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Başlık: Staged abdominal repair in the treatment of intra-abdominal infection: Analysis of 102 patients
Yazarlar: Uludağ Üniversitesi/Tıp Fakültesi/Genel Cerrahi Anabilim Dalı.
0000-0002-6008-5494
Özgüç, Halil
Yılmazlar, Tuncay
Gürlüler, Ercüment
Özen, Yılmaz
Korun, Nusret
Zorluoğlu, Abdullah
X-7425-2018
Y-9117-2018
6603867989
6701800362
6505558938
6508243334
6602316874
57208522203
Anahtar kelimeler: Gastroenterology and hepatology
Surgery
Intra-abdominal infection
Staged abdominal repair
APACHE II score
Multiple laparotomies
Peritonitis
Management
Prognosis
Yayın Tarihi: 2003
Yayıncı: Springer
Atıf: Özgüç, H. vd. (2003). “Staged abdominal repair in the treatment of intra-abdominal infection: Analysis of 102 patients”. Journal of Gastrointestinal Surgery, 7(5), 646-651.
Özet: Surgical treatment of intra-abdominal infections remains a challenge for the surgeon. Staged abdominal repair is being commonly used in patients with intra-abdominal infections. This study presents our experience with staged abdominal repair and analyzes factors affecting mortality. A total of 102 patients who underwent staged abdominal repair procedures for intra-abdominal infections during a 12-year period were retrospectively reviewed. The effects of several risk factors on mortality were evaluated. The investigated risk factors included age, Acute Physiology and Chronic Health Evaluation II (APACHE II) score, number of operations prior to staged abdominal repair, number of repeat laparotomies, anatomic origin of infection, and etiology of intra-abdominal infections. The overall mortality rate was 40% (41/102). The mean number of operations prior to staged abdominal repair (0.72 +/- 0.1 in survivors vs. 1.37 +/- 0.21 in nonsurvivors), age (24.5% mortality under 55 years vs. 53.6% mortality between 55 and 65 years vs. 75% mortality over 65 years), and APACHE 11 score (13.4 +/- 3.4 in survivors vs. 20.3 +/- 6.64 in nonsurvivors) were correlated with mortality rates (P < 0.05). Our results showed that the physiologic status of patients, severity of sepsis, and decision time for staged abdominal repair were all associated with higher mortality.
Açıklama: Bu çalışma, 31 Mayıs-02 Haziran 2001 tarihleri arasında Gdansk[Polonya]’da düzenlenen 14. Annual Meeting of the Surgical-Infection-Society’da bildiri olarak sunulmuştur.
URI: https://doi.org/10.1016/S1091-255X(02)00051-3
http://hdl.handle.net/11452/25913
ISSN: 1091-255X
https://www.sciencedirect.com/science/article/abs/pii/S1091255X02000513
Koleksiyonlarda Görünür:Scopus
Web of Science

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