor.author | Koçer, Havva Belma | |
| dc.contributor.author | Ünal, Bülent | |
| dc.contributor.author | Dolapçı, Mete | |
| dc.contributor.author | Cengiz, Ömer | |
| dc.date.accessioned | 2017-08-15T08:21:44Z | |
| dc.date.available | 2017-08-15T08:21:44Z | |
| dc.date.issued | 2006 | |
| dc.department | İnönü Üniversitesi | en_US |
| dc.description.abstract | Abstract. Background : The management of duodenal traumas remains controversial. The experience of Ankara Numune Training and Research Hospital Emergency Surgery Department with duodenal injuries during a 10-year period was analyzed to identify trends in operative management and sources of duodenum-related morbidity and mortality. Methods and Results : Between 1994 and 2003, 1799 patients with blunt abdominal trauma were operated on and the incidence of duodenal trauma was 2.8% (50 patients). The injuries were penetrating in 31 (62%) patients and blunt in 19 (38%). Primary repair (PR) of injury was performed in 24 (48%) patients, primary repair and tube duodenostomy (PRTd) in 8 (16%) patients, complex repair (CR) in 11 (22%) patients, and exploration only without a duodenal procedure in 5 (10%) patients. Two of the patients died during laparotomy. The mortality rate was 12% and the incidence of duodenum-related morbidity was 12%. The overall morbidity rate was 40% (20 patients). The most commonly injured portion of the duodenum was DII (58%), and the most frequent cause of duodenum-related and overall morbidity in our series was Grade III duodenal injury. Conclusion : Our experience suggests that the use of primary repair in grade III injury may be associated with higher duodenum-related morbidity. Our recommendation is to use complex repair for grade III duodenal injuries. | en_US |
| dc.identifier.citation | Bozkurt, B. Özdemir, B. A. Koçer, H. B. Ünal, B. Dolapçı, M. Cengiz, Ö. (2006). Operative approach in traumatic injuries of the duodenum. Acta Chir Belg. 106, 4; 405-408. | en_US |
| dc.identifier.doi | 10.1080/00015458.2006.11679916 | en_US |
| dc.identifier.endpage | 408 | en_US |
| dc.identifier.issue | 4 | en_US |
| dc.identifier.startpage | 405 | en_US |
| dc.identifier.uri | http://dx.doi.org/10.1080/00015458.2006.11679916 | |
| dc.identifier.uri | https://hdl.handle.net/11616/7560 | |
| dc.identifier.volume | 106 | en_US |
| dc.language.iso | en | en_US |
| dc.publisher | Acta Chir Belg | en_US |
| dc.relation.ispartof | Acta Chir Belg | en_US |
| dc.rights | info:eu-repo/semantics/openAccess | en_US |
| dc.subject | Trauma | en_US |
| dc.subject | Duodenal injury | en_US |
| dc.title | Operative approach in traumatic injuries of the duodenum | en_US |
| dc.type | Article | en_US |
