Ulus Travma Acil Cer
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Ulus Travma Acil Cer · May 2021
The importance of serum intestinal fatty acid-binding protein for the early diagnosis of acute mesenteric ischemia.
Acute mesenteric ischemia (AMI), although relatively rare, is an emergency condition with high mortality rates (60-80%) attributed to lack of early diagnosis. The aim of this experimental study was to observe the changes in serum intestinal fatty acid-binding protein (I-FABP) levels over time in the AMI model by ligating superior mesenteric artery (SMA) in rats and to compare with the serum I-FABP levels of the rats in the control group. ⋯ Serum I-FABP levels have increased significantly in the intestinal ischemia and these values have risen progressively over time. Serum I-FABP may be a useful and promising biomarker for the early diagnosis of AMI.
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Ulus Travma Acil Cer · May 2021
Comparative StudyComparison of four different immobilization methods in the treatment of tendinous mallet finger injury.
Although there is consensus that closed tendinous mallet finger injuries should be treated conservatively, the best method of immobilization to be used is not clear and the existing data in the literature are not conclusive. The aim of this study is to compare the results of four different immobilization methods used in the conservative treatment of tendinous mallet finger injury. ⋯ In this first study making multiple comparisons between four immobilization methods used in the treatment of tendinous mallet finger injury, the only significant difference detected between the groups was the superior grip strength with stack orthosis compared with K-wire immobilization and aluminum orthosis.
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Ulus Travma Acil Cer · May 2021
Morphometric study on the 12th thoracic vertebrae which is most frequently exposed to trauma and the closest vertebra to thoracic aorta.
To describe gender-related differences in the length of the left chord and pedicle at the level of 12th thoracic vertebrae and appropriate length of the screw to be applied so as to decrease the perforation risk of anterior cortex of the corpus and preventable injury of major vascular vessels. ⋯ Significant differences and correlations exist between the left pedicle and the left chord in male and female patients and patients with different ages. The data obtained can be used as a guide to determine the implant size and intraoperative management of T12 vertebral pedicle.
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Ulus Travma Acil Cer · May 2021
Reconstruction of burn contractures with free anterolateral thigh flap in various anatomic sites.
Burn contractures that cause a restriction in extremity movements have to be reconstructed. Free microvascular flaps are generally needed in cases of severe contractures. The ideal free flap for severe contracture defects has to have a large skin island without bulk and a long pedicle for preventing recurrence and tension-free adaptation. Anterolateral thigh flap (ALT flap) that meets these features has widely been used for several indications in reconstructive surgery. Usage of ALT flap in burn contracture was described for burn and axillary contractures in literature. In this study, the usage of free ALT flaps in various anatomic contracture sites was reported. ⋯ ALT flap can safely be used in various anatomic contracture sites. Suprafascial elevation of the flap can be preferred for better adaptation in the neck, hand and foot and prevention of bulky appearance.
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Ulus Travma Acil Cer · May 2021
Mini-incision open appendectomy versus laparoscopic appendectomy: An experience in a rural hospital.
There is still no consensus about whether laparoscopic appendectomy should be performed in selected cases or routinely in all cases for treatment of acute appendicitis. Especially for rural hospitals with laparoscopic equipment shortages, it is critical to develop surgical methods alternative to LA. This prospective study aimed to compare mini-incision open appendectomy (MOA) and laparoscopic appendectomy (LA) procedures. ⋯ Mini-incision open appendectomy is a reliable method in patients with acute appendicitis who have a BMI of <30 and it is superior to laparoscopic appendectomy concerning the operation time, postoperative pain and cost.