Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Oct 2022
ReviewOpen versus laparoscopic technique in peptic ulcus perforation, how effective are score systems?Single-center experience and literature review.
One of the most common peptic ulcer complications is perforation (PUP) which also remains an important cause of morbidity and mortality. In this study, it was aimed to compare the results of patients who had similar pre-operative scoring index results (Boey, Charlson Comorbidity Index (CCI) and Mannheim Peritonitis Index (MPI), and type of surgery. ⋯ The laparoscopic method may be used safely in PUP due to the lower post-operative complication rates and known advantages of minimally invasive surgery.
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Ulus Travma Acil Cer · Oct 2022
A prospective, non-randomized study to determine the role of intraperitoneal drain placement in perforation peritonitis.
Surgical site infection continues to be a major problem after laparotomy for perforation peritonitis, as it increases morbidity and hospital stay and decreases the quality of life. Intra-abdominal drain placement is a routine practice in perforation peri-tonitis. The aim of our study is to compare the incidence of surgical site infection in two groups of patients who were operated for perforation peritonitis: The first group received the intraperitoneal drain, while no drain was placed in the second group. ⋯ Routine use of intra-abdominal drains was not found to be effective in preventing SSIs, but a selection bias cannot be ruled out. Patients with no drains had a significantly shorter duration of hospital stay.
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Ulus Travma Acil Cer · Oct 2022
Evaluation of firearm injuries by trauma scoring systems in a secondary health care institution.
Scoring systems are widely used in trauma patients and are very important in the care of trauma patients. The objective of this study was to investigate the effectiveness of scoring systems in evaluating the patients who were brought to a hospital without a trauma center due to firearm injuries (FIs) using scoring systems, and the efficacy of these systems in identifying patients who should be treated in a trauma center. ⋯ Scoring systems are significant in predicting mortality of patients with gunshot wounds. However, trauma scoring systems have not been found to be effective in distinguishing patients who require referral to a trauma center.
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Objective evaluation of the severity of injured patients is crucial for the adequate triage, decision-making, operative and intensive care management, prevention, outcome studies and system quality assessment. This study aimed to compare six, widely- used, trauma scores as predictors of mortality, and to identify the most powerful among them in limited-resources settings. ⋯ According to our study the most powerful mortality predictors are APACHE 2 and TRISS, even in limited-resources hospital settings, while statistically significant KTS, did not perform as expected. We propose the appliance of the KTS, as the tool for exploiting 'golden hour', ISS or NISS during admission stage and APACHE 2 or TRISS for use in the first 24 hours after admission to ICU.