Üçüncü Basamak Merkeze Ait Acil Genel Cerrahi Deneyimi

Amaç: Bu çalışmada “Hastanemizin acil genel cerrahi hizmet kalitesini nasıl artırabiliriz?” sorusuna cevap aramayı amaçladık. Material ve Metod: Bu retrospektif çalışma Ocak 2016 – Ocak 2020 tarihleri arasında Gazi Yaşargil Eğitim Araştırma Hastanesi Genel Cerrahi kliniğinde gerçekleştirildi. Acil servise başvuran ve Genel Cerrahi kliniğince acil operasyona alınan hastalar çalışmaya dahil edildi. Hastaların cinsiyet, yaş, anamnez, laboratuar tetkikleri, radyolojik bulguları, preoperatif tanıları, ameliyat notları ve postopertatif sonuçları kaydedildi. Bulgular: Bu çalışmaya alınan toplam hasta sayısı 2820 idi. Bunların 1201’i (%42,6) kadın, 1619’u (%57,4) erkek idi. Hastaların ortalama yaşı 37,32 yıl ( min:14, max:94 ) idi. En sık karşılaşılan yaş aralığı 21-30 yaş aralığı idi. Acil operasyonların çoğunu 2645 (%93,8) hasta ile nontravmatik nedenler oluşturuyordu. Bunların 1790’ ı (%67,67) appendisit idi. Diğer nontravmatik acil operasyon nedenleri; apse, inkarsere herni, ileus ve perforasyon idi. Genel cerrahi acilimize gelen 175 (%6,2) hasta travma nedeniyle opere edildi. Hastalarda travmanın en yaygın nedenleri %43,4 ile kesici ve delici alet yaralanması (KDAY) ve %39,4 ile ateşli silah yaralanmaları (ASY) idi. Sonuç: Hastanelerin bulunduğu bölgeye göre acil olguların sıklık ve dağılımı değişmektedir. Acil cerrahi ile ilgili epidemiyolojik çalışmalar ve verilerin artması bölgelerin acil cerrahi profilinin belirlenmesine ve hastane çalışanlarının gelebilecek hastalara hazırlıklı olmasına imkân sağlar.

Anahtar Kelimeler:

Akut karın, travmatik akut karınlar, nontravmatik akut karınlar

Emergency General Surgery Experience Of A Tertiary Center

Background: We aimed to present the emergency General Surgery patient profile and results of our hospital.Materials and Methods: This retrospective study was conducted in Diyarbakır Gazi Yaşargil Training and Research Hospital Clinic between 1 January 2016 and 31 December 2019. Patients who were admitted to the emergency department and underwent emergency operations at the General Surgery clinic were included in the study. Gender, age, anamnesis, laboratory tests, radiological findings, preoperative diagnoses, surgery notes, and postoperative results of the patients were recorded.Results: A total number of 2820 cases including 1201 (42.6%) female, and 1619 (57.4%) male patients were enrolled in the study. The mean age of the patients was 37.32 years (min: 14, max: 94). The most common age range was between the ages of 21-30 years.Most of the emergency surgeries were performed due to nontraumatic indications in 2645 (93.8%) , and 1790 of them (67.67%) were cases of appendicitis. Other indications of nontrau-matic emergency surgeries were abscess, incarcerated hernia, ileus, and perforation. 175 (6.2%) patients who came to our general surgery emergency department were operated on due to trauma. The most common causes of trauma in these patients were sharp force and stab in-juries in 43.4% and gunshot wounds in 39.4% of the cases.Conclusions: The frequency and distribution of emergency cases vary according to the locations of the hospitals. Epidemiological studies and increasing data on emergency surgery enable the determination of the emergency surgery profile of the regions and the preparation of the hos-pital staff for the patients who will seek medical help.

Keywords:

Acute abdomen, Traumatic acute abdomen, Nontraumatic acute abdomen Acute abdomen, Traumatic acute abdomen, Nontraumatic acute abdomen,

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