Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Nov 2019
Comparison of methods for closure of appendix stump during laparoscopic appendectomy using endoloops: Single surgeon experience.
In this study, using single or double endoloops, with reference to the literature, we aimed to retrospectively assess the results for patients in our clinic who underwent a laparoscopic appendectomy. ⋯ Using a double endoloop does not decrease the risk of post-operative complications, but it does increase the cost and the duration of the operation. We have concluded that using a single endoloop in a laparoscopic appendectomy may be more appropriate.
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Ulus Travma Acil Cer · Nov 2019
Comparison of surgical techniques and results for emergency or elective femoral hernia repair.
Inguinal hernia affects 3-8% of the population. Femoral hernias are only a small number of groin hernias; however, femoral hernias are very important because these operations are generally emergency procedures, and bowel resections are frequently necessary. This study aims to compare surgical outcomes of patients with femoral hernias using different techniques under emergency or elective conditions. ⋯ For the comparison of surgical techniques and outcomes, prospective randomized studies should be designed to standardize broad-based surgical techniques.
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Ulus Travma Acil Cer · Nov 2019
Abdominal perfusion pressure is superior from intra-abdominal pressure to detect deterioration of renal perfusion in critically Ill patients.
Intra-abdominal hypertension (IAH) is a frequent cause of acute kidney injury (AKI) among critically ill patients who have risk factors. This study aimed to determine the relation between Abdominal Perfusion Pressure (APP) and AKI showed by the Doppler-based renal resistive index (RRI). ⋯ Our findings suggest that an APP with a threshold of ≤72 mmHg is associated with a significant increase in renal RRI, which may be predictive of worsening of renal perfusion.
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Ulus Travma Acil Cer · Nov 2019
Atypical femoral fractures related to bisphosphonate use: A comprehensive review of 19 patients.
Atypical femur fracture is a rare complication of bisphosphonate treatment, which is widely used for the prevention of osteoporotic fractures. This study aims to report clinical and radiological features and outcomes of surgically treated atypical femur fractures related to bisphosphonates. ⋯ This study suggests that atypical femur fractures may have prodromal signs and that their management is complex due to high complication and nonunion rates.
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Ulus Travma Acil Cer · Nov 2019
Case ReportsFirst report of traumatic scleral rupture after penetrating keratoplasty.
Globe rupture is a major postoperative complication after penetrating keratoplasty (PK). Because the corneal wound is never comparable with that of healthy corneal tissue, globe rupture following blunt trauma occurs at the corneal graft-host junction. In this study, we report a case of scleral rupture that arose from blunt trauma occurring after PK. ⋯ In detailed anamnesis, the patient reported that she had been treated for severe allergic eye disease during childhood. Vernal keratoconjunctivitis complication was diagnosed. It should be kept in mind that closed scleral perforation may occur in the patient with PK and blue sclera due to blunt trauma.