Ulus Travma Acil Cer
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Ulus Travma Acil Cer · May 2021
Morphometric study on the 12th thoracic vertebrae which is most frequently exposed to trauma and the closest vertebra to thoracic aorta.
To describe gender-related differences in the length of the left chord and pedicle at the level of 12th thoracic vertebrae and appropriate length of the screw to be applied so as to decrease the perforation risk of anterior cortex of the corpus and preventable injury of major vascular vessels. ⋯ Significant differences and correlations exist between the left pedicle and the left chord in male and female patients and patients with different ages. The data obtained can be used as a guide to determine the implant size and intraoperative management of T12 vertebral pedicle.
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Subcutaneous facial emphysema is a well-known consequence of oral and maxillofacial traumatic injury. In some rare cases, the subcutaneous air collection could spread through the retropharyngeal and paralatero-cervical spaces, reaching the mediastinum. A 55-year-old man was presented to the emergency room after a blast injury caused by a blown truck tire while trying to change tires. ⋯ He had no complications on clinical follow-up following hospital discharge. The development of pneumomediastinum after oral or maxillofacial trauma is rare. Nevertheless, given the mortal complications that may develop, clinicians should keep pneumomediastinum in mind in the differential diagnosis.
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Ulus Travma Acil Cer · May 2021
Boric acid is as effective as hyaluronic acid-based agent in preventing intra-abdominal adhesions in a rat model.
In this experimental rat model, we aimed to investigate boric acid's possible protective effect against the formation of post-operative abdominal adhesions through its anti-inflammatory and antioxidant properties. ⋯ Topical boric acid at a dose of 50 mg/kg is found safe and as effective as the hyaluronic acid-based agent in preventing postoperative abdominal adhesions in our rat model.
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Ulus Travma Acil Cer · May 2021
Review Case ReportsThe role of portoenterostomy in the treatment of patients with multiple bile duct trauma: Case series and review of the literature.
Hepaticojejunostomy is a challenging and complex procedure to be administered with the confidence, in conditions which contain a large number of bile duct damaged by benign pathologies or major bile duct trauma. ⋯ Portoenterostomy can be performed as a salvage procedure in cases where multiple biliary tracts occur and hepaticojejunostomy is inadequate. PE can be safely used in selected cases that had benign pathologies, major bile duct trauma, in the presence of intense fibrosis, inflammation, very thin bile ducts and more fragile tissues in the liver hilum. PE should be performed in centers with surgeons experienced in hepatobiliary surgery. However, to better understand the efficacy of PE, large multicentric clinical series and patient follow-up are required.
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Ulus Travma Acil Cer · May 2021
Meta AnalysisDiagnostic accuracy of magnetic resonance imaging for acute appendicitis during pregnancy: A systematic review.
The purpose of this study was to present a systematic review and meta-analysis of the diagnostic accuracy of magnetic resonance imaging (MRI) in the diagnosis of acute appendicitis in pregnant women. ⋯ MRI showed overall high accuracy for diagnosing acute appendicitis in pregnant women. Therefore, it is a good diagnostic tool as a first-line imaging method for suspected appendicitis in pregnant women.