Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Feb 2023
The relationship between the presence of scapula fracture and mortality and morbidity in cases with blunt thoracic trauma.
Scapula fractures (SFs) occur as a result of high-energy trauma and are significant in terms of life-threatening injuries. There are few studies showing the relationship between SFs and mortality and morbidity in patients with blunt thoracic trauma (BTT). Our study aims to investigate the relationship between SF and mortality and morbidity in BTT. ⋯ The most common intrathoracic injuries accompanying SFs were rib fractures and lung contusion, and the most common extrathoracic injuries were vertebral fractures and intracranial injuries. Moreover, it was found that SF was highly correlated with length of hospital stay, need for intensive care, and mortality. The most common cause of mortality was found to be intracranial hemorrhage. Imaging of other systems is important in cases with SFs. Particular attention should be paid to head-and-neck injuries.
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Ulus Travma Acil Cer · Feb 2023
Construction of a nomogram predictive model for patients with liver rupture undergoing surgical intervention.
The incidence of blunt abdominal injury has significantly increased, and the liver is one of the most commonly damaged organs. In this study, we explored and established a nomogram model for patients with liver ruptures undergoing surgical treatment. ⋯ A nomogram model established based on Cr, arterial partial pressure of oxygen, HCO3-, CK-MB, the GCS, and other parameters can accurately predict the surgical treatment of patients with liver rupture.
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Ulus Travma Acil Cer · Feb 2023
A comparative study of digital nerve and digital arterial repairs performed using running versus interrupted suture techniques in finger replantations.
The present study aimed to retrospectively analyze replantations and compared the success rates of different suturing techniques. ⋯ Finger replantation is a difficult-to-perform surgical procedure requiring consideration of the surgical indications and the presence of an experienced surgical team. Regardless of the suture technique in finger amputations, performing venous anastomosis after arterial anastomosis is essential to restore circulation.
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Ulus Travma Acil Cer · Feb 2023
Histopathological investigation of the effect of chitosan on oral mucous wound healing in experimentally established diabetic rats.
In our study, it was aimed to histopathologically investigate the effects of chitosan on wound healing in the oral mucosa by applying the gel form of experimentally induced diabetes mellitus. ⋯ It was observed that chitosan did not cause foreign body reaction in any of the groups on the 2nd and 5th days.
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Ulus Travma Acil Cer · Feb 2023
Bullet trajectory detection in the lung: Multiplanar reformatted imaging of multidetector computed tomography in children.
Trauma is a leading cause of childhood injuries. Although blunt traumas in children are more common in penetrating traumas, children in civilian life and near conflict areas can often be affected by gunshot wounds. Among all gunshot wounds, thoracic injuries constitute a significant proportion. In our study, we detected bullet trajectory in children with gunshot wounds penetrating the thorax by analyzing reformatted images of multidetector computed tomography (CT). ⋯ In our study, a standard could not be made due to the fact that the types of weapons used could not be determined, the firing distances could not be known, different ages and different bullet entry and exit angles. However, detecting the trajectory of the bullet in the lungs will assist the physician in making the treatment plan and following up the patient. In addition, the evaluation of the data obtained will be beneficial to forensic medicine physicians and scientists interested in wound ballistics.