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dc.contributor.authorDurak, Goerkem
dc.contributor.authorErtekin, Cemalettin
dc.contributor.authorKaan Gok, Ali
dc.contributor.authorAlizade, Elchin
dc.contributor.authorIlhan, Mehmet
dc.date.accessioned2023-02-21T09:44:14Z
dc.date.available2023-02-21T09:44:14Z
dc.date.issued2022
dc.identifier.citationAlizade E., Ilhan M., Durak G., Kaan Gok A., Ertekin C., "Can invasive diagnostic methods be reduced by magnetic resonance imaging in the diagnosis of diaphragmatic injuries in left thoracoabdominal penetrating injuries?", JOURNAL OF MINIMAL ACCESS SURGERY, cilt.18, sa.3, ss.431-437, 2022
dc.identifier.issn0972-9941
dc.identifier.otherav_34b84211-8328-412f-9504-cd4fb79dc708
dc.identifier.othervv_1032021
dc.identifier.urihttp://hdl.handle.net/20.500.12627/187767
dc.identifier.urihttps://doi.org/10.4103/jmas.jmas_259_21
dc.description.abstractAim: In this study, we aimed to investigate the effect of magnetic resonance imaging (MRI) in detecting diaphragmatic injury by comparing preoperative computed tomography (CT) and MRI imaging results with diagnostic laparoscopy/thoracoscopy results in patients with left thoracoabdominal penetrating injury. We investigated whether MRI reduces the rate of unnecessary surgery by examining its sensitivity and specificity. Materials and Methods: Patients with left thoracoabdominal penetrating injuries who applied to the Emergency Surgery Unit of Istanbul University Istanbul Faculty of Medicine between November 2017 and December 2020 were evaluated. Patients who underwent emergency surgery, who could not undergo MRI or CT for any reason or who could not be operated on were excluded from the study. Preoperative MRI and CT images of patients who underwent diagnostic laparoscopy/thoracoscopy due to left thoracoabdominal injury in our clinic were evaluated retrospectively by a radiologist who did not know the surgical results. MRI results of the cases were compared with surgical findings and CT images. Results: A total of 43 (41 males, mean age: 31, range: 15-57) patients were included in the study. The most common physical examination finding was lateral injury. The diaphragmatic injury was detected in 13 (30%) cases during surgical interventions. Laparoscopic repair was performed in 11 (84%) cases and thoracoscopic repair was performed in 2 (15%) cases with diaphragmatic injuries. MRI images of 14 (32%) cases were found to be compatible with diaphragmatic injury, in 1 of them no injury was observed during surgical intervention. According to these data, the sensitivity of MRI was calculated as 100%, specificity 94%, positive predictive value 86%, and negative predictive value 100%. The mean hospital stay was 6 days (1-30) in all cases. Conclusion: In our study, MRI was found to have high specificity and sensitivity in detecting diaphragmatic injuries. The number of negative laparoscopy/thoracoscopy can be reduced by performing surgical intervention only in cases with positive or suspected diaphragmatic injury on MRI. Results should be supported by conducting new studies with larger case series with normal MRI findings and long follow-ups.
dc.language.isoeng
dc.subjectSağlık Bilimleri
dc.subjectHealth Sciences
dc.subjectCerrahi Tıp Bilimleri
dc.subjectSurgery
dc.subjectTıp
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectCERRAHİ
dc.titleCan invasive diagnostic methods be reduced by magnetic resonance imaging in the diagnosis of diaphragmatic injuries in left thoracoabdominal penetrating injuries?
dc.typeMakale
dc.relation.journalJOURNAL OF MINIMAL ACCESS SURGERY
dc.contributor.departmentİstanbul Üniversitesi , ,
dc.identifier.volume18
dc.identifier.issue3
dc.identifier.startpage431
dc.identifier.endpage437
dc.contributor.firstauthorID3435580


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