Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jul 2012
Case ReportsSurgical treatment of a case with rapidly growing mass lesion after trauma: on the left forearm arteriovenous malformation.
In this case, we report a vascular malformation with high flow pattern complicated with trauma. A postoperative histopathology examination confirmed an arterio-venous malformation in specimens of surgical excision material. In our opinion, posttraumatic progression of a vascular malformation is an emergency and requires an urgent evaluation with surgery at any localization of the body.
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Ulus Travma Acil Cer · Jul 2012
Comparative StudyAre we prepared for orthopedic trauma surgery outside normal working hours? A retrospective analysis.
This retrospective analysis was done to determine whether there is a change in outcomes of trauma patients undergoing intramedullary nailing (IMN) for femur and tibia fracture as an emergency versus elective procedure. ⋯ This study shows that complications are higher in emergency surgery than elective surgery due to the increase in the duration of surgery. This is attributed to the non-availability of dedicated trained orthopedic nursing staff and theater during emergency procedures. We believe that it is time to develop dedicated orthopedic trauma theaters in hospitals that treat emergency fracture fixations.
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Ulus Travma Acil Cer · Jul 2012
Comparative StudyBurn unit: colonization of burn wounds and local environment.
We present the results of a comparative prospective study of the resistance profile of strains isolated from pathological material of patients hospitalized in the burn unit of the military hospital in Rabat and from their environment over a period of one and a half years (July 2009-February 2011). ⋯ All species showed an almost identical sensitivity to the various antibiotics tested.
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Ulus Travma Acil Cer · Jul 2012
Comparative StudyIs total-subtotal colectomy and primary anastomosis a good treatment alternative in malignant obstructive lesions of the left colon?
This study was designed in order to compare the effectiveness of subtotal-total colectomy with other surgical methods in the treatment of malignant obstructive lesions of the left colon. ⋯ We suggest that subtotal-total colectomy performed by experienced surgeons may be a good alternative to the other procedures.
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Ulus Travma Acil Cer · Jul 2012
Case ReportsCerebral infarction caused by traumatic carotid artery dissection.
Traumatic carotid artery dissection, if not diagnosed and treated early, is a serious problem with permanent neurological deficit and a high mortality rate of up to 40%. We present a case with delayed diagnosis of traumatic carotid artery dissection in a 21-year-old female. While there were no ischemic infarct findings on the admission cerebral computerized tomography (CT), such findings were observed on two cerebral CTs taken because of the left hemiplegia noticed seven days later when the patient regained consciousness. ⋯ Despite the advances in diagnostic methods, diagnosis of traumatic carotid artery dissection is still missed or delayed, as in the case presented here. Early diagnosis can ameliorate permanent neurological damage or even prevent it. However, the vital factors for early diagnosis are the obtained anamnesis leading to appropriate radiological examinations, detailed physical examination and high clinical suspicion.