Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jul 2011
Correlation between leptin and pro-inflammatory cytokines in cortical contusion injury model.
The present study aimed to investigate time-dependent changes in leptin concentrations in brain tissue following experimental traumatic brain injury and to examine the relationship with cytokines. ⋯ Our results showed that the release of leptin is decreased in the early stage of severe injury. Thus, leptin replacement may play an important role in therapy in cases with severe traumatic brain injury.
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This study aimed to examine the extent of death and injuries among the 0-17 years of age group recorded in the official road traffic injury statistics. ⋯ According to the 5-year period statistics examined in this study, road traffic-related deaths and injuries are a public health problem, and necessitate the development of programs and policies aimed at their prevention.
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Ulus Travma Acil Cer · Jul 2011
ReviewThe experience of military surgeons from a north Afghanistan deployment and lessons for the future.
A military surgeon is a physician who works in a standard clinical field, but who also has to learn to adapt his skills to exceptional circumstances and must cope with special challenges due to his deployment in crisis regions, a fact that is one of the major factors influencing military medical strategy planning. The only certainty is that these special circumstances differ fundamentally from the routine circumstances at the military hospitals of the mother country. The limitations in personnel, equipment and technical resources, the isolation within the deployment region, the lack of a local healthcare system, the specialized aspects of the patients, and the nature of the injuries and diseases represent the main unique challenges.
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Ulus Travma Acil Cer · Jul 2011
Case ReportsAn innovative abdominal wall repair technique for infected prosthesis: the Eskimo technique.
The use of meshes to repair incisional hernias has been shown to reduce the recurrence rate, though it may increase the risk of surgical site infection. This is one of the most feared and devastating complications of surgical abdominal wall repair. The aim of this work is to describe a new surgical technique that was used to treat two patients suffering from chronic prosthesis infection. ⋯ Infection of the surgical site resolved following the procedure and, after a mean follow-up of 36 months, no recurrences of the incisional hernia had occurred. This unique surgical technique not only proved to be safe, but it also solved the chronic prosthesis infection through its use of radical excision, without any postoperative complications or recurrence. This technique confirmed that biological prostheses can be used safely and effectively for implantation in sites of infection.
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The purpose of this study was to define the epidemiologic properties and correlation of physiological and anatomical risk factors with the mortality rate among patients with thorax trauma and to ensure early prediction of severe trauma. ⋯ In the presence of factors affecting mortality, patients with thorax trauma should be evaluated as being in a high-risk group and treatment strategies must be aggressive. Case analysis based on the TRISS model would further reveal the mistakes and may improve patient care.