Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Oct 2005
Case ReportsIntestinal perforation in Wegener's granulomatosis: a case report.
Wegener's granulomatosis is a disease characterized by a necrotizing vasculitis and granulomatous inflammation. The localized form involves the upper and/or lower respiratory tracts while in the common generalized form there is a widespread necrotizing vasculitis and renal involvement. ⋯ Gastrointestinal perforation was treated with surgical resection and the patient survived under the treatment of cyclophosphamide and prednisolone with no further gastrointestinal complications. The present case indicates that the gastrointestinal complications might be considered in natural history of Wegener's granulomatosis.
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The results of surgical treatment of ankle fractures and influential factors were evaluated. ⋯ Improved outcomes can be obtained by anatomical reduction and restoration of the ankle joint, and the tilt of talus, fibular shortening and the dysfunction of the syndesmotic joint can be prevented. In our opinion our method of surgical treatment influenced better outcomes obtained.
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Ulus Travma Acil Cer · Oct 2005
Review Case Reports[Gallbladder torsion as a rare cause of acute abdomen; a case report and review of literature.].
Torsion of the gallbladder is a rare cause of acute surgical abdomen. Less than 300 patients have been reported so far. On the other hand incidence seems to be higher than expected especially in elderly patients. ⋯ Diagnosis is usually established during laparotomy. Torsion occurs at the base of the gallbladder around cystic duct and artery. Treatment is emergent cholecystectomy.
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Ulus Travma Acil Cer · Oct 2005
[Approach to the lower gastrointestinal tract bleeding in patients with normal colonoscopic findings.].
Lower gastrointestinal bleeding is a commun clinical entity. Although colonoscopic examination is the first choice for diagnosis, it may not be enough to reveal the cause of bleeding in all subjects. ⋯ Despite employment of all diagnostic procedures, the cause of bleeding were not detected in half of patients who had normal colonoscopic findings. If angiographic treatment is necessary, superselective arterial embolization should be performed.
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Ulus Travma Acil Cer · Oct 2005
[Surgical site infections: risk factors and methods of prevention.].
Surgical site infections are the most important problems of surgery. They increase morbidity, mortality, hospital stay and hospital costs. Infection occurring within 30 days after the operation if no implant is left in place or within 1 year if implant is in place is described as surgical site infection. ⋯ Development of such infections can be influenced via a lot of risk factors such as nutritional status, diabetes, smoking, altered immune response, and length of preoperative stay, skin antisepsis, preoperative shaving, duration of operation, antimicrobial prophylaxis, operating room ventilation, inadequate sterilization, the presence of foreign material in the surgical site, and surgical techniques. With the improvement of some of these factors, risk of developing surgical site infections may be decreased. The aim of this study was to discuss the risk factors and prevention measures of surgical site infections in the lightening of current literature.