Göğüs Cerrahisi Kliniklerinin En Sık Yaptığı Cerrahi İşlem Olan Tüp Torakostomilere Her Yönüyle Bakış; 10 Yıllık Klinik Deneyimimiz

Year 2019, Volume: 4 Issue: 3, 76 - 81, 30.11.2019

İbrahim Ethem Özsoy , Mehmet Akif Tezcan

Abstract

AMAÇ: Göğüs cerrahisi pratiğinde en sık
uygulanan cerrahi girişimlerden biri olan tüp torakostomi, plevral boşluktaki
hava ya da sıvının (kan, lenf, püy vs) drenajını sağlamak amacıyla interkostal
aralıktan plevral boşluğa kateter yerleştirilmesi işlemidir. Bu çalışmada tüp torakostomi uygulanan
hastaların demografik ve klinik özelliklerini belirlemek ve işlemle ilgili
komplikasyonları değerlendirmek amaçlandı.

MATERYAL VE METOD: Çalışma retrospektif olarak planlandı.
Ocak 2008- Aralık 2017 tarihleri arasındaki 10 yıllık sürede herhangi bir
nedenle hastanemizde tüp torakostomi uygulanan hastalar çalışmaya alındı.
Torasik ve kardiyak operasyonlardan sonra uygulanan tüp torakostomiler
dışlandı. Olguların demografik verileri, tüp torakostomi uygulanma endikasyonu,
tüp torakostomi kalış süresi, klinik bulgular, gelişen komplikasyonlar ve
toplam yatış süresi açısından incelendi.

BULGULAR: Ocak 2008- Aralık 2017 tarihleri arasındaki 10
yıllık sürede 3567 adet tüp torakostomi işlemi yapıldı. 2072 (%58.1) işlem
travmatik, 1495 (%41.9) işlem ise travma dışı nedenlerden dolayı uygulandı.
İşlem endikasyonları ise 1665 (%46.7) pnömotoraks, 688 (%19.3) hemotoraks, 324
(%9.1) hemopnömotoraks, 752 (%21.1) plevral efüzyon, 130 (%3,6) ampiyem ve 8
(%0.2) şilotorakstı.

SONUÇ: Tüp torakostomi, göğüs cerrahisinde elektif ve acil şartlarda
sıkça kullanılan hayat kurtarıcı bir işlemdir. Tecrübeli ellerde dakikalar
içinde ve kolayca uygulanan bir yöntem olmasına rağmen dikkat edilmezse
oluşacak komplikasyonları ciddidir. Doğru ve dikkatli bir şekilde yapılan tüp
torakostomi mükemmel sonuçlar verir.

ANAHTAR SÖZCÜKLER: Toraks dren, göğüs tüpü, tüp
torakostomi

Keywords

Toraks dren, göğüs tüpü, tüp torakostomi

A Thorough View of Tube Thoracostomy, The Most Common Surgical Procedure Performed by Thoracic Surgery Clinics: Ten Years' Clinical Experience

Abstract

AIM: Tube thoracostomy, which is one of the most
common surgical interventions performed in thoracic surgery, is the procedure
of inserting a catheter from the intercostal space into the pleural space so as
to provide drainage of the air or fluid (blood, lymph, pus, etc.) in the
pleural space. The objectives of this study were to determine the demographic
and clinical characteristics of the patients undergoing tube thoracostomy and
to assess the complications due to the procedure.

METHODS: The study was planned retrospectively. Patients
who underwent tube thoracostomy due to any reason in our hospital during the
10-year period between January 2008 and December 2017 were included in the
study. Tube thoracostomies performed after thoracic and cardiac operations were
excluded from the study. Demographic data of the patients were evaluated in
terms of indications for tube thoracostomy, duration of tube thoracostomy, thoracostomy-induced
complications, clinical findings, and the total hospitalization duration.

 

RESULTS: A total of 3567 tube thoracostomies were performed during the 10-year
period between January 2008 and December 2017. 2072 (58.1%) were traumatic and
1495 (41.9%) were due to non-traumatic reasons. The indications of the
thoracostomy were 1665 (46.7%) pneumothorax, 688 (19.3%) hemothorax, 324 (9.1%)
hemopneumothorax, 752 (21.1%) pleural effusion, 130 (3.6%) empyema and 8 (0.2%)
chylothorax.

CONCLUSION: Tube thoracostomy is a life-saving procedure frequently used under
elective and emergency conditions in the field of thoracic surgery. Although
the procedure is easily performed by the experienced surgeons within minutes,
its emergent complications may be serious and life-threatening if careful
attention is not paid. It achieves excellent results when tube thoracostomy
conducts accurately and carefully.

 

KEY WORDS: Thorax drain, chest tube, tube thoracostomy

Keywords

thorax drain, chest tube, tube thoracostomy

References

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