| Autor: |
Thomas J Schroeppel, Lakshika Tennakoon, Eric M Campion, Sharmila Dissanaike, Robyn Richmond, Michelle K McNutt, Grace Ng, Yassar M Hashim, Justin L Regner, Daniel R Margulies, Erin Morris, Brianna Marschke, Holly Grossman, Chathurka Samudani Dhanasekara, Kripa Shrestha, Ara Ko, Frank C Wood, Maggie Brandt, Stacey L Keith, Heather Kregel, Rajesh R Gandhi, Joseph Herrold, Mallory Goetz, LeRone Simpson, Xuan-Lan Doan |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Trauma Surgery & Acute Care Open, Vol 8, Iss 1 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2397-5776 |
| DOI: |
10.1136/tsaco-2023-001178 |
| Popis: |
Objectives The risk factors for anastomotic leak (AL) after resection and primary anastomosis for traumatic bucket handle injury (BHI) have not been previously defined. This multicenter study was conducted to address this knowledge gap.Methods This is a multicenter retrospective study on small intestine and colonic BHIs from blunt trauma between 2010 and 2021. Baseline patient characteristics, risk factors, presence of shock and transfusion, operative details, and clinical outcomes were compared using R.Results Data on 395 subjects were submitted by 12 trauma centers, of whom 33 (8.1%) patients developed AL. Baseline details were similar, except for a higher proportion of patients in the AL group who had medical comorbidities such as diabetes, hypertension, and obesity (60.6% vs. 37.3%, p=0.015). AL had higher rates of surgical site infections (13.4% vs. 5.3%, p=0.004) and organ space infections (65.2% vs. 11.7%, p0.05). More patients with AL were discharged with an ostomy (69.7% vs. 7.3%, p6 units of packed red blood cells, and site of injury (adjusted RR=2.32 (1.13, 5.17)), none of which were independent risk factors in themselves.Conclusion Damage control surgery performed as the initial operation appears to double the risk of AL after intestinal BHI, even after controlling for other markers of injury severity.Level of evidence III. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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