Prometeymed serves patients around the world, many of whom have benefited from our trauma treatment offerings. Trauma can occur for many different reasons. We act in harmony with specialized physicians, clinics and hospitals and offer our patients the best treatment options for traumas caused by countless reasons such as falls, fire, war, conflict, accidental gunshot wounds.
We provide the speed and confidence our patients need by taking trauma treatment planning and processes naturally, and we make an extra diligent effort to complete the service in the best way possible.
You can review our trauma treatment areas and find answers to your questions.
Trauma is a physical injury to any part of the body as a result of an accident or use of force. Serious trauma should be treated as soon as possible, as it can be life-threatening.
There are various types of trauma that can harm people in very different ways. For this reason, a medical catalog exists to classify the various types of physical trauma.
Reconstructive and burn surgery
Various techniques are currently used to reconstruct the skin after a burn. The most commonly used treatment method is partial skin grafting.
Depending on the depth of the burn, the skin can regenerate itself. However, if the cells in the lower layers of the skin are damaged, reconstructive surgery may be needed to close the burn. The most common surgery is skin grafting, but several different options are available. Split-thickness skin grafts transplant only the outer layers of skin, while full-thickness skin grafts transplant the entire dermis. Other treatment options include microsurgery and tissue expansion.
Specific reconstructive surgery techniques that can be used to treat a burn are shown below:
- Autograft of skin: Skin grafting is the most commonly used technique for burn treatment. It consists of taking grafts from the patient’s own skin. The disadvantage is that these grafts leave a small scar in the area where they are taken. After the skin graft is removed, it is fixed to the burned area with sutures and dressings.
Other burn reconstruction techniques should be used if the burn is so deep that no dermis or fat remains and tendon or bone areas are exposed.
- Tissue expansion: This technique involves creating new skin for reconstruction. A silicone “balloon expander” is implanted under the skin at the burn site and gradually filled with saline to stretch the skin and force it to grow. The excess skin can then be used to cover the burn. However, this process can take months and if the burn is in a visible place, the swelling caused by the balloon inflator can create an undesirable appearance.
- Classical reconstructive surgery: A microsurgical procedure based on the use of tissue flaps.
The duration of the reconstruction process for a burn depends on the initial complexity.
Orthopedic microsurgery
Reconstructive microsurgery is a specialized type of surgery that uses a combination of an advanced microscope, specialized precision instruments and various surgical techniques for the surgical treatment of complex injuries involving muscles, tendons, blood vessels, nerves, skin and bones.
Reconstructive microsurgery is a method that allows the surgeon to use the injured person’s own tissue or bone to cover a wound, reconstruct an arm or leg, or restore lost function. The most important part of this technically complex procedure is the careful microscopic reconnection of tiny blood vessels to the transplanted tissues so that they continue to live and function in their new location.
As a field, reconstructive microsurgery is recognized as crucial for restoring limb function by repairing small, delicate vessels and nerves, bones and soft tissues of both upper and lower extremities that are not possible with traditional surgical methods.
The main goals of reconstructive microsurgery include
- Restoring limb function
- Limb protection
For the arm, this goal includes preservation of movement, strength and the ability to position the hand appropriately, while for the leg, it includes preservation of weight bearing ability.
Rehabilitation begins after the patient is discharged from hospital and may include a stay in a nursing or rehabilitation facility or discharge to their own home, depending on the patient’s condition, injury and the family’s ability to provide the necessary care.
Colon and Sphincter reconstruction
The criteria for colorectal surgery will depend primarily on the reason you are having the surgery. A surgeon will order certain tests to medically assess your condition before resorting to surgery, and may then want to know that you are healthy enough to tolerate the surgery and the recovery it entails.
In severe cases, a surgeon may determine that it may not be worth the possible treatment due to the high risks of extensive colorectal surgery. In cases where the risk is not too high, surgery may be recommended.
Sphincterotomy, also called lateral internal sphincterotomy, is a type of procedure used to cut the anal sphincter and sphincter repair is an area with very few specialists. The anal sphincter is the group of muscles attached to the rectum at the end of the digestive tract where bowel movements pass.
This surgery is done when an anal fissure (a crack in the skin of the anus) has not healed after other treatments have been tried. Fissures can bleed and be painful and in some cases take time to heal.
In most cases, fissures can be healed at home, sometimes even without treatment. However, if healing takes too long, surgery may be considered. Sphincterotomy is considered the gold standard in the treatment of chronic anal fissures and the success rate is generally reported to be about 95% or more, depending on the study.
Recurrence of a fissure after a sphincterotomy is rare and most patients are satisfied with the results of the procedure.
Brain neurosurgery
The term “brain surgery” refers to a variety of medical procedures that involve repairing structural problems in the brain.
Today, many types of brain surgery are used. The type used depends on the area of the brain and the condition being treated. Advances in medical technology allow surgeons to operate on parts of the brain without a single incision in or near the head.
Brain surgery is a complicated operation. The type of brain surgery performed depends mainly on the problem being treated. For example, a brain aneurysm can be treated using a catheter inserted into an artery in the groin. If the aneurysm is ruptured, then an open operation called a craniotomy can be performed. Neurosurgeons are highly qualified and treat each operation on a case-by-case basis.
Neurosurgery is performed to correct physical abnormalities in the brain. These can be caused by birth defects, disease, injury or other problems.
You may need brain surgery if you see any of the following conditions in or around the brain:
- Abnormal blood vessels
- Aneurysm
- Bleeding
- Blood clots
- Damage to the protective tissue called “dura”
- Epilepsy
- Abscesses
- Nerve damage or nerve irritation
- Parkinson’s disease
- Pressure after head trauma
- Skull fracture
- Stroke
- Brain tumor
- Fluid accumulation in the brain
Not all of these conditions require brain surgery, but many may require surgery, especially if they pose a risk for more serious health problems. For example, a brain aneurysm does not require open brain surgery, but if the vessel ruptures then open surgery may be required.
Physical Therapy and Rehabilitation
Physical rehabilitation is the process an injured or deconditioned person undergoes to restore physical functioning.
Physical rehabilitation can be a long process that begins while a person is still in the hospital after an injury or surgery and continues in a skilled nursing facility, home therapy, outpatient and other settings.
If you have broken your wrist and so have been in a cast for months, you may need physical therapy to regain the strength in your wrist.
This rehabilitation will help you with many everyday tasks such as preparing meals, bathing, working, etc. Most likely, you will receive rehabilitation treatment from a certified hand therapist who is an occupational therapist or physiotherapist with relevant training.
A stroke survivor may start physical therapy to improve their balance, regain strength and movement in a particular part of their body, eat on their own or drive a car again. To achieve these and similar goals, the stroke survivor will work with relevant specialists such as a physiotherapist, occupational therapist and speech therapist.
