Ünal AÇIKEL, Özalp KARABAY, Erdem SİLİSTYRELİ, Hüdayi ÇATAYÜREK, Emel FERMANCI, Cenk ERDAL

Derece 1-2 semptomatik yırtılmış abdominal aort anevrizmalarında ameliyat sonrası iyileşmeyi etkileyen faktörler

Amaç: Yırtılmış abdominal aort anevrizması tanısıyla acil cerrahi tedavi uygulanan derece 1-2 semptomatik hastalarda iyileşmeyi etkileyen faktörler araştırıldı. Çalışma planı: Derece 1-2 semptomatik yırtılmış abdominal aort anevrizması tanısıyla acil cerrahi tedavi uygulanan 18 hasta (12 erkek, 6 kadın; ort. yaş 70±7; dağılım 55-80) çalışmaya alındı. Derece 3-4 semptomatik olan hastalar çalışmaya alınmadı. Altı olguda anevrizma renal arterleri de içine aldığı için suprarenal kros klemp kondu. Tüm olgularda PTFE greft kullanılarak aorta bifemoral bypass yapıldı. Sistemik hastalıklar, ameliyat süresi ve kros klemp seviyesinin iyileşme üzerine olan etkileri değerlendirildi.Bulgular: Olguların hastaneye başvurmaları ile ameliyata alınmaları arasında geçen süre ortalama 90±25 dk, ameliyat süresi ortalama 120±30 dk, hastanede kalış süresi ortalama 14.7±5.3 gün bulundu. Ameliyata kadar geçen süre ve ameliyat süresinin iyileşme üzerine anlamlı etkisi görülmedi (p>0.05). Her olguda en az bir sistemik hastalık vardı. Sistemik hastalık ile iyileşme arasında anlamlı ilişkisi bulunmadı (p>0.05). Suprarenal seviyeden kros klemp konan hastalarda klemp süresi ortalama 38±7 dk idi. Suprarenal kros klemp seviyesinin geç iyileşme üzerine etkisi anlamlı bulundu (p

Factors that influence postoperative recovery in grade1-2 symptomatic ruptured abdominal aortic aneurysms

Background: This study sought to determine factors that influence recovery following an emergency operation for grade 1-2 symptomatic ruptured abdominal aneurysms. Methods: Eighteen patients (12 males, 6 females; mean age 70±7 years; range 55 to 80 years) underwent an emergency operation for grade 1-2 symptomatic ruptured aortic aneurysms. Grade 3-4 symptomatic patients were excluded. Suprarenal cross-clamping was applied in six patients in whom the renal arteries were involved. An aortobifemoral bypass was performed using a PTFE graft. The effect of preoperative systemic diseases, operation time, and cross clamp levels on recovery was evaluated.Results: The mean time from admission to surgery was 90±25 minutes, the mean operation time was 120±30 minutes, and the mean hospital stay was 14.7±5.3 days. Time from admission to surgery and operation time did not affect recovery significantly (p>0.05). At least one systemic disease was present in each patient, but none had a significant effect on recovery (p>0.05). The mean suprarenal cross-clamp time was 38±7 minutes. The level of suprarenal cross-clamping had significant influence on late recovery (p

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