Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Nov 2016
Endovascular treatment of peripheral and visceral arterial injuries in patients with acute trauma.
The present study is an evaluation of the efficacy of endovascular treatment in emergency setting for patients with acute peripheral and visceral arterial injury secondary to penetrating or blunt trauma. ⋯ In our experience, endovascular treatment was a safe and effective option for acute traumatic peripheral and visceral arterial lesions.
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Ulus Travma Acil Cer · Nov 2016
Importance of fixation of posterior malleolus fracture in trimalleolar fractures: A retrospective study.
The aim of this retrospective study was to evaluate treatment effect and importance of posterior malleolus (PM) fixation in surgically treated trimalleolar fractures. ⋯ Anatomical reduction and rigid internal fixation of PM provide satisfactory clinical and functional outcomes even in elderly patients where bone quality may make adequate fixation difficult. Fixation of even small PM fragments can facilitate rehabilitation by creating more stable construction.
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Ulus Travma Acil Cer · Nov 2016
Case ReportsAcute appendicitis during pregnancy: case series of 20 pregnant women.
Acute appendicitis (AA) is the most common cause of acute abdomen during pregnancy. Most of the signs of appendicitis are also found during normal pregnancy period, however, and diagnosis of appendicitis during pregnancy remains challenging. The aim of the current study was to report our clinical experience of AA during pregnancy and investigate optimal management of this difficult situation. ⋯ Accurate diagnosis and prompt surgical treatment of AA in pregnant women should be performed due to high rates of maternal and fetal complications.
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Ulus Travma Acil Cer · Nov 2016
Case ReportsObturator hernia should be considered in the differential diagnosis of hip and knee pain.
Obturator hernia is a rare disease usually occurring in debilitated elderly women. Pain radiating down the medial thigh and knee (Howship-Romberg sign) is a specific sign of the disease. Presently described is a case of obturator hernia in a 73-year-old female patient who presented with severe left hip pain radiating down the medial thigh and knee, nausea, and loss of appetite. ⋯ Diagnosis of obturator hernia can be challenging. Physicians should consider obturator hernia in the differential diagnosis of knee and hip pain, and investigate for Howship-Romberg sign. Early diagnosis of the disease not only decreases morbidity and mortality, but also presents opportunity to treat with minimally invasive methods.
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Ulus Travma Acil Cer · Nov 2016
Gender does not affect the prognosis of Fournier's gangrene: a case-matched study.
Female gender is accepted as a poor prognostic factor for Fournier's gangrene (FG). However, there is a paucity of data in the literature regarding this matter. This case-matched study was designed to investigate the impact of gender on outcomes of FG. ⋯ FG is often more extensive in females and seems to be associated with anatomical features of female pelvis. However, female gender is not a factor affecting prognosis of patients with FG.