Başkent Üniversitesi Yayınları
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Item A Case of Falling Into an Acid Tank From Height After High-Voltage Electrocution(Başkent Üniversitesi, 2024-12) Burak Özkan; Abdullah Kızmaz; Uğur Bak; Khalid Zeynalov; Süleyman Savran; Abbas Albayati; Çağrİ A. Uysal; Mehmet HaberalIn this case report, we present the management of a dramatic and rare combination of injuries: high-voltage electrical injury, chemical burn, and open tibial and calcaneal fractures resulting from a fall from height. The patient underwent early fasciotomies. After treatments administered by a multidisciplinary team consisting of plastic surgeons, general surgeons, orthopedic specialists, anesthesiologists, and physiotherapists, the patient was discharged without extremity loss after a 135-day hospital stay. This case report discusses the importance of early fasciotomy and debridement in management of extensive burns and fall-related injuries, the potential for extended hospitalization for reconstruction, and the necessity of a multidisciplinary approach.Item Utilization of Novel Keystone Flap Modification on Various Anatomic Sites(Başkent Üniversitesi, 2024-09) Burak İzkan; Mehmet Haberal; Çağrİ A. Uysal; Abbas Albayati; Ömer Uzun; Uğur Bak; Orkhan Shahbazov; Abdullah Kızmaz; Süleyman SavranABSTRACT We describe our proposed modification of the keystone flap, which adds a V-Y advancement in 3 directions, further optimizing the redistribution of tension forces. This new approach not only improves the overall stability of the flap but also reduces the risk of wound dehiscence and enhances the potential for better healing outcomes. We describe its use in 15 patients treated at our center (mean age of 58 years [range, 18-77 y]) with mean follow-up time of 14 months (range, 6-24 mo). All flaps survived, and no early or late complications were encountered. The keystone flap’s flexibility, combined with its multiple modifications, continues to expand its applicability across diverse anatomical locations, making it a vital tool in reconstructive surgery for complex defects.Item Pedicled Anterolateral Thigh Flap Reconstruction for Defects Between Umbilicus and Knee(Başkent Üniversitesi, 2024-06) Burak Özkan; Abdullah Kızmaz; Khalid Zeynalov; Süleyman Savran; Abbas Albayati; Çağrı A. Uysal; Mehmet HaberalABSTRACT OBJECTIVES: This study evaluated the efficacy and outcomes of pedicled anterolateral thigh flap reconstruction in addressing soft tissue defects between the umbilicus and the knee. MATERIALS AND METHODS: We evaluated 12 patients (8 males, 4 females; mean age of 56 years; range, 15-74 years) who underwent pedicled anterolateral thigh flap reconstruction between 2019 and 2022. Defect locations included the inguinal region, trochanteric region, medial thigh, posterior thigh, lateral knee, and umbilical region. RESULTS: The average operative time was 2.7 hours (range, 2-4 hours). All donor sites were closed primarily, with no major complications. Mean hospital stay was 7 days (range, 4-18 days). CONCLUSIONS: The pedicled anterolateral thigh flap is a versatile and reliable solution for defects in the lower abdomen and lower extremities, offering excellent outcomes with minimal donor site morbidity.Item Knowledge and Attitude of Health Care Staff in First Aid for Minor Burns(Başkent Üniversitesi, 2022-09) Ayse Gul Atay Doygaci; Ayse Ebru Abali; Elif Unlu; Santiago J. Santelis; Eylem Gul; Mehmet HaberalABSTRACT OBJECTIVES: This study aimed to assess the level of knowledge and awareness of first aid for minor burns of health care workers in a university hospital. MATERIALS AND METHODS: A total of 402 subjects including nurses (n = 163), medical technicians (n = 94), technicians/patient care support personnel (n = 145) participated. Data were collected by face-to-face interview technique using our 2 evaluation forms (characteristics of participants was form 1 and first aid knowledge on minor burns was form 2) (P < .005). RESULTS: Mean age was 29.7 years. Female to male ratio was 1:0.7. Form 2 was correctly answered by 76.9% of participants. Participants who stated that they have received first aid training on burns was 41.5%, but only 38.3% of the subjects felt confident for providing first aid. Running water was preferred by 85.6%. High education level, receiving first aid training, and seniority in the profession and in the institution were the effective factors for providing proper first aid (P < .005). Female (58.5%), single (59.8%), child-free (61.7%) participants and those who had attended first aid education programs more recently were prone to providing proper first aid than the others (P < .005). CONCLUSIONS: In the present study, many participants had basic knowledge about first aid for minor burns, but they felt unconfident. Health care staff need periodical educational programs specific to them in addition to the basic awareness programs for burn injuries.Item Policy of Burn Care at the Baskent University Ankara Hospital During the COVID-19 Period(Başkent Üniversitesi, 2021-03) Cem Aydoğan; Emre Karakaya; Ayşe Ebru Abalı; Ebru H. Ayvazoğlu Soy; Mehmet HaberalOBJECTIVES: Although hospital admissions and elective surgeries were recommended to be reduced during the COVID-19 pandemic period, the same could not be done for burn patients. It is vital that burn treatment starts immediately and continues without interruption. With this in mind, burn centers should take added precautions during this pandemic. In the present study, we present our experiences in our burn center during the pandemic period. MATERIALS AND METHODS: From March 2020 to February 2021, 457 patients were successfully treated at our center. We implemented training immediately for all hospital staff, with all staff provided with personal protective equipment. We minimized the risk of contamination by completely isolating burn patients and reducing the number of beds. We determined a 3-degree protection protocol according to the general condition of the patients and the diagnosis of COVID-19. During the pandemic period, we continued to treat burn patients by adhering to our protection protocols. RESULTS: During pandemic period, 381 patients (83.4%) were treated as outpatients and 76 patients (16.6%) were hospitalized. The most common cause of burns was scalding, with 172 adult patients (61.4%) and 152 pediatric patients (85.8%). Mean total burn surface area of hospitalized patients was 25.34% in adult patients and 9.95% in pediatric patients. During the treatment process, only 2 patients were diagnosed with COVID-19, and burn treatments were successfully completed, with patients discharged without any problems. CONCLUSIONS: Ensuring isolation among patients in our burn center and determining protection protocols for burn center health care workers played key roles in the continuity of uninterrupted care during the pandemic period.