Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Nov 2011
Epidemiologic data of the patients with spinal cord injury: seven years' experience of a single center.
We aimed to present the demographic and epidemiologic data on spinal cord injury (SCI) patients who were rehabilitated at our hospital, to identify high-risk groups and etiological factors, and to evaluate the factors that affect the duration of hospitalization (DOH). ⋯ In total, 661 (73%) of the patients were male and 244 (27%) were female. The mean age of the patients was 33.4±15.0 years; 51.27% of the patients were 20-33 years of age. The mean DOH was 73.6±49.8 days. In all, 304 (33.5%) of the patients were tetraplegic and 601 (66.5%) were paraplegic. Motor vehicle collisions were the most common cause of injury (n=318, 35.1%), followed by falls from an elevated height (n=170, 18.8%). DOH was significantly higher among the tetraplegia American Spinal Injury Association (ASIA) A-B patients than among the other patients (p<0.01). CONCLUSION. It is clear that most of the SCIs we observed were preventable. Comprehensive identification of the epidemiologic, demographic and pathologic features of SCIs contributes to identifying high-risk groups, thereby making it possible to pay personal and communal attention to precautions for SCIs.
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Ulus Travma Acil Cer · Nov 2011
Case ReportsAbdominal cocoon syndrome as a rare cause of mechanical bowel obstruction: report of two cases.
An abdominal cocoon is an extremely rare condition, and has been reported mainly in young adolescent women as a cause of small bowel obstruction. In these patients, the small bowel is encased in a fibrous sac called an abdominal cocoon. ⋯ They both received early intervention, thus preventing the need for bowel resection. The pathology of both membranes showed inflammation.
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Ulus Travma Acil Cer · Nov 2011
Clinical management and reconstruction of isolated orbital floor fractures: the role of computed tomography during preoperative evaluation.
A common consent regarding repair indications, timing of repair and choice of reconstruction materials for isolated orbital base fractures does not yet exist. ⋯ When not treated in a timely manner and with appropriate materials, orbital base fractures might result in enophthalmia and diplopia. We believe that a good prognosis of orbital base fractures relies on the right decision for surgical indication, early surgical intervention, and repair with appropriate material.
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Ulus Travma Acil Cer · Nov 2011
Outcome of surgically treated Lisfranc injury: a review of 34 cases.
We reviewed cases with Lisfranc injuries who presented to our center in order to study the adequacy of the treatment method and their final functional outcome. ⋯ We concluded that all Lisfranc injuries, whether treated with closed or open fixation methods, demonstrated a good long-term functional outcome.
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Ulus Travma Acil Cer · Nov 2011
Determination of urinary N-acetyl-ß-D glucosaminidase (NAG) levels in experimental blunt renal trauma.
We evaluated the applicability of urinary N-acetyl-beta-D glucosaminidase (NAG) levels in the diagnosis and follow-up in blunt kidney injury. ⋯ After isolated blunt renal trauma, urinary NAG levels increase in the early stage. However, more detailed clinical studies are needed to develop NAG levels as a criterion in the follow-up of blunt renal trauma.