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Journals Turkish Journal of Trauma & Em...

Turkish Journal of Trauma & Emergency Surgery : TJTES

https://read.qxmd.com/read/38506391/the-effect-of-time-from-injury-to-fasciotomy-in-patients-with-acute-upper-extremity-compartment-syndrome
#1
JOURNAL ARTICLE
Gökhan Sert, Fethiye Damla Menku Ozdemir, Oznur Uzun, Galip Gencay Üstün
BACKGROUND: Acute compartment syndrome of the upper extremity is a surgical emergency, and timely diagnosis with immediate fasciotomies is essential for the preservation of function. This retrospective study aimed to compare the complication rates of patients who underwent fasciotomy before and after 6 hours following the initial trauma. METHODS: The medical records of the patients who underwent fasciotomy for surgical treatment of ACS of the upper extremity between 2016 and 2022 were retrospectively analyzed for age, gender, dominant hand, mechanism of injury, injury level, affected compartments, associated injuries, time elapsed till fasciotomy, and complications...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38506390/anesthetic-approach-to-trauma-patients-in-the-city-hospital-after-the-2023-mara%C3%A5-earthquake
#2
JOURNAL ARTICLE
Aylin Kılınçarslan, Ceyda Özhan Caparlar, Müge Çakırca, Fatma Özkan Sipahioğlu, Funda Atar, Selma Ölmez, Nur Yılmaz, Merve Karaşahin, Derya Özkan
BACKGROUND: The February 6, 2023, Kahramanmaraş earthquake caused significant destruction across our country. More than 50,000 people lost their lives, thousands were injured, and health facilities were damaged. Victims were transferred to hospitals in other provinces for treatment. This study evaluates the anesthesia approach applied to the injured who were transferred to our tertiary hospital. METHODS: We retrospectively reviewed the data of patients who underwent surgery between February 6 and February 20, 2023...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38506389/evaluation-of-emergency-department-admissions-of-mass-casualty-patients-using-the-revised-trauma-score-injury-severity-score-and-trauma-and-injury-severity-score
#3
JOURNAL ARTICLE
Bahadır Karaca, Mehmet Kemal Emem, Burak Çelik, Nurdan Yılmaz Şahin
BACKGROUND: There is a need for studies evaluating prognostic scoring systems in mass trauma patients in conflict regions to predict patient prognosis for emergency surgical prioritization. In this study, we aimed to evaluate scoring systems such as the Revised Trauma Score (RTS), Injury Severity Score (ISS), and Trauma and Injury Severity Score (TRISS) in trauma patients admitted due to mass trauma in Northern Syria. METHODS: This study was a retrospective evaluation of patients admitted due to mass trauma to the emergency departments of hospitals in Northern Syria...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38506388/post-trauma-acinetobacter-baumanii-meningitis-treatment-approach
#4
Cem Erdoğan, Zeynep Betul Balcioglu, Isa Seida, Denız Kizilaslan
A. baumannii, which is said to be associated with nosocomial infections is considered a significant mortality risk if not adequately addressed. A. baumannii infections typically occur in the aftermath of surgery or trauma. Our patient developed complicated A. baumannii meningitis with lateral ventriculitis and a lumbar abscess post surgery after suffering from a fall. The patient was treated with a 21-day regimen of intrathecally administered colistin and polymyxin B. Following this therapeutic period, the patient's condition improved, ultimately leading to successful recovery and subsequent discharge...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38506387/use-of-hyperbaric-oxygen-therapy-in-severe-earthquake-injuries
#5
JOURNAL ARTICLE
Levent Demir, Mustafa Öztürk
BACKGROUND: Earthquakes are natural disasters that can often cause severe injuries and traumatic situations. These injuries can include crush injuries, fractures, tissue damage, and blood circulation problems. Hyperbaric oxygen therapy (HBOT) has recently become a frequently used treatment modality for individuals suffering from severe injuries. HBOT is a form of treatment that involves administering pure oxygen to the patient under high pressure. This treatment aims to promote tissue healing by increasing cellular oxygenation...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38506386/is-ultrasound-guidance-necessary-to-avoid-complications-in-the-implantation-of-venous-access-ports
#6
JOURNAL ARTICLE
Burak İlhan, İbrahim Fethi Azamat, Süleyman Bademler, Omer Avlanmis, Görkem Uzunyolcu, Basak Erginel, Fatih Yanar
BACKGROUND: The aim of this study was to present demographic information of patients undergoing totally implantable venous access port (TIVAP) implantation and to investigate the rates of early and late complications, assessing the benefits of performing the procedure underUS guidance. METHODS: From May 2018 to December 2023, the outcomes of a total of 537 TIVAP implantation procedures were analyzed retrospectively. Data of the surgeons' experiences for both puncture methods (anatomical landmarks and ultrasound guidance) are presented in the study...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38506385/risk-of-burns-in-pressure-cooker-usage-a-comprehensive-analysis-of-explosive-injuries
#7
JOURNAL ARTICLE
Serhat Meriç, Talar Vartanoglu Aktokmakyan, Nadir Adnan Hacım, Hasim Furkan Gullu, Merve Tokocin, Önder Önen, Mustafa Turan
BACKGROUND: Despite the widespread use of pressure cookers for quick and efficient cooking, literature has insufficiently highlighted the potential dangers resulting from inappropriate handling. This study aims to provide a comprehensive overview of 32 patients who presented with pressure cooker burns, emphasizing the serious risks associated with their misuse. METHODS: Retrospective data were collected from patients admitted to Bağcılar Training and Research Hospital Burn Center between 2017 and 2020 with pressure cooker burns in Türkiye...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38506384/emergent-approach-to-small-bowel-tumors-diagnosis-and-treatment
#8
JOURNAL ARTICLE
Enes Sahin, Kazım Şahin, Haşim Köken, Sertaç Ata Güler, Turgay Şimşek, Nihat Zafer Utkan, Mustafa Şahin
BACKGROUND: This study presents the diagnosis and treatment of rare small bowel tumors through clinical cases. METHODS: Patients treated between 2000 and 2023 were included in the study. The clinical records of the patients were analyzed retrospectively. RESULTS: A total of 34 patients were included in the study. Of these patients, 26 (75.5%) were male and eight (23.5%) were female. The mean age of the patients was 62.1 years. The most common symptoms and signs were abdominal pain (76...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38506383/investigation-of-fatal-traumatic-head-injuries
#9
JOURNAL ARTICLE
Kerem Sehlikoğlu, Abdurrahim Türkoğlu, Turgay Bork, Muhammet Batbaş
BACKGROUND: Traumatic head injuries (THIs) are one of the major causes of death in forensic cases. The aim of this study was to investigate the characteristics of patients with fatal THIs. METHODS: In this study, a total of 311 patients with fatal THIs, who underwent postmortem examinations and/or autopsies, were retrospectively analyzed. Cases were evaluated based on sex, age group, incident origin, cause of the incident, presence of skull fracture, type of fractured bone (if any), fracture localization and pattern, presence and type of intracranial lesion (if any), and cause of death...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38506382/the-effects-of-topical-aloe-vera-on-an-experimentally-designed-penile-fracture-model-in-rats
#10
JOURNAL ARTICLE
Reha Girgin, Gökhan Çeker, Inci Turan, Filiz Kutu, Yusuf Elma, Emine Yılmaz Can
BACKGROUND: This study assessed the histopathological and oxidative effects of topical Aloe Vera (AV) on penile fractures (PF) formed experimentally in a rat model. METHODS: Forty Wistar albino rats (220-250 g) were used. The PF model was created experimentally with a number 15 lancet. Then, the rats were randomly and equally divided into five groups. In the first group (C), no incision was formed. In the second group (P), an incision was formed. In the third group (PR), the incision line was closed primarily...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38506381/mortality-factors-in-crush-syndrome
#11
JOURNAL ARTICLE
Engin Onan, Dilek Torun, Rüya Kozanoğlu, Hasan Miçözkadıoğlu, Salih Beyaz, Levent Özgözen, Necmettin Turgut, Yusuf Ziya Demiroğlu, Özlem Karagün, Pınar Ergenoğlu, Özlem Özkan Kuşçu, Ege Altan, Alper Tuna Güven, Alim Abdullayev, İsmail Karluka, Çiğdem Yalçın, Mustafa Mazıcan, İsa Göktürk Balcı, Burak Özkan, Gönül Parmaksız, Begüm Avcı, Aytül Noyan, Turan Çolak, Hüseyin Ali Tünel, Abdulkerim Temiz, Hasan Özkan Gezer, Cankat Erdoğan, Galib Bairamoi, Dilek Yünlüel, Soner Çivi, Emre Durdağ, Özgür Kardeş, Halil İbrahim Süner, Kadir Tufan, Serkan Erkan, Tevfik Avcı, Ramazan Gündoğdu, Murat Kuş, Alper Fındıkçıoğlu, Oya Yıldız, Eda Alışkan, Cenk Coşkunoğlu, Mehmet Haberal
BACKGROUND: Crush Syndrome is a major cause of morbidity and mortality following large-scale catastrophic earthquakes. Since there are no randomized controlled studies on Crush Syndrome, knowledge on this subject is limited to expert experience. The primary objective is to analyze the epidemiological and demographic characteristics, clinical outcomes, and mortality factors of earthquake victims after the Pazarcik and Elbistan earthquakes on February 6, 2023. METHODS: This cross-sectional and observational retrospective study evaluated 610 earthquake victims who presented to our center between February 6 and April 30, 2023...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38506380/a-rare-cause-of-intestinal-obstruction-right-paraduodenal-hernia
#12
Tuba Atak
Internal herniation is an extremely rare cause of intestinal obstruction. Paraduodenal hernias result from abnormal rotation of the bowel. Symptoms that may range from recurrent abdominal pain to acute obstruction may occur. If it is not diagnosed and treated in time, the disease may result in intestinal ischemia. This article aimed to present the diagnosis and treatment process of a 47-year-old male presenting with acute abdomen symptoms by evaluating retrospectively with the accompaniment of literature. During the abdominal exploration of the patient, nearly all of the intestines were observed to be herniated from the right paraduodenal region to the posterior area...
March 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38305662/identification-of-complicated-and-non-complicated-appendicitis-a-new-alvarado-based-scoring-system
#13
JOURNAL ARTICLE
Arife Polat Düzgün, Hikmet Pehlevan Özel, Eda Şahingöz, Tolga Dinç
BACKGROUND: In the presence of non-complicated appendicitis, treatment typically involves a simple appendectomy and can even be managed medically. However, in cases of complicated appendicitis, surgery becomes more difficult, and the morbidity and mortality rates increase. This study aims to develop a method for recognizing complicated acute appendicitis operatively. METHODS: This retrospective study developed a scoring system based on the Alvarado score. Several variables were scored in this new scoring system, including the Alvarado score, female gender, elevated direct bilirubin, increased appendicitis thickness, and the presence of complications as evidenced by imaging or appendicoliths...
February 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38305661/a-case-of-seatbelt-induced-mesenteric-injury-and-delayed-colon-ischemia-after-a-car-accident
#14
Burak Çelik, Safa Toprak, Mesut Yeşilsoy, İbrahim Halil Özata
Trauma is the sixth leading cause of death globally and the leading cause of morbidity and mortality in young patients. Blunt bowel and mesenteric injuries are rare, occuring in only 1-5% of blunt abdominal traumas, and are associated with high morbidity and mortality. In this report, we present a case of a patient with sigmoid colon perforation due to ischemia caused by mesenteric injury, who was admitted to the hospital with abdominal pain two days after a car accident. A twenty-one-year-old man was admitted to the emergency department with abdominal pain and vomiting, having been involved in a car accident as a driver two days prior...
February 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38305660/hollow-viscus-injury-due-to-blunt-abdominal-trauma-a-tertiary-trauma-center-experience
#15
JOURNAL ARTICLE
Adnan Özpek, Muhammed Kadir Yıldırak, Fikret Ezberci
BACKGROUND: Hollow viscus injuries (HVIs) present less frequently than solid organ injuries in patients with blunt abdominal trauma, potentially leading to significantly increased morbidity and mortality rates. Modern imaging equipment, confidently used for diagnosing solid organ injuries, may fail to identify hollow viscus injuries. In this study, we aim to present our tertiary center's experience with this entity. METHODS: Patients treated in our clinic from April 2011 to December 2021 for hollow viscus injury following blunt abdominal trauma were included in this study...
February 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38305659/evaluating-emergency-department-visits-for-spontaneous-and-traumatic-pneumomediastinum-a-retrospective-analysis
#16
JOURNAL ARTICLE
Nurullah Ishak Işık, Gulhan Kurtoglu Celık, Bahattin Işık
BACKGROUND: Pneumomediastinum signifies the accumulation of air within the mediastinum. This condition can develop sponta-neously or as a secondary condition due to trauma or iatrogenic causes. Although rare, it is part of a wide differential diagnosis scale due to its most common presenting symptoms: chest pain and shortness of breath. METHODS: Our study is a retrospective, observational, and cohort investigation. It included patients who presented to the emer-gency department and were diagnosed with pneumomediastinum through computed tomography...
February 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38305658/is-tapp-the-right-alternative-for-patients-undergoing-emergency-surgery-for-incarcerated-inguinal-hernia
#17
JOURNAL ARTICLE
Levent Eminoğlu
BACKGROUND: Incarcerated inguinal hernia requires emergency intervention.The incarcerated segment should be thoroughly inspected in order to evaluate the degree of ischemia and decide whether resection is required.The aim of this study is to evaluate the applicability of TAPP for patients seen in the emergency department for incarcerated inguinal hernias. METHODS: The study was done retrospectively.Patients who presented to the emergency department and were operated with the TAPP technique were included...
February 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38305657/easy-method-to-determine-fluid-responsiveness-in-septic-shock-patients-end-tidal-co2-a-prospective-observational-study
#18
JOURNAL ARTICLE
Hüseyin Özkarakaş, Oğuz Uçar, Zeki Tuncel Tekgül, Özkan Ozmuk, Mehmet Celal Öztürk, Mehmet Uğur Bilgin, Murat Samsa, Halide Hande Şahinkaya, Çagrı Yesilnacar
BACKGROUND: In critically ill patients, especially those with septic shock, fluid management can be a challenging aspect of clinical care. One of the primary steps in treating patients with hemodynamic instability is optimizing intravascular volume. The Passive Leg Raising (PLR) maneuver is a reliable test for assessing fluid responsiveness, as demonstrated by numerous studies and meta-analyses. However, its use requires the measurement of cardiac output, which is often complex and may necessitate clinician experience and specialized equipment...
February 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38305656/effect-of-ischemia-reperfusion-injury-on-elafin-levels-in-rat-liver
#19
JOURNAL ARTICLE
Abdullah Hilmi Yılmaz, Ugur Dogan, Halit Özgül, Yunus Uzmay, Hamit Yasar Ellidag, Senay Yıldırım, Arif Aslaner
BACKGROUND: The aim of this study was to quantify serum levels of elafin, a serine protease inhibitor, and to assess its effects on histopathological and biochemical parameters in hepatic ischemia-reperfusion injury. METHODS: Forty female Wistar albino rats were divided into five groups: Group 1 served as the control group. Liver ischemia was induced for 30 minutes in the other four groups. An additional 1-hour, 2-hour, and 3-hour reperfusion was induced in Groups 3, 4, and 5, respectively...
February 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38305655/is-the-appropriate-timing-for-percutaneous-cholecystostomy-in-acute-cholecystitis-a-matter-of-concern
#20
LETTER
Cengiz Ceylan
No abstract text is available yet for this article.
February 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
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