Treatment Outcome of Traumatic Subclavian Artery Injuries.

Background: Traumatic subclavian artery injuries are associated with high morbidity and mortality. Thoracic cage and clavicle provide a well protection of the underlying subclavian vessels and nerves and also cause a very limited operation space during open surgery. The endovascular modality is less invasive and alternative to conventional open surgical reconstruction.

What are the strongest indicators of intracerebral hemorrhage in mild traumatic brain injury?

Background: Although there are eight factors known to indicate a high risk of intracranial hemorrhage (ICH) in mild traumatic brain injury (TBI), identification of the strongest of these factors may optimize the utility of brain CT in clinical practice. This study aimed to evaluate the predictors of ICH based on baseline characteristics/mode of injury, indications for brain CT, and a combination of both to determine the strongest indicator.

Methods: This was a descriptive, retrospective, analytical study.

A Life Saving Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) with Open Groin Technique.

A 53-year-old male pedestrian was hit by a car and arrived at our hospital with a blunt abdominal injury and hemorrhagic shock. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) was performed in a timely fashion using the open groin technique in the emergency room. The procedure resulted in rapid improvement of hemodynamic status while the bleeding source was controlled.

A Life Saving Emergent Temporary External Carotid Artery Controlled in Extensive Craniofacial Injury.

Introduction: Craniofacial trauma may potentially have significant blood loss which may lead to death in some trauma patients.

Case Report: We report a case of a 43-year-old male who had a lethal noncompressible arterial hemorrhage from a penetrating wound on his left frontotemporal and preauricular region. Extensive bleeding was successfully temporarily controlled by external carotid artery (ECA) occlusion.

Laparoscopic Adrenalectomy: 6 Years Experience in Srinagarind Hospital.

Background And Objective: Laparoscopic adrenalectomy has become the procedure of choice to treat benign functioning and non-functioning adrenal tumors. This study aims to present our single unit experience of laparoscopic adrenalectomy.

Material And Method: Review of all recorded clinical data was performed in patients who underwent laparoscopic adrenalectomy for adrenal neoplasm, between January 2008 and December 2013 in Srinagarind Hospital.

A comparison of letrozole and anastrozole followed by letrozole in breast cancer patients.

Background: We previously studied the noninferiority of anastrozole (ANZ) versus ANZ followed by letrozole (A-LTZ) due to reimbursement policy. We found that patients with A-LTZ had better overall survival (OS) than did patients with ANZ alone. This study aimed to prove that patients with A-LTZ also had better OS than patients with letrozole (LTZ) alone.

Effects of switching from anastrozole to letrozole, due to reimbursement policy, on the outcome of breast cancer therapy.

Background: Endocrine therapy is one of the standard treatments for estrogen-receptor-positive breast cancer patients. Letrozole is the only aromatase inhibitor (AI) included in Thailand's essential drug list since the change of reimbursement policy in 2008, when patients had to change their AIs (other than letrozole) to letrozole. This study aimed to prove that the efficacy of anastrozole plus letrozole is not less than anastrozole alone.

Management of blunt renal trauma in Srinagarind Hospital: 10-year experience.

Background: Renal trauma is the most common injury in the urogenital system. In the last decade the management has beer shifted f rom a mandatory exploration to conservative treatment. So, the present study was conducted to evaluate the result f, renal trauma patients.

A comparison of the Acute Physiology and Chronic Health Evaluation (APACHE) II score and the Trauma-Injury Severity Score (TRISS) for outcome assessment in Srinagarind Intensive Care Unit trauma patients.

Objective: To assess the ability of the Acute Physiology and Chronic Health Evaluation (APACHE II) system and Trauma-Injury Severity Scoring (TRISS) system in predicting group mortality in intensive care unit (ICU) trauma patients.

Material And Method: The trauma patients admitted to ICU at Srinagarind Hospital between June 2008 and December 2010 were studied. For each patient, demographic data, mechanism of injury and surgical status were collected.

Laparoscopic appendectomy: results of a new technique for stump management.

Objective: The purpose of the present study was to review a new laparoscopic technique for treatment of appendicitis. An earlier pilot study indicated the safety of the technique in addition to saved time and cost.

Material And Method: The electronic records were analyzed on appendix surgeries performed at our hospital between January 1, 2007 and December 31, 2011.

Trauma care audit using Srinagarind hospital's audit filter.

Background: To audit trauma care (including the mortality rate and obstacles faced by the authors) at Srinagarind (University) Hospital using the trauma audit filter.

Material And Method: Conduct a prospective, descriptive, study of trauma patients who received trauma medical care at Srinagarind Hospital, Khon Kaen University, Thailand, between January and May 2006. Srinagarind Hospitals trauma audit filter was used to audit trauma care.

Sixty-one cases of obturator hernia in Chiangrai Regional Hospital: retrospective study.

Objective: To review the patient characteristics and clinical symptoms, intraoperative finding and management, including morbidity and mortality rate of obturator hernia cases.

Material And Method: A retrospective study was performed in 61 patients diagnosed as obturator hernia at Chiangrai Regional Hospital between January 2000 and December 2005.

Results: The incidence of obturator hernia is 61 of 2,828 cases (2.

Outcome of in-patient trauma cases: Accident and Emergency Unit, Khon Kaen University.

Objectives: To study and report the outcome of in-patient trauma cases based on the Trauma and Injury Severity Scoring (TRISS) method and compare the outcome with the registry data from the Major Trauma Outcome Study (MTOS).

Material And Method: A descriptive study was performed by retrospective data collection. From 1 January 2002 to 31 December 2002, all admitted trauma patients in the Accident and Emergency Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University were included in the present study.