Hayri Levent Yilmaz, Mehmet Dokur, Salih Cetiner, Gulsah Seydaoglu
{"title":"[The levels of serum interleukins in the children with trauma].","authors":"Hayri Levent Yilmaz, Mehmet Dokur, Salih Cetiner, Gulsah Seydaoglu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>We investigated the levels of IL-I, IL-2, IL-4, IL-6, IL-I0 and IL-12 in serum of the children with trauma and its relation with the severity of trauma.</p><p><strong>Methods: </strong>We included 45 children with moderate or severe multiple trauma and 21 healthy children for control group to our study. The serum IL-I, IL-2, IL-4, IL-6, IL-IO and IL-12 were measured by micro ELISA.</p><p><strong>Results: </strong>We found a statistically significant difference between the serum values of IL-l, IL-4, 1 L-6, IL-I0 in the children with trauma and healthy control group. A similar difference was also observed between the control group and the trauma group with injury severity score (ISS) 30 and also ISS 32. Serum values of IL-2 and IL-12 did not show significant difference between the groups.W e detected a positive correlation between ISS and IL-l, IL-6, IL-I0 and IL-I2 (respectively r = 0,602, p = 0,000; r = 0,391, p = 0,008; r = 0,399, p = 0,007; r = 0,475, p = 0,001 ).</p><p><strong>Conclusion: </strong>These results point out that serum IL-6, IL-I0, IL-12 and especially IL-l has a close relationship with the severity of the tissue damage after trauma. Key words: Child, cytokine, ISS, trauma, the severity of trauma</p>","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"224-8"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22097791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Abstracts of the 5th European Congress of Trauma and Emergency Surgery. 1-5 October 2002, Istanbul, Turkey.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4 Suppl","pages":"41-478"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22534458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Results of surgical treatment of intra-articular (ao-c3) distal humeral fractures in adults.","authors":"Kemal Durak, Bartu Sariozen, Cagatay Ozturk","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The results of intra-articular comminuted distal humeral fractures, which have been treated by open reduction and dual plate fixation, are compared in this study with previously published results.</p><p><strong>Methods: </strong>At Uludag University Faculty of Medicine Department of Orthopaedics and Traumatology, between 1995 and 2002, the results of 20 cases were evaluated in patients with intra-articular comminuted distal humer- alfractures, who had been treated by open reduction and internal jixation.</p><p><strong>Results: </strong>Eleven (55%) cases were male, nine (45%) were female and mean age was 40.6 (range; 18 to 76). All fractures were C3 type according to AO/ASIF classification. Eight (40%) cases were open fractures and of these, six ( 30% ) were type 3A and 2 ( 1 0% ) were type 3B on the Gustilo-Anderson classification. All the fractures were jixed with dual plate after open reduction. In 25% ~f the cases, superficial wound infection was observed and in 5% heterotopic ossification.</p><p><strong>Conclusion: </strong>In adult distal humeral. fractures of type C3, stabilization by dual plate, following open reduction and early commencement of joint movements, has fewer complications and should he the preferred method of treatment. Key Words: Distal humeral, fracture, intra-articular, dual plate. fixation.</p>","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"233-6"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22097793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ahmet Ender Demirkıran, Hedef Özgün, Serdar Mustafa Özbaş, Ali Doğan Bozdağ, Alev Akdilli
{"title":"A rare complication after thyroidectomy: esophageal perforation.","authors":"Ahmet Ender Demirkıran, Hedef Özgün, Serdar Mustafa Özbaş, Ali Doğan Bozdağ, Alev Akdilli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 67 year-old woman with recurrent multinodular goiter was admitted for bilateral near total thyroidectomy. On the postoperative period, a turbid fluid came from suction drain which was due to an esophageal perforation. Esophagoscopy and contrast computerized tomography revealed a perforation in the upper third part of the esophagus. Following nonoperative treatment by restricting oral intake, parenteral administration of antibiotics, and parenteral nutrition for 10 days, the patient has recovered and was discharged without any sequela. We discussed the cause of perforation according to the possible reasons frequently seen in the literature. Among iatrogenic reasons, unsuccessful intubation trials were more common than neck surgery. Key words: Esophagus, perforation, surgery, intubation, thyroidectomy</p>","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"250-2"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22096796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Epidemiologic and clinical features of childhood falls].","authors":"Mehtap Bulut, Ayhan Korkmaz, Sule Akkose, Veysel Balci, Halil Ozguc, Rifat Tokyay","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Trauma is a leading cause of morbidity and mortality for childhood and young adults. Falls are the most common mechanism. for injury children. Aim of this study is to determine the epidemiology and clinical features of falls among children.</p><p><strong>Methods: </strong>We retrospectively analysed children under 14 years of age sustained from falls admitted to the our emergency service between January 1997- June 2001.</p><p><strong>Results: </strong>A total of 1039 children were admitted during the study period. Fa/ls comprised 38% these admissions, and 47% of falls were from balconies.252 patients were male and 141 patients were female. Mean age was 5.23. 62.3 % of children were under the 5 years old. Major injuries included head trauma (57%) extremity trauma ( 16%), and abdominal trauma (11%). Mean ISS score was 9.16 and 32% of children had an, 1SS score was 9,16. Overall mortality rate was 2.23 %.</p><p><strong>Conclusion: </strong>Although falls are the significant cause of childhood injury, these injuries are rarely fatal. Most, common type of injury is head trauma. ISS, age, and height are significantly associated with mortality. Key words: Children, trauma,fa/l, epidemiology, mortality.</p>","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"220-3"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22097790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Results of conservative treatment of midclavicular fractures].","authors":"Kemal Durak, Bartu Sariozen, Cagatay Ozturk","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>ln this study, we compare the outcome of conservative management by closed reduction and figure of eight bandage in cases of midclavicular fractures with previously published results of other treatment methods.</p><p><strong>Methods: </strong>In our department between 1997-2002, 37 cases ofmidclavicular fractures having undergone conservative treatment were evaluated.</p><p><strong>Results: </strong>26 patients (70.2%) were male and the remaining 11 (29.8%) female. The average age was 34.3 years (range; 9 to 65). The claviclefractures were classified according to the Allman classification and all fractures were in group 1. After reduction, a figure of eight bandage was applied. The mean follow-up period was 29.8 months (range; 6 to 48). All the fractures showed a complete union but one case (2.7%). 1n 16.2% of the cases minor cosmetic problems were observed.</p><p><strong>Conclusions: </strong>We conclude that conservative treatment is the preferred method of treatment in cases of mid-clavicular fractures, unless there is an absolute indication for surgical therapy. This approach is easily applicable, cost effective and has fewer complications. Key Words: Midclavicular fracture, conservative treatment, closed reduction,figure of eight bandage.</p>","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"8 4","pages":"229-32"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22097792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Saba, A. Ercan, I. Şenkaya, C. Gebitekin, H. Ozkan
{"title":"[Blunt injury of the aortic arch: report of two cases].","authors":"D. Saba, A. Ercan, I. Şenkaya, C. Gebitekin, H. Ozkan","doi":"10.1053/EJVX.2000.0006","DOIUrl":"https://doi.org/10.1053/EJVX.2000.0006","url":null,"abstract":"Blunt injury of the aortic arch and its great vessels is rare. Although most of the cases die at the event side, those who can reach the hospital present with a clinic of pseudoaneurysm or arterial occlusion. The mainstay of diagnosis is to have a high suspicion index. As the physical examination findings are subtle, radiodiagnostic tools are helpful. Aortography is the most important investigation technique in suitable cases in order to plan surgery. Extracorporeal circulation and deep hypothermia may successfully be used with known side effects. In this study, we report our recent experience with two cases of blunt injury of the arcus aorta.","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"1983 1","pages":"201-3"},"PeriodicalIF":0.0,"publicationDate":"2001-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90302633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Balik, F. Celebi, M. Başoğlu, I. Yildirgan, Sabahattin Dalga, K. Y. Polat, D. Ören
{"title":"[Perforated peptic ulcers].","authors":"A. Balik, F. Celebi, M. Başoğlu, I. Yildirgan, Sabahattin Dalga, K. Y. Polat, D. Ören","doi":"10.1016/s0140-6736(01)09802-6","DOIUrl":"https://doi.org/10.1016/s0140-6736(01)09802-6","url":null,"abstract":"","PeriodicalId":83976,"journal":{"name":"Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"51 1","pages":"234-6"},"PeriodicalIF":0.0,"publicationDate":"2000-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90813935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}