Sait AŞLAMACI, Hakkı Tankut AKAY, Atilla SEZGİN, Oktay KORUN

Cardiovascular surgeon’s perspective of the iatrogenic vascular injuries in gynecologic surgery

Amaç: Bu çalışmada, bazı temel parametreler tanımlandı ve bu hastaların tedavisine yönelik belirli yaklaşımlar önerildi.Çalışma planı: Ocak 2003 ve Aralık 2012 tarihleri arasında vasküler travma nedeniyle ameliyat sırasında vasküler cerrahiye konsülte edilen 18 jinekolojik cerrahi hastasının (ort. yaş 54.4±3.2 yıl; dağılım 45-63 yıl) verileri retrospektif olarak incelendi. Hastaların tümü önceden aynı bölgeden ameliyat geçirmiş hastalardı.Bul gu lar: Yaralanan vasküler yapılar sekiz hastada iliyak arter, sekiz hastada iliyak ven ve iki hastada inferior vena kava idi. Ortalama yoğun bakımda ve hastanede kalış süreleri sırasıyla 2.7±1.2 ve 7.1±1.6 gün idi. Ameliyat sonrası bir hasta kaybedildi.So nuç: Bazı tedavi ilkelerine bağlı kalarak her hasta için özel şekillendirilmiş tedavi stratejisi ile bu ölümcül komplikasyonun tedavisinde olumlu sonuçlar alınabileceğine inanıyoruz

Jinekolojik cerrahideki iyatrojenik vasküler yaralanmalarda kalp ve damar cerrahının bakış açısı

Background: This study aims to define basic parameters and to propose certain attitudes towards the management of such patients. Methods: Data of the 18 gynecologic surgery patients (mean age 54.4±3.2 years; range 45 to 63 years) who were intraoperatively consulted to vascular surgery for vascular trauma between January 2003 and December 2012 were retrospectively analyzed. All patients had undergone a previous surgical procedure in the same surgical site. Results: The vascular structures injured were the iliac arteries in eight patients, iliac veins in eight patients and inferior vena cava in two patients. The mean length of intensive care unit and hospital stays were 2.7±1.2 and 7.1±1.6 days, respectively. One patient died postoperatively. Conclusion: We believe that favorable results for this potentially lethal complication can be achieved with individual management strategies tailored in accordance with certain principles

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