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Anastomotic leak rates after repair of mesenteric bucket-handle injuries: A multi-center retrospective cohort study.
Dhanasekara, Chathurika S; Marschke, Brianna; Morris, Erin; Bashrum, Bryan S; Shrestha, Kripa; Richmond, Robyn; Dissanaike, Sharmila; Ko, Ara; Tennakoon, Lakshika; Campion, Eric M; Wood, Frank C; Brandt, Maggie; Ng, Grace; Regner, Justin; Keith, Stacey L; Mcnutt, Michelle K; Kregel, Heather; Gandhi, Rajesh; Schroeppel, Thomas; Margulies, Daniel R; Hashim, Yassar; Herrold, Joseph; Goetz, Mallory; Simpson, LeRone; Xuan-Lan, Doan.
Afiliación
  • Dhanasekara CS; Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
  • Marschke B; Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
  • Morris E; Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
  • Bashrum BS; Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
  • Shrestha K; Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
  • Richmond R; Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
  • Dissanaike S; Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, USA. Electronic address: Sharmila.Dissanaike@ttuhsc.edu.
  • Ko A; Department of Surgery, Stanford University School of Medicine, Palo Alto, CA, USA.
  • Tennakoon L; Department of Surgery, Stanford University School of Medicine, Palo Alto, CA, USA.
  • Campion EM; Department of Surgery, Denver Health Medical Center, Denver, CO, USA.
  • Wood FC; Department of Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
  • Brandt M; Department of Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
  • Ng G; Department of Surgery, Texas Tech University Health Sciences Center, El Paso, TX, USA.
  • Regner J; Department of Surgery, Baylor Scott and White Health, Temple, TX, USA.
  • Keith SL; Department of Surgery, Baylor Scott and White Health, Temple, TX, USA.
  • Mcnutt MK; Department of Surgery, University of Texas Health Sciences Center at Houston, Houston, TX, USA.
  • Kregel H; Department of Surgery, University of Texas Health Sciences Center at Houston, Houston, TX, USA.
  • Gandhi R; Department of Surgery, JPS Health Network, Ft. Worth, TX, USA.
  • Schroeppel T; Department of Surgery, UCHealth, Memorial Hospital, Colorado Springs, CO, USA.
  • Margulies DR; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
  • Hashim Y; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
  • Herrold J; Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
  • Goetz M; Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
  • Simpson L; McAllen Medical Center Trauma Department, McAllen, TX, USA.
  • Xuan-Lan D; McAllen Medical Center Trauma Department, McAllen, TX, USA.
Am J Surg ; 226(6): 770-775, 2023 12.
Article en En | MEDLINE | ID: mdl-37270399
ABSTRACT

BACKGROUND:

Primary aim was to assess the relative risk (RR) of anastomotic leak (AL) in intestinal bucket-handle (BH) compared to non-BH injury.

METHODS:

Multi-center study comparing AL in BH from blunt trauma 2010-2021 compared to non-BH intestinal injuries. RR was calculated for small bowel and colonic injury using R.

RESULTS:

AL occurred in 20/385 (5.2%) of BH vs. 4/225 (1.8%) of non-BH small intestine injury. AL was diagnosed 11.6 ± 5.6 days from index operation in small intestine BH and 9.7 ± 4.3 days in colonic BH. Adjusted RR for AL was 2.32 [0.77-6.95] for small intestinal and 4.83 [1.47-15.89] for colonic injuries. AL increased infections, ventilator days, ICU & total length of stay, reoperation, and readmission rates, although mortality was unchanged.

CONCLUSION:

BH carries a significantly higher risk of AL, particularly in the colon, than other blunt intestinal injuries.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Heridas no Penetrantes / Traumatismos Abdominales Tipo de estudio: Clinical_trials / Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Am J Surg Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Heridas no Penetrantes / Traumatismos Abdominales Tipo de estudio: Clinical_trials / Etiology_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Am J Surg Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos