Treatment of colorectal injuries in the civil war and the factors affecting mortality

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dc.contributor.authorUgur, Mustafa
dc.contributor.authorKilic, Erol
dc.contributor.authorKoca, Yavuz Savas
dc.contributor.authorYetim, Ibrahim
dc.contributor.authorTemiz, Muhyittin
dc.contributor.authorKoyuncu, Onur
dc.date.accessioned2024-09-18T20:11:37Z
dc.date.available2024-09-18T20:11:37Z
dc.date.issued2018
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractAIM: Colorectal injuries are one of the most common causes of mortality in war. Mainstay treatment of these injuries include primary repair or stoma creation. METHODS: Clinical data of the patients were evaluated retrospectively. Time from injury to hospital admission, method of treatment, the colorectal area affected, injury severity score ISS, hemodynamic instability, and mortality rate were determined. RESULTS: Of the 61 patients included in the study. Mean time from injury to hospital admission was 160 19 minutes. The injury was in the right colon in 24 patients 39.3%, in the left colon in 18 29.5%, and in the rectum in 19 31.2% patients. Median ISS value of 61 patients was 16, IQR 5. Mortality and complication rates were higher in patients with hemodynamic instability and stoma requirement was also higher in this group p<0.05. Total mortality occurred in 15 24.5% patients. Of these, 10 66.6% patients had hemodynamic instability. DISCUSSION: Hemodynamic instability is the most important factor affecting the mortality and the treatment method in wartime colorectal injuries. CONCLUSION: We believe that in victims of war with colorectal injuries, surgical intervention before the development of hemodynamic instability may reduce the rate of mortality and stoma requirement.en_US
dc.identifier.endpage152en_US
dc.identifier.issn0003-469X
dc.identifier.issn2239-253X
dc.identifier.issue2en_US
dc.identifier.pmid29360102en_US
dc.identifier.scopus2-s2.0-85048636212en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage149en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12483/8981
dc.identifier.volume89en_US
dc.identifier.wosWOS:000435227100007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherEdizioni Luigi Pozzien_US
dc.relation.ispartofAnnali Italiani Di Chirurgiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectColorectal injuryen_US
dc.subjectFirearm injuryen_US
dc.subjectHemodynamic instabilityen_US
dc.subjectStomaen_US
dc.titleTreatment of colorectal injuries in the civil war and the factors affecting mortalityen_US
dc.typeArticleen_US

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