Ulus Travma Acil Cer
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Ulus Travma Acil Cer · May 2021
Review Case ReportsThe role of portoenterostomy in the treatment of patients with multiple bile duct trauma: Case series and review of the literature.
Hepaticojejunostomy is a challenging and complex procedure to be administered with the confidence, in conditions which contain a large number of bile duct damaged by benign pathologies or major bile duct trauma. ⋯ Portoenterostomy can be performed as a salvage procedure in cases where multiple biliary tracts occur and hepaticojejunostomy is inadequate. PE can be safely used in selected cases that had benign pathologies, major bile duct trauma, in the presence of intense fibrosis, inflammation, very thin bile ducts and more fragile tissues in the liver hilum. PE should be performed in centers with surgeons experienced in hepatobiliary surgery. However, to better understand the efficacy of PE, large multicentric clinical series and patient follow-up are required.
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Ulus Travma Acil Cer · May 2021
Association of neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios with in-hospital mortality in the early phase of severe trauma.
This study aimed to examine the relationship between the immediate and early complete blood count-based scores and prognosis in trauma patients. ⋯ Lower NLR and PLR at 6 h after ED arrival were associated with in-hospital mortality in cases of severe trauma.
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Ulus Travma Acil Cer · May 2021
Reconstruction of burn contractures with free anterolateral thigh flap in various anatomic sites.
Burn contractures that cause a restriction in extremity movements have to be reconstructed. Free microvascular flaps are generally needed in cases of severe contractures. The ideal free flap for severe contracture defects has to have a large skin island without bulk and a long pedicle for preventing recurrence and tension-free adaptation. Anterolateral thigh flap (ALT flap) that meets these features has widely been used for several indications in reconstructive surgery. Usage of ALT flap in burn contracture was described for burn and axillary contractures in literature. In this study, the usage of free ALT flaps in various anatomic contracture sites was reported. ⋯ ALT flap can safely be used in various anatomic contracture sites. Suprafascial elevation of the flap can be preferred for better adaptation in the neck, hand and foot and prevention of bulky appearance.
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Ulus Travma Acil Cer · May 2021
Boric acid is as effective as hyaluronic acid-based agent in preventing intra-abdominal adhesions in a rat model.
In this experimental rat model, we aimed to investigate boric acid's possible protective effect against the formation of post-operative abdominal adhesions through its anti-inflammatory and antioxidant properties. ⋯ Topical boric acid at a dose of 50 mg/kg is found safe and as effective as the hyaluronic acid-based agent in preventing postoperative abdominal adhesions in our rat model.
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Ulus Travma Acil Cer · May 2021
Meta AnalysisDiagnostic accuracy of magnetic resonance imaging for acute appendicitis during pregnancy: A systematic review.
The purpose of this study was to present a systematic review and meta-analysis of the diagnostic accuracy of magnetic resonance imaging (MRI) in the diagnosis of acute appendicitis in pregnant women. ⋯ MRI showed overall high accuracy for diagnosing acute appendicitis in pregnant women. Therefore, it is a good diagnostic tool as a first-line imaging method for suspected appendicitis in pregnant women.