Ulus Travma Acil Cer
-
Ulus Travma Acil Cer · Jan 2014
Clinical TrialRole of dissemination of microorganisms during laparoscopic appendectomy in abscess formation.
The aim of this study was to investigate the potential contributory role of laparoscopic appendectomy in the occurrence of postoperative intra-abdominal infections. ⋯ Our results suggest that laparoscopic appendectomy does not cause an increase in intra-abdominal infections, and particularly not infections associated with anaerobic bacteria.
-
We aimed to investigate the reliability of the Alvarado score (AS) in determining acute appendicitis and the different parameters that affect the AS. ⋯ Patients with AS ≤4 must be followed up and should be informed at the time of their discharge about the slight possibility of appendicitis. The effect of AS in determining the diagnosis of appendicitis is not influenced by age or symptom duration.
-
Ulus Travma Acil Cer · Jan 2014
Case ReportsHybrid approach in patients with recurrent brachial artery embolism: adjunctive tissue plasminogen activator infusion following embolectomy.
Acute ischemia of an upper extremity occurs less frequently than vascular events of the leg and accounts for 15%-32% of all cases. Embolectomy provides prompt and effective treatment in the majority of cases. ⋯ Adjunctive managements become important in this patient group. In this report, we present percutaneous intraarterial drip tissue plasminogen activator infusion to rescue the extremity in a patient with small cell lung cancer who experienced thromboembolism an additional six times following embolectomy.
-
Ulus Travma Acil Cer · Jan 2014
Effects of tissue plasminogen activator in experimentally induced peritonitis.
We aimed to evaluate the microbiological and immunological effects of tissue plasminogen activator (tPA) in a rat model of peritonitis. ⋯ In this experimental peritonitis model, it can be postulated that tPA decreased abscess formation without exaggerating the inflammatory response.
-
Ulus Travma Acil Cer · Jan 2014
Neutrophil-to-lymphocyte ratio as a predictor of acute appendicitis.
Accurately diagnosing appendicitis can be difficult. This retrospective study aimed to evaluate the ability of the neutrophil-to-lymphocyte ratio (NLR) to predict acute appendicitis pre-operatively and to differentiate between simple and complicated appendicitis. ⋯ We suggest that preoperative NLR is a useful parameter to aid in the diagnosis of acute appendicitis and differentiate between simple and complicated appendicitis, and can be used as an adjunct to the clinical examination.