Mircelal KAZIMİ, TAYLAN ÖZGÜR SEZER, Özer MAKAY, Gökhan İÇÖZ, Özgür FIRAT, Barış GÜRCÜ

Diagnostik periton lavajı: Tarihe mi karışıyor?

Görüntüleme yöntemlerine dayalı travma algoritmalarının oluşturulduğu günümüzde travma hastasında diagnostik periton lavajının yerini araştırmak ve bununla ilgili sorulara yanıt bulabilmek amacıyla konuyu klinik deneyimimiz ve literatür bilgileri ışığında irdelemek. Ege Üniversitesi Hastanesi Genel Cerrahi Kliniğinde, Temmuz 1994- Eylül 2005 tarihleri arasında tedavi edilen erişkin kunt ve penetran travmalı 601 olgu retrospektif olarak değerlendirildi. Kliniğe başvuran travma olgularının % 83'ünü erkek ve % 17'stni bayan hastalar oluşturmakta idi ve yaş ortalaması 33,4 ± 12 idi. Travma etiyolojisi açısından irdelendiğinde hastaların %50,7'sinin kunt travmaya ve %49,3'ünün penetran travmaya maruz kaldığı görüldü. Ortalama ISS değeri 20 ± 10 idi. Diagnostik periton lavajı toplam 134 (%22) hastaya uygulandı. İki ayrı zaman dilimi (Dönem I = Temmuz 1994-Aralık 1999 ve Dönem II = Ocak 2000-Eylül 2005) arasında karşılaştırma yapıldığında, diagnostik periton lavajının Dönem ll'de anlamlı olarak daha az uygulandığı belirlendi (p

Anahtar Kelimeler:

Yaralar, delici, Geriyedönük çalışma, Tomografi, x-ışınlı bilgisayarlı, Ultrasonografi, Batın yaralanmaları, Peritoneal lavaj, Yaralar, delici olmayan

Diagnostic peritoneal lavage: Is it really an obituary?

Recently, radiodiagnostic- based algorithms are designed for the management of trauma. In this article, we are willing to present the recent place of diagnostic peritoneal lavage and answer questions concerning this topic in the light of our results. Material and methods: A total 601 adult penetrating and blunt trauma patients admitting to our clinic between July 2001 - September 2005 were evaluated retrospectively Results: Eighty-three % of the patients studied were male while 17% were female. The mean age was 30 ± 12 years. There were 50,7% injuries due to blunt and 49,3% due to penetrating trauma. Mean ISS was 20 ± 10. A total of 134 (22%) patient underwent diagnostic peritoneal lavage (DPL). When comparing DPL rates between two different time intervals (Period 1= July 1994 - December 1999 and Period II = January 2000 - September 2005) it was observed that the indication of DPL decreased significantly in Period II. Since radiodiagnostics and diagnostic laparoscopy is used more efficiently in the traumatized patient, the use of DPL is decreasing. Recently,. DPL has a limited role and seems to be indicated only in selected patients.

Keywords:

Wounds, Penetrating, Retrospective Studies, Tomography, X-Ray Computed, Ultrasonography, Abdominal Injuries, Peritoneal Lavage, Wounds, Nonpenetrating,

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