Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Mar 2012
Case ReportsDelayed diagnosis of traumatic diaphragmatic rupture with herniation of the liver: a case report.
Diaphragmatic rupture is a potentially life-threatening clinical situation. It occurs as a result of high-velocity blunt or penetrating injury to the abdomen and thorax. Acute traumatic rupture of the diaphragm may go undetected, and there is often a delay between the injury and diagnosis. ⋯ Since clinical signs and symptoms were nonspecific, helical computed tomography was done, which revealed diaphragmatic rupture with hepatothorax. Emergency thoracotomy was done to repair diaphragmatic rent. The postoperative period was uneventful, and the patient was discharged three weeks later.
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Ulus Travma Acil Cer · Mar 2012
Long-term outcome of unreamed intramedullary nails in femur diaphyseal fractures.
We evaluated the results of patients with traumatic femur diaphyseal fracture who had undergone biologic fixation with unreamed intramedullary nailing. ⋯ Sparing of the endosteal and periosteal circulation, low infection and high union rates, and good functional outcomes of unreamed intramedullary nailing fixation make it the treatment of choice for simple and comminuted fractures of the femur shaft, especially for multi-trauma patients and patients with cardiopulmonary comorbidities.
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Ulus Travma Acil Cer · Mar 2012
Epidemiologic evaluation of patients with major burns and recommendations for burn prevention.
Burns are an important health problem in our country and in the world. In our study, we aimed to epidemiologically analyze the patients who were hospitalized in a burn unit that serves 3 million individuals in Central Anatolia. ⋯ In our study, children in the 0-5 age group were found to be the most commonly affected group with respect to indoor burns. The basic contributing factor is that children spend more time in the house and are more active. Scalding burns may be prevented when greater care is taken when using hot liquids that may lead to indoor burns. Informing parents on this issue is of first priority.
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Ulus Travma Acil Cer · Mar 2012
[Evaluation of urogenital injuries in patients with trauma in the emergency department].
The aim of this study was to investigate the characteristics of the patients admitted to the Emergency Department with urogenital system trauma and the factors affecting morbidity and mortality. ⋯ Urogenital injuries are frequently seen with other system injuries, and deaths generally occur due to the other system injuries. The timely identification and management of genitourinary injuries with an in-depth clinical evaluation are important for preventing deaths due to urogenital region trauma.
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Ulus Travma Acil Cer · Mar 2012
Case ReportsAdrenal injuries following blunt abdominal trauma in children: report of two cases.
Adrenal injuries following blunt abdominal trauma are uncommon. Adrenal hemorrhage in children associated with multiple organ injury, which has received little attention in the past, is an increasingly recognized phenomenon in modern trauma centers with the widespread use of abdominal computed tomography. Adrenal trauma occurs in the setting of multisystem organ injury. ⋯ We report two children with blunt adrenal trauma (one isolated and one with associated injuries), who were admitted during the last two years to our Pediatric Surgery Department after abdominal trauma. We determined the prevalence, management and general prognosis of blunt adrenal injury in the pediatric population. Traumatic adrenal hemorrhage appears to be an incidental and unsuspected finding that resolves on follow-up imaging.