Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jan 2017
Evaluation of anatomical and functional outcomes in patients undergoing repair of traumatic canalicular laceration.
The present study was designed to evaluate functional and anatomical success of traumatic canalicular laceration repair. ⋯ Recent microsurgical techniques result in successful repair of canalicular laceration.
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Ulus Travma Acil Cer · Jan 2017
Case ReportsCase of an intrahepatic sewing needle and review of the literature.
An intrahepatic foreign body (FB) is rarely observed. In most cases, object passes from the gastrointestinal tract to the liver via migration. Uncomplicated intrahepatic FB can be followed without surgical intervention; however, complicated intrahepatic FB requires laparoscopy or laparotomy. ⋯ Laparoscopic exploration located sewing needle in the right liver lobe lateral to the gall bladder with end of needle protruding from the liver. Needle was removed with laparoscopic grasper. Review of the literature regarding 23 other intrahepatic sewing needle cases is also presented.
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Ulus Travma Acil Cer · Jan 2017
Percutaneous cholecystostomy: A curative treatment modality forelderly and high ASA score acute cholecystitis patients.
Acute cholecystitis (AC) is a common emergency seen by general surgeons. Optimal treatment is laparoscopic cholecystectomy (LC); however, in cases where surgery cannot be performed due to high risk of morbidity and mortality, such as in elderly patients with comorbid diseases, other treatment modalities may be used. Percutaneous cholecystostomy (PC) is one alternative method to treat AC. PC can be used to provide drainage of the gall bladder and control infection. Subsequently, interval cholecystectomy can be performed when there are better conditions. Presently described is experience and results with PC in high risk, elderly patients with AC. ⋯ When elderly patients present in emergency setting with AC and LC cannot be performed due to comorbid disease or poor general condition, PC can be performed safely. After removal of PC drain, LC may be performed with acceptable conversion rate of 18.8%.
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Ulus Travma Acil Cer · Jan 2017
Case ReportsA rare cause of ileus: late jejunal stricture following blunt abdominal trauma.
Small intestinal stricture forming in the late phase following nonpenetrating abdominal trauma is rare cause of ileus. It has often been suggested that it is result of localized feeding deficiency on the intestinal wall related to minor trauma in the mesentery. Laparoscopy has been increasingly used for diagnosis and treatment. Diagnosis should be supported by pathological analyses in case of intestinal stenosis related to blunt abdominal traumas.
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Ulus Travma Acil Cer · Jan 2017
Physical violence among elderly: analysis of admissions to an emergency department.
Physical violence is defined as deliberate use of physical force likely to result in trauma, bodily injury, pain, or impairment. Present study is pioneering effort to evaluate mechanisms and sociodemographic features of physical violence targeting the elderly in Turkey and to investigate preventive measures. ⋯ Firearm injury, recurrent violence, and surgical treatment rates were higher among cases that occurred in the home. Urgent preventive measures are especially needed for the elderly who have already been victims of physical violence.