Recommendations for Trauma and Emergency General Surgery Practice During COVID-19 Pandemic.
Abstract COVID-19 is a new disease, based on currently available limited information, older adults and people of any age who have severe underlying medical conditions may be at higher risk for severe illness from COVID-19. People of all age groups are also at risk. Healthcare providers have always been the professionals most exposed to the risk of contracting to any kind of infection due to the nature of their profession. Elective interventions have been postponed to give care of patients with COVID-19. However, some interventions cannot be delayed, such as trauma surgery, acute abdomen, and emergency endoscopies....
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - April 1, 2020 Category: Emergency Medicine Authors: Gok AFK, Eryılmaz M, Ozmen MM, Alimoglu O, Ertekin C, Kurtoglu MH Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

The effects of nitroglycerin in the zone of stasis in a rat burn model.
In this study, we aimed to evaluate and compare the efficiency of an anti-ischemic and vasodilatory agent, a topical agent containing 2% nitroglycerin with 1% silver sulfadiazine, and bacitracin-neomycin sulfate in the zone of stasis histomorphologically and immunohistochemically. METHODS: We conducted an experimental study using 30 Wistar-Albino rats, each weighing 250-300 grams. The rats were divided randomly into five groups (six rats in each group). In this study, the "comb model," which was deemed to be the most appropriate experimental model to produce an injury with predictable zones and was first des...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Gündüz M, Sekmenli T, Uğurluoğlu C, Çiftçi İ Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Comparison of caspase-8, granzyme B and cytochrome C apoptosis biomarker levels in orthopedic trauma patients.
CONCLUSION: These results obtained from patients with a long bone fracture demonstrated that serum caspase-8 and granzyme B levels were higher in patients than in the control group, thereby showing activation of the extrinsic pathway. However, no significant difference was determined between the groups concerning serum cytochrome C levels. This study may guide future studies designed for better understanding of the molecular pathways that govern the events during a fracture, which will be important for the future advancement of fracture treatment. PMID: 32185754 [PubMed - in process] (Source: Turkish Journal of Trauma...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Pazarcı Ö, Aydin H, Kılınç S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

A rare case report: Cervical subcutaneous and mediastinal emphysema due to mastoid fracture.
We present a case report of a mastoid fracture as a rare cause of cervical subcutaneous and mediastinal emphysema. PMID: 32185755 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Gök H, Şeker S, Peker HO, Çal MA, Altay T, Çelik S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

The importance of the injury severity scores and revised trauma scores for moderate traumas: A state hospital experience.
CONCLUSION: Both ISS and RTS are nonsignificant in all moderate injury types. On the other hand, respiratory rate is an important marker, especially in penetrant moderate injuries. PMID: 32185756 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Yıldırım Aydın F, Dülger D Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Successful treatment of a combined bronchial and aortic trauma.
In this study, we present a patient who developed complete avulsion of the left main bronchus with a vertical rupture toward the carina accompanying a contained rupture of the descending aorta after being run over by a van. We performed a left upper lobectomy and reimplantation of the lower lobe to the left main bronchus. Subsequently, an endovascular stent was placed to cover the pseudoaneurysm. The patient was discharged on day nine after an uneventful postoperative course. Tracheobronchial trauma complicated with concomitant major injuries apparently requires a rapid and challenging multidisciplinary approach in a well-...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Sarıçam M, Özkan B, Toker A Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Comparison of tandir burns and other flame burns.
In this study, we compared tandir burns with other flame burns concerning age, gender, total burn surface area, burn depth, hospitalization times, hospitalization duration, surgical procedures performed, wound culture results, burn localization and mortality. RESULTS: Tandir burn patients were treated in the hospital for an average of 27.6±9.5 days, while non-tandir burn patients were treated for a period of 16.5±12.5 days. A significant difference was found between the hospitalization periods of the two groups (p
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Cinal H, Barın EZ Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Diagnostic value of GCP-2/CXCL-6 and hs-CRP in the diagnosis of acute appendicitis.
T, Tez M Abstract BACKGROUND: Acute appendicitis (AA) is one of the major causes of acute abdomen pain. Various laboratory markers have been studied for diagnosis of AA, but none of them have shown superiority to physical examination or imaging. GCP-2/CXCL6 is a chemokine expressed by macrophages and epithelial and mesenchymal cells during inflammation. The present study aims to investigate the diagnostic role of GCP-2/CXCL6 in AA patients. METHODS: In this cross-sectional study, the serum level of GCP-2/CXCL6 was measured in 56 AA patients and 32 healthy control subjects. Also, hs-CRP and white blood cell c...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Yücel Ç, Fırat Oğuz E, Er S, Balamir İ, Turhan T, Tez M Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Ischemia-modified albumin and the IMA/albumin ratio in the diagnosis and staging of hemorrhagic shock: A randomized controlled experimental study.
CONCLUSION: IMA and IMAR levels may be used in the early diagnosis of HS and also have the potential for use in determining the severity of HS. IMA and IMAR measurement may also be considered as an alternative or in addition to lactate measurement in the diagnosis of HS. PMID: 32185760 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Türedi S, Şahin A, Akça M, Demir S, Reis Köse GD, Çekiç AB, Yıldırım M, Yuluğ E, Menteşe A, Türkmen S, Acar S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

A novel hemostatic scaffold material and the importance of scaffold formation on ending hemorrhage: An experimental rat study.
CONCLUSION: In our study, the scaffold formed by PD exerts appropriate porousness and contributes to fibrin formation and prevent re-bleeding. PD had a strong and significant scaffold effect. The effectiveness of PD to stop bleeding was equal to chitosan. Besides being natural, hemostatic agents should not induce cellular damage. We histopathologically demonstrated that PD was harmless for the natural structure of cells and vessels in the femoral site. PMID: 32185761 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Altıntop I, Tatlı M, Soyer Z, Yay AH, Öztürk A, Karakükçü Ç Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Results of acromioclavicular joint reconstruction using a novel minimally invasive technique.
CONCLUSION: We present a novel minimally-invasive polymer cerclage wire technique which provides comparable results as other reported arthroscopic and open techniques for Type 5 AC joint separations. PMID: 32185762 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Huri G, Özdemir E, Ziroglu N, Costouros J, McFarland E Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Ingested foreign bodies in children: Do they really pass spontaneously from the gastrointestinal tract? A single-centre experience with 1000 cases.
CONCLUSION: We demonstrated that coins, which are the most commonly ingested FBs, have various types and sizes according to their countries of origin, and this affects spontaneous passage. We found that only 48% (quite low compared to the literature) of the coins passed spontaneously. In asymptomatic patients with a gastric button battery, we suggest a "watchful waiting" approach. The patients should be observed and managed at home. In our study, we found that 85% of the button batteries that reached the stomach passed spontaneously. PMID: 32185763 [PubMed - in process] (Source: Turkish Journal of Trauma and...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Gezer HÖ, Ezer SS, Temiz A, İnce E, Hiçsönmez A Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Endovascular embolisation treatment in a rare acute abdomen spontaneous rectus sheath haematoma.
CONCLUSION: RSH is a life-threatening condition that may cause acute abdominal pain, and endovascular embolization is a safe and effective treatment option that can be applied quickly in this patient group. PMID: 32185764 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Çakır Ç Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Assessment of firearm injuries undergoing advanced airway management: Role II hospital experience.
CONCLUSION: Bullet injuries that require advanced airway are more destructive and more deadly than explosion injuries. This may be due to direct airway or organ damage in bullet gunshot wounds. PMID: 32185765 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Eksert S, Asik MB, Kaya M Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

A bibliometric analysis of publications on trauma in critical care medicine during 1980-2018: A holistic view.
CONCLUSION: This study will be a useful guide to all scientists and clinicians conducting research on trauma in critical care. PMID: 32185766 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Karaca O, Guldogan CE Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Endoscopic and surgical management of iatrogenic biliary tract injuries.
CONCLUSION: In all patients with suspected BTI, a detailed screening and appropriate treatment provide a significant decline in morbidity and mortality. Therefore, early diagnosis is very important for both early and late outcomes. PMID: 32185767 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Acar T, Acar N, Güngör F, Alper E, Gür Ö, Çamyar H, Hacıyanlı M, Dilek ON Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Electrical burns and complications: Data of a tertiary burn center intensive care unit.
CONCLUSION: The proportion of our electrical burn patients is higher than reported in the literature. Burn TBSA and ABSI scores seem unrelated to prognosis. As the majority of patients are burned with high-voltage electricity at work, these injuries can be reduced by following occupational safety principles. Because of the high rate of complications in electrical burns, an experienced health team in well-equipped centers should treat patients in accordance with updated guidelines. PMID: 32185768 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Başaran A, Gürbüz K, Özlü Ö, Demir M, Eroğlu O, Daş K Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Fournier's gangrene: Five years' experience from a single center in Turkey.
CONCLUSION: Fournier's gangrene is a fulminant infection with a high mortality rate. Physical examination and anamnesis are quite important for the diagnosis of FG. DM is the most common comorbidity. Age, hematocrit level, FGSI and UFGSI scores affect the patients' length of stay in the ICU. PMID: 32185769 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Hatipoglu E, Demiryas S, Şimşek O, Sarıbeyoğlu K, Pekmezci S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Reversal of Hartmann's procedure is still a high-morbid surgery?
CONCLUSION: The reversal of Hartmann's procedure appears to be a safe operation with acceptable morbidity rates. If the correct patient selection, correct operation timing and meticulous surgical preparation are performed, the risk of morbidity and mortality of the reversal of Hartmann's procedure can be minimized. PMID: 32185770 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Akıncı O, Yurdacan M, Turgut BC, Uludağ SS, Şimşek O Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

A new technique in the evaluation of strangulated and incarcerated hernias: Near-infrared spectroscopy.
;, Korkut S Abstract BACKGROUND: The present study aims to investigate the usefulness of NIRS in identifying decreased blood flow in intestinal tissue inside the hernial sac in incarcerated hernias. METHODS: Forty patients with manually irreducible inguinal hernias and with ileus determined by clinical findings and imaging were included in this study. Patients' intestinal oxygenations were measured by placing NIRS probes over the areas of inguinal hernia and over non-herniated areas immediately lateral to these. Differences in oxygenation between normal and herniated areas were evaluated. RESULTS: Forty ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Ziyan M, Kalkan A, Bilir Ö, Ersunan G, Özel D, Uzun Ö, Korkut S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Should percutaneous cholecystostomy be used in all cases difficult to manage?
CONCLUSION: Cholecystostomy may cause fibrosis during the healing process, eventually complicating laparoscopic cholecystectomy. Thus, there is a need for better evaluation during the identification of indications for cholecystostomy. PMID: 32185772 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Cartı EB, Kutlutürk K Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

An updated analysis of the surgical and urological complications of 789 living-related donor kidney transplantations: Experience of a single center.
CONCLUSION: In our series, urological and surgical complications were detected in 11.02% of the recipients. Although complications still encountered, early identification of these complications with proper management strategies significantly decreases the risk of graft loss. PMID: 32185773 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Oktar T, Koçak T, Tefik T, Erdem S, Şanlı Ö, Ziyla HO, Nane İ Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Evaluation of the patients admitted to the pediatric emergency service: Cross-sectional analysis of the pediatric emergency and trauma clinic of a tertiary training hospital in Turkey.
CONCLUSION: Most of the patients admitted to pediatric emergency service for non-urgent reasons which can be managed in primary care services. PMID: 32185774 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Pakdemirli A, Orbatu D, Berksoy E Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Posterior reversible encephalopathy syndrome as an underlying cause for encephalopathy in a sepsis patient in the intensive care unit: A case report.
Abstract Posterior reversible encephalopathy (PRES) is a clinical and radiological syndrome characterized by neurological findings and vasogenic edema in the posterior regions of the cerebral hemispheres. Sepsis and septic shock have recently been recognized as an etiological factor in PRES. In this case report, we are presenting a patient with intraabdominal sepsis and PRES followed in the intensive care unit with an unfavorable neurological outcome. Wider recognition of PRES as a cause of encephalopathy in sepsis patients is necessary. PMID: 32185775 [PubMed - in process] (Source: Turkish Journal of Trauma ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Orhun G Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Non-operative management of civilian abdominal gunshot wounds.
CONCLUSION: Some patients with a civilian abdominal gunshot wound in certain anatomical localization who are hemodynamically stable and have no peritonitis symptoms can be non-operatively managed just as in patients with abdominal stab wounds. Success rates of selective non-operative management are high, especially in gunshot wounds of flank, posterior abdominal, thoracoabdominal and pelvic regions. PMID: 32185776 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Özpek A, Canbak T Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Diagnostic accuracy of ultrasonography and scoring systems: The effects on the negative appendectomy rate and gender.
CONCLUSION: In addition to being a good diagnostic predictor of acute appendicitis in male and female patients, Ohmann score provides the best negative appendectomy rates. The combination of USG and scoring systems does not increase the diagnostic accuracy of acute appendicitis. However, negative appendectomy rates are significantly reduced when the USG and Ohmann scale are used together in females, while this reduction is minimal in men. PMID: 32185777 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Şenocak R, Kaymak Ş Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Acetabular fractures treated surgically: Which of the parameters affect prognosis.
This study aims to evaluate the surgical approaches, complications, clinical and radiological findings in acetabular fractures treated with surgical methods and to determine the parameters affecting prognosis. METHODS: Out of 144 patients undergone surgical treatment with the diagnosis of displaced acetabular fractures between 1994 and 2014, a total of 103 patients with 75 male and 28 female with a mean age of 36.3 years (range 19-67 years) whom clinical and radiologic follow-ups (mean: 34 months, range 2-8 years) were performed at least for two years were included in this study. RESULTS: Clinically excellent to ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Bilekdemir U, Civan O, Cavit A, Özdemir H Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Is electromagnetic guidance system superior to a free-hand technique for distal locking in intramedullary nailing of tibial fractures? A prospective comparative study.
CONCLUSION: Both the FHT distal screwing technique and the EMGS distal screwing technique are highly effective methods for distal locking. The duration of operation, the duration of the fluoroscopy and radiation exposure were similar. FHT can be preferred for distal locking in conventional intramedullary nail applications, as it is effective, easy and inexpensive. PMID: 32185779 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Aslan A, Konya MN, Gülcü A, Sargın S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Correlation between optic nerve sheath diameter and Rotterdam computer tomography scoring in pediatric brain injury.
CONCLUSION: In our study, reference ONSDs of the pediatric population for CT imaging was indicated. Our study also showed that ONSD measurement is a parameter that can be used in addition to the RCTS to determine the prognosis of the patient in severe head trauma, by reflecting increased intracranial pressure. PMID: 32185780 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - March 1, 2020 Category: Emergency Medicine Authors: Kayadibi Y, Ülgen Tekerek N, Yeşilbaş O, Tekerek S, Üre E, Kayadibi T, Tekcan Şanlı DE Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Mid-term results of displaced acetabulum fractures surgically treated using anterior intra-pelvic approach (modified Stoppa).
CONCLUSION: AIP approach provides a satisfactory exposure for the surgical treatment of displaced anterior wall/column and both column acetabular fractures. Clinical outcome is directly related to the reduction quality. Patients with poor reduction are most likely to develop mid-term complications, such as hip joint arthrosis. PMID: 31942727 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Çağlar Ö, Kamacı S, Bekmez Ş, Tokgözoğlu AM, Atilla B, Acaroğlu E Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Should we still doubt the success of emergency oncologic colorectal surgery?: A retrospective study.
CONCLUSION: Despite the appropriate oncologic resection, CRC patients operated under emergency conditions had worse short-term and long-term results than the CRC patients operated under elective conditions. Thus, we believe that the prevalence of colorectal cancer screening programs should be increased to reduce the rate of emergency surgery. PMID: 31942728 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Acar N, Acar T, Kamer E, Cengiz F, Atahan K, Kar H, Hacıyanlı M Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Comparison of epidural analgesia combined with general anesthesia and general anesthesia for postoperative cognitive dysfunction in elderly patients.
This study aims to compare the effects of general anesthesia and the combination of general anesthesia with epidural analgesia for postoperative cognitive dysfunction (POCD). We hypothesized that neuraxial block combined with general anesthesia (GA) would have a favorable influence on POCD prevention. METHODS: Patients above 60 years undergoing non-cardiac surgery were included in this randomized, prospective study and randomized into two groups. Patients in the first group (GI) were treated under GA, whereas in the second group (GII), epidural analgesia was combined with GA. Patients' cognitive function was assessed ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Orhun G, Sungur Z, Koltka K, Savran Karadeniz M, Yavru HA, Gürvit H, Şentürk M Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Investigation of firearm injury cases presented to training and research hospital's emergency service.
CONCLUSION: Our study presents an important cross-section of the gunshot injury patterns and their consequences in Turkey, but it contains regional data. In this regard, multicentre and multidisciplinary studies covering the country, in general, are considered to be a significant contribution to the literature. PMID: 31942730 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Meral O, Sağlam C, Güllüpınar B, Aktürk ÖE, Beden S, Parlak İ Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Analysis of risk factors of mortality in abdominal trauma.
T, Yilmaz S Abstract BACKGROUND: The present study aims to analyze blunt and penetrating abdominal traumas that were evaluated in our emergency department, the treatment approaches and risk factors of mortality. METHODS: Six hundred and sixty-four patients were admitted to our emergency department for surgical evaluation for trauma between January 2009 and April 2019. After the exclusion of dead on arrival, patients with missing data and patients without abdominal trauma were excluded from this study. Hundred and thirteen patients with abdominal trauma admitted to our department were evaluated in this study. ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Gönültaş F, Kutlutürk K, Gok AFK, Barut B, Sahin TT, Yilmaz S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

High C-reactive protein level as a predictor for appendiceal perforation.
In this study, we aimed to investigate the role of basic inflammatory markers in the diagnosis of perforated AA. METHODS: A retrospective chart review was conducted of patients who underwent appendectomy with a diagnosis of AA between January 2014 and October 2019 at Akdeniz University Faculty of Medicine; and between December 2017 and October 2019 at Istinye University Faculty of Medicine Hospital. Markers recorded were as follows: white blood cell count, neutrophils, lymphocytes, platelets, c-reactive protein, mean platelet volume, red cell distribution width and eosinophils. Hematological indices were combined to g...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Özozan ÖV, Vural V Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Using pentraxin-3 for diagnosing acute appendicitis and predicting perforation: A prospective comparative methodological study.
CONCLUSION: The diagnostic performance of Pentraxin-3 for acute appendicitis and the predictive performance for perforation were higher than white blood cell count, high-sensitivity C-reactive protein and interleukin-6. PMID: 31942733 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Gul VO, Destek S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

The thiol-disulphide homeostasis in patients with acute pancreatitis and its relation with other blood parameters.
CONCLUSION: The disruption of the thiol-disulfide balance may play a role in the pathogenesis of acute pancreatitis. In acute pancreatitis, since the thiol level is decreased in the blood, administration of the complementary therapies for this thiol deficiency may contribute to the treatment of the disease. PMID: 31942734 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Ercan Haydar FG, Otal Y, Şener A, Pamukçu Günaydın G, Içme F, Atmaca Temrel T, Baran P, Erel O Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Spontaneous abdomen and abdominal wall hematomas due to anticoagulant/antiplatelet use: Surgeons' perspective in a single center.
CONCLUSION: Early recognition, hospitalization of risky patients, close follow-up of hemodynamic parameters, patients' response to conservative treatment and minimal invasive methods are key points. Conservative care is the choice of treatment, but surgery must always keep in mind in hemodynamic unstable patients. PMID: 31942735 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Çolakoğlu MK, Özdemir A, Kalcan S, Demir A, Demiral G, Pergel A Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Castleman's disease presenting with mechanical intestinal obstruction: A rare case.
In this study, we present one case of CD causing mechanical intestinal obstruction due to involvement of terminal ileum. A 50-year-old man was admitted to the hospital with signs and symptoms of mechanical intestinal obstruction without history previous surgery. After examination and obtaining abdominal computed tomography, diagnosis of mechanical intestinal obstruction was reached and emergency surgery was performed with a median incision. On abdominal exploration a tumor like mass that also held distal small intestine mesentery, and ileocecal valve causing complet intestinal obstruction was observed. Ileocecal resection ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Kartal A, Atlı E, Vural G, Ferhatoğlu MF, Filiz Aİ Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Traumatic upper extremity injuries: Analysis of correlation of mangled extremity severity score and disabilities of the arm, shoulder and hand score.
CONCLUSION: The Disabilities of the Arm, Shoulder and Hand Score did not correlate significantly with the Mangled Extremity Severity Score. PMID: 31942737 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Hohenberger GM, Cambiaso-Daniel J, Schwarz AM, Boukovalas S, Seibert FJ, Konstantiniuk P, Cohnert T Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Evaluation of rat major celluler prion protein for early diagnosis in experimental rat brain trauma model.
This study was conducted to evaluate serum S100B and prion protein (PrPC) levels in rats with TBI. METHODS: In this study, 15 albino rats were categorized into three groups as follows: sham-operated (1), control (6) and trauma (8) groups. The TBI model was based on the modified free falling model. S100B, PrPC levels were measured using ELISA. Brain specimens were obtained for the pathological examination. RESULTS: Serum S100B and PrPC levels were found to increase in T group at both 2h and 24h after trauma (p
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Kural A, Tekin Neijmann S, Toker A, Doğan H, Sever N, Sarıkaya S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

The effects of dexmedetomidine in increased intestinal permeability after traumatic brain injury: An experimental study.
This study aims to investigate whether or not dexmedetomidine (DEX) application affects inflammation, increased intestinal mucosa damage and intestinal permeability in traumatic brain injury (TBI). METHODS: The rats included in our study were randomized into three groups as the control group (Group 1, n=10), trauma group (Group 2, n=10) and the trauma+dexmedetomidine group (Group 3, n=10). While trauma was not induced in the control group, head trauma was induced in all rats in Groups 2 and 3 with the same method. The rats in Group 3 additionally received the DEX application. Intestinal THF-a, serum TNF-a, IL-6, IL-1b...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Karaca O, Doğan G Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Predictive and prognostic value of L-lactate, D-dimer, leukocyte, C-reactive protein and neutrophil/lymphocyte ratio in patients with acute mesenteric ischemia.
CONCLUSION: Particularly, the CRP level can be used effectively in the preoperative period to diagnose AMI and to determine its subtype and clinical course. However, L-lactate, D-dimer, leukocyte and NLR are markers that have no predictive value in the diagnosis of all AMI subtypes. PMID: 31942740 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Destek S, Yabacı A, Abik YN, Gül VO, Değer KC Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

A rare case of acute mechanical intestinal obstruction: Colonic endometriosis.
In this study, we aim to report a case of a 40-year-old patient with AMIO developed secondary to colonic endometriosis in light of the literature. The patient was discharged with full surgical recovery after the Hartmann procedure was performed, and the pathological diagnosis was reached as endometriosis. At the post-operative sixth-month colostomy, closure and bilateral oophorectomy were performed with the patient's will. The patient was discharged with surgical recovery and is still being regularly followed up. Endometriosis is a gynecological disease that may occur in all organ systems even though the most common locati...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Buldanlı MZ, Özemir İA, Yener O, Dölek Y Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Endoscopic treatment of postoperative biliary fistulas.
CONCLUSION: ERCP is an effective method for the diagnosis and treatment of biliary diseases. The diagnosis and treatment of postoperative biliary fistulas with ERCP reduces surgery cost, morbidity, and mortality. PMID: 31942742 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Çolak Ş, Gürbulak B, Gök AFK, Çakar E, Bektaş H Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Long-term comparative study of internal fixation with Kirschner wires or cannulated screws for displaced medial epicondyle fractures of the humerus in children: A 10-year follow-up of 42 cases.
CONCLUSION: Two smooth K-wires for younger children and screw fixation for children near skeletal maturity may provide favorable clinical and radiological outcomes at long-term follow-up, with low morbidity and radiographic deformity. PMID: 31942743 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Ergin ÖN, Demirel M, Şentürk F, Bayram S, Bilgili F Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

The effects of early femoral nerve block intervention on preoperative pain management and incidence of postoperative delirium geriatric patients undergoing trochanteric femur fracture surgery: A randomized controlled trial.
CONCLUSION: The femoral nerve block was more effective in preoperative pain management of trochanteric femur fracture and preventing pain during regional anesthesia application. The mean IL-8 level was lower in the femoral nerve block group when compared to the paracetamol group. There is no difference in the postoperative delirium incidence between groups. PMID: 31942744 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Uysal Aİ, Altıparmak B, Yaşar E, Turan M, Canbek U, Yılmaz N, Gümüş Demirbilek S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

The importance of preliminary evaluation in developing ambulance staff training curriculum for developing countries: A survey in Uzbekistan.
CONCLUSION: The ambulance staff in Tashkent, Uzbekistan found to have insufficient medical knowledge and clinical decision-making abilities. Training program for ambulance staff in Tashkent should be developed on the basis of the findings in this study. PMID: 31942745 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Jeon WC, Kim HJ, Park J, Kim KH, Shin DW, Park JM, Kim JE, Lee JS, Kim H Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases.
CONCLUSION: Other organs are frequently involved in cases of TDR, and mortality increased significantly in cases with associated liver injury. An ISS of ≥24 was determined to be an independent risk factor associated with mortality. Since the main determinant of mortality was the presence or absence of additional organ injuries, it is important that this should be taken into consideration in these patients. PMID: 31942746 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Kaya S, Altın Ö, Altuntaş YE, Özdemir A, Cesur EE, Bildik N, Küçük HF Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Upper extremity replantation results in our series and review of replantation indications.
CONCLUSION: Despite the availability of prostheses, cadaveric upper extremity replantations, replantation of the native extremity is still the most appropriate treatment for amputated cases. However, surgeons should realize that the ultimate goal is not merely to save the viability of the extremity through replantation, but rather to preserve the life quality by improving the function. PMID: 31942747 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - January 1, 2020 Category: Emergency Medicine Authors: Okumuş A, Cerci Ozkan A Tags: Ulus Travma Acil Cerrahi Derg Source Type: research