Post-entubation tracheal stenosis(PETS) is observed in patients who are hospitalized in the intensive care unit due to various etiological reasons and who are exposed to prolonged intubation during follow-up as a result of the pressure applied to the tracheal mucosa to cause necrosis or scarring in the trachea. In our study,we aimed to retrospectively evaluate the results of patients who underwent dilatation with rigid bronchoscopy and those whose conditions did not improve despite dilatation and underwent tracheal resection and reconstruction, and compare the with the literature. This study was conducted to retrospectively analyze the data of 20 patients who underwent surgical intervention due to PETS between 2019-2022.The patients were divided into 2 groups according to the Cotton Myer PETS index of the data obtained as a result of measuring the diameter of the stenotic tracheal segment according to bronchoscopic and CT measurements. When the patients were classified according to the post-intubation tracheal stenosis classification described by Cotton Myer,it was seen that 7 patients were Grade 1.10 patients were Grade 2 and 3 patients were Grade 3. Tracheal resection and reconstruction surgery is a difficult procedure and requires surgical experience due to the lack of experienced anesthesia team in every center.For this reason,we recommend sequential bronchoscopic dilatation in patients with comorbidity who are not suitable for tracheal resection and in grade 1 patients. However, we suggest that tracheal resection and reconstruction surgery should be performed after appropriate preoperative preparation in patients with grade 2 and 3 without comorbidity.
Bu makale, en az iki hakem tarafından incelenmiş ve intihal içermediği teyit edilmiştir. / This article has been reviewed by at least two referees and confirmed to include no plagiarism.
The ritual of sacrifice has always been of great importance in the historical process from the first known societies to the present day. The ritual of sacrifice, sometimes carried out to ensure the continuity of the cosmos and convey the wishes to God, was usually performed to satisfy God / Gods. Rituals performed for "pleasing God/Gods" mostly show that there is a religion behind the ritual. Judaism is also a religion that emphasizes the ritual of sacrifice and orders to fulfill it. In Judaism, the phenomenon of sacrifice is an emphasized worship especially in the figures of Abraham, Isaac, and Jacob who they named as ancestors. In this context, the Jews who believed that there was holiness in every act of the ancestors strictly adhered to the worship of sacrifice. However, in today's Judaism, the worship of sacrifice has turned into an abandoned form of worship that is rarely performed. This text focuses on the efforts of the pioneers of the "Documentary Hypothesis" especially Julius Wellhausen, who seeks answers to the question of why the ritual of sacrifice in Judaism has undergone such a transformation. According to the data of the "Documentary Hypothesis", the fundamental reason for the abeyance of the ritual of sacrifice is the historical and religious change and transformation in Judaism. Jews have had a long historical process since Abraham who they accepted as the beginning. This process has naturally brought forth political and religious transformations. In this sense, the ritual of sacrifice practiced in the early * Bu makale 2019 yılında Sivas Cumhuriyet Üniversitesi'nde hazırlanan "Eski Ahit Eleştiri ve Julius Wellhausen" başlıklı yüksek lisans tezinden üretilmiştir.
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