Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jul 2012
Comparative StudyIs total-subtotal colectomy and primary anastomosis a good treatment alternative in malignant obstructive lesions of the left colon?
This study was designed in order to compare the effectiveness of subtotal-total colectomy with other surgical methods in the treatment of malignant obstructive lesions of the left colon. ⋯ We suggest that subtotal-total colectomy performed by experienced surgeons may be a good alternative to the other procedures.
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Ulus Travma Acil Cer · Jul 2012
Case ReportsLate-onset spinal accessory nerve palsy after traffic accident: case report.
An injury to the spinal accessory nerve is mostly reported after surgical procedures performed in the posterior triangle of the neck. In addition, it may be caused by fractures in the jugular foramina, traumas or skull base tumors. Clinically, paralysis of the trapezius muscle leads to weakness, downward rotation of the scapulae and falling down of the shoulder girdle. ⋯ The patient was treated conservatively for the nerve palsy since the time elapsed rendered surgical intervention inappropriate. We report a case in which spinal accessory nerve palsy developed two years after a traffic accident. Accessory nerve injury following a traffic accident is very uncommon.
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Ulus Travma Acil Cer · Jul 2012
Case ReportsSurgical treatment of a case with rapidly growing mass lesion after trauma: on the left forearm arteriovenous malformation.
In this case, we report a vascular malformation with high flow pattern complicated with trauma. A postoperative histopathology examination confirmed an arterio-venous malformation in specimens of surgical excision material. In our opinion, posttraumatic progression of a vascular malformation is an emergency and requires an urgent evaluation with surgery at any localization of the body.
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Medical treatment has played an important role in the reduction of peptic ulcer perforation (PUP). The goal of this study was to evaluate the effect of fasting on PUP. ⋯ The results of this study demonstrate that PUP is detected as relatively higher during Ramadan among those who are fasting for more than 12 hours daily. We suggest that people with predisposing factors should be informed before making a decision to fast.
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Ulus Travma Acil Cer · Jul 2012
Management of inhalation injury and respiratory complications in Burns Intensive Care Unit.
Inhalation injury has high mortality and carries a significant risk of permanent pulmonary dysfunction. Inhalation injury and its consequences impose difficulties for the respiratory therapists, nurses and doctors who play a central role in its clinical management. In this study, we aimed to report our clinical experience and the role of non-invasive mechanic ventilatory (NIMV) support in a series of inhalation-injured patients. ⋯ Application of NIMV support with proper modes decreases the need for invasive procedures in inhalation-injured patients. Based on our results, we propose the application of NIMV support in inhalation-injured burn patients.