The effects of specific and non-specific phosphodiesterase inhibitors and N-acetylcysteine on oxidative stress and remote organ injury in two-hit trauma model.
CONCLUSION: This experimental study has shown that PDE inhibitors and NAS have a decreasing effect on oxidative stress and distant organ damage in the two-hit model. Further clinical and experimental studies are needed on this subject. PMID: 32589233 [PubMed - as supplied by publisher] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Özer Ö, Topal U, Şen M Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Effects of garlic oil (allium sativum) on acetic acid-induced colitis in rats: Garlic oil and experimental colitis.
CONCLUSION: GO can reduce colonic damage and inflammation in the acetic acid-induced colitis model, with effects on both local and systemic treatments, but with a more pronounced effect in local treatment. PMID: 32589234 [PubMed - as supplied by publisher] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Tanrıkulu Y, Şen Tanrıkulu C, Kılınç F, Can M, Köktürk F Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Spontaneous direct inguinal hernia rupture and intestinal mesenteric separation: A case report.
uml;, Koşar MN Abstract Spontaneous evisceration is a rare complication that becomes life-threatening in direct inguinal hernia. A female at the age of 44, weighing 50 kg looked cachectic and was suffering from swelling on the left groin for the last several years. The evisceration of the small intestine as separated from the mesenterium transpired in the subsequent stage of a spontaneous rupture in the left inguinal region after severe coughing. The region ruptured was sealed after small intestine resection carried out through the incision perforated; mesh herniorrhaphy was implemented at the end of the 3rd mont...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Görgülü Ö, Koşar MN Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

The role of the lactate level in determining the risk rates of small bowel resection in incarcerated hernias.
This study aims to examine the markers that may be effective in determining the risk of small bowel resection due to incarcerated hernias. In particular, we aimed to investigate the effect s of blood lactate levels in determining this risk. METHODS: A cross-sectional retrospective study was designed. Patients, whose preoperative diagnosis were reported as incarcerated hernia and had essential information, were included in this study. They were divided into two groups according to whether they had resection or not. Age, gender, hernia type, hernia side, resection material, blood lactate level (BLL), white blood cell (W...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Şahin M, Buluş H, Yavuz A, Turhan VB, Öztürk B, Kılıç NA, Babayiğit M, Öztürk D Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Effects of catheter orifice configuration (triple-hole versus end-hole) in continuous infraclavicular brachial plexus block on analgesia after upper limb surgery.
Abstract BACKGROUND: The configuration of a nerve block catheter may affect the local anesthetic spread in epidural analgesia and continuous peripheral nerve blocks. This prospective and randomized study aims to compare the multi-orifice nerve block catheter with an end-hole catheter in ultrasound-guided continuous infraclavicular brachial plexus block (BPB) in terms of providing postoperative analgesia for the orthopedic upper limb surgery below the shoulder. The primary outcome measure was mean pain scores. Secondary outcome measures were the consumption of rescue analgesic and the amount of local anesthetics de...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Eskin MB, Ceylan A Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Failed angioembolization of a ruptured liver hemangioma complicated by iatrogenic injury of subclavian vein during catheter insertion.
In this study, we report a case of failed angioembolization of a ruptured liver hemangioma complicated by iatrogenic injury of the subclavian vein during catheter insertion. A 30-year-old woman experienced blunt trauma upon falling from her bed. Laceration of a seemingly preexisting hepatic hemangioma was diagnosed. No other injury was detected during a preoperative diagnostic workup. Subclavian vein catheterization was performed, followed by angioembolization to control bleeding due to the ruptured hemangioma. After angioembolization, the patient's systolic blood pressure and hemoglobin levels were 70 mmHg and 5.3 g/dL, r...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Kang WS, Jo YG, Park YC Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Effects of sugammadex on ischemia reperfusion in a rat extremity model.
Hancı V, Yuluğ E, Şişman AR Abstract BACKGROUND: The hypothesis of our study is that sugammadex has protective efficacy against ischemia-reperfusion (I/R) injury in rats. METHODS: Our study included 28 male Wistar Albino rats. The rats were assigned to four groups. The sham group had no procedure other than anesthesia administration. The control group received three hours of ischemia and 24 hours of reperfusion. The Sgdx4 group received 4 mg/kg, and the Sgdx16 group received 16 mg/kg sugammadex intravenously, and then, reperfusion was applied. Histopathological investigation, and serum creatine kinase (CK...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Alagöz A, Küçükgüçlü S, Boztaş N, Hancı V, Yuluğ E, Şişman AR Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Comparison of the demographic and clinical features of pregnant and non-pregnant patients undergoing appendectomy.
CONCLUSION: Although not statistically significant, this study points out relatively lower rates of negative appendectomy and perforated acute appendicitis among pregnant patients, which is related to the overly attentive evaluation of pregnants admitted due to acute abdomen. PMID: 32589240 [PubMed - as supplied by publisher] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Koç C, Akbulut S, Coşkun EI, Sarıcı B, Yılmaz S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Perioperative outcomes following a hip fracture surgery in elderly patients with heart failure with preserved ejection fraction and heart failure with a mid-range ejection fraction.
M, Aydoğan NH Abstract BACKGROUND: To examine the influence of heart failure (HF) with preserved ejection fraction (HFPEF) and HF with mid-range ejection fraction (HFmrEF) on perioperative cardiac and noncardiac outcomes following hip fracture surgery. METHODS: Data of elderly patients (≥ 65 years) who underwent hip fracture surgery were retrospectively analyzed in this study. Patients with a left ventricular ejection fraction (LVEF)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Açan AE, Özlek B, Kılınç CY, Biteker M, Aydoğan NH Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

An investigation into the effects of hemodynamic changes on the patient's clinical condition during the treatment of patients undergoing aneurysmal subarachnoid hemorrhage.
CONCLUSION: GEDI values were correlated with daily fluid balance. While low GEDI value was found as a risk factor, we could not determine an ideal GEDI value. PMID: 32589242 [PubMed - as supplied by publisher] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Yaman Mammadov N, Ali A, Mammadov O, Jima AK, Orhun G, Akinci IO Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Assessment of plasma and tissue fibronectin EIIIB splice variant expressions measured serially using RT-PCR in a wound model of rabbits.
CONCLUSION: The findings of the current study support that tissue EIIIB expression level increases during wound healing; and plasma EIIIB expression level decreases minimal changed. This is in contrast to reports where plasma FN provisionally helps ECM formation. Therefore, our data show an essential role of EIIIB at the tissue level in accelerating the wound healing process. The RT-qPCR method in our experimental setup can provide more accurate and precise results compared to the antibody-based methods. PMID: 32589243 [PubMed - as supplied by publisher] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Kurt Özkaya N, Zereyak U, Açıkalın Coşkun K, Tutar Y, Yılmaz S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

The effects of analgesic treatment and chest physiotherapy on the complications of the patients with rib fractures that arise from blunt chest trauma.
Abstract BACKGROUND: This prospective study aims to investigate the effect of chest physiotherapy and analgesic therapy on the possible complications of isolated rib fractures attributable to blunt thoracic trauma, such as hemothorax and pneumothorax. METHODS: Patients who presented to Çanakkale Onsekiz Mart University School of Medicine Hospital's Emergency Department and Thoracic Surgery outpatient clinics within the first 24 hours of the post-traumatic period and did not have additional intrathoracic complications at presentation with blunt thoracic trauma and who were diagnosed with isolated rib fr...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Alar T, Gedik İE, Kara M Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Assessment of computed tomography indications and computed tomography reports for usefulness in clinical presentation at postoperative follow-up of gunshot wound cases.
CONCLUSION: Selective lower thoracic and upper abdominal tomography obtained following a gunshot injury may be used not only to detect pathology but also as an efficacious, fast, reliable and cost-effective imaging method. PMID: 32589245 [PubMed - as supplied by publisher] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Üstüner MA, Eryılmaz M Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

A rarely encountered case: A neuroendocrine tumor in strangulated Littre's hernia.
In this study, we present a case of neuroendocrine tumor in strangulated Littre's hernia, on which we did not find a study when we reviewed the relevant literature. A 71-year-old male patient presented to our outpatient clinic with complaints of left groin pain and swelling in the groin. Acute abdomen findings were also present in the abdominal examination of the patient. The patient was operated on immediately and it was observed during the operation that the herniated Meckel's diverticulum was perforated. Segmental small intestine resection was performed. The pathology results of the patient revealed a well-differentiate...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Erdoğan A, Bostanoğlu A Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Can the C-reactive protein-to-plasma albumin ratio be an alternative scoring to show mortality and morbidity in patients with colorectal cancer?
CONCLUSION: Although scoring systems are useful in predicting morbidity and mortality in colorectal patients, they are difficult to use in practice since they include many parameters. that the findings obtained in this study suggest that the CRP/ALB ratio, which can be calculated without any additional cost, may help the clinician predict mortality and especially morbidity. PMID: 32589247 [PubMed - as supplied by publisher] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Şahiner Y, Yıldırım MB Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

How important is susceptibility-weighted imaging in mild traumatic brain injury?
CONCLUSION: Susceptibility-weighted imaging, which can be used to assess the presence and severity of microhemorrhages due to diffuse axonal injury, is recommended for determining the cause of symptoms in patients with mTBI, to continue targeted treatment and prevent complications that may develop. PMID: 32589248 [PubMed - as supplied by publisher] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Eldeş T, Beyazal Çeliker F, Bilir Ö, Ersunan G, Yavaşi Ö, Turan A, Toprak U Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Evaluation of Tp-e interval, Tp-e/QT ratio and Tp-e/QTc ratio in blunt chest trauma patients.
This study aimed to evaluate the risk of arrhythmias in blunt chest trauma patients using Tp-e interval, Tp-e/QT ratio and Tp-e/QTc ratio. METHODS: In this study, patients who applied to the emergency department due to blunt chest trauma were examined prospectively. The 12-lead ECG was performed to both blunt chest trauma and control group. ECG measurements of QT and Tp-e intervals were performed from both groups. RESULTS: A total of 81 participants; 41 blunt chest trauma patients and 40 healthy volunteers were included in this study. Tpe, Tpe/QT, Tpe/QTc values were statistically significant in the trauma group ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Çaltekin İ, Hidayet Ş Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?
alvaç ES Abstract BACKGROUND: Hip fractures in the orthogeriatric population are a health problem that causes mortality and morbidity, with an increasing frequency. The present study aims to investigate whether the preoperative neutrophil-to-lymphocyte ratio (NLR) is a predictive value for the postoperative mortality risk in patients who underwent only proximal femoral nail (PFN) surgery due to pertrochanteric fractures (PTF). To our knowledge, there is not any study conducted with a similar population in the litertaure. METHODS: Fifty-five patients who were operated on by two National Board-certified ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Özbek EA, Ayanoğlu T, Olçar HA, Yalvaç ES Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Acute spinal epidural hematoma: A case report and review of the literature.
k S Abstract Spinal epidural hematoma (SEH) is a rare but a significant cause of spinal cord compression and neurologic deficits. Its etiology is usually unknown and requires emergency intervention. The present study aims to review the clinical significance, treatment strategies and clinical outcomes of traumatic SEH with a rare case presentation. Our patient was a 42-year-old female who presented with back pain and loss of sensation and strength in the legs. The patient did not have any disease and did not use anticoagulant drugs. The patient developed numbness in her legs half an hour after having a traditional ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Akar E, Öğrenci A, Koban O, Yılmaz M, Dalbayrak S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

"Step-by-step" principles of safe laparoscopic approach with technical details in "median arcuate ligament syndrome".
"Step-by-step" principles of safe laparoscopic approach with technical details in "median arcuate ligament syndrome". Ulus Travma Acil Cerrahi Derg. 2020 Jun;26(4):642-646 Authors: Gülmez S Abstract The median arcuate ligament syndrome (MALS) is a rare cause of postprandial pain and weight loss. The median arcuate ligament (MAL) is a fibrous band of the diaphragmatic crura. Abnormally downward located MAL or high take off of the celiac artery result in external compression the celiac trunk. MAL narrows the truncus coeliacus even more clearly during the expiration. The chronic ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Gülmez S Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

In intra-articular distal humeral fractures: Can combined medial-lateral approach gain better outcomes than olecranon osteotomy?
CONCLUSION: The combined medial-lateral approach is successful approach in the treatment of intra-articular distal humeral fractures (especially type C1 and C2) that provides better outcomes for the motion of the elbow, bleeding volume in surgery and complications than olecranon osteotomy. PMID: 32589253 [PubMed - as supplied by publisher] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Wei L, Xu H, An Z Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Fallopian tube herniation from trocar-site after laparoscopic appendectomy.
This report unveils a 5mm trocar site herniation of right fallopian tube following laparoscopic appendectomy. In this case study, a 19-year-old female patient applied to the emergency department because of a discharge in the right lower quadrant was reported. She explained that she had undergone laparoscopic appendectomy two days before and discharged the next day uneventfully. The surgical report described a suction drain in the right lower quadrant where the patient was suffering from the discharge. The physical examination revealed no tenderness, but an abdominal CT disclosed an edematous tubular structure herniating fr...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Ergin A, Işcan Y, Ağca B, Karip B, Memisoğlu K Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Comparison of post-operative outcomes of graft materials used in reconstruction of blow-out fractures.
CONCLUSION: Results show that the auricular conchal cartilage graft was the best biomaterial used to repair defects smaller than 4 cm², where as titanium mesh was a good option to repair defects larger than 4 cm². However, selection of the optimal biomaterial to be used to repair orbital blow-out fractures should be made according to patient characteristics and preoperative findings, the severity of the injury, the cost of the biomaterial to be used, and surgeon's expertise. PMID: 32589255 [PubMed - as supplied by publisher] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Düzgün S, Kayahan Sirkeci B Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Blood-aqueous barrier deterioration following retained metallic corneal foreign body: A laser flare photometric study.
CONCLUSION: Flare is increased by corneal foreign body exposure. However, eyes that experience multiple previous corneal foreign body exposures may show relatively low flare, probably due to corneal desensitization. PMID: 32589256 [PubMed - as supplied by publisher] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Onur IU, Zirtiloglu S, Sonbahar O, Çavuşoğlu E, Yiğit U Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Professional practice assessment for minor head injury management in emergency department and clinical impact of a simulation-based training: Interventional study (before/after).
CONCLUSION: Management of this type of patient appeared to be satisfactory. It can be improved by SBT on the basis of the SFMU 2012 consensus conference. There is a need to improve the software used by the emergency departments, which should include the time of trauma and recommendations. The association of the clinic and the biomarkers could help to limit the indications of the CT scan, and thus to have it organized more rapidly. PMID: 32589257 [PubMed - as supplied by publisher] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - June 1, 2020 Category: Emergency Medicine Authors: Vandingenen P, Chauvin A, Javaud N, Ghazali DA Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Hem-o-lok clips versus intracorporeal knotting for the closure of the appendix stump in laparoscopic appendectomy: A prospective randomized study.
CONCLUSION: This study showed that both intracorporeal knotting and Hem-o-loc clips were effective, reliable and similar cost-effective in laparoscopic appendectomy. The decision should be based on the surgeon's experience. PMID: 32436964 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Ureyen O, Tan S, Dadalı E, Yıldırım M, İlhan E Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

The role of VATS in the diagnosis and treatment of diaphragmatic injuries after penetrating thoracic traumas.
CONCLUSION: Our opinion is that VATS is important and feasible in hemodynamically stable patients with suspected isolated diaphragmatic laceration after penetrating thoracic trauma that cannot be determined by radiologically. PMID: 32436965 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Yanık F, Karamustafaoğlu YA, Yörük Y Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Decompressive craniectomy in traumatic brain injury: Transcranial Doppler sonography used as a guide.
This study aims to investigate the effects of transcranial Dop-pler ultrasonography (TCD) measurements on the indication of decompressive surgery. METHODS: Sixteen TBI patients with a Glasgow Coma Score (GCS)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Sarı R, Bolukbasi FH, Kahraman Özlü EB, Isik N, Güra Çelik M, Elmacı İ Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Effects of different anesthesia techniques on intraoperative blood loss in acetabular fractures undergoing the Modified Stoppa approach.
This study aims to evaluate the effects of the anesthesia technique on the intraoperative blood loss in acetabular fracture patients undergoing the Modified Stoppa approach. METHODS: We retrospectively identified 63 patients who underwent a Modified Stoppa approach for acetabular fracture from January 2014 to July 2018. A total of 20 patients were excluded from this study for the following reasons: bilateral acetabular fractures (n=6), undergoing antiaggregant treatment (n=3), incomplete anesthesia records (n=3), emergency pelvic surgery due to hemodynamic instability (n=5), splenic rupture (n=2), and liver laceration...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Açan AE, Kılınç CY, Gültaç E, Altıparmak B, Uysal Aİ, Aydoğan NH Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Effects of dabigatran and fondaparinux on degloving injuries: An experimental study.
Abstract BACKGROUND: Management of the skin degloving injuries is still a problematic issue, and the avulsed part of the skin may become necrotic. We hypothesized that the anticoagulant pharmacological agents, fondaparinux and dabigatran may be beneficial in the treatment of degloving injuries by enhancing the viability of the reattached flap. METHODS: Twenty four Wistar rats were divided into three groups as follows: control group (Group 1), fondaparinux group (Group 2) and dabigatran group (Group 3). A model of a degloving injury on the tail of rats was developed in all groups. After 15 minutes, the avulsed...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Ural A, Bilgen F, Altıntaş Aykan D, Bahar AY, Bekerecioğlu M, Altıntaş Ural D Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

The role of trauma mechanism, fracture pattern and fixation technique on clinical outcomes and epiphyseal growth arrest in the surgical treatment of distal tibial epiphysiolysis.
CONCLUSION: Regardless of the trauma mechanism, fracture pattern and the fixation material, an anatomical reduction should be obtained in distal tibial epiphyseal fractures to reduce complications and prevent the EGA. PMID: 32436969 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Aslantaş FÇ, Yalın M, İlter MH, Bayrak A, Edipoğlu E, Tanrıverdi B, Duramaz A, Bilgili MG Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Compliance with PECARN head injury decision rules in children under two years old.
CONCLUSION: In this study, which was conducted by including all the predictor values of the PECARN guidelines, the rate of compliance with PECARN rules was determined to be very low. Using these rules directly or with modification could establish a starting point for clinicians to reduce the rates of unnecessary CT scans. However, the effects of the clinician's experience, parental expectations, medicolegal constraints and economic factors on the decision making process should not be forgotten. PMID: 32436970 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Gerilmez A, Calışaneller AT Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Computed tomography vs. magnetic resonance imaging in unstable cervical spine injuries.
This study aimed to investigate the role of computed tomography (CT) in identifying missed unstable blunt cervical injuries. METHODS: Patients admitted to the emergency department between June 2014 and June 2018 with a diagnosis of blunt cervical trauma were included in this study. All participants underwent cervical magnetic resonance imaging (MRI) after an initial cervical CT investigation. All imaging results were reviewed, and decisions were taken by the consensus of a team consisting of an emergency medicine specialist, a neuroradiologist, and a neurosurgeon. Other variables included age, sex, the Glasgow Coma Sc...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Songür Kodik M, Eraslan C, Kitiş Ö, Altuncı YA, Biçeroğlu H, Akay A Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

A rare case: Isolated superior mesenteric vein injury occurring after blunt abdominal trauma.
Abstract Intraabdominal vascular injuries due to blunt abdominal trauma are rare. It is very difficult to visualize superior mesenteric vein (SMV) and portal vein injuries under emergency conditions. In this case study, we reported a low-speed car accident, a patient with isolated SMV injury as a result of a blunt abdominal trauma that arose from a collision with a steering wheel. A 62-year-old male patient was admitted to the emergency department with minimal distention and diffuse tenderness in the abdomen. The presence of diffuse fluid in the abdomen and suspected liver injury were reported in ultrasonography. ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Kubat M Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Associations between initial injury severity in acute hand, wrist or forearm injuries and disability ratings and time to return to work.
This study aimed to examine the relationships between the initial anatomic severity of hand, wrist and forearm injuries, as evaluated by the Modified Hand Injury Severity Score (MHISS), and each of the following parameters: disability rating and time to return to work. METHODS: In this study, 94 patients who underwent operations due to acute hand, wrist and forearm injuries were included. MHISS was used to assess the severity of the injury. Disability rates of the patients were calculated six months after injury in accordance with the 'Regulation on Disability Criteria, Classification and Health Board Reports to be Gi...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Çapkın S, Cavit A, Yılmaz K, Erdoğan E, Kaleli T Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Immediate versus delayed primary repair of the sciatic nerve in a nerve transaction model in rats.
CONCLUSION: To delay the repair about one week did not affect the histological results and weight of the muscle that was innervated by the sectioned nerve comparing to be in the immediate repair in a sciatic nerve transaction model in rats. PMID: 32436974 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Tufan A, Karagöz Güzey F, Eren B, Taş A, İşler C, Akkalp AK, Güleç I, Yayla VA, Çabalar M Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

The protective effects of adalimumab on intestinal injury induced with infrarenal aortic occlusion.
CONCLUSION: We found that ADA treatment reduced MDA levels and decreased the numerical density of caspase-3 and TNF-α positive enterocytes compared to the IR group (p=0.00; p=0.011; p=0.00, respectively). We conclude that ADA can be beneficial in preventing intestinal injury that arises from IR. PMID: 32436975 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Pergel A, Tümkaya L, Demiral G, Çolakoğlu MK, Kalcan S, Özdemir A, Mercantepe T, Erdivanlı B, Yılmaz A Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Evaluation and comparison of tick detachment techniques and technical mistakes made during tick removal.
CONCLUSION: The results of this study suggest that when appropriately and correctly used, both suture lassoing and tweezers are effective in tick removal. Public awareness-raising and training programs should be increased on this issue. PMID: 32436976 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Şahin AR, Hakkoymaz H, Taşdoğan AM, Kireçci E Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Comparison of thiol/disulphide homeostasis with modified Alvarado and RIPASA scores in the diagnosis of acute appendicitis.
This study aims to investigate the role of thiol/disulfide homeostasis parameters in the diagnosis of acute appendicitis and to determine whether it is beneficial to use these parameters in combination with the modified Alvarado and RIPASA scoring systems. METHODS: This study was prospectively carried out on 265 patients who presented to the emergency department with the complaint of right lower quadrant pain between 01.07.2017 and 31.12.2017, and met the inclusion criteria of this study. Oxidative stress markers were evaluated on two groups. The relationship between these parameters and the modified Alvarado and RIPA...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Gökhan S, Aydın İE, Pamukçu Günaydın G, Yıldırım Ç, Tanrıverdi F, Gürü S, Kahraman FA, Erel O Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Surgical approach for acute ischemic colitis after scuba diving: A case report.
We report a case of full-thickness ischemic colitis treated with failed conservative treatment but successfully treated surgically. The case that was presented here suggests that decompression after scuba diving may cause severe symptoms in the gastrointestinal tract and may require a surgical approach. Treatment depends on the severity of the symptoms and the patient's condition, but surgical approaches should be considered. PMID: 32436978 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Choi ES, Kwak HD, Ju JK Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Rhinoceros-related delayed traumatic diaphragmatic rupture.
Abstract Animal-related injuries should be analyzed based on the behavior and anatomy of the attacking animal. Rhinoceros-related injuries in humans are extremely rare. Hereby, we report a life-threatening traumatic diaphragmatic hernia in a woman who presented three years after a rhinoceros gored her chest. A 47-year-old lady presented with abdominal pain, bilious vomiting and obstipation of one-day duration. She had recurrent attacks of colicky abdominal pain for a week before that. The patient gave the history of being admitted to the ICU three years before, after being gored by a rhinoceros into her chest whil...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Sebastian M, Abdullah A, Abusharia M, Abu-Zidan FM Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

The protective effects of lycopene on ischemia/reperfusion injury in rat hind limb muscle model.
This study aims to investigate the protective effects of lycopene against I/R injury in rat hind limb muscle model. METHODS: Thirty-two Wistar-albino rats were randomly allocated to control, lycopene, I/R and I/R+lycopene groups. In lycopene and I/R+lycopene groups, the rats received 10 mg/kg/day lycopene orally for 15 days before the experiment. Dissection around abdominal aorta at the infrarenal level was performed in all rats under general anesthesia. The aorta was clamped at the infrarenal level in the I/R and I/R+lycopene groups for two hours. Then, reperfusion was allowed for two hours in these groups. Samples w...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Kirişçi M, Güneri B, Seyithanoğlu M, Kazancı Ü, Doğaner A, Güneş H Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Effect on mortality of treatment method and surgery time for hip fracture patients aged over 65 years.
CONCLUSION: Operation in the first 48 hours was not observed to affect mortality. Additionally, while sex and age were found to be effective on mortality, implant selection was also concluded to affect mortality. PMID: 32436981 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Ekici C, Pazarcı Ö, Kılınç S, Öztemür Z, Öztürk H, Tezeren G, Bulut O Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Emergency surgery in geriatrics: A retrospective evaluation in a single center.
CONCLUSION: The mean age of the patients was 74.8±6.7 and the number of females (n=134, 67%) outweighed the males. Higher ASA physical status scores, dependent living conditions, long operation time, general anesthesia, intraoperative blood transfusion, low Htc values (
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Sezen Ö, Çevik B Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Torsion of wandering spleen nine years after gastric volvulus: Effect of multiparity?
Abstract Wandering spleen is a rare condition and has life-threatening complications, such as torsion or infarction. It may be asymptomatic or may present with chronic abdominal pain or intraabdominal mass. Since clinical diagnosis is usually difficult, radiological examinations play a very important role in diagnosis. A 37-year-old multiparous woman was admitted to the emergency room with a complaint of abdominal pain. The patient stated that she underwent an operation due to gastric volvulus nine years ago. Preoperative diagnosis was made by ultrasonography and computed tomography. Splenectomy was performed beca...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Karaisli S, Acar T, Acar N, Kamer E, Hacıyanlı M Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Transcatheter embolization in pediatric blunt renal trauma: Case report and review of the literature.
This study aims to evaluate the clinical use and outcomes of transcatheter embolization in the setting of pediatric blunt renal trauma cases using an index case and review of the literature. Although the treatment method selection depends on the grade of the trauma and the hemodynamıc status of the patient, conservative methods are considered initially in the setting of pediatric blunt renal trauma. Transcatheter embolization, which is a relatively conservative treatment option, is commonly utilized in adult blunt renal trauma patient population; however, experience in the pediatric population is scarce. A seven-year-old ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Kartal İ, Durmaz HA, Güler Çimen S, Çimen S, Ersoy H Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

The healing effects of Hyperium perforatum (St. John's Wort) on experimental alkaline corrosive eosephageal and stomach burns.
CONCLUSION: SJW substrate is effective in protecting the esophagus and stomach in mild to moderate alcali corrosive burns in the subacute period. We should keep in mind the protective effects of STW substrate in alkaline corrosive burns of the gastrointestinal system. PMID: 32436985 [PubMed - in process] (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Güvenç E, Kıyan S, Uyanıkgil Y, Çetin EÖ, Karabey F, Çavuşoğlu T, Gökçe B Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

Perioperative outcomes of the patients treated using laparoscopic cholecystectomy after emergent endoscopic retrograde cholangiopancreatography for bile duct stones: Does timing matter?
CONCLUSION: Our results support that LC after ERCP is more complex and has higher conversion rates than LC for uncomplicated cholelithiasis. Although no significant effect of different time intervals between ERCP and LC on perioperative outcomes was demonstrated in patients with common bile duct stones concomitant with cholelithiasis, the 2-6 weeks after ERCP is a critical period for conversion to open surgery. It is recommended that LC after ERCP should be performed in the early period, considering that serious complications may occur in the late period and recurrent biliary attacks may occur. PMID: 32436986 [PubMed ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 1, 2020 Category: Emergency Medicine Authors: Şenocak R, Çelik SU, Kaymak Ş, Hançerlioğullari O Tags: Ulus Travma Acil Cerrahi Derg Source Type: research

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