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Journals Turkish Journal of Trauma & Em...

Turkish Journal of Trauma & Emergency Surgery : TJTES

https://read.qxmd.com/read/38863296/efficiency-of-the-estimation-of-physiologic-ability-and-surgical-stress-e-pass-score-in-predicting-postoperative-complications-after-robot-assisted-radical-prostatectomy
#1
JOURNAL ARTICLE
Süleyman Bulut, Yalcin Kizilkan, Hüseyin Gültekin, Ali Yasin Ozercan, Burak Köseoğlu, Halil Demirçakan, Tanju Keten, Ünsal Eroğlu, Özer Güzel, Altug Tuncel, Cüneyt Özden
BACKGROUND: Robot-Assisted Radical Prostatectomy (RARP) is increasingly becoming the standard surgical treatment for prostate cancer. While some risk factors for postoperative complications of RARP have been identified, no scoring model that incorporates both preoperative physical status of the patient and intraoperative risk factors has been developed. The Estimation of Physiologic Ability and Surgical Stress (E-PASS) score was initially described to predict postoperative complications after gastrointestinal surgical procedures...
June 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38863295/effects-of-pioglitazone-and-metformin-on-abdominal-adhesion-formation-in-an-experimental-model
#2
JOURNAL ARTICLE
Mehmet Ali Yücesoy, Engin Hatipoğlu, Osman Alperen Balık, Karolin Yanar, Şebnem Batur, Osman Şimşek, Bedii Berat Apaydın
BACKGROUND: This study evaluated the use of metformin or pioglitazone in preventing or reducing the development of post-operative intra-abdominal adhesion (PIAA) by employing histopathological, immunohistochemical, and biochemical analyses in an experimental adhesion model. METHODS: Fifty Wistar-Albino rats were divided into five groups: Group I (Control), Group II (Sham Treatment), Group III (Hy-aluronic Acid), Group IV (Metformin), and Group V (Pioglitazone). Adhesions were induced in the experimental groups, except for the sham group, using the scraping method...
June 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38863294/pain-monitoring-in-intensive-care-how-does-the-nociception-level-index-affect-treatment-and-prognosis-a-randomized-controlled-double-blind-trial
#3
RANDOMIZED CONTROLLED TRIAL
Berna Çalışkan, Zeki Besir, Oznur Sen
BACKGROUND: Effective pain management is vital in critical care settings, particularly post-surgery. Clinicians should maintain objective and efficient standards to assess pain in a patient-centered manner, in order to effectively manage this complex issue. A newer technology, the nociception level (NOL) index, shows promise in achieving this task through its multi-parameter evaluation. METHODS: This study was a prospective, controlled, randomized trial involving two groups of patients (n=30 each) in a diverse intensive care unit...
June 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38863293/comparison-of-the-efficacy-of-royal-jelly-and-melatonin-combinations-in-experimentally-induced-wounds-in-geriatric-and-young-mice
#4
COMPARATIVE STUDY
Osman Bulut, Ali Sorucu, Ayşe Nur Akkoç, İsmihan Selin Tınas
BACKGROUND: Wound healing involves the repair of skin and other soft tissues after an injury. Royal jelly, a product of bees, possesses antioxidant, anti-inflammatory, antibacterial, and antiviral properties. Melatonin, a circadian indoleamine, is produced in the pineal gland and other organs. This study explores the effects of melatonin and royal jelly, both individually and combined, on wound healing in geriatric and young mice. METHODS: The study includes 90 Balb/C mice divided into ten groups to assess the effects of royal jelly and melatonin on wound healing...
June 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38863292/anesthesiological-and-surgical-perspectives-on-using-8-mmhg-versus-12-mmhg-pneumoperitoneum-pressures-during-robotic-radical-prostatectomy-results-of-a-prospective-randomized-study
#5
RANDOMIZED CONTROLLED TRIAL
Mete Manici, İbrahim Can Aykanat, Doga Simsek, Kayhan Tarim, Yavuz Gurkan, Abdullah Erdem Canda
BACKGROUND: This study aims to compare the effects of 8 mmHg and 12 mmHg pneumoperitoneum (PNP) pressures on operative, postoperative, and anesthesiological parameters in robot-assisted laparoscopic radical prostatectomy (RARP). METHODS: In this prospective study, 43 patients undergoing RARP performed by a single experienced surgeon were randomly assigned to either the low-pressure group (8 mmHg - Group I) or the standard-pressure group (12 mmHg - Group II). We evaluated the operative and postoperative parameters from both urological and anesthesiological perspectives...
June 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38863291/assessment-of-hearing-sequelae-in-individuals-tested-post-trauma
#6
JOURNAL ARTICLE
Çağdaş Savaş, Emin Biçen, Ersoy Doğan, İsmail Özgür Can
BACKGROUND: Over 5% of the global population (430 million people) require rehabilitation for hearing loss. Individuals with hearing impairments face significant challenges in business, daily life, and social participation. Hearing loss (HL) and other permanent physical and sensory disabilities escalate dramatically in cases with brain damage and temporal bone trauma associated with head injuries. This study aims to identify the significant risk factors for hearing loss following head trauma, utilizing current data, and discuss the findings in the context of the literature...
June 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38863290/in-cases-of-humeral-diaphyseal-fractures-is-lateral-approach-surgery-without-radial-nerve-exploration-as-effective-and-safe-as-conventional-surgery
#7
JOURNAL ARTICLE
Necati Doğan, Cafer Özgür Hançerli, Halil Büyükdoğan, Cemil Ertürk
BACKGROUND: This study compares the efficacy and safety of lateral approach surgery with and without radial nerve dissection in treating humeral diaphyseal fractures. It assesses clinical, radiological, and complication outcomes, providing a description of the surgical methods and perioperative benefits. METHODS: We retrospectively analyzed data from 71 patients admitted between May 2015 and December 2022 who underwent lateral approach surgery for humeral diaphyseal fractures...
June 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38863289/the-role-of-geraniol-on-hepatic-ischemia-reperfusion-injury-model-in-rats
#8
JOURNAL ARTICLE
Emre Tunç, Vedat Durgun, Ozan Akıncı, Sefa Ergün, Osman Şimşek, Ibrahim Murat Bolayırlı, Nuray Kepil
BACKGROUND: Hepatic ischemia/reperfusion (I/R) injury is a significant clinical condition that can arise during liver resections, trauma, and shock. Geraniol, an isoterpene molecule commonly found in nature, possesses antioxidant and hepatoprotective properties. This study investigates the impact of geraniol on hepatic damage by inducing experimental liver I/R injury in rats. METHODS: Twenty-eight male Wistar Albino rats weighing 350-400 g were utilized for this study...
June 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38863288/evaluation-of-the-effects-of-ectopic-replantation-on-amputate-survival-in-the-management-of-crush-traumatic-amputations-in-rats-an-experimental-study
#9
JOURNAL ARTICLE
Münür Selçuk Kendir, Bilsev İnce, Majid İsmayılzade, Zikrullah Baycar, Hayri Ahmet Burak Nurşen, Mehmet Dadaci
BACKGROUND: This controlled experimental study aimed to compare ectopic replantation with other replantation techniques in a rat model of crush amputations. It also assessed the impact of different replantation methods on the viability of amputates. METHODS: Forty male Wistar albino rats were divided into four groups. Groin flaps served as the amputation model. Group 1 un-derwent guillotine-style amputation followed by orthotopic replantation, Group 2 experienced crush-type amputation and orthotopic replantation, Group 3 had crush-type amputation and orthotopic replantation with a vein graft, and Group 4 underwent crush-type amputation followed by ectopic replantation...
June 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38863287/comparison-of-the-kron-technique-and-digital-manometry-for-measuring-intra-abdominal-pressure-in-emergency-department-patients-diagnosed-with-ileus
#10
COMPARATIVE STUDY
Merve Unutmaz, Çağdaş Yıldırım, Mehmet Emin Unutmaz, Gül Pamukçu Günaydın, Alp Şener, Şervan Gökhan
BACKGROUND: Numerous measurement techniques for intra-abdominal pressure have been explored, with the Kron Technique established as the gold standard. Despite its prominence, the search for alternative methods persists due to its lengthy application time, the requirement for additional equipment, and overall impracticality. This study investigated a quicker, more accessible method for effective intra-abdominal pressure measurement in the emergency department. It aimed to compare intra-abdominal pressure measurements in patients diagnosed with ileus using a digital manometer and the Kron Technique...
June 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38863286/posterolateral-wall-integrity-in-reverse-oblique-intertrochanteric-fracture-fixation-a-new-perspective-in-evaluation
#11
JOURNAL ARTICLE
Ahmed Majid Heydar, Görkem Kıyak
BACKGROUND: Treatment of reverse oblique fractures has the highest complication rate among proximal femur fractures. Although intramedullary nailing is the preferred treatment option, a high failure rate has been reported. Previous studies have identified several contributing factors to these failures, yet the significance of posterolateral wall integrity in ensuring postoperative stability has not been emphasized. This study aims to investigate the impact of posterolateral wall integrity on the failure rates of reverse oblique intertrochanteric fractures treated with intramedullary nails (IMN) and assess the vulnerability of certain IMN designs to these failures...
June 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38863285/etomidate-alleviates-ovarian-ischemia-reperfusion-injury-in-rats
#12
JOURNAL ARTICLE
Vildan Kölükçü, Mehtap Gürler Balta, Hakan Tapar, Tuğba Karaman, Serkan Karaman, Velid Unsal, Fikret Gevrek, Muzaffer Katar
BACKGROUND: This study investigates the protective effects of etomidate against oxidative damage in an experimental model of ovarian ischemia-reperfusion injury. METHODS: A total of 24 female rats were randomized into three groups. Group 1 served as the control. Group 2 underwent an ovarian torsion/detorsion procedure. Group 3 underwent similar procedures as Group 2; additionally, 4 mg/kg of etomidate was administered intraperitoneally 30 minutes before ovarian detorsion...
June 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38738679/chronic-jejuno-colonic-fistula-and-intestinal-malabsorption-due-to-multiple-magnet-ingestions-a-case-report-and-systematic-review
#13
REVIEW
Rahşan Özcan, Ali Ekber Hakalmaz, Ayşe Kalyoncu Uçar, Omer Beser, Senol Emre
Magnet ingestion in children can lead to serious complications, both acutely and chronically. This case report discusses the treatment approach for a case involving multiple magnet ingestions, which resulted in a jejuno-colonic fistula, segmental intestinal volvulus, hepa-tosteatosis, and renal calculus detected at a late stage. Additionally, we conducted a literature review to explore the characteristics of intestinal fistulas caused by magnet ingestion. A six-year-old girl was admitted to the Pediatric Gastroenterology Department pre-senting with intermittent abdominal pain, vomiting, and diarrhea persisting for two years...
May 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38738678/clinical-analysis-of-transverse-process-fractures-a-comprehensive-study-on-patient-characteristics-management-and-outcomes-in-trauma-care
#14
JOURNAL ARTICLE
Göksal Günerhan, Afşin Emre Akpınar, Emin Çağıl
BACKGROUND: Transverse process fractures (TPFs) are commonly encountered in trauma patients and are often associated with polytrauma. While traditionally considered stable injuries, recent research suggests their significance in spinal trauma may be under-estimated. This study aims to provide insights into the management and outcomes of TPFs, evaluating their predictive potential for identifying clinically significant spinal fractures and associated injuries. METHODS: A retrospective review of trauma registry data from a Level I trauma center was conducted, encompassing patients with TPFs from September 2022 to September 2023...
May 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38738677/management-of-a-large-traumatic-hemipelvectomy-defect-following-a-truck-crush-injury-a-case-report
#15
JOURNAL ARTICLE
Mutluhan Temizsoy, Ahmet Hamdi Sakarya
This case report explores the management of a traumatic hemipelvectomy-a rare and devastating injury characterized by a high mortality rate. The patient, a 12-year-old male, suffered right lower extremity amputation and right hemipelvectomy due to a deglov-ing injury from a non-vehicle-related accident at another institution. Initially, an urgent reconstruction of the right pelvic region and suprapubic tissue defects was performed using a posterior-based fasciocutaneous flap. Following this, the patient was transferred to the pediatric intensive care unit at our hospital with a suspected diagnosis of necrotizing fasciitis...
May 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38738676/the-role-of-bone-turnover-markers-in-diagnosis-monitoring-and-pathological-fractures-of-osteoporosis
#16
JOURNAL ARTICLE
Kazım Ersin Altınsoy, Beytullah Unat
BACKGROUND: We investigated the utility of specific biomarkers-namely, c-terminal telopeptide (CTX), n-telopeptide (NTX), deoxypyridinoline (DPD), and tartrate-resistant acid phosphatase (TRAP)-compared to conventional diagnostic methods. We hy-pothesized that these novel biomarkers could hold substantial value in the diagnosis, treatment, and monitoring of osteoporosis. METHODS: The study was conducted over a three-year period, from January 1, 2020, to January 1, 2023...
May 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38738675/effect-of-pre-incisional-and-peritoneal-local-anesthetics-administration-on-colon-anastomosis-and-wound-healing
#17
JOURNAL ARTICLE
Uğur Kesici, Yahya Kaan Karatepe, Ahmet Furkan Mazlum, Kubra Bozali, Mahmut Salih Genç, Leman Damla Ercan, Mehmet Güray Duman, Ayşe Gökçen Sade, Eray Metin Guler, Sevgi Kesici
BACKGROUND: Previous research has shown that levobupivacaine is as effective as bupivacaine but carries a lower risk of cardiac and central nervous system toxicity. This study explores whether levobupivacaine and bupivacaine are preferable for all patients, includ-ing those with comorbidities, particularly focusing on their effects on colonic anastomosis. The primary objective is to examine the influence of levobupivacaine and bupivacaine on colonic anastomosis. Additionally, the study will assess their impact on wound healing and their anti-adhesive properties...
May 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38738674/effects-of-ketamine-on-penile-tissues-in-an-experimental-priapism-model-in-rats
#18
JOURNAL ARTICLE
Vildan Kölükçü, Mehtap Gürler Balta, Hakan Tapar, Tugba Karaman, Serkan Karaman, Velid Unsal, Fikret Gevrek, Kenan Yalçın, Fatih Fırat
BACKGROUND: This study aimed to evaluate the histopathological and biochemical effects of ketamine on penile tissues following ischemia-reperfusion injury induced by priapism. METHODS: Twenty-four male rats were randomized into three groups. Group 1 served as the control group. Group 2 underwent the priapism model to induce ischemia-reperfusion injury. Group 3, the treatment group, experienced a similar ischemia-reperfusion model as Group 2; additionally, 50 mg/kg of ketamine was administered intraperitoneally just before reperfusion...
May 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38738673/psychological-risk-factors-for-upper-extremity-fractures-in-preschool-children-a-case-control-study
#19
JOURNAL ARTICLE
Muhammet Zeki Gültekin, Fatih Doğar, Ahmet Sinan Sarı, Fatma Coşkun, Ahmet Yıldırım
BACKGROUND: In school-age children, upper extremity fractures are associated with both parental and child-related factors and represent a multifactorial entity. This study aims to explore the psychological risk factors associated with upper extremity fractures in preschool children. METHODS: This single-center, hospital-based, age-matched case-control study involved 55 cases of upper extremity fractures and 55 controls experiencing growing pains. Parents of the children participated in face-to-face interviews...
May 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/38738672/bone-grafting-combined-with-a-spiral-flap-technique-for-the-reconstruction-of-fingertip-amputations
#20
JOURNAL ARTICLE
Fatih Ceran, Mehmet Bozkurt, Salih Onur Basat, Emin Kapi
BACKGROUND: Various reconstructive options exist for distal finger and pulp defects, including grafting and local or distant flaps. In addition to reconstructing the normal anatomical structure, preserving the sensory function of the finger is crucial. This study presents the results of using bone grafting combined with a spiral flap (BGcSF) technique for reconstructing pulp defects accompanied by bone loss. METHODS: Twenty-three patients with fingertip defects were treated using the BGcSF technique...
May 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
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