Tıp Fakültesi / Faculty of Medicine
Permanent URI for this collectionhttps://hdl.handle.net/11727/1403
Browse
18 results
Search Results
Item Solitary Cecal Diverticulitis Mimicking Cecal Carcinoma(2018) Ezer, Ali; Parlakgumus, Alper; https://orcid.org/0000-0002-3834-9924; 29866226; AAJ-8558-2021Cecal diverticulum is a rare clinical condition which may present as acute abdomen through diverticulitis and perforation of diverticulitis. Surgical treatment of cecal diverticulitis has been controversial, with studies recommending options ranging from conservative management with antibiotics alone to aggressive resection. Two cases, one of which was pre-diagnosed with cecal tumor perforation and the other with cecal tumor leading to intestinal obstruction, were urgently operated. To both patients, right hemicolectomy was applied. Pathologic evaluation revealed cecal diverticulitis in both patients. Right hemicolectomy is principally reserved for patients experiencing perforation of the diverticulum and extensive inflammatory reaction.Item A Rare Cause of Acute Appendicitis: Migration of an Intrauterine Device(2017) Parlakgumus, Alper; Parlakgumus, Huriye Ayse; Ezer, Ali; 0000-0002-3834-9924; 28599702; AAJ-8558-2021Item Primary Axillary Hydatid Cyst: An Extremely Rare Manifestation of Hydatid Disease(2017) Ezer, Ali; Parlakgumus, Alper; 0000-0002-3834-9924; 28406785; AAJ-8558-2021Item The Effect of Subcutaneous Suction Drains on Surgical Site Infection in Open Abdominal Surgery. A Prospective Randomized Study(2016) Arer, Ilker Murat; Yabanoglu, Hakan; Aytac, Huseyin Ozgur; Ezer, Ali; https://orcid.org/0000-0002-1161-3369; https://orcid.org/0000-0002-3583-9282; https://orcid.org/0000-0002-3834-9924; 27025777; AAJ-7865-2021; AAJ-7913-2021; AAJ-8558-2021AIM: Surgical site infection (SSI) is a major problem associated with open abdominal surgery and related to increased morbidity and mortality rates, healthcare costs and also incisional hernia. A negative pressure subcutaneous drain reduces dead space in subcutaneous tissue by preventing accumulation of fluid. The aim of current study was to establish the efficacy of a subcutaneous drainage system for preventing SSI after open abdominal clean-contaminated surgery. MATERIAL AND METHODS: A total of 62 patients underwent abdominal surgery, between November 2014 and March 2015, were enrolled. 48 eligible patients, were randomized into subcutaneous drainage (DG) and no drainage group (NDG). Antibiotic prophylaxis was appiled to each patient. The diagnosis of superficial SSI was made according to the Centers for Disease Control and Prevention's (CDC) definition. RESULTS: The mean age of patients was 48.77 +/- 12.62 years with a male-female ratio of 21:27. No statistical difference between groups was observed for age, sex, comorbidity, incision type, hemoglobin level, blood loss, hospital stay and operation time (P>0.05). 2 (8.7%) patients in DG and 8 (32%) patients in NDG had incisional SSI but no statistical difference was observed (P>0.05). CONCLUSION: SSI appear to be reduced with subcutaneous suction drains in open abdominal surgery however prospective randomized larger scaled studies should be performed on this topic.Item A Novel Technique for Detection and Suturing of Biliary Fistula in a Giant Hydatid Cyst: Video-assisted Biliary Fistula Suturing in Hydatid Cyst(2016) Ezer, Ali; Parlakgumus, Alper; 0000-0002-3834-9924; 28666492; AAJ-8558-2021Hydatid disease remains an important health problem in endemic areas; and by the way of travel and immigration, it can also be encountered in non-endemic areas. The most common cases with complications following hydatid liver surgeries are biliary fistulas with a frequency of 14.6 - 27.5%. Postoperative biliary leakage is generally due to unnoticed biliary tract communications. It is technically difficult to determine and suture the biliary fistulas, particulary for deep located ones with giant cavities for patients with high body mass index. We report a novel technique via video-assisted suturing of potentially unnoticeable biliocystic fistula in open surgery for patients with hydatid disease.Item A Rare Cause of Gastrointestinal Bleeding: Jejunal Diverticulosis(2016) Parlakgumus, Alper; Ezer, Ali; Tarim, Akin; 0000-0002-3834-9924; 27806823; AAJ-8558-2021Item Anorectal Malformation in an Adult Associated with Chronic Renal Failure: A Case Report(2017) Ezer, Ali; Ezer, Semire S.; Parlakgumus, Alper; 0000-0002-3834-9924; 0000-0002-9597-3264; AAJ-8558-2021; AAJ-9529-2021Few adult cases suffering from anorectal malformation have been concerned in literature; therefore, little is known about the best approach for managing this matter in adults. Our case is a 24 years old female patient admitted to our center with recurrent urinary tract infections and fecal incontinence. She was in hemodialysis program for 1 year due to chronic renal failure. During clinical examination, rectovestibular fistula was detected. Initially, sigmoid loop colostomy was formed. After 10 days, posterior sagittal anorectoplasty (PSARP) was applied and after 3 months, closure of the colostomy was practiced. Total continence reconstruction was achieved. 8 months after all these processes, kidney transplant from our patient's mother was performed and the patient was back to her normal life. After 18 months, Arteriovenous fistula for hemodialysis was closed. By means of PSARP, satisfactory results were reached in adults with delayed anorectal malformation.Item Advancement of House Flap in Treatment of Perianal Basal Cell Carcinoma(2017) Ezer, Ali; 0000-0002-3834-9924; 29056139; AAJ-8558-2021Item Polymeric Clips for Stump Closure in Laparoscopic Appendectomy(2017) Parlakgumus, Alper; Ezer, Ali; 0000-0002-3834-9924; 29056133; AAJ-8558-2021Many different techniques are used to perform laparoscopic appendectomy in terms of locations of trocars and closure of the appendiceal stump. They include mechanical endostaplers, endoligature, metal clips, bipolar endocoagulation, polymeric clips and intracorporeal sutures. The method of choice for appendiceal stump closure should be inexpensive and easy to perform. Non-absorbable polymer clips is an acceptable option for this purpose. Polymeric clips provide considerable cost savings as compared with endoscopic staplers, and are easy to apply in comparison to suture ligature techniques. In this study, we aimed to investigate outcomes of appendectomy carried out by using polymeric clips in 123 patients without any intraabdominal collection of pus or abscess. As such, the authors found polymeric clips to be safe, cheap and effective for stump closure in laparoscopic appendectomy.Item LIFT Technique for Simple Rectovaginal Fistula(2017) Parlakgumus, Alper; Ezer, Ali; 0000-0002-3834-9924; 29185412; AAJ-8558-2021