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Öğe Appendix in recurrent hernia sac (Amyand's hernia)(Aves Press Ltd, 2017) Tasci, Halil Ibrahim; Erikoglu, MehmetAmyand's hernia refers to the condition in which an inflamed, perforated, or normal appendix is present in the hernia sac. It accounts for 1% of all inguinal hernias and its preoperative diagnosis in patients is difficult. A 67-year-old male patient who underwent right-sided inguinal hernia repair with a mesh approximately 2 years before at another healthcare center was referred to our clinic with complaints of pain in his right inguinal area and swelling, which became evident while coughing or straining, for approximately 2 months. A surgical procedure to repair his recurrent inguinal hernia was planned, and appendiceal tissue was observed in the hernia sac during the procedure. Appendectomy was not performed because the appendix was observed to be normal. Tension-free mesh hernioplasty was performed. The patient was discharged on postoperative day 1, without any complications. Amyand's hernia is generally intraoperatively diagnosed and is a rare form of hernia with no specific symptoms. In this case report, we showed that despite the patient undergoing a surgical procedure, the appendix was present in the hernia sac because of recurrence, and we aimed at reviewing Amyand's hernia with the literature.Öğe A Case of Ectopic Parathyroid Adenoma at an Unexpected Location(Cukurova Univ, Fac Medicine, 2015) Tasci, Halil Ibrahim; Erikoglu, MehmetEctopic parathyroid tissue can be seen at any location from the mandibula to the mediastinum. The main problem in parathyroid surgery are determination of these ectopic parathyroid tissues' location and their resection. About 1-2% of patients with hyperparathyroidism have a deep mediastinal located parathyroid and transsternal or transthoracic approach should have to be employed most of the time. A 63-year-old female patient, presenting with widespread joint pain and fatigue complaints going on for about a year, was diagnosed with parathyroid adenoma in the mediastinal area as shown by the results of analyses conducted upon the detection of high levels of calcium and parathormone. Accordingly she was taken into surgery with a cervical incision and adenoma in a posterior localization in the carotid artery sheath on the upper mediastinum was seen. The patient, whose calcium, phosphor, and parathormone levels returned to normal levels following the surgery, was discharged with no problems on post-op day 2. Consequently, parathyroid is a tissue whose atypical localization is quite frequent. Nevertheless, atypical localized parathyroid surgeries can be performed by experienced surgeons without having to resort to a secondary procedure with minimally invasive methods with the contribution of localization studies before and/or during the procedure.Öğe The effects of selenium and vitamin E on lung tissue in rats with sepsis(Canadian Soc Clinical Investigation, 2012) Atli, Mustafa; Erikoglu, Mehmet; Kaynak, Adnan; Esen, Haci H.; Kurban, SevilPurpose: In this study we examined the ability of selenium and vitamin E to prevent sepsis-induced changes in lung tissue. Methods: Fifty rats were divided into five groups: Group 1: Control group; Group 2: Sepsis group. In this group only cecal ligation and perforation (CLP) was performed. Group 3: Selenium group. An intraperitoneal dose of 100 mu g selenium was given for the first two days followed by a daily dose of 40 mu g for the next five days. CLP was performed the following day. Group 4: Selenium and vitamin E group. In addition to selenium, vitamin E was given intramuscularly in a dose of 250 mg/kg/day for seven days. CLP was performed the following day. Group 5: Vitamin E group. Vitamin E was given intramuscularly in a dose of 250 mg/kg/day for seven days. CLP was performed the following day. Results: There were significant differences between Group 2 and all other groups in terms of blood gas values (pH, pCO2, SaO2), and leukocyte, C-reactive protein (CRP) and glutathione peroxidase levels (p< 0.005). There was no statistically significant difference between groups 3, 4 and 5 in terms of histopathological changes in lung tissue (p> 0.05), but all groups were significantly different compared with Group 2 (p< 0.05). Conclusion: Sepsis-induced lung tissue damage can be reduced or prevented by pretreatment with of selenium and/or vitamin E in a rat model.Öğe Internal Herniation Due to Appendix Vermiformis Rotation: A Rare Case of an Acute Abdomen(Modestum Ltd, 2012) Erikoglu, Mehmet; Yildirim, Mehmet AykutInternal herniation is a rare occurrence that appears in about 0.2-0.9% of autopsy cases. An 84-year-old female patient presented to our clinic with severely distended the abdomen. Abdominal examination revealed tenderness and rebound mainly in the right side of the abdomen. Following the laparatomy it was observed that the appendix vermiformis was about 12 cm in length and was adhered to the cecum having rotated around itself at 360 degrees. It was also seen that a terminal ileum loop of about 30 cm. had penetrated into the appendix forming a circle having rotated around itself and that this segment was ischemic and a portion was perforated for a length of 1 cm. Further, this rotation had also affected the cecum which showed ischemic changes. A right hemilectomy and segmenter small bowel resection were performed. There were no problems during the follow-ups the patient was discharged on the tenth postoperative day. Although there are several reports detailing various kinds of internal herniation published in literature.Öğe Öğe Kidney transplant with multiple arteries: Our early results(Aves, 2012) Erikoglu, Mehmet; Colak, Bayram; Tekin, Ahmet; Kucukkartallar, Tevfik; Tavli, SakirPurpose: The most common anomaly seen in kidneys used for transplantation is numerical anomalies of the renal artery. The aim of our study is to discuss the artery anomalies we detected in renal transplantation cases in our clinic in line with the relevant literature. Materials and Methods: Five (39%) of the patients were female, 8 were male (61%) and their mean age was 43.7 (22-73), mean follow-up period was 30.5 months (4 to 90). For 7 of the patients, the organs were transplanted from a cadaver and 6 were transplanted from living donors. 12 patients had double, 1 patient had three renal arteries. Six patients were given ex vivo pant type side by side reconstruction to obtain a single large artery and the external iliac was anastomosed to the artery. In 1 patient with a small inferior polar artery, the inferior polar artery was ligated. In 1 patient, the arteries were positioned by in situ anastomosis one by one. In one patient with three arteries, the upper arteries were positioned by pant type anastomosis and anastomosed as a single artery, and the lower polar artery was anastomosed with the inferior epigastric artery end to end. Results: In four patients (30.7%) there was delayed graft function, 1 patient (7.6%) developed acute rejection verified with biopsy. In the post-operative period, it was determined that 3 patients had lymphocele which did not require intervention, 1 patient had subcutaneous infection and 1 patient had perirenal hematoma. Subcutaneous infection recovered with antibiotic treatment. As for the patient with perirenal hematoma, the perirenal hematoma resorbed spontaneously. Conclusion: Using kidneys with multiple renal arteries for transplantation brings with it some theoretical risks. Tubular necrosis, delayed graft function and rejection can be seen more frequently due to elongated cold or hot ischemia time. We are of the opinion that large and single renal artery anastomosis obtained with ex vivo pant anastomosis application can decrease the vascular complication risk in multiple renal artery.Öğe The relation between follicular adenoma and papillary thyroid carcinoma(Aves, 2011) Erikoglu, Mehmet; Colak, Bayram; Aksoy, Faruk; Cakir, Murat; Ozer, SukruPurpose: Follicular adenomas are the most common neoplasms of the thyroid. They are encapsulated and generally solitary lesions. The aim of this study was to assess those patients diagnosed as having follicular adenomas as a result of histopathological examinations during thyroid surgery in our clinic over the last five years and to study the relationship between papillary thyroid carcinoma and follicular adenoma. Patients and Method: Of the 1081 thyroid operations in the last 5 years, 144 patients who were diagnosed with follicular adenoma as a result of histopathological examination after surgery were assessed. Results: 104 of the patients (72.2%) were female and 40 (27.7%) were male. When the pathological reports of the patients diagnosed with follicular adenoma were considered, 29 patients (20,1%) also had papillary carcinoma. (p:0.058). Conclusion: In our study, we commonly detected accompanying follicular adenoma with papillary carcinoma. Because of this, in patients with a diagnosis of follicular neoplasm we consider that surgical treatment should be a total thyroidectomy if there are nodules determined in the same or opposite thyroid lobe.Öğe Renal Transplant Results of the Organ Transplant Center of Meram Medical School Between 2003-2011(Turk Nefroloji Diyaliz Transplantasyon Dergisi, 2013) Turkmen, Kultigin; Fatih, M. Ehmet Erdu R.; Erikoglu, Mehmet; Gaipov, Abduzhappar; Colak, Bayram; Tekin, Ahmet; Yeksan, MehdiBJECTIVE: Renal transplantation (RTx) is the best therapeutic modality for end-stage renal disease patients. We report 8 years single-centre experience on cadaveric and living donor RTx in terms of demographic features along with graft functions, posttransplant medical complications, patients-graft survivals. MATERIAL and METHODS: We enrolled 66 RTx (female/male: 36/30) patients including 40 cadaveric and 26 living donors. At admission age, gender, causes of renal failure, dialysis typeduration, type of RTx, induction and maintenance immunosuppressive modalities, rejection episodes, biochemistry-hemogram parameters at 1, 6, 12, 24 and 60 months after transplantation and medical complications were obtained from the medical records. RESULTS: Mean recipient age was 41 +/- 11.6 years. Mean transplant duration was 32.2 +/- 31.4 months, and the mean creatinine values was 1.4 +/- 0.9 mg/dl. The most commonly used immunosuppressive protocol was corticosteroid+tacrolimus+mycophenolate mofetil. Delayed graft function, chronic allograft nephropathy and acute rejection were observed in 27.3%, 25.7% and 13.6% of patients, respectively. 1-and 5-year patient survival rates were 100% and 100% for living donor patients and 85% and 85% for cadaveric patients, respectively. 1- and 5-year graft survival rates were 100% and 100% for living donor RTx patients, and 80% and 80% for cadaveric RTx patients, respectively. The most common medical complications were new onset diabetes mellitus and dyslipidemia. The most common early and late infection was urinary tract infection. CONCLUSION: RTx is the best renal replacement therapy in terms of patient-graft survival. However, patients should be closely moniterized for metabolic complications.Öğe Retrospective Evaluation of Completion Thyroidectomy Cases(Aves, 2013) Colak, Bayram; Kucukkartallar, Tevfik; Aksoy, Faruk; Cakir, Murat; Kartal, Adil; Erikoglu, MehmetObjective: The aim of this study is to investigate the reasons and complications of completion thyroidectomy. Material and Methods: One hundred and ten patients undergone completion thyroidectomy were evaluated according to their age, gender, expenditure, operative technics, recurrence, fine-needle aspiration biopsies cytology, final pathology and complications. Results: Out of 110 patients 97 were female and 13 were male. Fifty six patients were operated on for malign reasons while 54 patients were operated on for benign reasons. 55% of the patients had been sent to our institution from another institution. Multinodular goiter was the most frequent histopathological result followed by papillary thyroid carcinom. Hypocalcemia was detected in 40 patients, seroma in 17 patients, permanent hoarseness resulting from recurrent laryngial nerve injury in 1 patient, esophageal injury in 1 patient, internal jugular vein injury in 1 patient and abscess in 1 patient. Recurrence was detected in the other lobe among from the operated one was in 38% of the patients. Parathyroid tissue was found in the rethyroidectomy piece in 23.6% of the cases. Conclusion: In the second thyroidectomy complications were more severe than the initial thyroidectomy and the rate of incidental parathyroidectomy increases obviously. We believe that the need for completion thyroidectomy and resulting complications can be reduced to a minimum through total thyroidectomy.Öğe Synchronous Pancreas Adenocarcinoma and Breast Infiltrative Ductal Carcinoma(Modestum Ltd, 2014) Erikoglu, Mehmet; Simsek, Gurcan; Dereli, Caglayan; Tavli, SakirThe association between pancreas adenocarcinoma and breast infitrative ductal carcinoma is extremly rare. A 55-year-old woman was diagnosed as having a pancreatic adenocarcinoma. The patient underwent a Whipple operation. At the pathology consultation; result was well-differentiated adenocarcinoma, Six months later, patient came to routine polyclinic control with breast mass. After the true-cut biopsy, invasive ductal breast carcinoma was detected in pathological examination. The prosedure was breast conservation surgery and axillary lymph node dissection. We administered adjuvan chemotherapy and radiotherapy. We think that common genetic mechanism between pancreatic adenocarcinoma and breast infiltrative ductal carcinoma might be present. Clinicians should pay attention to the possibility associated breast cancer in preoperative screeening and follow up of patients with pancreatic adenocarcinoma.Öğe Synchronous Pancreas Adenocarcinoma and Breast Infiltrative Ductal Carcinoma(Modestum Ltd, 2014) Erikoglu, Mehmet; Simsek, Gurcan; Dereli, Caglayan; Tavli, SakirThe association between pancreas adenocarcinoma and breast infitrative ductal carcinoma is extremly rare. A 55-year-old woman was diagnosed as having a pancreatic adenocarcinoma. The patient underwent a Whipple operation. At the pathology consultation; result was well-differentiated adenocarcinoma, Six months later, patient came to routine polyclinic control with breast mass. After the true-cut biopsy, invasive ductal breast carcinoma was detected in pathological examination. The prosedure was breast conservation surgery and axillary lymph node dissection. We administered adjuvan chemotherapy and radiotherapy. We think that common genetic mechanism between pancreatic adenocarcinoma and breast infiltrative ductal carcinoma might be present. Clinicians should pay attention to the possibility associated breast cancer in preoperative screeening and follow up of patients with pancreatic adenocarcinoma.Öğe TREATMENT SELECTION FOR A VESICOURETERAL REFLUX CASE FOLLOWING RENAL TRANSPLANTATION(Wiley-Blackwell, 2015) Erikoglu, Mehmet; Tasci, Ibrahim H.; Balasar, Mehmet; Piskin, Mehmet Mesut; Tavli, Sakir[Abstract Not Availabe]
