Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Dec 2022
Analysis of trauma scoring system for patients with abdominal trauma.
This study investigated the correlations between several trauma scoring systems, including the injury severity score (ISS), clinical abdominal scoring system (CASS), new injury severity score (NISS), and clinical outcomes, including laparotomy, in-hospital mortality (IHM), and long hospital stay (LS) in patients with abdominal trauma. ⋯ The CASS is excellent for predicting laparotomy, IHM, and LS in patients with abdominal trauma. The NISS is more appropriate than the ISS for predicting laparotomy and IHM.
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Ulus Travma Acil Cer · Dec 2022
Case ReportsA rare case of pantaloon hernia accompanied by strangulated ileal segment: Inguinal herniation of the bladder.
Mesanenin inguinal kanal içine herniasyonu nadir görülen bir klinik antitedir ve tüm inguinal hernilerin yaklaşık %1-4'ünü oluşturmaktadır. Genellikle yaşlı erkek hastalarda ve sağ tarafta sık görülmektedir. ⋯ Preoperatif süreçte tanının doğrulanması, olası mesane yaralanmalarının önüne geçebilmek adına önem teşkil etmektedir. Biz de bu çalışmamızda; akut mekanik intestinal obstrüksiyon ve strangülasyon semptomlarıyla acil servise başvuran hastada, mesane herniasyonunun eşlik ettiği nadir bir pantolon herni olgusunu literatür eşliğinde sunmayı amaçladık.
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Ulus Travma Acil Cer · Dec 2022
Histological examination of the effects of epidermal growth factor on regeneration of acute peripheral nerve injuries on rabbit model.
Peripheral nerve injuries are one of the most common and costly injuries especially in the young population. In this study, it is aimed to determine the histological role of epidermal growth factor (EGF) in nerve regeneration with an acute damage made on sciatic nerve in the rabbit model. ⋯ EGF increases epineurium and mesoneurium diameters in peripheral connective tissue in acute peripheral nerve injury regeneration. However, further studies are needed to understand this effect clinically and physiologically.
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Ulus Travma Acil Cer · Dec 2022
Effect of hyperbaric oxygen therapy when combined with fresh and frozen platelet-rich plasma on chronic wound healing in rats.
Hyperbaric oxygen therapy (HBOT) has an added dimension to the armamentarium of treating complicated chronic wounds. The purpose of this study is to investigate the effects of HBOT on chronic wounds when combined with fresh and frozen platelet-rich plasma (PRP). ⋯ HBOT accelerates wound healing when combined with both fresh and frozen PRP. Frozen PRP is as effective as fresh form to be considered as an alternative in clinical setting.
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Ulus Travma Acil Cer · Dec 2022
Review Case ReportsEmergency application of extracorporeal membrane oxygenation in a pediatric case of sudden airway collapse due to anterior mediastinal mass: A case report and review of literature.
Mediastinal masses can compress the respiratory or cardiovascular system, especially when anteriorly located. Obtaining histological material for diagnosis poses a challenge due to the major risk of cardiorespiratory collapse following anesthetic procedure. Our case shows the utility of rescue with venovenous extracorporeal membrane oxygenation (VV-ECMO) after occurrence of such an event and demonstrates the feasibility of administering chemotherapy during VV-ECMO. ⋯ The patient remained on ECMO for a total of 9 days and was extubated 2 days after ECMO termination, followed by discharge to the pediatric oncology ward on the 20th day of pediatric intensive care unit stay. It is well known that large, anteriorly-located mediastinal masses carry a considerable risk of causing cardio-pulmonary collapse during procedures involving anesthesia. All life-saving options, including emergency ECMO, should be available before any planned invasive procedures in these patients.