Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Dec 2011
Reliability of measurement techniques for the hepato-splanchnic region in multiple-trauma patients.
Relevant information on the adequacy of intestinal perfusion is needed. The objective of our study was to investigate the relationship between the difference in intra-mucosal and arterial CO2 pressure (pCO2 gap) and the outcome in multiply injured patients and relations between the pCO2 gap and intestinal permeability (IP). ⋯ The pCO2 gap in trauma patients on intra-gastric enteral nutrition in the phase of present technical solutions has no prognostic value for the development of MOF, but IP correlated with it.
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Eur J Trauma Emerg S · Dec 2011
The use of cerclage wires as a suture passer in the repair of quadriceps tendon ruptures.
We describe a novel, simple and cost-effective method of passing sutures through the patella, without the need for expensive or specialised equipment.
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Eur J Trauma Emerg S · Dec 2011
Effects on the ubiquitin proteasome system after closed soft-tissue trauma in rat skeletal muscle.
Previous studies have suggested that an increased catabolic stage of skeletal muscle in pathological situations is mainly a reflection of ubiquitin-proteasome system-controlled proteolysis. The proteolytic mechanisms that occur after local muscle trauma are poorly defined. We investigated the effects of closed soft-tissue trauma on ubiquitin-proteasome dependent protein breakdown in rats (n = 25). ⋯ Cellular levels of free and protein-conjugated ubiquitin were significantly elevated upon decreased proteolytic activity. Our data support an early-state anti-proteolytic role of the ubiquitin-proteasome pathway after local injury. This further implies that there is a yet-to-be elucidated complex regulatory mechanism of muscle regeneration that involves various proteolytic systems.
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Eur J Trauma Emerg S · Dec 2011
Efficacy and safety of non-operative management of blunt liver trauma.
The liver is the most frequently affected organ during blunt abdominal trauma. Blunt liver trauma management has changed in the last two decades with the introduction of the computed tomography (CT) scan and non-operative management of stable patients. ⋯ Non-operative management is the treatment of choice for polytraumatized patients with blunt liver trauma who are hemodynamically stable. Non-operative management is an effective and safe treatment strategy. However, patients with an RTS score under 7.8 and other intra-abdominal non-liver injuries are at increased risk for an immediate surgical intervention.
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Eur J Trauma Emerg S · Dec 2011
Long-term follow-up of blowout fractures of the orbital floor reconstructed with a polyglactin 910/PDS implant.
Resorbable alloplastic materials are used in many surgical applications. This retrospective study evaluated the clinical outcome after reconstruction of traumatic orbital floor defects using a polyglactin 910/PDS implant (Ethisorb™). ⋯ Reconstructive surgery of the orbit is one of the most demanding challenges in maxillofacial surgery. For traumatic defects of the orbital floor, reconstruction using a polyglactin 910/PDS implant (Ethisorb(™)) seems to be a reliable method for the repair of small-to-moderate defects.