Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jul 2011
Case ReportsAn uncommon cause of pneumobilia: blunt abdominal trauma.
Pneumobilia is described as occurrence of free air in the gallbladder or biliary tree. There are a number of causes of pneumobilia, including surgically created biliary enteric fistula, instrumentation of the bile duct on endoscopic retrograde cholangiopancreatography, emphysematous cholecystitis, and pyogenic cholangitis. Pneumobilia has also occurred following blunt abdominal trauma, but to date, no more than five cases of such injury have been reported in the literature. In this report, we present a patient struck by a motor vehicle with traumatic pneumobilia following blunt trauma to the abdomen, which was managed conservatively.
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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
[Effects of beta-glucan on hepatic damage caused by obstructive jaundice].
Beta-glucans are known as macrophage stimulators and antioxidants. This study aimed to investigate the effects of beta-glucans on oxidative damage to the liver during obstructive jaundice. ⋯ These results show that beta-glucan induced the phagocytic and anti-oxidative effects and also reduced the liver damage and oxidative stress in obstructive jaundice. Advanced studies are required for the clinical use of beta-glucan in obstructive jaundice.
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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.