Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Sep 2013
Long-term follow-up results of a pediatric brachial plexus laceration.
A rare case of pediatric brachial plexus laceration is presented. A five-year-old boy who sustained a sharp laceration on his right axillary region was immediately operated. The axillary artery, radial, ulnar and musculocutaneous nerve branches of the brachial plexus, and the lateral root of the median nerve were totally lacerated. ⋯ Motor and sensory functions of the affected extremity were almost totally restored at the postoperative 21st month, except for the ulnar nerve motor functions. There was no cold intolerance or trophic change at the injured extremity. Primary repair of a brachial plexus laceration injury in the pediatric population can be expected to produce successful functional recovery results, even in a relatively short period after the repair.
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Ulus Travma Acil Cer · Sep 2013
Case ReportsMicrosurgical reconstruction in pediatric patients: a series of 30 patients.
Free flap surgery in the pediatric population has gained widespread acceptance regarding its technical utility and reliability. Initial concerns as to the feasibility and reliability of the procedure in children were resolved over time. ⋯ The advantages of free flaps in children, which include better adaptation of the flap growth and better learning capacity of the children, provide the surgeon with more satisfactory functional and aesthetic results.
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Ulus Travma Acil Cer · Sep 2013
Three-year experience in the Emergency Department: the approach to patients with spinal trauma and their prognosis.
Spinal cord injuries result in critical pecuniary and/or non-pecuniary losses due to the developing neurological problems. The objective of this study was to evaluate spinal injuries in terms of clinical severity and prognosis. Spinal injuries lead to serious clinical results due to the high rates of morbidity and mortality; however, there is a lack of reliable information on spinal injuries in our country. ⋯ Spinal cord injuries generally result in unfavorable clinical results. Therefore, an appropriate approach (early diagnosis and true treatment) in emergency services has great significance.
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Ulus Travma Acil Cer · Sep 2013
Case ReportsHepatic duct confluence injury in blunt abdominal trauma - a diagnostic dilemma.
Isolated hepatic duct confluence injury due to trauma is unusual. Two cases of isolated bile duct injury are presented, which were diagnosed and managed successfully at our institution.
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Ulus Travma Acil Cer · Sep 2013
Case ReportsEmergency abdominal surgery in a patient anticoagulated with dabigatran.
Dabigatran is a newer oral anticoagulant, indicated for chronic atrial fibrillation anticoagulation. Experience with an emergent laparotomy in a patient on dabigatran is presented. Difficulties of this medication and strategies to deal with the coagulopathy from this direct thrombin inhibitor are described.