Stoma ile ilgili komplikasyonların retrospektif analizi
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Dosyalar
Tarih
2013
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Cilt Başlığı
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Stomalı bireylerin yaşamını olumsuz yönde etkileyen önemli etkenlerden birisi stomada ve stoma çevresindeki dokularda gelişen komplikasyonlardır. Kliniğimizde Genel Cerrahi pratiğinde sıkça rastlanılan stoma uygulamalarımızı değerlendirmeyi amaçladık. Yöntemler: Ocak 2008 ve Aralık 2011 tarihleri arasındaki 96 stomalı hastanın kayıtları retrospektif olarak değerlendirilmiştir. Risk faktörleri, aciliyeti, stoma açılma nedenleri, stoma tipleri ve gelişen komplikasyonlar kaydedildi. Bulgular: Stoma açılmış olan 96 hastadan 66’sı (% 68) erkek, 30’u (%32) kadın olup yaş ortalaması 58,812,6 yıl idi. Kolostomi en sık kolon obstrüksiyonuna bağlı (% 66) açılırken; ileostomiyi ise anastomoz koruyucu (% 75) oluşturmuştur. En sık açılan stoma tipleri loop kolostomi (54), uç kolostomi (16), tüp gastrostomi (10) ve loop ileostomi (7) olmuştur. Ortalama komplikasyon oranı %48 olarak tespit edildi. Elektif ve acil şartlarda açılan stomaların komplikasyon oranları benzerdir. En sık karşılaşılan komplikasyonlar ise peristomal cilt irritasyonu (% 63), stoma çevresi enfeksiyonu (% 25) ve prolapsus (% 5) olmuştur. En yüksek komplikasyon oranı loop kolostomide görülmüştür.(%57) Sonuç: Bizim görüşümüze göre cerrahi prensiplere titizlikle uyulması, düzenli izlem, hasta eğitimi ile mortalite ve morbidite azaltılabilir.
Objective: One of the few factors, that affect life of people have stoma negatively, are complications developing in tissues where placed stomas or near stomas. We aimed to evaluate the stoma practices performed frequently in our clinic. Methods: Between January 2008 and December 2011, the records of 96 patients who had stoma retrospectively. Factors indication for stoma, emergency procedure, preoperative stoma, type of stoma and complications siting recorded. Results: Ninety-six stoma patients were examined. Of them 66 (68%) of them was male, 30 (32%) of them was female. The mean age was 58.8±12.6 years. The most common colostomy patients were diagnosed obstruction of colon(66%) and ileostomy patients were diagnosed anastomosis protective ((75%). The most common type of stoma were as follows 54 loop colostomy, 16 end colostomy, 10 tube gastrostomy and 7 loop ileostomy. The overall complication rate was 48%. Both elective and emergency stomas had similar complication rates. The most common complication included peristomal skin irritation (63%), peristomal infection (25%) and prolapse (5%) The stoma with the highest complications rate was loop colostomy (57%). Conclusion: In our opinion, mortality and morbidity of stomas may be decreased with the meticulous surgical principle, regular follow- up and patient education.
Objective: One of the few factors, that affect life of people have stoma negatively, are complications developing in tissues where placed stomas or near stomas. We aimed to evaluate the stoma practices performed frequently in our clinic. Methods: Between January 2008 and December 2011, the records of 96 patients who had stoma retrospectively. Factors indication for stoma, emergency procedure, preoperative stoma, type of stoma and complications siting recorded. Results: Ninety-six stoma patients were examined. Of them 66 (68%) of them was male, 30 (32%) of them was female. The mean age was 58.8±12.6 years. The most common colostomy patients were diagnosed obstruction of colon(66%) and ileostomy patients were diagnosed anastomosis protective ((75%). The most common type of stoma were as follows 54 loop colostomy, 16 end colostomy, 10 tube gastrostomy and 7 loop ileostomy. The overall complication rate was 48%. Both elective and emergency stomas had similar complication rates. The most common complication included peristomal skin irritation (63%), peristomal infection (25%) and prolapse (5%) The stoma with the highest complications rate was loop colostomy (57%). Conclusion: In our opinion, mortality and morbidity of stomas may be decreased with the meticulous surgical principle, regular follow- up and patient education.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Journal of Clinical and Experimental Investigations
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
1
