Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Nov 2017
Role of inflammatory markers in decreasing negative appendectomy rate: A study based on computed tomography findings.
This study aimed to investigate the role of inflammatory markers in decreasing negative appendectomy rate (NAR) based on their relation with findings of acute appendicitis (AA) on computed tomography (CT). ⋯ Inflammatory markers are not sufficiently powerful on their own to accurately diagnose AA. However, particularly in equivocal cases, proposed cut-off values may be helpful for accurate diagnosis and a lower NAR can be achieved.
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Ulus Travma Acil Cer · Nov 2017
Application of pulsed arterial resuscitation in a rabbit model of hemorrhagic shock.
Hemorrhagic shock is characterized by tissue hypoperfusion caused by a sharp reduction in the effective circulating volume of blood. The key to successful resuscitation lies in eliminating the shock as soon as possible while simultaneously restoring blood perfusion to vital organs. We present the applicability of pulsed arterial blood reinfusion for resuscitation of hemorrhagic shock. ⋯ Pulsed arterial resuscitation might be useful for emergency treatment of hemorrhagic shock.
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Ulus Travma Acil Cer · Nov 2017
Wrapping degloved fingers with a distal-based radial forearm perforator flap: A repair method for multiple digital degloving injury.
Degloving hand injuries present challenging situations to hand surgeons as they present with difficulties in reconstructive microsurgery, particularly in multiple digital injuries. Time is a limiting factor when multiple degloving finger amputations are present. Thus, we proposed a repair method for multiple degloving finger injuries that involves coverage with a distal-based reverse forearm flap of all injured fingers in a two-stage procedure. Early vigorous physical therapy after pedicle division of the flap at postoperative third week eliminates joint stiffness problems at wrist and metacarpophalangeal joints.