Ayşe LAFÇI, Derya GÖKÇINAR, Kevser Dilek ANDIÇ, Nermin GÖĞÜŞ

Bomba Patlamasına Bağlı Travma Nedeni ile Vasküler Cerrahi Geçiren Yedi Olgu

Terörist saldırı sonucu travma geçiren olgularda erken tanı, hasar kontrol cerrahisi ve multidisipliner ekip çalışması önemlidir. Bomba patlaması sonucu yaralanma nedeni ile hastanemize getirilen yedi hasta, hastane kayıtlarından retrospektif olarak incelendi. Vasküler ameliyatlar gerektiren yedi hasta 22-56 yaşları arasında idi ve altı olgu erkek iken bir olgu kadın cinsiyette idi. Üç hastada abdominal yaralanma da vardı. Hastalara kardiyovasküler cerrahi kliniği hekimleri tarafından vasküler greft ile ya da primer damar onarımı yapıldı, abdominal yaralanması olan üç hastaya laparatomi ile barsak onarımı yapıldı. Travma hastalarında bilgisayarlı tomografik anjiografi yöntemi ile vasküler patolojinin ortaya konması, vakit kaybetmeden hasar kontrol cerrahisi uygulanması, yoğun bakım sürecinde yakın takip ve sonrasında rehabilitasyon, multidisipliner ekip çalışması gerektirir.

Anahtar Kelimeler:

Bomba patlaması, vasküler yaralanma, hasar kontrol cerrahisi

Seven cases undergone vascular surgery caused by bomb explosion

Early diagnosis, damage control surgery and multidiciplinary team coordination is very essential in traumatic cases caused by terrorist attacks. Seven patient, admitted to our hospital, having injuries caused by bomb explosion were examined retrospectively from hospital records. The patients needed vascular operations were between 22-56 years old, six of them were male while one of them was female. There were abdominal injuries in three patients. Vascular greft or primary vein reparation were carried out on patients by cardiovascular surgery clinic operators. Intestine reparations by laparatomy were carried out in three patients having abdominal injuries. In traumatic patients, vascular patology, by computerized tomographic angioraphy and damage control surgery should be applied immediately. In addition, a close follow up in intensive care stage and afterwards rehabilitory, multidiciplinary team coordination is indispensible.

Keywords:

Bomb explosion, vascular injury, damage control surgery,

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