Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Mar 2011
Randomized Controlled Trial[Should videothorascopic surgery be the first choice in isolated traumatic hemothorax? A prospective randomized controlled study].
In this study, patients with hemothorax due to blunt or penetrating thorax trauma and treated by tube thoracostomy were compared with the patients treated by videothoracoscopic surgery (VATS) in order to determine whether VATS can be the first choice in treatment. ⋯ VATS seems to be better in the treatment of hemothorax when compared with traditional drainage method because of its advantage of direct diagnosis and hemostasis by diagnostic thoracoscopy. If clotted blood is evacuated, empyema and fibrothorax are preventable. In these cases, chest tube duration and hospital length of stay are shorter. Therefore, these patients can be discharged early.
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Ulus Travma Acil Cer · Mar 2011
Management of community-based shotgun injuries of the extremities: impact of emergent vascular repair without angiography.
Shotgun injuries of the extremities create challenging problems for vascular surgeons. In this study, we retrospectively analyzed surgical results without preoperative angiography. ⋯ Based on these results, we favor immediate operative exploration of the extremities in patients with hard signs of vascular trauma, thereby minimizing the ischemic interval, and we recommend angiography only for elective operations. Early fasciotomy should be done without hesitation in patients with long ischemic periods and in those with combined arterial/venous injury.
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Ulus Travma Acil Cer · Mar 2011
Pattern of skull fracture in Iran: report of the Iran National Trauma Project.
We characterize in this report the mechanism and type of skull fracture in urban populations of Iran. ⋯ Safety legislations and risk-specific intervention programs should be improved considerably in Iran.
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Ulus Travma Acil Cer · Mar 2011
Comparative StudyComparison of two biological internal fixation techniques in the treatment of adult femur shaft fractures (plate-screws and locked intramedullary nail).
We aimed to compare two (plate-screws and locked intramedullary nail) biological internal fixation techniques in the treatment of adult femur shaft fractures. ⋯ According to our results, no superiority of either technique was demonstrated with respect to fracture union time, complication rate and functional results. Biological internal fixation with plate and screws is an alternative technique to locked intramedullary nailing in patients with multi-trauma or compromised pulmonary or cardiac function, or in complex comminuted or segmented diaphyseal or metaphyseal fractures.
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Ulus Travma Acil Cer · Mar 2011
Case ReportsLife-threatening abdominal injury during a soccer game: a rare clinical case.
Soccer (football) is a popular sport worldwide and can result in severe abdominal injuries. Nevertheless, the necessity of surgical intervention for abdominal organ injuries has been reported rarely. ⋯ Distal subtotal pancreatectomy, splenectomy, cholecystectomy, and choledochotomy + T-tube drainage were performed. He was discharged on the postoperative seventh day without any complication.