Management of a large traumatic hemipelvectomy defect following a truck crush injury: a case report
Ulus Travma Acil Cerrahi Derg. 2024 May;30(5):370-373. doi: 10.14744/tjtes.2024.64226.ABSTRACTThis 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 pedi...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: Mutluhan Temizsoy Ahmet Hamdi Sakarya Source Type: research

Clinical analysis of transverse process fractures: A comprehensive study on patient characteristics, management, and outcomes in trauma care
CONCLUSION: TPFs, previously considered minor injuries, demonstrate significant pain and functional limitations. They often accompany systemic pathologies, particularly in multilevel fractures, necessitating a multidisciplinary approach to management. The "Protection, Rest, Ice, Compression, Elevation" (PRICE) approach, including Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and muscle relaxants, along with collar or brace support when necessary, proves effective in pain management and functional improvement. These findings emphasize the importance of recognizing TPFs as complex injuries requiring tailored management stra...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: G öksal Günerhan Af şin Emre Akpınar Emin Çağıl Source Type: research

Chronic jejuno-colonic fistula and intestinal malabsorption due to multiple magnet ingestions: A case report and systematic review
Ulus Travma Acil Cerrahi Derg. 2024 May;30(5):361-369. doi: 10.14744/tjtes.2024.50845.ABSTRACTMagnet 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 Departmen...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: Rah şan Özcan Ali Ekber Hakalmaz Ay şe Kalyoncu Uçar Omer Beser Senol Emre Source Type: research

Determinants of 30-day mortality in elderly patients admitted to a cardiovascular surgery intensive care unit
CONCLUSION: By optimizing preoperative renal function, minimizing extubation time, shortening ICU stays, and carefully managing blood transfusions, surgical reexplorations, aortic clamp duration, and HbA1c levels, we believe that the mortality rate can be reduced in elderly patients. Key strategies include shortening aortic clamp times, reducing perioperative blood transfusions, and ensuring effective bleeding control.PMID:38738671 | DOI:10.14744/tjtes.2024.00569 (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: Bedih Balkan Zahide Özlem Ulubay Elif G üneysu Ahmet Said D ündar Engin Ihsan Turan Source Type: research

Bone grafting combined with a spiral flap technique for the reconstruction of fingertip amputations
CONCLUSION: The BGcSF technique provides soft tissue with a texture similar to that of the fingertips and supports effective sensory repair. It can be considered a viable option for fingertip reconstruction in cases where replantation is not feasible.PMID:38738672 | DOI:10.14744/tjtes.2023.05118 (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: Fatih Ceran Mehmet Bozkurt Salih Onur Basat Emin Kapi Source Type: research

Psychological risk factors for upper extremity fractures in preschool children: A case-control study
CONCLUSION: Our findings suggest that psychological factors affecting both parents and children could potentially increase the risk of upper extremity fractures in preschool children.PMID:38738673 | DOI:10.14744/tjtes.2024.23522 (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: Muhammet Zeki G ültekin Fatih Do ğar Ahmet Sinan Sar ı Fatma Co şkun Ahmet Y ıldırım Source Type: research

Effects of ketamine on penile tissues in an experimental priapism model in rats
CONCLUSION: Ketamine is an effective anesthetic agent in alleviating the effects of penile ischemia-reperfusion injury.PMID:38738674 | DOI:10.14744/tjtes.2024.33262 (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: Vildan K ölükçü Mehtap G ürler Balta Hakan Tapar Tugba Karaman Serkan Karaman Velid Unsal Fikret Gevrek Kenan Yal çın Fatih F ırat Source Type: research

Effect of pre-incisional and peritoneal local anesthetics administration on colon anastomosis and wound healing
CONCLUSION: TThe study found that bupivacaine and levobupivacaine did not significantly enhance wound healing, although le-vobupivacaine significantly improved WHS relative to bupivacaine. According to the findings of this study, levobupivacaine can enhance clinical practice by being used in patients undergoing colon anastomosis. It contributes significantly to the durability of colon anasto-mosis, has a more positive effect on wound healing compared to bupivacaine, and exhibits anti-adhesive properties. Additional clinical trials are necessary to validate these results further.PMID:38738675 | DOI:10.14744/tjtes.2024.39551...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: U ğur Kesici Yahya Kaan Karatepe Ahmet Furkan Mazlum Kubra Bozali Mahmut Salih Gen ç Leman Damla Ercan Mehmet G üray Duman Ay şe Gökçen Sade Eray Metin Guler Sevgi Kesici Source Type: research

The role of bone turnover markers in diagnosis, monitoring, and pathological fractures of osteoporosis
CONCLUSION: Our study underscores the significance of these biomarkers in advancing the diagnosis and management of osteo-porosis, offering valuable insights into the disease's progression and treatment outcomes.PMID:38738676 | DOI:10.14744/tjtes.2024.48409 (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: Kaz ım Ersin Altınsoy Beytullah Unat Source Type: research

Management of a large traumatic hemipelvectomy defect following a truck crush injury: a case report
Ulus Travma Acil Cerrahi Derg. 2024 May;30(5):370-373. doi: 10.14744/tjtes.2024.64226.ABSTRACTThis 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 pedi...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: Mutluhan Temizsoy Ahmet Hamdi Sakarya Source Type: research

Clinical analysis of transverse process fractures: A comprehensive study on patient characteristics, management, and outcomes in trauma care
CONCLUSION: TPFs, previously considered minor injuries, demonstrate significant pain and functional limitations. They often accompany systemic pathologies, particularly in multilevel fractures, necessitating a multidisciplinary approach to management. The "Protection, Rest, Ice, Compression, Elevation" (PRICE) approach, including Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and muscle relaxants, along with collar or brace support when necessary, proves effective in pain management and functional improvement. These findings emphasize the importance of recognizing TPFs as complex injuries requiring tailored management stra...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: G öksal Günerhan Af şin Emre Akpınar Emin Çağıl Source Type: research

Chronic jejuno-colonic fistula and intestinal malabsorption due to multiple magnet ingestions: A case report and systematic review
Ulus Travma Acil Cerrahi Derg. 2024 May;30(5):361-369. doi: 10.14744/tjtes.2024.50845.ABSTRACTMagnet 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 Departmen...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: Rah şan Özcan Ali Ekber Hakalmaz Ay şe Kalyoncu Uçar Omer Beser Senol Emre Source Type: research

Determinants of 30-day mortality in elderly patients admitted to a cardiovascular surgery intensive care unit
CONCLUSION: By optimizing preoperative renal function, minimizing extubation time, shortening ICU stays, and carefully managing blood transfusions, surgical reexplorations, aortic clamp duration, and HbA1c levels, we believe that the mortality rate can be reduced in elderly patients. Key strategies include shortening aortic clamp times, reducing perioperative blood transfusions, and ensuring effective bleeding control.PMID:38738671 | DOI:10.14744/tjtes.2024.00569 (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: Bedih Balkan Zahide Özlem Ulubay Elif G üneysu Ahmet Said D ündar Engin Ihsan Turan Source Type: research

Bone grafting combined with a spiral flap technique for the reconstruction of fingertip amputations
CONCLUSION: The BGcSF technique provides soft tissue with a texture similar to that of the fingertips and supports effective sensory repair. It can be considered a viable option for fingertip reconstruction in cases where replantation is not feasible.PMID:38738672 | DOI:10.14744/tjtes.2023.05118 (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: Fatih Ceran Mehmet Bozkurt Salih Onur Basat Emin Kapi Source Type: research

Psychological risk factors for upper extremity fractures in preschool children: A case-control study
CONCLUSION: Our findings suggest that psychological factors affecting both parents and children could potentially increase the risk of upper extremity fractures in preschool children.PMID:38738673 | DOI:10.14744/tjtes.2024.23522 (Source: Turkish Journal of Trauma and Emergency Surgery : TJTES)
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - May 13, 2024 Category: Emergency Medicine Authors: Muhammet Zeki G ültekin Fatih Do ğar Ahmet Sinan Sar ı Fatma Co şkun Ahmet Y ıldırım Source Type: research