Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Nov 2021
Review Case ReportsUnexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review.
Primary omental torsion (POT) is a rarely encountered clinical condition as an acute abdominal pathology. POT is more prevalent in males than females. The diagnosis of POT is challenging, and pregnancy initiates the diagnosis more difficult and essential. ⋯ At this point, diagnostic laparoscopy plays a significant role in the diagnosis and treatment of acute abdominal pathologies in pregnant patients. The diagnosis of a 28-week pregnant woman who was admitted to our emergency department with the aggravation of abdominal pain was not clarified by abdominal ultrasound so the patient was diagnosed with POT by diagnostic laparoscopy. Conservative follow-up plays an important role in pregnant patients, and the poor progress of the patient in both laboratory and physical examination leads diagnostic laparoscopy to an important point when the limitation of imaging methods is added.
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Ulus Travma Acil Cer · Nov 2021
Randomized Controlled TrialRole of digital infrared thermal imaging in diagnosis of acute appendicitis.
Acute appendicitis (AA) is one of the most common diseases requiring emergency surgery. Today, diagnosis of AA is made through anamnesis, physical examination along with advanced imaging methods. Thermal imaging confers advantages over conventional techniques for being portable, non-invasive, easily conducted, ionization radiation-free, and inexpensive. Digital infrared thermal imaging (DITI) has been the subject of research in various clinical scenarios. In this prospective randomized controlled study, diagnostic potential of DITI in AA was investigated. ⋯ This study has enlarged the application of DITI to abdominal pain, especially within context of AA. Thermal evaluation of patients with abdominal pain seems promising.
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Ulus Travma Acil Cer · Nov 2021
The role of trauma scoring systems and serum lactate level in predicting prognosis in thoracic trauma.
Chest trauma constitutes 10% of admissions due to trauma and causes 25-50% of trauma-related deaths. It is important to evaluate the level of thoracic trauma in patients accurately and early, start the correct treatment, predict the need for intensive care and mortality, and prevent complications that may develop. In this study, the predictive efficiency of the serum lactate level, shock index, and scoring systems regarding the prognosis in patients with major thoracic trauma were compared. ⋯ In patients with thoracic trauma, the NISS may be a useful factor that can be used in emergency rooms when a quick decision is required. However, increases in blood lactate levels during patient follow-up may also be a blood parameter that the clinician should pay attention to. In addition, further studies should be conducted on scoring in patients with thoracic trauma.
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In this study, it was tried to determine the factors affecting the clinical process in patients who were followed up in hospital for coronavirus disease-2019 (COVID-19). ⋯ Comorbidity, clinical features, and laboratory findings are parameters that can help in predicting the clinical course of hospitalized patients due to COVID-19.
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Ulus Travma Acil Cer · Nov 2021
Comparison of two surgical methods in the treatment of intra-articular distal radius fractures: Volar locking plate and K-wire augmented bridging external fixator.
In this study, we aimed to compare the radiological, clinical and functional results of volar radius locking plate, and K-wire augmented bridging external fixator (BEF) treatments that applied in intra-articular distal radius fractures. ⋯ Successful results can be obtained in both treatment methods. However, VLP treatment provides better joint ROM and lower complication rates compared to BEF treatment.