[STAGED ABDOMINAL REPAIR (STAR) PROCEDURES IN OUR CLlNIC].
OBJECTIVE
In this study we assessed the results of staged abdominal repair (STAR) applications in our clinic.


METHODS
Retrospective analysis ofsix cases who were operated by staged abdominal repair (STAR) between December 1998-1January 2002 were assessed according to operation indications, type of operation, presentation ofthe complications and mortality.


RESULTS
The initial operations for two ischemic bowel disease cases were right hemicolectomy + end ileostomy + mucous fistula and partial small bowel resection + right hemicolectomy + ileotransversostomy. The operative indications were fistula formation following strangulatedfemoral hernia, diverticular perforation, diverticulitis + massive lower gastrointestinal bleeding and abdominal ! gunshot trauma, and operations were right hemicolectomy + ileotransversostomy, subtotal colectomy + ileorectostomy + diverting ileostomy, subtotal colectomy + Hartmann procedure and primary repair of vena cava + distal pancreatectomy + left hemicolectomy+ Hartmann procedure respectively. Median hospital stay was 28 days. Two cases had pulmonary problems (pleural effiision and 1 atelectasis). Gunshot trauma patient died four days after the abdominal closure probably due to pulmonary emboli.


CONCLUSIONS
Relaparotomy decision may be made prior to the operation but the final decision is made per-operatively. Staged abdominal repair gives an opportunity for sufficient debridement and peritoneallavage and also gives a chance to evaluate the anastomosis sites.
Altinli
Ediz
E
Sisli Etfal Egitim ve Arastirma Hastanesi, 3.Genel Cerrahi Klinigi, Sisli, Istanbul, Turkey, edizaltinli@hotmail.com
Agca
Birol
B
Aridogan
Murat
M
Kaya
Cemal
C
Mihmanli
Mehmet
M
D000714:Anastomosis, Surgical; D003082:Colectomy; D003125:Colostomy; D006801:Humans; D007081:Ileostomy; D012189:Retrospective Studies