Background: Our aim is to evaluate the patients who underwent IPAA in our clinic, in terms of their characteristics, early and late complications, the results, and the problems that may emerge after the IPAA such as the quality of life. Methods: Twenty-two of the 26 patients, who underwent IPAA were included in the study. Evaluations were made on the demographic characteristics of the patients, surgical indications, the type of operation, pathological diagnosis, early and late postoperative complications, and functional outcomes. Cleveland Global Quality of Life scoring was administered in order to evaluate the quality of life.Results: Ten of the patients had UC and 12 had FAP. Nineteen of the patients underwent a two-stage surgical procedure. In postoperative period, ileus occurred in 4 patients (18.2%), 5 had wound infections (22.7%), 3 had a pelvic abscess (13.6%), and other complications developed in 5 patients (22.7%). Two patients had pouchitis (9.1%), 2 had anastomotic stenosis (9.1%), and 2 had pouch dysfunction (9.1%). There was incontinence with fluid in 6 (27.3%) patients. Four patients (18.2%) used pads during the day, requiring defecation with an average of (4.31±2.37) times during the day and (1.04±0.89) times at night. Half of them (50%) had complaints of sexual dysfunction. The life quality score was observed to be significantly better in patients with FAP (0.85±0.13) compared to patients with UC patients (0.71±0.11).Conclusion: This procedure could be applied safely with low comorbidity and good functional outcomes in experienced health centers with high caseloads.
Surgical site infections are one of the most important factors that increase morbidity and length of stay, especially after abdominal surgical procedures. With the COVID-19 pandemic, serious isolation and contact measures have been taken in hospital clinics in Turkey and all over the world. The aim of this study is to compare the rate of surgical site infection in patients who underwent abdominal surgery between March 15, 2020 and May 31, 2020 in Gazi University Faculty of Medicine, General Surgery Clinic, and patients who underwent abdominal surgery between the same dates a year ago. The features were examined with the SSI between the two periods. A statistically significant difference was found between the patients who were operated on before and during the pandemic in terms of smoking status (p=0.020), urgency of surgery (p=0.001) and chemotherapy receiving status (p=0.002). A statistically significant difference was not recorded between patients with and without surgical site infection in terms of the season in which the operation was performed, the surgery over the previous incision, the type of operation, the urgency of the operation and the presence of a drain.
The precautions taken due to the COVID-19 pandemic do not change the risk of developing SSI after abdominal surgery. In preventing the risk of SSI, the factors related to the wound and the patient, which have been defined before, are at the forefront.
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