Filtreler
An excellent anatomical and visual recovery after surgical repair of an open eye injury with poor baseline prognostic factors [Kötü başlangıç prognostik faktörlere sahip açık göz yaralanmasında cerrahisi sonrası mükemmel anatomik ve görsel iyileşme]

Yazgan S. | Ayar O. | Akdemir O. | Koban Y.

Article | 2017 | Ulusal Travma ve Acil Cerrahi Dergisi23 ( 2 ) , pp.167 - 169

Presently described is case of a 42-year-old woman with eye injury that was result of gunshot fired by a man at a wedding celebration. Bullet penetrated inferior quadrant of nasal sclera of left eye 7–12 mm behind limbus. Choroid and vitreous were prolapsed around bullet. Hemorrhage, vitreous prolapse and lens subluxation were present in anterior chamber. Presenting visual acuity (VA) was hand motion. Bullet 14×5 mm in size was carefully extracted from the eye. Fifteen days later, argon laser photocoagulation was performed on retina in area of bullet entry point. VA was 20/25 (Snellen) at final visit. In this case, although foreign . . .body was large, area of penetration was Zone III, and initial VA was poor, early and appropriate surgical repair achieved integrity of the globe and good vision prognosis. © 2017 TJTES Daha fazlası Daha az

Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures

Zehir, Sinan | Şahin, Ercan | Zehir, Regayip

Article | 2015 | Ulusal Travma ve Acil Cerrahi Dergisi21 ( 6 ) , pp.469 - 476

BACKGROUND: The aim of this study was toreport our experience regarding the use of three different methods for intramedullary nailing in the treatment of intertrochanteric fractures.METHODS: Patients with A2 and A3 type fractures operated on for unstable trochanteric fractures were included into this retrospective cohort study. Patients were divided into three groups based on the technique used; Talon distal fix nail/lag screw (n=78; mean age, 78.5±6.6), PFNA nail (n=96; mean age, 77.2±6.8) or InterTan nails (n=102; mean age, 76.8±6.7). Harris hip scores were recorded at the last outpatient visit and survival information was obtaine . . .d by phone interview and civil registry database.RESULTS: Baseline characteristics were similar among groups. Operation time, fluoroscopy time and blood loss were significantly higher in InterTan group. Screw cut-out occurred in eight patients in PFNA group. In-hospital mortality occurred in nine (3.2%) patients. Length of hospital stay and postoperative tip-apex distance was not different among groups. At follow-up, healing time and Harris hip scores were also similar among groups. One-year survival rate was 83.1±4.5% in Talon distal fix nail/lag screw, 84.0±3.8% in PFNA group and 84.4±3.7% in InterTan group (p=0.33).CONCLUSION: New Talon distal fix nail/lag screw was associated with lower cut-out rates than PFNA and shorter operative times than InterTan. Further study is warranted to clearly establish the potential advantages of Talon distal fix over any other technique described herein BACKGROUND: The aim of this study was toreport our experience regarding the use of three different methods for intramedullary nailing in the treatment of intertrochanteric fractures.METHODS: Patients with A2 and A3 type fractures operated on for unstable trochanteric fractures were included into this retrospective cohort study. Patients were divided into three groups based on the technique used; Talon distal fix nail/lag screw (n=78; mean age, 78.5±6.6), PFNA nail (n=96; mean age, 77.2±6.8) or InterTan nails (n=102; mean age, 76.8±6.7). Harris hip scores were recorded at the last outpatient visit and survival information was obtained by phone interview and civil registry database.RESULTS: Baseline characteristics were similar among groups. Operation time, fluoroscopy time and blood loss were significantly higher in InterTan group. Screw cut-out occurred in eight patients in PFNA group. In-hospital mortality occurred in nine (3.2%) patients. Length of hospital stay and postoperative tip-apex distance was not different among groups. At follow-up, healing time and Harris hip scores were also similar among groups. One-year survival rate was 83.1±4.5% in Talon distal fix nail/lag screw, 84.0±3.8% in PFNA group and 84.4±3.7% in InterTan group (p=0.33).CONCLUSION: New Talon distal fix nail/lag screw was associated with lower cut-out rates than PFNA and shorter operative times than InterTan. Further study is warranted to clearly establish the potential advantages of Talon distal fix over any other technique described herei Daha fazlası Daha az

Batı Karadeniz bölgesinde üçüncü basamak bir sağlık merkezindeki göz yaralanmaları

Alpay, Atilla | Özcan, Özlem | Uğurbaş, Sılay Cantürk | Uğurbaş, Suat Hayri

Article | 2012 | Ulusal Travma ve Acil Cerrahi Dergisi18 ( 2 ) , pp.118 - 124

AMAÇ Türkiye’nin Batı Karadeniz bölgesindeki göz yaralanmalarının klinik özelliklerini ve görsel prognozunu belirlemek, ulusal istatistiklere veri oluşturmaktır. GEREÇ VE YÖNTEM Zonguldak Karaelmas Üniversitesi Hastanesi Acil Servisi’ne 2001-2010 yılları arasında başvuran 281 göz yaralanması olgusu geriye dönük olarak incelendi. BULGULAR Göz yaralanmalarının büyük kısmı (%42,7) 30-50 yaşları arasında meydana gelmişti. Yaralanmaların en sık (%28,8) nedeni kırsal alanda ahşap kaynaklı maddelerle yaralanmalar iken, 30-50 yaş arası erkeklerde en sık neden işyeri yaralanmalarıydı. Kornea-skleral kesiler ilk ve son görme keskinliği açısın . . .dan en ciddi yaralanma olarak belirlendi. SONUÇ Göz yaralanmaları hala sık ve önlenebilir bir körlük sebebidir. Alınacak basit tedbirler ve halkın eğitimi sayesinde iş gücü kaybı, ekonomik kayıp ve psikolojik sorunlara yol açan bu önemli problemin önüne geçilebilir. Trafikte emniyet kemeri takılması, iş yerlerinde ve kırsal alanda çalışırken koruyucu gözlük takılması konusunda halkın bilinçlendirilmesi alınacak tedbirlerin başında gelmektedir. BACKGROUND We aimed to investigate the clinical aspects and visual prognosis in eye injury and to constitute data in the west Black Sea region in Turkey for national statistics. METHODS A retrospective analysis of 281 eye trauma cases admitted to the Emergency Department of Zonguldak Karaelmas University Hospital between 2001 and 2010 was performed. RESULTS A majority of eye injuries (42.7%) affected individuals aged 30 to 50 years. The most frequent cause of injury in the rural areas was wooden objects. The most frequent cause of injury in males aged 30 to 50 years was work-site injuries. Corneal-scleral lacerations were found to be the most serious injuries with regard to initial and final visual acuities. CONCLUSION Eye injuries are still the most common and preventable cause of blindness. Simple precautions and public education might prevent this health problem, which causes economic and labor force loss and psychological problems. One of the basic precautions would be raising public awareness on wearing a seat belt inside the car and protective eyeglasses at the work site and while working in rural areas Daha fazlası Daha az

Eye injuries at a tertiary health center in the west Black Sea region, Turkey [Batı Karadeniz bölgesinde üçüncü basamak bir saglık merkezindeki göz yaralanmaları]

Alpay A. | Özcan O. | Ugurbaş S.C. | Ugurbaş S.H.

Article | 2012 | Ulusal Travma ve Acil Cerrahi Dergisi18 ( 2 ) , pp.118 - 124

Background We aimed to investigate the clinical aspects and visual prognosis in eye injury and to constitute data in the west Black Sea region in Turkey for national statistics. Methods A retrospective analysis of 281 eye trauma cases admitted to the Emergency Department of Zonguldak Karaelmas University Hospital between 2001 and 2010 was performed. Results A majority of eye injuries (42.7%) affected individuals aged 30 to 50 years. The most frequent cause of injury in the rural areas was wooden objects. The most frequent cause of injury in males aged 30 to 50 years was work-site injuries. Corneal-scleral lacerations were found to b . . .e the most serious injuries with regard to initial and final visual acuities. Conclusion Eye injuries are still the most common and preventable cause of blindness. Simple precautions and public education might prevent this health problem, which causes economic and labor force loss and psychological problems. One of the basic precautions would be raising public awareness on wearing a seat belt inside the car and protective eyeglasses at the work site and while working in rural areas Daha fazlası Daha az

A prospective study: Is handheld micropower impulse radar technology (Pneumoscan) a promising method to detect pneumothorax? [İleriye yönelik bir çalışma: Taşınabilir micropower impulse radar teknolojisi (pneumoscan) pnömotoraks tanısında umut veren bir metot mudur?]

Hocagil H. | Hocagil A.C. | Karacabey S. | Akkaya T. | Şimşek G. | Sanrı E.

Article | 2015 | Ulusal Travma ve Acil Cerrahi Dergisi21 ( 5 ) , pp.344 - 351

BACKGROUND: This study aimed to discuss the effectiveness of Pneumoscan working with micropower impulse radar (MIR) technology in diagnosing pneumothorax (PTX) in the emergency department. METHODS: Patients with suspicion of PTX and indication for thorax tomography (CT) were included into the study. Findings of the Thorax CT were compared with the results of Pneumoscan. Chi-square and Fisher’s exact tests were used in categorical variables. RESULTS: One hundred and fifteen patients were included into the study group; twelve patients presented with PTX diagnosed by CT, 10 of which were detected by Pneumoscan. Thirty-six true negative . . . results, sixty-seven false positive results, and two false negative results were obtained, which resulted in an overall sensitivity of 83.3%, specificity of 35.0% for Pneumoscan. There was no statistically significant difference between the effectiveness of Pneumoscan and CT on the detection of PTX (p=0.33). There was no difference between the size of PTX diagnosed by CT and PTX diagnosed by Pneumoscan (p=0.47). There was no statistically significant difference between Pneumoscan and CT on detecting the localisation of the PTX (p=1.00). For the 10 cases diagnosed by Pneumoscan, mean chest wall thickness was determined as 50.3 mm while mean chest wall thickness for two false negatives diagnosed by Pneumoscan was 56.5 mm. However, no statistically significant difference was found between the chest wall thickness and the effectiveness of Pneumoscan on the detection of the PTX (p=0.77). Among sixty-seven false positives diagnosed by Pneumoscan, 46.3% had additional medical signs such as bronchiectasis, pulmonary consolidation, pulmonary edema or pulmonary tumor when they had a reading with CT. The relationship between having additional medical signs at the reading with CT and the effectiveness of Pneumoscan on the detection of the PTX was investigated and no significant difference was found (p=0.472). CONCLUSION: Using Pneumoscan to detect PTX is controversial since the device has a high false positive ratio. Wherein, false positive diagnosis can cause unjustifiable chest tube insertion. In addition, the device failed to show the size of the PTX, and therefore, it did not aid in determining the treatment and prognosis on contrary to traditional diagnostic methods. The findings could not demonstrate that the device was efficient in emergency care. Further studies and increasing experience may change this outcome in upcoming years. © 2015 TJTES Daha fazlası Daha az

Conservative approach to isolated cricoid cartilage fracture [İzole krikoid kartilaj kırıgına konservatif yaklaşım]

Çinar F. | Evren C. | Ugur M.B. | Çorakçi S. | Erdem C.Z.

Article | 2012 | Ulusal Travma ve Acil Cerrahi Dergisi18 ( 6 ) , pp.539 - 541

Isolated cricoid fracture is encountered rarely during the clinical follow-up. A 71-year-old female patient was referred to emergency service with complaints of fall from height, and urgent tracheotomy was performed due to dyspnea. During the examination, isolated fractures of the cricoid cartilage were identified. With the conservative approach, the patient remained symptom-free and was discharged after decannulation.

Beneficial effects of garlic (Allium sativum) oil in experimental corrosive esophageal burns effects of garlic oil in esophageal burns

Tanrıkulu, Ceren Şen | Tanrikulu, Yusuf | Kılınç, Fahriye | Bahadır, Burak | Can, Murat | Köktürk, Füruzan

Article | 2017 | Ulusal Travma ve Acil Cerrahi Dergisi23 ( 3 ) , pp.181 - 187

BACKGROUND: Corrosive esophageal burns, particularly common in developing countries, lead to different problems in different age groups. The ingestion of corrosive substances can cause such problems as stricture of the esophagus, to acute perforation, and even death. Because stricture formation is related to the severity of the initial injury, the prevention of stricture constitutes a main goal of treatment. The aim of this study was to investigate the protective and anti-inflammatory effects of garlic (Allium sativum) oil in corrosive esophageal burn.METHODS: Twenty-eight rats were randomly divided into 4 equal groups: group 1 (sha . . .m), group 2 (control), group 3 (topical treatment), and group 4 (topical and systemic treatment). In groups 2, 3, and 4, corrosive esophageal burns were generated by applying sodium hydroxide to a 1.5-cm segment of the abdominal esophagus. Normal saline was applied to group 2, topical garlic oil to group 3, and topical and systemic garlic oil were used in group 4.RESULTS: The level of hydroxyproline was lower in the topical treatment groups than in the control group (p=0.023). There was difference in tumor necrosis factor alpha level between the systemic treatment groups and the control group (p=0.044). Treatment with garlic oil decreased stenosis index (SI) and histopathological damage score (HDS) in corrosive esophageal burn rats. The SI in the topical treatment group was significantly lower than that of the control group (p=0.016). The HDS was significantly lower in group 4 when compared with the control group (p=0.019).CONCLUSION: Garlic oil is an effective agent in promoting the regression of esophageal stenosis and tissue damage caused by corrosive burns. While the protective effect of garlic oil on tissue damage is more significant when applied topically, the anti-inflammatory effect is more pronounced when applied systemically. Therefore, we believe that the application of garlic oil in patients with corrosive esophageal burns can reduce complication rates BACKGROUND: Corrosive esophageal burns, particularly common in developing countries, lead to different problems in different age groups. The ingestion of corrosive substances can cause such problems as stricture of the esophagus, to acute perforation, and even death. Because stricture formation is related to the severity of the initial injury, the prevention of stricture constitutes a main goal of treatment. The aim of this study was to investigate the protective and anti-inflammatory effects of garlic (Allium sativum) oil in corrosive esophageal burn.METHODS: Twenty-eight rats were randomly divided into 4 equal groups: group 1 (sham), group 2 (control), group 3 (topical treatment), and group 4 (topical and systemic treatment). In groups 2, 3, and 4, corrosive esophageal burns were generated by applying sodium hydroxide to a 1.5-cm segment of the abdominal esophagus. Normal saline was applied to group 2, topical garlic oil to group 3, and topical and systemic garlic oil were used in group 4.RESULTS: The level of hydroxyproline was lower in the topical treatment groups than in the control group (p=0.023). There was difference in tumor necrosis factor alpha level between the systemic treatment groups and the control group (p=0.044). Treatment with garlic oil decreased stenosis index (SI) and histopathological damage score (HDS) in corrosive esophageal burn rats. The SI in the topical treatment group was significantly lower than that of the control group (p=0.016). The HDS was significantly lower in group 4 when compared with the control group (p=0.019).CONCLUSION: Garlic oil is an effective agent in promoting the regression of esophageal stenosis and tissue damage caused by corrosive burns. While the protective effect of garlic oil on tissue damage is more significant when applied topically, the anti-inflammatory effect is more pronounced when applied systemically. Therefore, we believe that the application of garlic oil in patients with corrosive esophageal burns can reduce complication rate Daha fazlası Daha az

A comparison of the effects of platelet-rich plasma and demineralized bone matrix on critical bone defects: An experimental study on rats [Sıçan segmenter kemik defekti modelinde trombositten zenginleştirilmiş plazmanın ve demineralize kemik matriksinin kırık iyileşmesi üzerine etkisinin karşılaştırılması]

Turhan E. | Akça M.K. | Bayar A. | Songür M. | Keser S. | Doral M.N.

Article | 2017 | Ulusal Travma ve Acil Cerrahi Dergisi23 ( 2 ) , pp.91 - 99

Background: Delayed union of fractured bone is one of the main problems of orthopedics and traumatology practice. It was hypothesized that the beneficial effects of allogeneic platelet-rich plasma (PRP) would be valuable in the treatment of segmental bone defects. This study is a comparison of the effects of demineralized bone matrix (DBM) and PRP in a segmental bone defect model. Methods: Total of 48 Wistar albino rats were separated into 4 groups. Segmental bone defect was created at right radius diaphysis in all specimens using dorsal approach. Four additional rats were used as PRP source. Intracardiac blood was withdrawn before . . .the operation for preparation of allogeneic PRP. Group 1 (n=12) served as control group and defects were left untreated. Group 2 (n=12), was PRP group, and received grafting with PRP. Group 3 (n=12) was PRP+DBM combination group, and was treated with grafting and mixture of DBM and PRP. In Group 4 (n=12), defect area was grafted with DBM only. At the end of 10th week, rats were sacrificed, forearms were dissected, and defect areas were examined with radiological and histopathological parameters. Results: Radiological evaluation revealed that ossification was best in PRP group, followed by DBM group. According to results of histopathological studies, union quality was better than control group in all treatment groups (Groups 2, 3, and 4), and was best in PRP group (p<0.05). Results were also better in PRP group when examined in terms of cortex development and remodeling (p<0.05). When examined in terms of new osteogenesis, results were comparable in Groups 2, 3, and 4, but all were better than control group. Conclusion: It was concluded that PRP and DBM have comparable effect on recovery of defective bones, but there is no synergistic effect when used together. We believe that PRP can be a cost-effective, readily available alternative to DBM with minimal morbidity. © 2017 TJTES Daha fazlası Daha az

Usage of lidocaine-prilocaine cream in the treatment of postburn pain in pediatric patients

Kargı, Eksal | Tekerekoğlu, Bülent

Other | 2010 | Ulusal Travma ve Acil Cerrahi Dergisi16 ( 3 ) , pp.229 - 232

AMAÇ Çocuklarda yüz yanıkları oldukça sık gözükmektedir. Ağrı çeken hastaların yanık yaralarını kapatma amacı ile birçok yara kapama örtüleri kullanılabilir. Bu örtüler ağrıyı azaltma amacı ile lokal anastezikler ile kombine edilebilirler. Lidokain - prilokain krem (%5?lik) (LPC) plastik cerrahlar tarafından lokal anatezik olarak değişik amaçlarla kullanılmaktadır. Bu çalışmada, yüzü yanan çocuk hastalarda ağrının kesilmesinde topikal LPC etkilerini, LPC pansumanın kullanılmadığı bir kontrol grubuyla da karşılaştırarak araştırdık. GEREÇ VE YÖNTEM 2003 ile 2006 yılları arasında acil servis ve plastik cerrahi polikliniğine başvuran 30 . . . çocuk hasta (ortalama yaş 11,3; dağılım 8-15) çalışmaya dahil edildi. Hastaların yanık alanları toplam vücut yüzeyinin yüzde 1?i ile 5?i arasında değişmekteydi. BULGULAR Her iki grupta yanık sonrası ağrı kesici ilaç ihtiyacı birinci, ikinci ve üçüncü 8 saatlik sürelerle kaydedildi. Ağrı düzeyi bu zamanda sözel numaralandırma skalası kullanılarak değerlendirildi. Sonuçta ilk ve ikinci 8 saatlik dönemde LPC kullanmayan grup ile kullanan grup arasında anlamlı fark gözlendi. Üçüncü 8 saatlik dönemde ise anlamlı fark gözlenmedi. LPC?nin pansumanda kullanımı ile yaralanma sonrası ilk 16 saatte etkinliğinin güçlü olduğu ve daha sonra ağrı kesici ihtiyacının gerektiği ve klinik uygulamada çocukların yüz yanıklarında uygulanabileceği sonucuna varıldı. SONUÇ LPC ilk 16 saat içinde iyileştirmede etkili bulunmuştur. Son 8 saatlik süre içinde etkinliğini kaybettiğinde destek oral ağrı kesici tedavisini öneririz. BACKGROUND Facial burns are quite common among children. Many different wound-covers can be used for dressing burn wounds, which is usually painful for the patients. These covers can also be combined with local anesthetic creams. Lidocaine-prilocaine cream 5% (LPC) is commonly used as a topical anesthetic by physicians performing plastic surgery. In the present study, we investigated the effects of topical LPC on pain cessation in pediatric patients with face burn and compared results with a control group in which LPC was not used in the wound dressing. METHODS Thirty pediatric patients (average age 11.3, range 8-15) among those who admitted to our emergency service and plastic surgery outpatient clinic between 2003 and 2006 were included in this study. The patient?s burned areas ranged between 1 and 5% percent of their total body surface. RESULTS The need for analgesic medicine was recorded in the first, second and third 8-hour periods postburn in both groups, and pain level was evaluated at these time points using a verbal rating scale. There was a significant difference between the two groups with respect to values of the first and second 8-hour periods, while in the third 8-hour period, no significant difference was observed. We conclude that topical local anesthetics administered for 16 hours postburn significantly reduce the duration of pain after injury, which suggests a potential use in clinical practice in the treatment of children with face burn. CONCLUSION While LPC was found to have an ameliorating effect in the first 16 hours, we recommend oral analgesic co-therapy support since it loses its efficacy in the last 8-hour period Daha fazlası Daha az

Diagnostic utility of the neutrophil-lymphocyte ratio in patients with acute mesenteric ischemia: A retrospective cohort study

Tanrıkulu, Yusuf | Tanrıkulu, Ceren Şen | Sabuncuoğlu, Mehmet Zafer | Temiz, Ayetullah | Köktürk, Furuzan | Yalçın, Boran

Article | 2016 | Ulusal Travma ve Acil Cerrahi Dergisi22 ( 4 ) , pp.344 - 349

AMAÇ: Akut mezenterik iskemi (AMI) olgularının %50-70'i ölümcül olup, hızlı ve etkili bir klinik değerlendirme ve tedavi gerektiren bir vasküler acil olarak kabul edilmektedir. Mevcut geriye dönük çalışmada, biz AMI erken tanısında nötrofil/lenfosit oranının (NLR) olası yararını ve bu oranın AMI ile non-vasküler bağırsak nekrozu (NVBN) ayırıcı tanısında etkili olup olmadığını araştırdık.GEREÇ VE YÖNTEM: Bu çalışmada 1 Mayıs 2010-30 Nisan 2015 tarihleri arasında 58 AMI, 62 NVBN ve 62 kontrol hastası incelendi. Akut me-zenterik iskemi tanısıyla laparotomi ve/veya bağırsak rezeksiyonu yapılan hastalar çalışma grubuna alındı. İnkarsere . . .ve strangüle herni nedeniyle seg-menter bağırsak rezeksiyonu yapılan hastalar NVBN grubuna alındı. Kontrol grubu hastaları non-spesifik karın ağrısı nedeniyle acil servise başvuran hastalarda oluşturuldu.BULGULAR: Mortalite oranı AMI grubunda %51.7, NVBN grubunda %4.8 idi. Akut mezenterik iskemi grubunda lökosit (WBC) sayısı, C-reaktif protein (CRP) ve eritrosit dağılım aralığı diğer gruplardan daha yüksekti. Nötrofil/lenfosit oranı, AMI ve NVBN grubunda kontrol grubundan daha yüksekti ( Daha fazlası Daha az

An excellent anatomical and visual recovery after surgical repair of an open eye injury with poor baseline prognostic factors

Yazgan, Serpil | Ayar, Orhan | Akdemir, Orçun | Koban, Yaran

Article | 2017 | Ulusal Travma ve Acil Cerrahi Dergisi23 ( 2 ) , pp.167 - 169

Bu yazıda, düğün töreni sırasında ateşlenen mermi ile göz yaralanması oluşan 42 yaşındaki kadın hasta sunuldu. Mermi çekirdeği, sol göz nazal skleranın alt kadranında, limbusun 7-12 milimetre arkasını delmişti. Koroid ve vitreus çekirdeğin etrafına prolabeydi. Ön kamarada kanama, vitreus prolapsusu ve lens subluksasyonu mevcuttu. Başvuru anındaki görme keskinliği el hareketi seviyesindeydi. 14x5 mm büyüklüğündeki mermi çekirdeği gözden dikkatlice çıkarıldı. On beş gün sonra, giriş alanı çevresindeki retinaya argon lazer fotokoagülasyon uygulandı. Hastanın son ziyaretindeki görme keskinliği 20/25 (Snellen) idi. Bu olguda, yabancı cis . . .im büyük, penetrasyon alanı zon 3'd Bu yazıda, düğün töreni sırasında ateşlenen mermi ile göz yaralanması oluşan 42 yaşındaki kadın hasta sunuldu. Mermi çekirdeği, sol göz nazal skleranın alt kadranında, limbusun 7–12 milimetre arkasını delmişti. Koroid ve vitreus çekirdeğin etrafına prolabeydi. Ön kamarada kanama, vitreus prolapsusu ve lens subluksasyonu mevcuttu. Başvuru anındaki görme keskinliği el hareketi seviyesindeydi. 14x5 mm büyüklüğündeki mermi çekirdeği gözden dikkatlice çıkarıldı. On beş gün sonra, giriş alanı çevresindeki retinaya argon lazer fotokoagülasyon uygulandı. Hastanın son ziyaretindeki görme keskinliği 20/25 (Snellen) idi. Bu olguda, yabancı cisim büyük, penetrasyon alanı zon 3’ Daha fazlası Daha az

A prospective clinical study of the effects of the physical features of the appendix on perforation

Tanrıkulu, Yusuf | Yılmaz, Gökhan | Tanrıkulu, Ceren Şen | Temi, Volkan | Köktürk, Fürüzan | Çağsar, Mithat | Yalçın, Boran

Article | 2015 | Ulusal Travma ve Acil Cerrahi Dergisi21 ( 6 ) , pp.440 - 445

BACKGROUND: Acute appendicitis (AA) is one of the most common surgical emergencies, whosepostoperative morbidity and mortality increase significantly when the appendix perforates. The identification of factors that lead to perforation in these patients might effectively reduce morbidity. In this study, factors associated with perforation in AA were examined.METHODS: The study included sixty patients divided into equal non-perforated and perforated groups. Preoperative body mass index (BMI) and prehospital delay of the patients, the appendix location, presence of fluid or abscesses during surgery, and the appendix wall thickness, roo . . .t and end diameters, and length in the surgery specimen were compared.RESULTS: The patients were comprised of forty males and 20 females, with a median age of 27 (range 16-84) years. BMI was significantly higher in the perforated group than the non-perforated group (p=0.039). There was no difference between the groups in terms of the presence of fluid (p=0.792); the presence of abscess was higher in the perforated group (p=0.017). The most common location of the appendix was retrocecal in the perforated group (p=0.007). While there was no difference in the appendix end diameter, root diameter was significantly higher in the perforated group (p=0.041), as were wall thickness ( Daha fazlası Daha az

6698 sayılı Kişisel Verilerin Korunması Kanunu kapsamında yükümlülüklerimiz ve çerez politikamız hakkında bilgi sahibi olmak için alttaki bağlantıyı kullanabilirsiniz.

creativecommons
Bu site altında yer alan tüm kaynaklar Creative Commons Alıntı-GayriTicari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.
Platforms