Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jan 2009
Accuracy of sonography in detection of renal injuries caused by blunt abdominal trauma: a prospective study.
This prospective study was conducted to evaluate the accuracy of sonography in detection of renal injuries caused by blunt abdominal trauma. ⋯ In spite of the availability and ease of performance of sonography in evaluation of trauma victims, this imaging modality has low sensitivity in detection of renal injuries and overlooks significant damages. CT scan should be considered as the diagnostic modality in victims of kidney trauma who are hemodynamically stable and have clear indications for renal imaging.
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Penetrating spinal cord injuries caused by stab wounds are rare. Such injuries may result from a direct lesion of the neural elements of the spinal cord, cord infarcts or, more rarely, intradural or epidural hematoma. In the present study, two cases with spinal cord and L4 root injuries caused by a knife are presented. ⋯ The second patient referred to our emergency outpatient clinic with a torso injury caused by a sharp knife. The knife was embedded 2-3 cm deep at the wound site at the L3 level and the handle was broken. The patient was immediately operated and the broken and embedded metallic part of the knife was extracted.
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Ulus Travma Acil Cer · Jan 2009
Preputial skin can be used in all boys with burns requiring grafting.
In patients with extensive burns, all unburned areas can be used as donor sites. In male patients with small burns, preputial skin graft may be a good choice in order to avoid donor site problems. ⋯ Preputial skin is a full-thickness, highly elastic and easy-to-harvest graft that should be considered in all burned male children in whom grafting is needed.
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Ulus Travma Acil Cer · Jan 2009
[Diagnosis that should be remembered during evaluation of trauma patients: diaphragmatic rupture].
We aimed to emphasize the importance of delay in diagnosis of traumatic diaphragmatic ruptures and to investigate the results of treatment methods. ⋯ Diaphragmatic ruptures should be remembered in trauma cases because of the probability of their being missed, and ruptures should be explored during thoracotomy or laparotomy performed for other organ injuries. Delayed diagnosis will increase morbidity and mortality.
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Ulus Travma Acil Cer · Jan 2009
[Evaluation of patients with urogenital trauma managed in a urology clinic].
Ten percent of all traumas, responsible for 14% of all deaths, involve the urogenital system. We retrospectively evaluated the patients with genitourinary trauma who underwent any kind of management modality in our clinics. ⋯ Our results were parallel to those available in the literature. Due to the lack of sufficient information about urogenital trauma rates in our country, it would be highly useful for reference centers to evaluate and publish their own data.