Ulus Travma Acil Cerrahi Derg. 2024; 30(9): 698-700 | DOI: 10.14744/tjtes.2024.69547

Subfrenik apsenin minimal invazif transdiyafragmatik drenajý

Sabahattin Destek¹, Osman Cemil Akdemir², Ceren Gonultas³, Vahit Onur Gul^4
1Bezmiâlem Vakif Universitesi Týp Fakültesi Hastanesi Gastroenteroloji Enstitüsü, Ýstanbul, Türkiye
²Bezmiâlem Vakif Universitesi Týp Fakültesi Hastanesi Göðüs Cerrahisi Kliniði, Ýstanbul, Türkiye
³Bezmiâlem Vakif Universitesi Týp Fakültesi Hastanesi Genel Cerrahi Kliniði, Ýstanbul, Türkiye
⁴Koru Hastanesi Genel Cerrahi Kliniði, Ankara, Türkiye

Karýn içi apseler genellikle gastrointestinal sistemden kaynaklanýr ve %70'i ameliyat sonrasý dönemde görülür. Ölüm oraný %50'ye ulaþabilir. Bu apseler en sýk subfrenik ve subhepatik boþluklarda bulunur. Tedavide perkütan drenaj veya cerrahi drenaj uygulanýr. Bu yazýda,ülser perforasyonu tanýsýyla laparotomi ile Graham yama onarýmý uygulanan ve sað subfrenik multiloküle geliþen hastamýzda, sað interkostal yaklaþýmla basit bir kesi ile baþarýyla uygulanan minimal invaziv video yardýmlý transdiyafragmatik drenaj yöntemini sunuyoruz.

Anahtar Kelimeler: Minimal invaziv, subfrenik abse, transdiaphragmatic drainage.

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Minimally invasive video-assisted trans-diaphragmatic drainage of a subphrenic complicated abscess

Sabahattin Destek¹, Osman Cemil Akdemir², Ceren Gonultas³, Vahit Onur Gul^4
1Department of Gastroentorology, Bezmiâlem Vakif University Medical Faculty Hospital, Ýstanbul-Türkiye
²Department of Thoracic Surgery, Bezmiâlem Vakif University Medical Faculty Hospital, Ýstanbul-Türkiye
³Department of General Surgery, Bezmiâlem Vakif University Medical Faculty Hospital, Ýstanbul-Türkiye
⁴Department of General Surgery, Koru Hospital, Ankara-Türkiye

Intra-abdominal abscesses usually originate from the gastrointestinal tract, with 70% occurring in the postoperative period. The mortality rate can reach 50%. These abscesses most commonly develop in the subphrenic and subhepatic spaces. Treatments include percutaneous drainage or surgical drainage. In this report, we present a minimally invasive video-assisted trans-diaphragmatic drainage (MIVTD) method through a simple incision using a right intercostal approach. This method was successfully performed on a patient who underwent Graham patch repair with laparotomy due to a diagnosis of peptic ulcer perforation and subsequently developed a right subphrenic multiloculated collection after unsuccessful percutaneous drainage.

Keywords: Minimally invasive, subphrenic abscess, transdiaphragmatic drainage.

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