Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Mar 2011
Evaluation of the effects of losartan on a random pattern skin flap model in rats.
Losartan, a drug with antiinflammatory properties, has been shown to prevent ischemic injury in various organs. The purpose of the present study was to investigate the effects of losartan on ischemic skin flaps and on flap survival. ⋯ Losartan does not improve skin flap survival but it has a significant antiproliferative effect on fibroblasts.
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Ulus Travma Acil Cer · Mar 2011
Comparative StudyComparison of two biological internal fixation techniques in the treatment of adult femur shaft fractures (plate-screws and locked intramedullary nail).
We aimed to compare two (plate-screws and locked intramedullary nail) biological internal fixation techniques in the treatment of adult femur shaft fractures. ⋯ According to our results, no superiority of either technique was demonstrated with respect to fracture union time, complication rate and functional results. Biological internal fixation with plate and screws is an alternative technique to locked intramedullary nailing in patients with multi-trauma or compromised pulmonary or cardiac function, or in complex comminuted or segmented diaphyseal or metaphyseal fractures.
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Ulus Travma Acil Cer · Mar 2011
Case Reports[Delayed pseudomeningocele as a result of penetrating injury: case report].
Pseudomeningocele is cerebrospinal fluid collection in an extradural area after meningeal tear. The size of the defect in the dura-arachnoid, the pressure of spinal fluid, and the resistance of the soft tissue presumably determine the size of the pseudocyst. ⋯ Pseudomeningocele is diagnosed by myelography, sonography, computed tomography, and magnetic resonance imaging. We present a case of intraoperative identification nerve root entrapment by pseudomeningocele cyst and postoperative recovery of a patient's neurologic deficit.
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Ulus Travma Acil Cer · Mar 2011
Evaluation of agar films in the prevention of postoperative peritoneal adhesions in an animal model.
Peritoneal adhesions cause significant long-term postoperative morbidity. This study evaluates the efficacy of agar plates as the physical barrier in reducing adhesion formation after abdominal surgery in an animal model. ⋯ Despite the hydrogel properties of agar, it was not successful in practice in the reduction of adhesion formation after peritoneal surgery. Since agar is a biological product, it may cause a hyperreactivity induced by the innate immune system in peritoneum. Therefore, agar does not appear to be useful in clinical practice for the reduction of adhesion formation after peritoneal surgery.
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Ulus Travma Acil Cer · Mar 2011
Case ReportsReplantation of scalp avulsion following a go-kart accident: a case report.
With the development of microsurgery, successfully replanted cases of scalp avulsions have been reported. In spite of previous publications of replantations based on a single artery and vein, it is now accepted that multiple anastomoses increase the success rate. We present herein the case of a successfully replanted avulsion in a child who caught her hair in a go-kart motor belt, and we discuss the mechanism of injury and number of anastomoses.