Tıp Fakültesi / Faculty of Medicine

Permanent URI for this collectionhttps://hdl.handle.net/11727/1403

Browse

Filters

2009 - 200912010 - 20185

Settings

Author: search.filters.author.Ezer, Alisearch.filters.applied.f.rights: search.filters.rights.info:eu-repo/semantics/openAccess

Search Results

Now showing 1 - 6 of 6
  • Thumbnail Image
    Item
    Long-term results of retromuscular hernia repair: a single center experience
    (2017) Arer, Ilker Murat; Yabanoglu, Hakan; Aytac, Huseyin Ozgur; Ezer, Ali; Caliskan, Kenan; 0000-0002-3583-9282; 0000-0002-1161-3369; 0000-0002-3834-9924; 0000-0002-8767-5021; 0000-0003-0268-8999; 28904662; AAJ-7865-2021; AAJ-7913-2021; AAJ-8558-2021; AAJ-7201-2021; AAK-2011-2021
    Introduction: Incisional hernia (IH) is one of the most frequent postoperative complications after abdominal surgery. There are multiple surgical techniques described for IH repair. The aim of the study is to evaluate the effect of primary fascial closure on long-term results in retromuscular hernia repair (RHR) for incisional hernias. Methods: A total of 132 patients underwent RHR for IH were included in our study. 109 patients were evaluated in 2009 and 55 patients in 2015 for short and long-term results. Results: Among 132 patients perfromed RHR, fascia was closed in 107 (81%) and left open in 25 (19%) patients. The mean age of patients was 57.9 +/- 11.8 years. Average mesh area was 439.8 +/- 194.6 cm(2), hernia area was 112 +/- 77.5 cm(2) and open area after repair was 40.8 +/- 43.3 cm(2). Mean follow-up of 104 patients regarding postoperative complications evaluated in 2009 was 30.7 +/- 14.1 months. Recurrent IH was observed in 6 (4.5%) patients according to data collected in 2009. Long-term results were; mean follow-up period was 91 +/- 20.2 months (20-112 months) and recurrent IH was observed in 4 (7.3%) patients. Conclusion: Retromuscular repair for incisional hernia regardless of the fascial closure gives high patient satisfaction, less recurrence rates and complications in long-term follow-up.
  • Thumbnail Image
    Item
    Ultrasound Elastography and Magnetic Resonance Imaging Findings of Breast Angiosarcoma Mimicking a Benign Lesion by Elastography: A Case Report
    (2017) Aslan, Hulya; Pourbagher, Aysin; Ezer, Ali; Bolat, Fİliz Aka; Yabanoglu, Hakan; 0000-0002-7138-246X; 0000-0002-1161-3369; 0000-0002-3834-9924; 0000-0003-0268-8999; AAK-9104-2021; AAJ-7865-2021; AAJ-8558-2021; AAK-2011-2021
    Introduction: Primary and secondary angiosarcomas of the breast are rare neoplasms. Radiologically, magnetic resonance imaging, mammography, and ultrasound (US) findings of angiosarcomas have been reported previously. However, ultrasound (US) elastography findings of angiosarcoma have not been reported yet. Currently, US elastography should be used commonly to decide biopsy or short-term follow-up of breast lesions. Case Presentation: A 39-year-old female from Adana, Turkey, was admitted to Dr.Turgut Noyan Adana Teaching and Medical Research Center at the breast center of Baskent University, with a palpable right breast mass, which had been enlarging for one year in 2015. Our breast center is a tertiary referral center. B-mode US and US elastography findings suggested that the lesion was benign; however, magnetic resonance imaging showed a mass enhancing intensely at early phases with rapid wash out. The final diagnosis of the mastectomy specimen confirmed low-grade angiosarcoma. If the recommendation would have been based on the elastography findings, it would have been catastrophic because angiosarcomas tend to rapidly increase in size. Conclusions: B-mode US and elastography findings of breast angiosarcoma may mimic benign lesions.
  • Thumbnail Image
    Item
  • Thumbnail Image
    Item
    A lesion mixed with gallbladder neoplasm: adenomyomatosis
    (2018) Ezer, Ali; Parlakgumus, Alper
  • Thumbnail Image
    Item
  • Thumbnail Image
    Item
    Safra kesesi ameliyatı sonrası cerrahi müdahale gerektiren ciddi komplikasyonlar ve yaklaşımlar
    (Ulusal Cerrahi Dergisi ,25 (2) ,62-67, 2009) Törer, Nurkan; Nursal, Tarık Zafer; Çalışkan, Kenan; Ezer, Ali; Çolakoğlu, Tamer; Karakayalı, Hamdi; Haberal, Mehmet
    Kolosistektomi sonrası görülen ciddi komplikasyonlarla ilgili kliniğimizin deneyimlerini paylaşmak ve önemli gördüğümüz noktaları belirtmek. Gereç-Yöntem: Mayıs 1999 - Kasım 2007 tarihleri arasında kolesistektomi sonrası ciddi sorun gelişen ve hastanemizde ameliyat edilen hastaların dosyaları incelendi. Kolesistektominin tipi, başvuru süresi, başvuru anındaki bulguları, yaralanma tipi, başvurudan ameliyata kadar geçen süre, ameliyat sonrası sonuçları kaydedildi. Bulgular: Yirmi iki hastanın yaş ortancası 50 (27 - 73), kadın/erkek oranı 1,2 idi. Dokuz hastada laparoskopik kolesistektomi (LK), sekiz hastada açık kolesistektomi (AK), üç hastada laparoskopik başlanıp AK, iki hastada kolesistektomi sonrası benign biliyer darlık nedeniyle bilioenterostomi yapılmıştı. Amsterdam sınıflamasına göre hastaların yedisi Tip-B, onbiri Tip-C, üçü Tip-D yaralanma, biri damar yaralanmasıydı Tip-B yaralanma, LK veya laparoskopik başlanıp açığa geçilen olgularda gözlenirken, AK yapılanlarda hiç görülmedi. AK yapılanlardaki hakim yaralanma ise Tip-C idi (n=6/8) (p=0,029). Mortalite bir, ciddi komplikasyon yedi, uzun dönemde sorun iki hastada gözlendi. Komplikasyon gelişme oranları; Tip-D yaralanmalarda 3 hastadan ikisinde (p=0,167), erken dönemde başvuran (10 günden önce) hastalarda (5/9 - 2/13 p=0,046), erken müdahale yapılan (10 günden önce) hastalarda daha yüksekti (6/13 - 1/9 p=0,069). Uzun dönemde sorun yaşama oranı erken müdahale yapılan hastalarda (2/12 - 0/9 p=0,178) daha fazlaydı. Sonuç: AK ile safra yolu darlıkları, LK ile safra kaçaklarının daha sık meydana geldiği görüldü. We aim to share our experience on major complications of cholecystectomy. Methods: Records of patients operated for major cholecystectomy complications between May 1999 - November 2007 were analyzed. Type of cholecystectomy, clinical complaint, type of injury, period from first operation to referral and referral to corrective surgery, postoperative complications and long-term outcome were recorded. Results: Median age of 22 patients was 50 (27 - 73), female/male ratio was 1.2. Type of cholecystectomy was laparoscopic cholecystectomy (LC) (n=9), open cholecystectomy (OC) (n=8), bilioenterostomy (due to post-cholecystectomy benign biliary stricture) (n=2), conversion to open cholecystectomy (COC) (n=3). Detected type of injury was; Type-B (n=7), Type-C (n=11), Type-D (n=3) and unclassified (n=1) according to Amsterdam classification. All of the Type-B injuries were observed in four LC and three COC patients and none of the OC patients. However, in the OC group, most frequent type of injury was Type-C (n=6/8) (p=0.029). One patient died, 7 patients had complication, and two patients had recurrent biliary problems. Complication rate was more frequent for; Type-D injury (2/3 p=0.167), patients with early (<10 days) presentation (5/9 - 2/13) (p=0.046) and patients with early (<10 days) surgical intervention (6/13 - 1/9) (p=0.069). Experiencing recurrent problem rate was more frequent for the patients with early surgical intervention (2/12 - 0/9) (p=0.178). Conclusion: Most frequent complication of OC was biliary strictures and that of LC was bile leakage.