Ulus Travma Acil Cerrahi Derg. 2019; 25(2): 137-141 | DOI: 10.5505/tjtes.2018.88107

Bilgisayarlý tomografi traktografinin sýrt/flank delici-kesici alet yaralanmalarýnýn deðerlendirilmesindeki rolü

Talha Sarigoz¹, Yusuf Sevim², Inanc Samil Sarici³, Omer Topuz², Tamer Ertan^2
1Develi Hatice-Muammer Kocatürk Devlet Hastanesi, Genel Cerrahi Kliniði, Kayseri
²Kayseri Þehir Hastanesi, Genel Cerrahi Kliniði, Kayseri
³Kanuni Sultan Süleyman Eðitim ve Araþtýrma Hastanesi, Genel Cerrahi Klinði, Ýstanbul

AMAÇ: Sýrt ve flank bölge delici alet yaralanmalarýna klinik yaklaþým yýllar içinde deðiþim gösterdi. Bu yazýda, bilgisayarlý tomografi traktografinin sýrt/flank delici alet yaralanmalasý olan hastalardaki potansiyelini tartýþmak istedik.
GEREÇ VE YÖNTEM: Bu geriye dönük çalýþmada, sýrt/flank bölgeye sýnýrlý delici alet yaralanmasý olam toplam 25 hasta dahil edildi. Ýlk resüsitasyon ve fizik muayenenin ardýndan, traktografi delici alet yaralanmasýndan yapýldý. Sonrasýnda hastalara intravenöz kontrastlý bilgisayarlý tomografi çekildi.
BULGULAR: Bilgisayarlý tomografi traktografi 15 (%60) hastada laparotomiden kaçýnmaya ve 10 (%40) hastada da periton ihlalini doðru olarak göstermemize yardýmcý oldu. Konservatif olarak takip edilen hiç bir hasta gözden kaçmýþ yaralanma ile tekrar baþvurmadý.
TARTIÞMA: Traktografinin bilgisayarlý tomografiye eklenmesi, sýrt/flank delici alet yaralanmalarýnýn deðerlendirilmesinde güvenilir, hýzlý, para ve zaman tasarruflu bir tekniktir.

Anahtar Kelimeler: Delici, laparotomi; periton; sýrt yaralanmasý; tomografi; yara.

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Role of computed tomography tractography in evaluation of back/flank stab wounds

Talha Sarigoz¹, Yusuf Sevim², Inanc Samil Sarici³, Omer Topuz², Tamer Ertan^2
1Department of General Surgery, Develi Hatice-Muammer Kocatürk State Hospital, Kayseri-Turkey
²Department of General Surgery, Kayseri City Hospital, Kayseri-Turkey
³Department of General Surgery, Kanuni Sultan Süleyman Training and Research Hospital, Ýstanbul-Turkey

BACKGROUND: The clinical approach to back/flank wounds has evolved over the years. The aim of this study was to discuss the potential of computed tomography tractography in patients with a stab wound to the back or flank.
METHODS: A total of 25 stable patients with stab wounds confined to the back/flank region were enrolled in this retrospective study. After initial resuscitation and physical examination, tractography was performed at the site of the stab wound. The patients subsequently underwent computed tomography with intravenous contrast.
RESULTS: Computed tomography tractography helped avoid a laparotomy in 15 (60%) patients and accurately revealed a peritoneal breach in 10 (40%) patients. No missed injuries were reported in the conservatively followed patients.
CONCLUSION: The addition of tractography to computed tomography is a safe, fast, and cost- and time-effective technique to evaluate back/flank stab wounds.

Keywords: Back injuries, laparotomy; peritoneum; stab; tomography; wound.

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