Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Dec 2022
The effect of COVID-19 pandemic period on acute appendicitis and its complications.
Acute appendicitis is the most common abdominal surgical emergency. This new type of coronavirus, also called SARS-CoV-2, causes severe acute respiratory syndrome, and this has turned into a pandemic. We aimed to determine the risk factors associated with appendectomy and complicated appendicitis during the COVID-19 pandemic period and to evaluate the effects on the surgical treatment of acute appendicitis and its outcomes. In the current comparative study, we analyzed its effects on appendectomy management and complicated appendicitis in patients with appendicitis during the COVID-19 pandemic and past year covering the same period. ⋯ During the COVID-19 pandemic, there was no significant increase in complicated appendicitis, but a significant reduction in negative appendectomies. This result shows that during the pandemic period, patients do not come to the emergency surgery unit unnecessarily and receive timely and appropriate surgical care.
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Ulus Travma Acil Cer · Dec 2022
Case ReportsSupracondylar extra-articular femur fracture after cementless unicompartmental knee replacement: A rare complication.
This case report defines an infrequent complication of unicompartmental knee replacement. Periprosthetic supracondylar femoral fracture after total knee replacement is a challenging problem for orthopedic surgeon. To the best of our knowledge, this is the only case describing periprosthetic supracondylar femoral fracture after unicondylar knee replacement.
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Ulus Travma Acil Cer · Dec 2022
Case ReportsA rare case of pantaloon hernia accompanied by strangulated ileal segment: Inguinal herniation of the bladder.
Mesanenin inguinal kanal içine herniasyonu nadir görülen bir klinik antitedir ve tüm inguinal hernilerin yaklaşık %1-4'ünü oluşturmaktadır. Genellikle yaşlı erkek hastalarda ve sağ tarafta sık görülmektedir. ⋯ Preoperatif süreçte tanının doğrulanması, olası mesane yaralanmalarının önüne geçebilmek adına önem teşkil etmektedir. Biz de bu çalışmamızda; akut mekanik intestinal obstrüksiyon ve strangülasyon semptomlarıyla acil servise başvuran hastada, mesane herniasyonunun eşlik ettiği nadir bir pantolon herni olgusunu literatür eşliğinde sunmayı amaçladık.
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Ulus Travma Acil Cer · Dec 2022
Analysis of trauma scoring system for patients with abdominal trauma.
This study investigated the correlations between several trauma scoring systems, including the injury severity score (ISS), clinical abdominal scoring system (CASS), new injury severity score (NISS), and clinical outcomes, including laparotomy, in-hospital mortality (IHM), and long hospital stay (LS) in patients with abdominal trauma. ⋯ The CASS is excellent for predicting laparotomy, IHM, and LS in patients with abdominal trauma. The NISS is more appropriate than the ISS for predicting laparotomy and IHM.
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Ulus Travma Acil Cer · Dec 2022
The role of biomarkers in the early diagnosis of acute kidney injury associated with acute pancreatitis: Evidence from 582 cases.
One of the systemic complications of acute pancreatitis (AP) is acute kidney injury (AKI). AKI development in patients with AP increases mortality, morbidity, and the cost of treatment. Therefore, early diagnosis and prevention of AKI is important. The purpose of our study was to present biomarkers and case management of AKI developing in patients with AP. ⋯ The values of hematocrit, platelet, leukocyte, lymphocyte, albumin, CRP, CRP/albumin ratio, neutrophil/lymphocyte ration, IG%, procalcitonin, urea, and creatinine that were examined at the time of hospital admission can be useful biomarkers in predicting the development of AKI in patients with AP. In addition, accompanying diseases and age are among the factors affecting AKI development.