DALAK YARALANMALARI VE TEDAVÝSÝ HASEKÝ EÐÝTÝM VE ARAÞTIRMA HASTANESÝ ACÝL CERRAHÝ SERVÝSÝNDE DALAK YARALANMALARINDA UYGULANAN CERRAHÝ GÝRÝÞÝMLER

Hastanemize, 1992-98 yýllarý arasýnda 184 dalak travmalý hasta baþvurmuþtur. Hastalarýn 13' ü (%71) erkek, 53'ü (%29) kadýndýr. Hastalarýn yaþ ortalamasý 20.4 yýldýr. Hastalardaki dalak yaralanmasý 176 (%95) tanesinde künt, 8 (%5) tanesinde de penetran karýn travmasýna baðlý idi. Dalak travmalý hastalarýn 164'üne (%89) splenektomi, 12'sine (%7) splenorafi ve 8'ine (%4) kýsmi splenektomi yapýldý. 172 (%93) hastada izole dalak travmasý varken, 12 (%7) hastada diðer organ yaralanmalarý da mevcuttu. Hastanede ortalama kalýþ süresi, splenektomilerde 7.9, kýsmi splenektomilerde 7 ve splenorafilerde 6 gündü. Ameliyat sonrasý komplikasyon oranlarý splenektomilerde %2, kýsmi splenektomide %0.5 saptanmýþ olup, splenorafide komplikasyon saptanmamýþtýr. Tüm gruplarda mortaliteye rastlanmamýþtýr.

SPLENIC TRAUMA AND ITS TREATMENT (SURGICAL TREATMENT METHODS USED IN HASEKI EDUCATIONAL AND RESEARCH HOSPITAL IN SPLENIC TRAUMA)

184 patients were admitted with splenic injuries, between 1992 and 1998. 131(71%) patients were male and 53 (29%) patients were female. The avarage age of patients were 20.4 years. There were 176 (95%) blunt and 8 (5%) panetrating injuries. The management of our cases involved splenectomy in 164 (89%), splenorraphy in 12 (7%) and partial splenectomy in 8 (4%). 172 (93%) of the operated patients had isolated splenic injuries and 12 (7%) concomitant organ injuries. The lenght of hospital stay of splenectomies; partial splenectomy and splenorraphy were 7.9, 7 and 6 days respectively. The complication rate of splenectomy, partial splenectomies; and splenorraphy after the operation were 3 (2%), 1 (0.5%) and 0. No deaths occurred as a result of splenic injury and operation.