Nuh Zafer CANTÜRK, Cihan YILDIRIR, Nihat Zafer UTKAN, Nuri GÖNÜLLÜ, Mustafa DÜLGER

Evisserasyona Neden Olan Risk Faktörleri

Amaç: Evisserasyon önemli postoperatif komplikasyonlardandır. Preoperatif ve postoperatif bakımdaki gelişmelere, antibiyotik kullanımı ve yeni sütür materyallerine rağmen bu komplikasyonun insidansı değişmemiştir. Evisserasyonun etiyolojisinde lokal ve sistemik faktörlerin rol oynadığına inanılmaktadır. Çalışmamızın amacı bu konudaki deneyimlerimizi gözden geçirmek ve risk faktörlerini ortaya koymaktır. Yöntem: 3383 vakada 30 evisserasyon olgusu ile karşılaştık. Bulgular ve Sonuç: İstatistiki olarak önemli risk faktörleri 65 yaş üzeri, kapatma şekli, yara yeri enfeksiyonu, anemi, hipoalbuminemi ve/veya diğer metabolik bozukluklar ve acil cerrahi girişimlerdi.

Anahtar Kelimeler:

evisserasyon, risk faktörleri

Risk Factors Influencing Wound Dehisience

Objective: The disruption of an abdominal wound is one of the most serious postoperative complications. In spite of improved preoperative and postoperative care. The use of antibiotics and new types of new suture material, the incidence of this complication has remained static. The etiology of abdominal wound dehisience is beleived to be a result of both local and systemic factors. The purpose of this study was to review our clinical experience and to determine risk factors. Methos: In this study we determined thirty abdominal wound dehisiences in 3383 patients undergoing major abdominal surgery. Results and Conlusion: Significant factors were age over 65, type of closure, wound infection, anemia, hypoalbuminemia and/or other metabolic disorders and emergency surgery.

Keywords:

wound dehisience, risk factors,

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