Açık Akademik Arşiv Sistemi

Factors Predicting the Reversal of Hartmann's Procedure

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dc.contributor.authors Yalkin, Omer; Altintoprak, Fatih; Uzunoglu, Mustafa Yener; Yildiz, Yasin Alper; Kamburoglu, Muhammet Burak; Firat, Necattin; Celebi, Fehmi
dc.date.accessioned 2023-01-24T12:08:38Z
dc.date.available 2023-01-24T12:08:38Z
dc.date.issued 2022
dc.identifier.issn 2314-6133
dc.identifier.uri http://dx.doi.org/10.1155/2022/7831498
dc.identifier.uri https://hdl.handle.net/20.500.12619/99500
dc.description Bu yayın 06.11.1981 tarihli ve 17506 sayılı Resmî Gazete’de yayımlanan 2547 sayılı Yükseköğretim Kanunu’nun 4/c, 12/c, 42/c ve 42/d maddelerine dayalı 12/12/2019 tarih, 543 sayılı ve 05 numaralı Üniversite Senato Kararı ile hazırlanan Sakarya Üniversitesi Açık Bilim ve Açık Akademik Arşiv Yönergesi gereğince telif haklarına uygun olan nüsha açık akademik arşiv sistemine açık erişim olarak yüklenmiştir.
dc.description.abstract Aim. This paper investigates the risk factors preventing the reversal and nonreversal of Hartmann's procedure, as a surgical technique that has been performed in our clinic for ten years. Methods. The study involved a ten-year Hartmann's procedure followed up at our center. The patients were divided into Hartmann reversal and nonreversal groups. Groups were examined in terms of age, gender, diagnosis, stage of malignancy, ASA score, comorbidity, perioperative morbidity-mortality, and the length of the operation. Results. Age (p < 0.001), ASA score (p < 0.001), stage in case of malignancy (p=0.002), and comorbidities (p < 0.001) were significant risk factors. The ratio of patients without any comorbidities to those with one or more comorbidities was 2.63 (95% CI 1.12-6.20). Among the malignant patients, the ratio of early-stage patients to advanced-stage patients in the group with reversal of Hartmann's colostomy was 2.82 (95% CI 1.30-6.10). In addition, the ratio of older patients to younger patients in group 2 was 0.95 (95% CI 0.92-0.98). A univariate analysis revealed that younger patients, those with lower ASA scores, those without comorbidities, and those with early-stage malignancy had a greater chance of closure of the stoma. Conclusion. Although Hartmann's procedure is performed in emergency surgery, the nonreversal of the colostomy is a problem in itself. It should be kept in mind that patients who have high risks are likely to have a permanent stoma.
dc.language English
dc.language.iso eng
dc.publisher HINDAWI LTD
dc.relation.isversionof 10.1155/2022/7831498
dc.subject Biotechnology & Applied Microbiology
dc.subject Research & Experimental Medicine
dc.title Factors Predicting the Reversal of Hartmann's Procedure
dc.type Article
dc.contributor.authorID Uzunoglu, Mustafa Yener/0000-0001-8133-2311
dc.contributor.authorID yalkin, omer/0000-0003-0311-5885
dc.contributor.authorID YILDIZ, Yasin Alper/0000-0002-6348-1927
dc.identifier.volume 2022
dc.relation.journal BIOMED RESEARCH INTERNATIONAL
dc.identifier.doi 10.1155/2022/7831498
dc.identifier.eissn 2314-6141
dc.contributor.author Yalkin, Omer
dc.contributor.author Altintoprak, Fatih
dc.contributor.author Uzunoglu, Mustafa Yener
dc.contributor.author Yildiz, Yasin Alper
dc.contributor.author Kamburoglu, Muhammet Burak
dc.contributor.author Firat, Necattin
dc.contributor.author Celebi, Fehmi
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rights.openaccessdesignations gold, Green Published


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