Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jan 2014
Case ReportsMorel-Lavallee lesion: case report of a rare extensive degloving soft tissue injury.
Morel-Lavallee syndrome (MLS) is a significant post-traumatic soft tissue injury in which the subcutaneous tissue is torn away from the underlying fascia (closed degloving), creating a cavity filled with hematoma and liquefied fat. It commonly occurs over the greater trochanter, but may also occur in the flank, buttocks and lumbodorsal regions. ⋯ We report a case of extensive Morel-Lavallee lesion involving the left flank and thigh in a young adult. We discuss the magnetic resonance imaging findings and also describe the differential diagnoses and management options for MLS.
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Ulus Travma Acil Cer · Jan 2014
Intraorbital wooden foreign body: clinical analysis of 32 cases, a 10-year experience.
We aimed to describe herein the clinical features, diagnosis and treatment of intraorbital wooden foreign body injuries. ⋯ The diagnosis of orbital wooden foreign body is difficult because it may be missed clinically and from the imaging perspective. If a foreign body is suspected, optimal patient management should be done. Prior to the surgery, imaging modalities should be maximally utilized. A careful preoperative evaluation, imaging studies, which are event-specific, a high index of suspicion, and rigorous surgery and postoperative care are the keys in the management of orbital wooden foreign body injuries.
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Although the English-language literature is full of studies about post-surgical adhesions, no definitive method has yet been identified to prevent them. The goal of this study was to investigate the effect of ClinOleic on reducing post-surgical adhesion formation. ⋯ The parenteral nutrition solution ClinOleic may be an effective and readily available agent for the prevention of post-surgical adhesions.
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Ulus Travma Acil Cer · Jan 2014
Clinical TrialRole of dissemination of microorganisms during laparoscopic appendectomy in abscess formation.
The aim of this study was to investigate the potential contributory role of laparoscopic appendectomy in the occurrence of postoperative intra-abdominal infections. ⋯ Our results suggest that laparoscopic appendectomy does not cause an increase in intra-abdominal infections, and particularly not infections associated with anaerobic bacteria.
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We aimed to investigate the reliability of the Alvarado score (AS) in determining acute appendicitis and the different parameters that affect the AS. ⋯ Patients with AS ≤4 must be followed up and should be informed at the time of their discharge about the slight possibility of appendicitis. The effect of AS in determining the diagnosis of appendicitis is not influenced by age or symptom duration.