Corrosive esophagitis was formed without general anesthesia and laparotomy. Burn was formed in the total esophagus, unlike other models in which the burn is just formed at the below end. With our less invasive, more easily applied model; treatment agents can be given just as the corrosive esophagitis can be formed.

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Amaç: Toraks travmas nedeniyle acil servise ba vuran hastalarda; travma nedenleri, olu an patolojiler, tan ve tedavi yöntem-leri literatür e li inde tart ld . Morbidite ve mortalitenin; etiyolojiye, olu an patolojiye, yanda yaralanmalara, sa l k kurulu lar n n ve hekimlerin donan m ve yakla m biçimlerine göre farkll k gösterebilece ini ortaya koymay amaçlad k. Gereç ve Yöntem:Çal maya 1142 olgu al nd (839'u erkek (%73.5), 303'ü (%26.5) kad n). oraks travmalar n n nedenleri, sonuçta olu an patolojiler, e lik eden toraks d yaralanmalar ve tedavi yakla mlar incelendi, de i ik merkezli yay nlar ile tart ld . Bulgular: Olgular n 914'ü (%80) künt toraks travmas , 228'i (%20) penetran toraks travmas idi. En s k etiyolojik faktör motorlu araç kazalar na ba l geli en yaralanmalar olarak saptand ; 358 olgu (%31.3). Olgulardan 542'si (%47) acil müdaha-le sonras gö üs cerrahisi klini inde, 487'si (%42) ise müdahale sonras di er kliniklerce yat r larak izleme al nm t . 113 olgu (%9) ise acil serviste konservatif yakla mla ayaktan tedavi edilmi ti. En s k görülen patoloji kot k r idi; 409 hasta (%35). Olgular n 685 inde (%59.9) yanda travma saptand . En s k yanda travma tipi 261 olgu (%23) ile abdominal yaralanmalar saptand . Gö üs travmal olgular n 601 inde (%52) tüp torakostomi, 38 inde (%3.3) torakotomi (yatan hastalarda %7), 503'ünde (%44) ise konservatif tedavi uygulanm t . Morbidite 116 hastada, %9.6, mortalite ise 35 hastada %3.1 görüldü.Sonuç: Gö üs travmalar nda morbidite ve mortalite olgular n etiyolojisine, yanda travmalara, etiyolojik nedenlere, sa l k kurumlar n n donan m na ve hekimlerin yakla mlar na göre göre farkl l k göstermektedir. To discuss the causes of trauma , pathologies due to trauma, and diagnosis and treatment methods for the patients who had attended the emergency clinic due to thoracic trauma, together with the relevant literature. We aimed to reveal that mortalitiy and morbidity could be changed according to etiology, existing pathology, concomitant injuries, health institution equipment, and approach of doctors.Material and Method: 1142 cases (839 male (73.5%), 303 female (26.5%)) have been included in the study. Thoracic trauma etiologies, pathologies, concomitant extrathoracic injuries, and treatment approaches have been analysed and discussed, accompanied by reports from different centers.Results: 914 (80%) cases had obtuse thoracic trauma and 228 (20%) cases had penetrating thoracic trauma. The most frequent etiological factor was injuries due to motor vehicle accidents (358 cases (9%)). 542 (47%) cases were admitted to thoracic surgery clinic and 487 (42%) cases were admitted to other clinics after intervention. 113 (9%) ambulatory cases were treated conservatively in the emergency clinic. The most frequent pathology was costal fracture in 409 patients (35%). In 685 (59.9%) of cases, concomitant pathology was detected. The most frequent concomitant pathology was abdominal injuries in 261 (23%) cases. In all patients with thoracic trauma, tube thoracostomy was performed in 601 (52%) cases, ...

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IntroductionAcute respiratory dysfunction syndrome (ARDS), defined as acute hypoxemia accompanied by radiographic pulmonary infiltrates without a clearly identifiable cause, is a major cause of morbidity and mortality after pulmonary resection. The aim of the study was to determine the pre and intraoperative factors associated with ARDS after pulmonary resection retrospectively.MethodsPatients undergoing elective pulmonary resection at Adnan Menderes University Medical Faculty Thoracic Surgery Department from January 2005 to February 2010 were included in this retrospective study. The authors collected data on demographics, relevant co-morbidities, the American Society of Anesthesiologists (ASA) Physical Status classification score, pulmonary function tests, type of operation, duration of surgery and intraoperative fluid administration (fluid therapy and blood products). The primary outcome measure was postoperative ARDS, defined as the need for continuation of mechanical ventilation for greater than 48-hours postoperatively or the need for reinstitution of mechanical ventilation after extubation. Statistical analysis was performed with Fisher exact test for categorical variables and logistic regression analysis for continuous variables.ResultsOf one hundred forty-three pulmonary resection patients, 11 (7.5%) developed postoperative ARDS. Alcohol abuse (p = 0.01, OR = 39.6), ASA score (p = 0.001, OR: 1257.3), resection type (p = 0.032, OR = 28.6) and fresh frozen plasma (FFP)(p = 0.027, OR = 1.4) were the factors found to be statistically significant.ConclusionIn the light of the current study, lung injury after lung resection has a high mortality. Preoperative and postoperative risk factor were significant predictors of postoperative lung injury.