Y�KSEK HIZLI MERM�YE BA�LI �R�NER S�STEM YARALANMALARINDA CERRAH� TEDAV� SONU�LARIMIZ

Ko�ak, �zzet; G�rg�l�, Semih; Beyazp�nar, �aban; Tahmaz, L�tf�

Cilt : 5 Say� : 2 Y�l : 2024

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H�zl� Arama

Y�KSEK HIZLI MERM�YE BA�LI �R�NER S�STEM YARALANMALARINDA CERRAH� TEDAV� SONU�LARIMIZ [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 1999; 5(2): 82-85

Y�KSEK HIZLI MERM�YE BA�LI �R�NER S�STEM YARALANMALARINDA CERRAH� TEDAV� SONU�LARIMIZ

�zzet Ko�ak¹, Semih G�rg�l�¹, �aban Beyazp�nar¹, L�tf� Tahmaz¹
Adnan Menderes �niversitesi T�p Fak�ltesi �roloji Ad-Ayd�n

Bu �al��mada y�ksek h�zl� mermi (YHM) ile olu�an bat�n yaralanmalar�nda, e�lik eden �riner sistem yaralanmalar�na olan yakla��mlar�m�z ve organ koruyucu cerrahinin uygulanabilirli�i de�erlendirildi. YHM'ye ba�l� bat�n travmas� nedeniyle opere edilen 42 olgu ya�, yaralanma ve operasyon aras� s�re, e�lik eden organ yaralanmas�, travma skoru, kan transf�zyonu, morbidite ve mortalite y�n�nden de�erlendirildi. 3 olgu (% 7.1) hipovolemik �ok nedeniyle kaybedildi. 9 (% 21.2) olguda b�brek, 2 (% 4.7) olguda �reter ve 1 (% 2.3) olguda mesane yaralanmas� tesbit edildi. 6 (% 66.6) olguya unilateral nefrektorni uygulan�rken b�brek yaralanmal� 9 olgunun 6's�na (% 33.3), �reter ve mesane yaralanmal� olgular�n ise t�m�ne (100 %) primer onar�m ve rekonstr�ks�yon uyguland�. YHM' ye ba�l� penetran b�brek yaralanmalar�nda organ koruyucu cerrahi ve vask�ler rekonstr�ktif cerrahi �ans�n�n az oldu�u �reter, mesane ve blast etkiye ba�l� olu�an min�r b�brek yaralanmalar�nda ise bu y�ntemlerin daha uygulanabilir oldu�u sonucuna var�ld�.

Anahtar Kelimeler: TRAVMA, �ROLOJ�K YARALANMA, ATE�L� S�LAH YARALARI, REKONSTR�KS�YON

SURGICAL TREATMENT OF HIGH VELOCITY SHOTGUN INJURIES OF THE URINARY SYSTEM

�zzet Ko�ak¹, Semih G�rg�l�¹, �aban Beyazp�nar¹, L�tf� Tahmaz¹
Adnan Menderes �niversitesi T�p Fak�ltesi �roloji Ad-Ayd�n

In this study, we evaluated the results of surgical treatment of urinary injury due to penetrating abdominal high velocity missile (HVM) and the probability of performing organ preserving surgery. 42 military conscripts who were operated for penetrating abdominal injury with HVM were evaluated for age, trauma and operation interval, trauma score, associated organ injury, mean blood transfusion, morbidity and mortality rates. 3 (7.1 %) patients were lost because of hypovolemic shock Unilateral renal injury was observed in 9 (21.2%) patients while ureteral injuries in 2 (4.7%) and bladder injuries in 1 (2.3 %) patients. Nephrectomy was performed on 6 (66.6%) of 9 renal units while primary repair and reconstruction were performed on 3 (33.3 %) and all (100%) ureteral and bladder trauma patients. It was concluded that although the chance for organ preservation and vascular reconstructive surgery is lower in penetrating renal injuries, but it is higher for ureter, bladder and minor renal injuries due to blast effect of high velocity missile.

Keywords: TRAUMA, UROLOGIC INJURIES, GUNSHOT WOUNDS, RECONSTRUCTION

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