Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jul 2015
Choice of incision in penetrating cardiac injuries: Which one must we prefer: Thoracotomy or sternotomy?
Penetrating cardiac injuries are high-risk, high-mortality injuries considering the outcomes. Therefore, it is important to choose the appropriate incision. In general clinical settings, thoracotomy and median sternotomy are choices of incisions to explore the injury. In this study, the results of median sternotomy and thoracotomy in penetrating cardiac injuries were compared. ⋯ There were no significant survival differences between the groups in the long term. Incision choice should be determined considering the site of injury and whether there is an accompanying pulmonary injury or not. On the other hand, thoracotomy has some draw backs compared to median sternotomy.
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Ulus Travma Acil Cer · Jul 2015
Case ReportsEndovascular treatment for acute traumatic thoracic aortic transection.
This study aimed to present our experience in patients with acute traumatic thoracic aortic transection treated by endovascular stent-graft. ⋯ Our study supports that thoracic endovascular aortic stenting for acute transection is promising in terms of short- and mid-term results similar to other studies in the literature.
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Ulus Travma Acil Cer · Jul 2015
Case ReportsCerebrovascular complications of transorbital penetrating intracranial injuries.
Cerebrovascular trauma secondary to transorbital intracranial penetrating injury (TIPVI) is rare. Relatively benign initial presentation may mask the underlying life-threatening vascular injury in transorbital intracranial penetrations. The aim of this study was to evaluate clinical features and endovascular treatment of TIPVI. ⋯ TIPVI may present in a delayed fashion after a seemingly benign presentation. A high index of suspicion is critical to rule out TIPVI with vascular imaging. Transcatheter angiographic techniques allow for both diagnosis and treatment of TIPVI with favorable results.
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Ulus Travma Acil Cer · Jul 2015
Results of surgical treatment in metacarpal shaft fractures using low profile mini plates.
Metacarpal fractures are among the most common fractures of the hand. They may lead to loss of function if treated improperly. These injuries can be treated conservatively. However, if significant shortening, rotational deformity and angulation occur, surgical treatment is required. In this article, results of metacarpal fractures treated with open reduction and internal fixation with mini plates were presented. ⋯ As in general fracture treatment principles, goals in metacarpal fracture treatment are obtaining an anatomical and stable reduction, fracture union and beginning early movement to avoid loss of function. Open reduction and low profile titanium plate application in metacarpal fractures is the choice of treatment in suitable cases as it meets the above mentioned treatment principles.
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Ulus Travma Acil Cer · Jul 2015
Case ReportsRarely seen complication of motor vehicle accidents: Bilateral globe avulsion.
Avulsion of the globe is a rare condition that can occur with severe maxillofacial trauma. A few bilateral cases have been reported. The objective of this study was to present a case of this challenging condition in a 15-year-old male patient who was admitted to the emergency service after a motor vehicle accident.