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Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES

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https://www.readbyqxmd.com/read/30394505/effect-of-gabapentin-on-primary-surgical-treatment-of-experimental-sciatic-nerve-injury-in-rats
#1
Özgür Kardeş, Soner Çivi, Erkut Baha Bulduk, Fazilet Kaya Selçuk, Halil İbrahim Süner, Emre Durdağ, Kadir Tufan
BACKGROUND: The aim of our study is to minimize the morbidity related to nerve injury by determining the protective effects of gabapentin in experimental sciatic nerve injury and end-to-end anastomosis model in rats and to guide clinical studies on this subject. METHODS: In our study, 40 adult male Sprague-Dawley rats were randomly divided into the following five groups: I: Only surgical intervention was applied; II: The sciatic nerve was cut properly and was repaired by end-to-end anastomosis...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394504/utility-of-the-three-point-index-in-the-determination-of-reduction-loss-during-the-conservative-treatment-of-pediatric-forearm-mid-third-fractures
#2
Zeki Taşdemir, Güven Bulut, Bilgehan Çevik, Engin Eceviz, Hüseyin Günay
BACKGROUND: Forearm fractures constitute approximately 40% of all pediatric fractures. Generally, in conservative treatment,a plaster cast is applied with the elbow in 90° flexion. Success of the treatment depends on theprevention of the reduction in the correct position and suitable duration of the plaster cast. Failure, or the risk of angulation within the cast, is associated with movement within the cast. The aim of this study was to evaluate the applicability of the Cast Index (CI) and Three-Point Index (TPI) measurements, which indicate the loss of reduction, in pediatric mid-third forearm fractures...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394503/does-computerized-tomography-help-to-shorten-the-immobilization-period-in-the-plaster-treatment-of-nondisplaced-scaphoid-fractures
#3
Hüseyin Çümen, Altuğ Duramaz, Cemal Kural
BACKGROUND: There are conflicting results regarding the duration of the plaster treatment of nondisplaced scaphoid fractures. The aim of the present study was to evaluate the healing process and to determine the role of computed tomography (CT) on shortening the duration of plaster treatment of nondisplaced scaphoid fractures. METHODS: A total of 42 patients diagnosed with nondisplaced scaphoid fractures between January 2012 and January 2014 were investigated. Fractures were classified according to anatomical locations and displacement degree...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394502/comparisons-between-long-term-outcomes-of-the-use-of-reposition-flaps-and-replantations-in-fingertip-amputations
#4
Emin Sir, Alper Aksoy, Meliha Kasapoğlu Aksoy
BACKGROUND: Replantation is the gold standard procedure for traumatic amputation of fingertips. Reposition flap procedure is performed using nail-bone complex as a free graft and covering graft site with a flap to preserve original finger length, nail complex, and sensory functions of fingertip in pateints where microsurgical methods cannot be applied. In our study, we aimed to compare the long-term outcomes of patients with amputated fingertips who underwent replantation or reposition flap procedures...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394501/clinical-evaluation-of-negative-pressure-wound-therapy-in-the-management-of-electrical-burns
#5
Kemal Eyvaz, Metin Kement, Salim Balin, Hakan Acar, Fikri Kündeş, Alev Karaoz, Osman Civil, Mehmet Eser, Levent Kaptanoglu, Selahattin Vural, Nejdet Bildik
BACKGROUND: In this study, we aimed to evaluate the clinical efficacy and safety of negative-pressure wound therapy (NPWT) in the treatment of the patients with electrical burns. METHODS: This study was retrospectively performed using a database placed prospectively in the burn center of our hospital. All consecutive patients with electrical burns treated using NPWT at our center between August 2008 and December 2012 were included. The treatment results in our study were grouped as successful or unsuccessful considering the treatment objectives in accordance with therapy indications...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394500/retrospective-analyses-of-high-energy-explosive-devicerelated-injuries-of-the-ear-and-auricular-region-experiences-in-an-operative-field-hospital-emergency-room
#6
Mehmet Burak Aşık, Murat Binar
BACKGROUND: With the changing conditions of terrorism, particularly in urban areas, high-energy explosive devices such as improvised explosive devices (IEDs) and projectile missiles (PMs) are frequently used. Traumas caused by these devices particularly affect the maxillofacial region and typically lead to otologic problems. In this study, we aimed to evaluate otologic complaints, otoscopic and auricular examinations, and tuning-fork tests of patients who were exposed to high-energy blast-related injuries and perform a comparison between trauma patients injured by IEDs and PMs...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394499/mortality-determiners-for-fall-from-height-cases
#7
Muzaffer Akkoca, Serhat Tokgöz, Kerim Bora Yılmaz, Sümeyra Güler, Melih Akıncı, Şener Balas, Harun Karabacak, Mehmet Saydam
BACKGROUND: The aim of the present study was to investigate the role of body mass index (BMI) and trauma severity score systems on the mortality rates of patients undergoing surgery due to falls from height. METHODS: This retrospective study included 45 consecutive adult patients with multitrauma who were admitted and operated on due to a fall from height between January 2008 and December 2016. Patients were divided into mortality and recovery groups (n=10 and n=35, respectively)...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394498/legal-and-ethical-responsibilities-of-physicians-in-coercive-situations-such-as-natural-disasters
#8
Berna Şenel Eraslan, Beytullah Karadayı, İbrahim Eray Çakı, Naciye Aslan, Ende Varlık Tokgözoğlu, Çağlayan Kılıç, Abdi Özaslan, Gürsel Çetin
BACKGROUND: The relationship between the physician and the patient is based on the provisions of the proxy agreement. The attitude of the physician and the legal and ethical responsibilities of this attitude in an event of force majeure, such as severe natural disaster (earthquake), during a risky operation should be discussed. The aim of the present study was to present the opinions of the related professions about the subject and to discuss the subject on an ethical and legal ground...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394497/a-new-and-early-marker-in-the-diagnosis-of-acute-complicated-appendicitis-immature-granulocytes
#9
Yılmaz Ünal
BACKGROUND: The aim of this study was to investigate the effectiveness of the immature granulocyte (IG) count (IGC) and percentage (IG%) in both diagnosing acute appendicitis (AA) and discriminating between simple appendicitis (SA) and complicated appendicitis (CA). METHODS: This study was carried out using the data of 438 adult patients who underwent an appendectomy. Demographic details, the preoperative white blood cell (WBC) count, neutrophil/lymphocyte ratio (NLR), IGC and IG%, operation findings, and pathology results were assessed retrospectively...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394496/role-of-preoperative-c-reactive-protein-value-and-neutrophil-ratio-in-the-determination-of-conversion-from-laparoscopic-appendectomy-to-open-appendectomy
#10
Hüseyin Onur Aydın, Tevfik Avcı, Tugan Tezcaner, Mahir Kırnap, Sedat Yıldırım, Gökhan Moray
BACKGROUND: In this study, we aimed to investigate the factors causing conversion from laparoscopic appendectomy (LA) to open appendectomy (OA) in patients with acute appendicitis and to investigate the role of preoperative C reactive protein (CRP) and neutrophil ratio in this conversion and determine a cut-off point for these parameters. METHODS: Records of patients who underwent LA due to acute appendicitis at our general surgery department between January 2011 and January 2017 were retrospectively evaluated...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394495/significance-of-hemogram-on-diagnosis-of-acute-appendicitis-during-pregnancy
#11
Hamza Çınar, Ali Aygün, Murat Derebey, İsmail Alper Tarım, Çağrı Akalın, Sercan Büyükakıncak, Kenan Erzurumlu
BACKGROUND: Acute appendicitis (AA) is the most common emergency surgical condition during pregnancy after obstetric and gynecological pathologies. Urgent and accurate diagnosis of AA in pregnant patients reduces maternal and fetal morbidity/mortality rates. This study evaluated the significance of hemogram to diagnose AA during pregnancy. METHODS: Forty-seven pregnant patients operated for AA in the Ordu or Ondokuz Mayis University Medical School Hospitals between January 2007 and December 2017 were compared with 47 healthy pregnant women in terms of hemogram parameters, including the white blood cell (WBC) count, neutrophil count, lymphocyte count, platelet count, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), mean platelet volume (MPV), and red cell distribution width (RDW) values...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394494/effect-of-therapeutic-hypothermia-on-superficial-surgical-site-infection-and-postoperative-pain-in-urgent-abdominal-surgery
#12
Erol Kılıç, Mustafa Uğur
BACKGROUND: Although therapeutic hypothermia has been shown to be effective on surgical site infection and postoperative pain in patients undergoing elective surgery, its exact effect on emergency laparotomy remains unclear. In this study, we aimed to investigate the effect of therapeutic hypothermia on superficial surgical site infection and postoperative pain in patients undergoing urgent open abdominal surgery. METHODS: The study included 100 patients who underwent emergency open abdominal surgery from 01/01/2016 to 01/01/2017...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394493/efficacy-of-negative-pressure-wound-therapy-in-the-management-of-acute-burns
#13
Metin Kement, Adil Başkıran
BACKGROUND: The aim of the present study was to evaluate the outcomes and efficacy of negative pressure wound therapy in the management of acute burns. METHODS: Patients with acute burns who have received negative pressure wound therapy at the Dr. Lutfi Kırdar Kartal Research and Training Hospital Tertiary Burn Care Center between January 2014 and December 2015 were included in the study. Patient data were retrospectively reviewed by analyzing data from our prospective patient database...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394492/effect-of-chitosan-coating-on-surgical-sutures-to-strengthen-the-colonic-anastomosis
#14
Yüksel Altınel, Soon Soup Chung, Güven Okay, Nesrin Uğraş, Ahmet Fatih Işık, Ersin Öztürk, Halil Özgüç
BACKGROUND: We evaluated the feasibility of chitosan-coated sutures for intestinal anastomosis strength through wound-healing effect. METHODS: Vicryl and PDS sutures were coated with 2% chitosan. While laparotomy was applied to the first group, chitosan was applied in the peritoneal cavity in the second group. Then the following materials were applied to colon anastomosis, in order: Vicryl, PDS, chitosan-coated Vicryl, and chitosan-coated PDS sutures. On the 7th and 14th days, eight rats from each group were euthanized...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394491/role-of-pentoxifylline-and-iloprost-in-the-prevention-of-ischemia-reperfusion-injury-in-an-experimental-model-of-intestine-ischemia-reperfusion-in-rats
#15
Uğur Abakay, Sinan Soylu, Sabahattin Göksel, Bülent Saraç, Zeynep Deniz Şahin İnan, Erol Çakmak, Özge Korkmaz, Atilla Kurt, Hüsnü Çağrı Genç
BACKGROUND: Intestinal ischemia-reperfusion (I/R) injury can lead to multiple organ failure and death. The aim of this study was to investigate the effects of pentoxifylline and iloprost administered before reperfusion in intestinal ischemia. METHODS: In total, 25 male Wistar Albino rats weighing 250-300 g were divided into five groups each comprising five subjects: control group (n=5), sham group (n=5, no I/R), I/R group (n=5, 45 min ischemia, and 120 min reperfusion), I/R + pentoxifylline group (n=5, 45 min ischemia following intraperitoneal 50 mg/kg pentoxifylline and 120 min reperfusion), and I/R + iloprast group (n=5, 45 min ischemia followed by intraperitoneal 2 mcg /kg iloprost and 120 min reperfusion)...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394490/assessment-of-the-effect-of-calcium-dobesilate-in-experimental-liver-ischemia-reperfusion-injury
#16
Yılmaz Ünal, Berkay Küçük, Salih Tuncal, Koray Koşmaz, Nadir Turgut Çavuşoğlu, Kemal Kısmet, Mehmet Şeneş, Pınar Celepli, Murat Durak, Sema Hücümenoğlu
BACKGROUND: This study investigates the protective effect of calcium dobesilate (CaDob), an effective antioxidant and anti-inflammatory drug, on experimental liver ischemia-reperfusion injury (IRI). METHODS: Forty rats were divided into four groups. In Group 1, (sham), only hepatic pedicle was induced. In Group 2 (control), hepatic pedicle was reperfused for 90 min after being clamped for 60 min. No treatment was given in Group 1 and 2. In Group 3 (perioperative CaDob), 100 mg/kg CaDob was given 2 hours prior to the operation in which hepatic pedicle was reperfused for 90 min following a 60-min clamp...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394489/the-antibacterial-effect-of-peritoneal-fluid-in-experimental-peritonitis
#17
Birol Ağca, Ahmet Yalın İşcan, Erdal Polat, Kemal Memişoğlu
BACKGROUND: In our study, the effects of peritoneal fluid on some Gram-negative and Candida albicans in experimental peritonitis rats were studied. The primary objective of the present study was to understand the effect of peritoneal fluid on microorganisms causing intra-abdominal infections. METHODS: Twenty male Sprague-Dawley rats weighing between 250 and 300 g were used in the study. The rats were randomly divided into two groups consisting of 10 animals. The operative procedures were performed under sterile conditions...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394488/a-free-radical-scavenger-tempol-and-its-effect-on-intimal-hyperplasia-of-vein-grafts-in-rats
#18
Arif Türkmen, Mehmet Doğan, Metin Temel
BACKGROUND: Reversed vein grafting exposes the vessel to a period of ischemia, reperfusion and subsequent reactive oxygen species, which may damage endothelial tissue, smooth muscle cell proliferation and later the development of intimal hyperplasia. Tempol is a free radical scavenger that permeates biological membranes. This study investigates the effects of a free radical scavenger (Tempol) on intimal hyperplasia of femoral vein grafts and the level of reactive oxygen species in rats...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394487/risk-factors-for-morbidity-in-walled-off-pancreatic-necrosis-and-performance-of-continuous-postoperative-lavage-a-single-center-experience
#19
Mehmet Aziret, Metin Ercan, Bilal Toka, Erkan Parlak, Kerem Karaman
BACKGROUND: The aim of this study was to evaluate the risk factors for morbidity in cases of walled-off pancreatic necrosis (WOPN) and the performance of continuous postoperative lavage (CPL) for patients who demonstrated resistance to a minimally invasive approach. METHODS: The study enrolled 19 of 28 consecutive patients with WOPN who underwent surgical treatment or an endoscopic necrosectomy at Sakarya University Education and Research Hospital. The patients were divided into 2 groups according to the length of time from the first diagnosis of acute pancreatitis (AP) (Group 1, n=19) to preoperation or endoscopic necrosectomy (Group 2) (n=19)...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/30394486/heparin-free-veno-venous-ecmo-applied-to-a-patient-with-severe-lung-contusion-and-hypovolemic-shock-due-to-trauma
#20
Seong Ho Moon, Ki Nyun Kim, Jae Jun Jung, Jae Hong Park, Joung Hun Byun
Veno-venous extracorporeal membrane oxygenation (VV-ECMO) plays a crucial role when the lung is extensively damaged and when conventional management has failed. ECMO provides adequate tissue oxygenation and an opportunity for lung recovery. However, ECMO remains contraindicated in patients with a risk of bleeding because of systemic anticoagulation during the treatment. A 26-yearold female experienced polytrauma due to a traffic accident 1 h before arrival. Simple chest radiography and chest computed tomography showed a large right hemopneumothorax with atelectasis of the right lung and severe contusion of the left lung...
September 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
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