Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Apr 2003
The late outcomes of vena cava filters in the prevention of pulmonary embolism.
Pulmonary embolism (PE) is the most serious complication of deep venous thrombosis (DVT) resulting in high morbidity and mortality rate. The purpose of this study is to evaluate the long-term results of vena cava filters (VCFs) placement for prevention of PE in high- risk patients. ⋯ Although VCF placement seems to prevent PE in high- risk patients, prospective randomized trials with larger patient groups and longer-term follow up period are necessary to evaluate efficacy and safety of VCF in prevention of PE before making definitive conclusion.
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Torsion of the testis is the most common urological emergency and should be included in the differential diagnosis of scrotal trauma. Clinical suspicion of testicular torsion is a serious indication for prompt surgical exploration of post-traumatic acute scrotum. A case of post-traumatic testicular torsion, which resulted in orchiectomy, is presented and literature is reviewed.
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Ulus Travma Acil Cer · Jan 2003
Comparative Study[The comparison of the results of the conservative treatment between isolated solid organ injuries and those injuries associated with extraabdominal injuries after blunt abdominal trauma between isolated solid organ injuries and those injuries associated with extraabdominal injuries after blunt abdominal trauma].
To determine whether conservative treatment in blunt abdominal solid organ injuries associated with extraabdominal trauma is safe or not. ⋯ Conservative treatment is safe for hemodynamically stable blunt abdominal trauma patients with solid organ injury but no hollow viscus injury, even if they have extraabdominal injuries. The existence of extraabdominal injuries, however, prolongs the hospital stay and increases the need of the blood transfusion.
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Ulus Travma Acil Cer · Jan 2003
[Cardiac penetration wounds: three years Adana Numune Hospital experience].
Cardiac penetration wounds have high mortality which need a rapid diagnosis and surgical intervention. ⋯ The survival chance of the cases can be increased with rapid diagnosis and surgical intervention.
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Ulus Travma Acil Cer · Jan 2003
[Venous thromboembolism prophylaxis with low molecular weight heparins in polytraumatized patients in intensive care unit (extended serie)].
In our study we aimed to evaluate, retrospectively, the bleeding and the Venousthrombo Emblism (VTE) complications in trauma patients in Intensive Care Unit (ICU) under the prophylaxis of enoxaparin sodium. The results will guide us to establish a protocol for use of Enoxaparin Sodium in trauma patients. In trauma patients, Low Molecular Weight Heparine (LMWH) has better efficiency than unfractionned heparin and intermittant pneumatic compression for VTE prophylaxis. ⋯ Verified by the literature and our study, LMWH prophylaxis significantly reduces the Pulmoner Embolism (PE) incidence in polytraumatized patients (p<0,05). On the other hand, the bleeding risk has slightly increased without showing any significance (p>0.05). Prophylaxis with LMWH is safe and efficient in polytraumatized ICU patients.