Ulus Travma Acil Cer
-
Ulus Travma Acil Cer · Nov 2019
Case ReportsSmall bowel prolapse from anus: Atypical presentation of rectal perforation.
Non-traumatic rectum perforation is rarely seen if there is no underlying tumor formation. The perforations in the middle and lower parts of the rectum that are under the peritoneal reflex are asymptomatic unless there is intraabdominal infection or inflammation. In this study, we aim to present a patient who referred to the emergency surgery clinic with the small bowel prolapse from the anus.
-
In the continuum of the complex therapy process of a critically ill patient, the intensive care unit (ICU) period must be followed very meticulously because of the extremely data-intensive circumstances. Intensive care medicine is a lot more reliant on 'numbers' than most of the other medical disciplines, and minor errors in the records may lead to wrong decisions, which may cause major harm to the patient. Manual records are prone to errors, inaccuracies and are time-consuming for both nurses maintaining them and physicians trying to interpret them, especially in patients with complex pathologies and long-term stays. ⋯ Although we are in a technologically advanced position today, it is still a challenge to implement an ICIS successfully. If not planned properly, it is a process prone to significant delays in time, additional costs, poor acceptance by the staff and even total failure. In this study, we are going to evaluate the past, present and future of intensive care information systems and share our experiences in implementing them.
-
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.
-
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.
-
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.