Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Dec 2022
The characteristics of assaulted victims presented to a university emergency department: Can head trauma in male patients be considered a clue for assaults?
Violence is a common issue without an exact number worldwide. The types are interpersonal, spousal, or domestic violence. We aim to reveal the demographic characteristics of cases involving violence, mechanisms of injury, and their relationship with head and face trauma. ⋯ Assault is a common problem predominantly among young males. The most commonly affected body part was the head, and nasal fractures were the diagnosis. Most of the patients with high blood levels were among the male victims. The perpetrator of the female victims was their spouses. In the ED, male patients who presented with head trauma were considered as assault victims.
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Ulus Travma Acil Cer · Dec 2022
Factors affecting interval cholecystectomy and mortality in percutaneous cholecystostomy patients.
Percutaneous cholecystostomy is an alternative or bridge to cholecystectomy (CCY) in high-risk patients with acute calculous cholecystitis. Our primary aim was to determine the parameters that could be used in interval CCY decision-making and to predict mortality in high-risk patients. ⋯ The plasma albumin level, ASA score, CCI, and ACS expected mortality rate can be used to predict mortality and decide on elective CCY. Percutaneous cholecystostomy is sufficient for resolving inflammation, but medical comorbidities determine the final condition of patients.
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Ulus Travma Acil Cer · Dec 2022
Evaluation of the effect of proximal femur geometry on results of geriatric intertrochanteric fracture surgery.
This study aimed to explore the relationship between the complications and clinical outcomes after intertrochanteric femoral fracture surgery, and the Singh index (SI), canal-calcar ratio (CCR), cortical thickness index (CTI), and canal flare index (CFI) - the radiological indices defining proximal femoral morphology in the literature - among patients over 60 years of age. ⋯ No statistically significant relationship could be established between radiological indices and post-operative complications. It should be considered that SI may be a parameter that affects clinical outcomes.
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Ulus Travma Acil Cer · Dec 2022
Uncommon causes of acute appendicitis: Retrospective analysis of 6785 histopathological findings in a tertiary center.
This study aims to determine the uncommon causes of acute appendicitis in analyzed post appendectomy specimens. ⋯ Although rare, unusual causes are the etiological factor responsible for acute appendicitis. These reasons should be kept in mind in the older age group and the diagnosis of appendicitis should be made carefully.
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Ulus Travma Acil Cer · Dec 2022
An idea for bringing the recipient pedicle of cross leg free flap closer: Fasciocutaneous flap above pedicle.
Cross leg free flaps are one of the salvage methods used for free tissue transfer in large tissue defects in the absence of recipient vessels. The fasciocutaneous flap above the posterior tibial artery can be harvested to protect the pedicle and to advance a distance to wound, which is equal to the length of fasciocutaneous flap. ⋯ In similar cases, as wounded lower extremities with one or no artery refill, harvesting a fasciocutaneous flap with recipient vessels will be useful before considering the option of using a bridge free flap in medium to moderate sized defects.