Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Mar 2015
Total oxidant status, total antioxidant status, and paraoxonase activity in acute appendicitis.
The aim of this study was to investigate the levels of oxidative stress including total oxidant status, total antioxidant status, and paraoxonase activity in patients with a diagnosis of acute appendicitis. ⋯ The increase in the oxidative status (total oxidant and antioxidant status) was related with the progression of inflammation to the perforation in acute appendicitis.
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Ulus Travma Acil Cer · Mar 2015
Case Reports[A rare cause of small intestinal obstruction: Spontaneous strangulated trans-omental hernia].
Internal herniation is a very rare condition which can cause small bowel obstruction. Trans-omental hernias are an infrequent form of internal herniation and can be seen without a history of trauma and previous abdominal surgery. An 85-year-old male patient without a history of abdominal surgery or trauma was admitted to the emergency service with severe abdominal pain and vomiting. ⋯ During laparotomy, a trans-omental hernia causing strangulation of the ileum was detected. Resection-anastomosis was performed and the omental defect was disrupted by partial omentectomy. Although trans-omental hernia is a very rare condition, it should be considered in the differential diagnosis of patients without mechanic intestinal obstruction.
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Ulus Travma Acil Cer · Jan 2015
Randomized Controlled TrialComparison of morphine-midazolam versus morphine injection for pain relief in patients with limb fractures - a clinical trial.
Pain relief, using opiates as a primary choice, is an important part of treating limb fractures. Yet, in order to reduce opiate consumption, other combinations have been introduced. This study aimed to compare pain reduction by a combination of morphine-midazolam with morphine injection in patients with limb fractures. ⋯ Our findings revealed that adding midazolam to morphine did not improve its pain-relief profile.
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Ulus Travma Acil Cer · Jan 2015
Clinical TrialEvaluation of power Doppler sonography in acute cholecystitis to predict intraoperative findings: a prospective clinical study.
This study aimed to evaluate the diagnostic value of gray-scale and power Doppler sonography for acute cholecystitis and show a correlation between sonographic and intraoperative findings, quantitively. ⋯ Vascularity correlated with adhesion but failed to predict operation difficulty. Specificity of gray-scale sonography could be improved with power Doppler examination; however, desired diagnostic accuracy could not be obtained with only quantitive measurements of sonography.
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Ulus Travma Acil Cer · Jan 2015
Case ReportsClosed reduction of traumatic bilateral anterior hip dislocations with sedation: a case report and review of the literature.
A rare case of bilateral anterior hip dislocation reduced under sedation was reported in this study. A 47-year-old man was knocked down by a car and sustained bilateral anterior hip dislocation which was reduced successfully with sedation using titrated dose of intravenous Midazolam in combination with Pethidine. A modified Lefkowitz maneuver using the manipulator's thigh as a fulcrum was used. ⋯ Thirteen case reports describing bilateral anterior hip dislocations were found while reviewing the literature and it was noticed that only one author had reported the usage of intravenous sedation (Propofol) for the reduction procedure. However, no author reported the use of Lefkowitz maneuver for this purpose. Consequently, reduction of a bilateral anterior hip dislocation is possible with sedation using a modified Lefkowitz maneuver.