Browsing by Author "Gormeli, Gokay"

Now showing 1 - 5 of 5

Analysis of Burn Cases Observed After the 2011 Van Earthquake
(Turkish Assoc Trauma Emergency Surgery, 2013) Dursun, Recep; Karadas, Sevdegul; Gormeli, Gokay; Isik, Yasemin; Cakir, Cumhur; Gormeli, Cemile Ayse
Background The purpose of this study was to determine the epidemiological features of cases that were registered for burns and treated at a hospital after the Van earthquake to compare burn cases from the previous year and to determine the factors that influenced mortality. METHODS Patients who were admitted to the Van Region Training and Research Hospital within the 3-month period after the earthquake were categorized as group 1; patients who were admitted within the same time interval in the previous year were categorized as group 2. RESULTS There were 121 patients in Group 1 and 89 patients in Group 2. It was determined that there were 36% more burn cases in Group 1. Flame burns were observed 4.8 times more often in Group 1 compared to Group 1 (p=0.002). Exitus was observed in 25.4% of cases in Group 1 and in 7% of cases in Group 2 (p=0.0069). CONCLUSION It was determined that the number of burn cases registered after the earthquake, the number of flame burns, the percentage of burns and the rate of mortality were higher than the data before the earthquake.
A Clinical Analysis of Patients Undergoing Fasciotomy Who Experienced the 2011 Van Earthquake
(Turkish Joint Diseases Foundation, 2012) Gormeli, Gokay; Gormeli, Cemile Ayse; Guner, Savas; Ceylan, Mehmet Fethi; Dursun, Recep
Objectives: This study aims to investigate the clinical profile and prognosis of the patients with fasciotomy who were admitted to Van Training and Research Hospital following the 2011 Van earthquake. Patients and methods: Twenty-one patients (11 males, 10 females; mean age 38.3 years; range 18 to 60 years) who had urgent fasciotomy in our clinic following the earthquake were included. Medical records including demographic data, clinical characteristics and prognostic data of the patients were retrospectively analyzed. Results: Seven of 21 patients with fasciotomies underwent amputation. Fasciotomy incisions were closed with skingrafting in nine patients and with primary closure in three patients. Eight patients had full range of motion of the joint, while four patients had restricted range of motion of the joint and needed rehabilitation. Two patients had sensory loss. Conclusion: Compartment syndrome is one of the serious problems after the Van earthquake. The infection ratio was low, while the amputation ratio was high. The use of anticoagulants following compartment syndrome worsens the clinical presentation, increasing the intracompartmental pressure.
The Clinical Profile of Musculoskeletal Injuries Associated With the 2011 Van Earthquake in Turkey
(Turkish Joint Diseases Foundation, 2012) Gormeli, Gokay; Gormeli, Cemile Ayse; Guner, Savas; Ceylan, Mehmet Fethi; Dursun, Recep
Objectives: In this study, we aimed to evaluate the clinical profile of the patients with musculoskeletal injuries associated with the 2011 Van earthquake and treatment modalities applied. Patients and methods: Between 23.10.2012 and 28.10.2012, a total of 285 patients (151 males, 134 females; mean age 38.6, years; range 1 to 84 years) with musculoskeletal injuries associated with the earthquake who were admitted to Emergency Department of Van Training and Research Hospital were retrospectively analyzed. Medical records including the profile of injury, injury type, site of injury, treatment modalities applied and prognosis were evaluated. Results: Ninety-five of 285 patients had soft tissue damage, while 144 had fractures. Of these fractures, 81 required surgical treatment. Forty-six patients had crush injury, while 28 had compartment syndrome. Open and multiple fractures and fragmented fractures were common. The majority of the fractures involved limbs, indicating higher incidence of lower limb involvement rather than upper limb involvement. The incidence of infection was lower in the patients who experienced the earthquake. Conclusion: Orthopedic surgery is of utmost importance for the patients with musculoskeletal injuries associated with the earthquake. Appropriate triage should be performed and then the patients with open fractures and compartment syndrome should be given priority for surgery. In such cases, debridement, open reduction and internal fixation are the most common surgical treatments.
Review of Van Earthquakes Form an Orthopaedic Perspective: a Multicentre Retrospective Study
(Springer, 2013) Guner, Savas; Guner, Sukriye Ilkay; Isik, Yasemin; Gormeli, Gokay; Kalender, Ali Murat; Turktas, Ugur; Dursun, Recep
This is a descriptive analysis, of victims of Turkey's October 23, 2011 and November 21, 2011 Van earthquakes. The goal of this study is investigated the injury profile of the both earthquakes in relation to musculoskeletal trauma. We retrospectively reviewed medical records of 3,965 patients admitted to in seven hospitals. A large share of these injuries were soft tissue injuries, followed by fractures, crush injuries, crush syndromes, nerve injuries, vascular injuries, compartment syndrome and joint dislocations. A total of 73 crush injuries were diagnosed and 31 of them were developed compartment syndrome. The patients with closed undisplaced fractures were treated with casting braces. For closed unstable fractures with good skin and soft-tissue conditions, open reduction and internal fixation was performed. All patients with open fracture had an external fixator applied after adequate debridement. Thirty one of 40 patients with compartment syndrome were treated by fasciotomy. For twelve of them, amputation was necessary. The most common procedure performed was debridement, followed by open reduction and internal fixation and closed reduction-casting, respectively. The results of this study may provide the basis for future development of strategy to optimise attempts at rescue and plan treatment of survivors with musculoskeletal injuries after earthquakes.
A Simple, Safe and Painless Method for Acute Anterior Glenohumeral Joint Dislocations: "the Forward Elevation Maneuver
(Springer, 2013) Guner, Savas; Guner, Sukriye Ilkay; Gormeli, Gokay; Turkozu, Tulin; Gormeli, Cemile Ayse; Bora, Aydin
The glenohumeral joint is the most frequently dislocated joint in the body. Numerous techniques for reducing an acute anterior dislocation of the glenohumeral joint have been described. The goal of this study was to assess the efficacy of Janecki's forward elevation maneuver for reducing a traumatic acute anterior glenohumeral joint dislocation. Between May 2010 and November 2011, the forward elevation maneuver was applied to 27 patients who presented to the emergency department of Yuzuncu Yil University Medical School with a traumatic anterior glenohumeral joint dislocation. For each patient, the forward elevation maneuver was used to reduce the anterior glenohumeral joint dislocation. The type of dislocation, the effectiveness of the procedure in achieving reduction, the need for premedication, the ease of performing the reduction and complications (if present) were noted. Janecki's forward elevation maneuver was successful for 25 patients (92.6 %) on the first attempt. Premedication was not used for 22 patients, and reduction was successful for 20 of them. The method was not successful in two cases. Twenty-three of the patients (85.2 %) experienced no pain or mild pain. Complications referred to the reduction technique were not found in any patient. This paper concludes that Janecki's forward elevation maneuver is a simple, safe, painless, and effective reduction method. Consequently, the forward elevation maneuver seems to be a good method for reducing anterior glenohumeral joint dislocation.