Ulus Travma Acil Cer
-
The Karaman score is a novel diagnostic scoring system consisting of 6 parameters. The aim of the present study was to assess the diagnostic performance of the Karaman score in comparison with the Alvarado score. ⋯ The Karaman score was more predictive than the Alvarado score in distinguishing acute appendicitis from a negative appendectomy.
-
Ulus Travma Acil Cer · Nov 2018
The effectiveness of non-operative treatment in high-grade liver and spleen injury in children.
Although a nonoperative treatment approach is preferred for blunt liver and spleen trauma in childhood, there are significant differences between clinics in the algorithms used. The approach to high-grade liver and spleen injury is still controversial, particularly as grade V liver and spleen injuries are not included in the American Pediatric Surgical Association guideline. The aim of this study was to present experience with a non-operative treatment approach to children with high-grade liver and spleen injuries. ⋯ Non-operative treatment is a feasible treatment method in pediatric patients with a high-grade blunt liver or spleen injury. Nonetheless, pediatric surgeons should bear in mind that patients with high-grade liver damage may require more surgical treatment.
-
The aim of this study was to identify factors predicting early mortality in trauma patients. ⋯ The GAP model, SpO2, base excess, platelet count, and INR predicted the early mortality of trauma patients.
-
Ulus Travma Acil Cer · Nov 2018
Case ReportsTreatment with vacuum-assisted closure system: A case of anastomotic leak after upper gastrointestinal surgery.
Presently described is a case treated via stent and vacuum-assisted closure (VAC). The patient developed an oesophagojejunostomy leak (OL) on the ninth postoperative day after a radical total gastrectomy. The patient was a 55-year-old male patient with adenocarcinoma localized to the small curvature on the corpus of the stomach. ⋯ Fistulography revealed that the OL was completely closed, and the VAC dressings were removed. The skin was closed by separating the subcutaneous oil layer of the fascia. VAC therapy can not only provide serious abdominal sepsis treatment and primary source control, but also accelerate granulation development and, in this case, quickly closed the anastomotic leakage.
-
The purpose of this study was to investigate factors affecting wound dehiscence due to blunt trauma following penetrating keratoplasty (PK) and the clinical outcomes. ⋯ Traumatic wound dehiscence after PK is rare, but may lead to serious, lifelong consequences, including eye loss. Patients should be well informed about the risks and potential sequelae of wound dehiscence.