Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Mar 2021
External validation of the AppendistatTM score and comparison with CRP levels for the prediction of complicated appendicitis.
In acute appendicitis, the treatment approach may vary depending on the age and comorbidities of the patient and whether the appendix is complicated. In this study, we validated the appendistatTM score, including the logistic regression model of complicated appendicitis, and compared the efficacy of this scoring with C-reactive protein in predicting complicated appendicitis. ⋯ AppendistatTM is a successful scoring system that contains appropriate parameters. However, C-reactive protein detecting or excluding complicated appendicitis at a similar rate to AppendistatTM suggests that the latter does not have a significant advantage in clinical practice.
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Ulus Travma Acil Cer · Mar 2021
The effects of sponges soaked with chlorhexidine gluconate and metronidazole on safety of colonic anastomosis in an experimental model of peritonitis.
The present study aims to evaluate the use of the chlorhexidine gluconate and metronidazole impregnated compresses concerning anastomosis safety in the left colonic anastomosis in the presence of peritonitis. ⋯ Cleaning the abdomen before the anastomosis using antibacterial soaked material increased resection safety in the presence of peritonitis and anastomosis safety in primary anastomosis.
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Ulus Travma Acil Cer · Mar 2021
Cadaver as an educational tool increasing the effectiveness of Combat Application Tourniquet use in extremity injuries.
One of the most frequent life-threatening emergencies is extremity haemorrhage. In such cases, patient survival depends on a fast on-scene intervention. Thus, both the potential witnesses and medical emergency staff should have the ability to control haemorrhages. However, simulator-based courses do not fully reflect the structures and physiology of the human body. Therefore, invasive procedure training in trauma patients is limited. The present study aims to evaluate the effectiveness of cadavers as educational tools during a training course in extremity haemorrhage control with the use of the Combat Application Tourniquet (CAT). ⋯ This study demonstrated that training conducted on human cadavers led to a significant improvement in the effectiveness of CAT use. Cadavers constitute a high-quality educational tool that, after adequate preparation, allows for practicing invasive medical procedures, such as extremity haemorrhage control.
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Ulus Travma Acil Cer · Mar 2021
Early surgical repair or conservative treatment? Comparing patients with penile fracture concerning long-term sexual functions.
To compare the patients who underwent early surgical repair of penile fracture, which is one of the urological emergencies, and patients who recovered with conservative treatment concerning long-term sexual functions. ⋯ Although there is no significant difference in long-term IIEF-6 scores between the two groups, the rate of palpable plaque formation is higher in patients followed-up conservatively. Therefore, early surgical repair should be considered in the foreground, especially in patients with a large rupture area.
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Ulus Travma Acil Cer · Mar 2021
Closed reduction percutaneous pinning versus open reduction internal fixation in the treatment of intraarticular distal radius fractures: Mean four-year results.
This study was performed to compare the results of closed reduction percutaneous pinning (CRPP) versus open reduction internal fixation with a volar locking plate (ORIF) in the treatment of intraarticular distal radius fractures (IDRF) average four-year follow-up. ⋯ ORIF with a volar locking plate has better functional and radiological results than CRPP in IDRF patients' average four-year follow-up.