Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Mar 2011
Case ReportsDelayed retroperitoneal bleeding causing acute abdominal compartment syndrome: case report.
Delayed acute abdominal compartment syndrome (ACS) due to retroperitoneal bleeding is rare. Herein, we report the clinical management of such a rare case. A 46-year-old male who fell from a height of 12 meters was admitted to Al-Ain Hospital. ⋯ The abdomen was closed primarily on day 6. The patient was discharged home on day 50. Life-threatening delayed retroperitoneal bleeding may occur suddenly two weeks after trauma causing ACS.
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Ulus Travma Acil Cer · Mar 2011
Controlled Clinical TrialEffects of spinal immobilization devices on pulmonary function in healthy volunteer individuals.
We aimed to investigate the effects of spinal immobilization devices on pulmonary functions. ⋯ We determined that both KED and long spinal backboard cause a decrease in pulmonary functions.
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Ulus Travma Acil Cer · Mar 2011
Randomized Controlled Trial[Should videothorascopic surgery be the first choice in isolated traumatic hemothorax? A prospective randomized controlled study].
In this study, patients with hemothorax due to blunt or penetrating thorax trauma and treated by tube thoracostomy were compared with the patients treated by videothoracoscopic surgery (VATS) in order to determine whether VATS can be the first choice in treatment. ⋯ VATS seems to be better in the treatment of hemothorax when compared with traditional drainage method because of its advantage of direct diagnosis and hemostasis by diagnostic thoracoscopy. If clotted blood is evacuated, empyema and fibrothorax are preventable. In these cases, chest tube duration and hospital length of stay are shorter. Therefore, these patients can be discharged early.
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Ulus Travma Acil Cer · Mar 2011
Case ReportsA rare cause of chronic rectal bleeding in children; solitary rectal ulcer: case report.
Solitary rectal ulcer causing lower gastrointestinal bleeding is extremely rare in children. Rare presentation, non-specific symptoms, insufficient experience, and characteristics mimicking other rectal diseases may cause misdiagnosis or delay of diagnosis in some pediatric patients. Here, we report a 10-year-old boy with solitary rectal ulcer diagnosed two years after onset of the symptoms who responded well to the conservative therapy, including high-fiber diet, laxatives, defecation training, and sucralfate enema.
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Ulus Travma Acil Cer · Mar 2011
Management of community-based shotgun injuries of the extremities: impact of emergent vascular repair without angiography.
Shotgun injuries of the extremities create challenging problems for vascular surgeons. In this study, we retrospectively analyzed surgical results without preoperative angiography. ⋯ Based on these results, we favor immediate operative exploration of the extremities in patients with hard signs of vascular trauma, thereby minimizing the ischemic interval, and we recommend angiography only for elective operations. Early fasciotomy should be done without hesitation in patients with long ischemic periods and in those with combined arterial/venous injury.