Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES
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Ulus Travma Acil Cerrahi Derg · Apr 2023
The diagnostic value of ultrasonography and magnetic resonance imaging in missed hand tendon injuries.
Patients with hand tendon injuries may present to the hand surgery clinic in the late stage after being examined in emergency departments. Even if an approximate idea has been obtained in physical examination of these patients, diagnostic imaging is usually requested for reconstructive approach, correct planning of surgical incisions and medicolegal reasons. The primary purpose of this study was to determine the overall accuracy of Ultrasonography (USG) and Magnetic Resonance Imaging (MRI) in patients with late presentation of a tendon injury. ⋯ Scar formation with tendon healing causes a change in anatomy, which could prevent accurate evaluation. There-fore, it would be beneficial for surgeons to start evaluating their patients with easily accessible ultrasonography; thus, surgical morbid-ity should be reduced.
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Ulus Travma Acil Cerrahi Derg · Apr 2023
Observational StudyRelationships of the frailty index and geriatric trauma outcome score with mortality in geriatric trauma patients.
We aimed to determine the relationships of the trauma-specific frailty index (TSFI) and the geriatric trauma out-come score (GTOS) with 30-day mortality among geriatric trauma patients aged 65 and older. ⋯ We think that a more reliable frailty score can be obtained using these parameters as we have determined that the TSFI as calculated at admission to the emergency department is not sufficient on its own, while the lactate, GTOS, and the length of hospital stay are also effective in mortality. We suggest that it would be appropriate to use the GTOS in long-term follow-up as well as for predictive power for mortality within 24 h.
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Ulus Travma Acil Cerrahi Derg · Apr 2023
Case ReportsTraumatic asphyxia with a 'masque ecchymotique' in a 14-year-old adolescent.
Traumatic asphyxia, which is manifested by facial edema, cyanosis, subconjunctival hemorrhage, and petechiae on the upper chest and abdomen, is a very rare clinical syndrome in children. In adults, the incidence of traumatic asphyxia was reported as 1 case/18,500 accidents, but the actual incidence is not known for pediatric population. Traumatic asphyxia is a mechanical cause of hypoxia resulting from sudden compression of the thoracic-abdominal region and the valsalva maneuver is necessary for the development of this syn-drome. Here, we describe a case of traumatic asphyxia with an ecchymotic mask in a 14-year-old boy who was referred to our pediatric emergency department.
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Ulus Travma Acil Cerrahi Derg · Apr 2023
Safe, fast, and minimally-assisted microsurgical anastomosis with combined open-loop suturing and airborne tying: a clinical and experimental study.
The continuous open-loop technique accelerates anastomosis and eliminates the risk of inadvertently catching the back wall, which is the primary cause of technical failure when using interrupted sutures in microsurgical anastomosis. Combined with airborne suture tying, the total anastomosis time is significantly reduced. We conducted an experimental and clinical study to compare this combination to the conventional technique. ⋯ The open-loop suture technique with airborne knot tying allows surgeons to complete microvascular anastomoses safely and in less time with minimal assistance when compared to the simple interrupted suture technique.