Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES
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Ulus Travma Acil Cerrahi Derg · Aug 2023
Morbidity, mortality, and surgical treatment of secondary spontaneous pneumothorax.
Pneumothorax in patients with underlying lung pathology is called secondary spontaneous pneumothorax (SSP). It is an important health problem worldwide, with significant morbidity, high health-care expenses, and possibility of mortality. This study aimed to evaluate the epidemiological characteristics, risk factors for mortality and morbidity, and treatment options of SSP. ⋯ Large pneumothorax, poor physical performance, and comorbidity are associated with morbidity and mortality. Conservative treatment for small pneumothorax and chest tube for large pneumothorax is the most appropriate initial treatment. Resection of the bullous region through VATS or mini-AT/T is the most appropriate surgical technique.
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Ulus Travma Acil Cerrahi Derg · Aug 2023
A revolutionary acute subdural hematoma detection based on two-tiered artificial intelligence model.
The article was planned to make the first evaluation in terms of acute subdural hemorrhages, thinking that it can help in appropriate pathologies by tomography interpretation with the artificial intelligence (AI) method, at least in a way to quickly warn the responsible doctor. ⋯ With the proposed model, both the detection of hemorrhage and the presentation of the suspicious area to the physician were performed more successfully on two dimensional (2D) images with low cost and high accuracy compared to similar studies and today's interpretations with telemedicine techniques.
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Ulus Travma Acil Cerrahi Derg · Aug 2023
Can neutrophil-lymphocyte ratio, platelet-lymphocyte ratio, prognostic nutrition index, and albumin be used to predict cholecystectomy morbidity in super-elderly patients?
This study aimed to evaluate the usability of neutrophil-lymphocyte ratio (NLR), platelet lymphocyte ratio (PLR), prognostic nutritional index (PNI), and serum albumin level in predicting cholecystectomy morbidity in elderly patients (85 years and older) who underwent cholecystectomy for acute cholecystitis. ⋯ This study found that PNI and albumin can be used as predictive factors with high sensitivity and specificity for predicting cholecystectomy morbidity for acute cholecystitis in super-elderly patients. However, NLR and PLR had no significance in predicting cholecystectomy morbidity.
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Ulus Travma Acil Cerrahi Derg · Aug 2023
Case ReportsRepair experience of external iliac artery dissection using internal iliac artery transposition during renal transplantation.
Graft and surgery-related complications still pose a problem in kidney transplant surgery. Vascular complications due to surgery can be severe, threatening both graft and recipient life. ⋯ However, studies that provide long-term results on which approach will be applied in which period and in which conditions are limited. In this case report, we share our 6-year patient follow-up experience and repair of external iliac artery dissection related to renal transplantation with internal iliac artery transposition.