Yazar "Kartal, Adil" seçeneğine göre listele
Listeleniyor 1 - 20 / 21
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Bile duct ischemia developing after reconstruction of the hepatic artery during the Whipple operation(2015) Çakır, Murat; Küçükkartallar, Tevfik; Tekin, Ahmet; Tuncer, Fatma Betül; Kartal, AdilA pancreaticoduodenectomy is a surgical procedure with a high morbidity and mortality rate. The injury of the hepatic artery may occasionally lead to intraoperative bleeding. Repair of the injured hepatic artery is of great importance in terms of maintaining the vascular supply of the liver. We report a case with an injury of the hepatic artery that was successfully reconstructed with the gastroduodenal artery and then developed a biliary leak due to bile duct ischemia at an early stage. A 33-year-old women complaining of right upper quadrant pain was found to have a solid pseudopapillary tumor of the pancreas. She underwent an immediate pancreaticoduodenectomy, and her hepatic artery was injured during the operation. The arterial ends were sutured with primary anastomosis, because they could be aligned without any tension. The biliary leak occurred on postoperative day 2. We detected bile duct ischemia and reanastomosed the artery. The patient was discharged on postoperative day 8. Surgeons should be prepared for anomalies of the peripancreatic vascular structures during pancreaticoduodenectomy. Computed tomography angiography should be considered to reveal these anomalies before the surgery. Insufficiency of the biliodigestive anastomosis due to bile duct ischemia in the postoperative period should be kept in mind, even in cases of successful repair.Öğe Comparison of mammography sensitivity after reduction mammoplasty targeting the glandular and fat tissue(2015) Çakır, Murat; Küçükkartallar, Tevfik; Tekin, Ahmet; Selimoğlu, Nebil; Poyraz, Necdet; Belviranlı, Mehmet Metin; Kartal, AdilAmaç: Meme küçültme cerrahisi geçiren kadınların meme kanseri teşhis ve taramasında mamografinin bazı sınırlılıkları vardır. Bu çalışmada postoperatif değişikliğe bağlı meme dokusunda gelişen yapısal bozuklukların mamografiye nasıl yansıdığını araştırmayı amaçladık.Gereç ve Yöntemler: Meme küçültme operasyonu geçiren ve genel cerrahi kliniği tarafından meme kanseri taraması amacıyla mamografi çekilmesi istenen hastaların dosyaları retrospektif olarak incelendi. Hastaların yaş, cerrahi işlem, postoperatif takip süresi, çıkarılan doku miktarı, histopatolojik ve mamografik bulguları değerlendirildi. Hastalar 3 grupta incelendi: 40 yaş üzerinde glandüler doku ağırlıklı redüksiyon mammoplasti uygulanan (1. grup), 40 yaş altında yağ dokusu ağırlıklı redüksiyon mammoplasti uygulanan (2. grup) ve 40 yaş üstünde meme hipertrofisi tanısı almış ve opere edilmeyen (3. grup) hastalardan oluşmaktadır.Bulgular: Hastaların ortalama takip süresi 6 yıldı. Çıkarılan ortalama doku miktarı 1. grupta 1120 gr (6802070), 2. grupta 1220 gr idi. Ameliyat yaş ortalaması 1. grupta 45 , 2. grupta 35 idi. Histopatolojik incelemede tüm gruplar benigndi. Birinci grup hastaların tamamı BIRADS 1-2, 2. grup hastaların 28'i BIRADS 1-2, 4'ü BIRADS 3 ve 8'i BIRADS 0 idi. Üçüncü grup hastaların 35'i BIRADS 1-2, 4'ü BIRADS 3 ve 1'i BIRADS 0'dı.Sonuç: Kırk yaş üzeri hastalarda glandüler doku ağırlıklı meme küçültme cerrahisi uygulanmasının mamografi duyarlılığını artırdığı kanısındayızÖğe Does endoscopic retrograde cholangiopancreatography have a negative effect on laparoscopic cholecystectomy?(2015) Çakır, Murat; Küçükkartallar, Tevfik; Tekin, Ahmet; Yıldırım, Mehmet Aykut; Kartal, AdilObjective: We have observed that patients who had undergone endoscopic retrograde cholangiopancreatography (ERCP) had some difficulties with laparoscopic cholecystectomy procedures. Through a retrospective study, we planned to compare the surgical procedures between patients who had undergone ERCP and those who had not in order to clarify this.Material and Methods: The results of 122 patients who had undergone ERCP because of choledocholithiasis before undergoing laparoscopic cholecystectomy procedures between 2008 and 2011 were compared to the values of 2140 patients operated because of cholelithiasis only within the same period.Results: Among the patients who underwent surgical procedures following ERCP, 80 (65%) were female and 42 (35%) were male. The average age of the patients was 51.9 years (range: 20-83 years). The operation period after the procedure was 30.14 days (range: 1-93 days). Although the hospitalization period was 4.67 days (range: 1-22 days), the postoperative hospitalization period was 2.68 days (range: 1-15 days). Regarding the difficulty of operation, adhesion in 58 (47.5%) patients, bleeding in two (1.6%) patients, and conversion to open procedure in 12 (9.8) patients were observed. In two (1.6%) patients, bleeding and biliary fistula were the reasons for re-operation.Conclusion: Laparoscopic cholecystectomy is more complicated in patients who underwent ERCP.Öğe Early Hospital Readmission After Laparoscopic Cholecystectomy(Lippincott Williams & Wilkins, 2015) Simsek, Gurcan; Kartal, Adil; Sevinc, Baris; Tasci, Halil I.; Dogan, SerhatIntroduction:Laparoscopic cholecystectomy (LC) now has become the golden standard in the treatment of symptomatic gallstone cholecystitis.Aim:This retrospective analysis was conducted to clarify the reasons of early return to the hospital after discharge following a procedure like LC that has been frequently performed in daily surgical practice.Materials and Methods:This study covers 586 patients, who were called to follow-ups and thus evaluated, of 676 patients who had had LCs at Meram Medical School's General Surgery Clinic between January 2010 and May 2011.Findings:The rate of representation to the hospital during the early phase following LC was found to be 2.4% in our study. It was observed that 71% of returning patients had presented to the hospital with complaints of abdominal pain.Discussion:We believe that the rate of 2.4% early return to the hospital in our series is a bit high when all the complications are taken into consideration. This retrospective analysis, however, has shown that this rate can further be decreased by taking simple measures.Öğe An easy way to put the spleen into the bag(Termedia Publishing House Ltd, 2013) Cakir, Murat; Tekin, Ahmet; Kartal, Adil; Tuncer, Fatma BetulIntroduction: Splenectomy is a therapeutic and diagnostic procedure used in a wide range of situations. Laparoscopic splenectomy has become the gold standard in some hematological diseases. The laparoscopically removed spleen is placed into a surgical bag, a step which is sometimes the most time-consuming part of the operation. Aim: To present the method that we employed in laparoscopic splenectomy to place the specimen into the bag and extract it in an easier and simpler way Material and methods: The proximal part of the splenorenal ligament is left undivided in the size of one LigaSure cut length to use as a stalk while placing the spleen into the surgical bag. The bag is advanced from the inferior pole of the spleen toward the superior pole. Only keeping the bag open is sufficient to place the spleen into the bag. Results: Recently, me started to put the spleen into the bag easily before cutting upper attachment of the spleen laparoscopically. So far we applied this procedure in more than eleven cases without complication. Conclusions: Splenectomy is now the gold standard in the treatment of hematologic diseases that are resistant to medical treatment or that are not amenable to medical treatment because of its complications. Through our experience, the method that we describe here easily overcomes one of the most unpleasant parts of laparoscopic splenectomy.Öğe Effect of sex steroids on soleus muscle response in hypocalcemic medium (in vitro)(Academic Press Inc Elsevier Science, 2013) Kokcam, S. Said; Tekin, Sakir; Kartal, Adil; Ayaz, Murat; Sahin, Mustafa; Acar, Fahreddin; Cakir, MuratPurpose: Postoperative hypocalcemia is a frequently encountered complication of thyroid surgery. Since hypocalcemic symptoms are closely associated with sex, the aim of this study is to investigate the effects of sex steroids on muscle tissue under hypocalcemic conditions. Methods: Six groups consisting of control male (M), control female (F), gonadectomized male (M -), gonadectomized female (F-), estradiol- applied gonadectomized male (MX), and testosterone- applied gonadectomized female (FX) rats were used. Contraction recordings were obtained from soleus muscle flaps. Maximal tension (PT), frequency required for 50% of PT (F50), contraction velocity at F50 (V50), and changes in contraction values (d[PT], d[F50], d[V50]) between normocalcemic and hypocalcemic conditions were calculated. Results: d[PT], d[F50], and d[V50] were significantly higher in M - and MX groups compared with control M group. Whereas d[PT], d[F50], and d[V50] parameters of the F- group were significantly higher than control F group, d[F50] and d[PT] of the FX group showed no significant change and d[V50] for the FX group was significantly lower. A comparison of control groups showed that d[PT], d[F50], and d[V50] of the F group were significantly higher than those of the M group. Conclusion: Whereas absence of both testosterone and estradiol caused an increase in hypocalcemia- induced changes in contraction parameters of rat skeletal muscle, presence or application of testosterone clearly stabilized contraction parameters. (C) 2013 Elsevier Inc. All rights reserved.Öğe Effectiveness of collagenase in preventing postoperative intra-abdominal adhesions(Elsevier Science Bv, 2013) Cakir, Murat; Tekin, Ahmet; Kucukkartallar, Tevfik; Yilmaz, Huseyin; Belviranli, Metin; Kartal, AdilIntroduction: The purpose of this study is to investigate the effectiveness of Collagenase clastridiopeptidase an enzyme preparation used in enzymatic debridement in preventing adhesions brought about by peritoneal damage. Methods: The study covers a total of 40 rats in 4 groups each having 10 rats. Group 1: The control group. Group 2: Normal saline group. Group 3: Sterile Novuxol (R) group. Group 4: The group where the intraperitoneal and systemic effects of sterile Novuxol (R) were investigated. Adhesion frequency and grades were scored on the post-op 11th day according to Granat. Blood work including hemoglobin, aspartate aminotransferase, alanine aminotransferase, urea, creatinine, and albumin level measurements were performed. Toxicity was investigated histopathologically through samples taken from the liver and the peritoneum from Group 4. Results: Adhesion frequency was found to be 80% on the right and 90% on the left for Group 1, while it was 50% on both left and right for Group 2, and 30% on the right and 10% on the left for Group 3. Adhesion stages were found to be 1: 2.35 +/- 1.42 for Group 1, 0.31 +/- 1.15 for Group 2, and 0.20 +/- 0.41 for Group 3. Adhesion stage of the Sterile Novuxol (R) Group was lower than all the other groups (p < 0.05). Biochemical and hematological parameters were similar in all groups (p > 0.05). Histopathological analysis revealed no hepatotoxicity. Conclusions: According to the results of our study, we believe that Sterile Novuxol (R) can be a good anti-adhesive agent considering its ease of use, non-toxicity, and effectiveness. (C) 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.Öğe The effects of flavanoid on the treatment of hepatopulmonary syndrome(Korean Surgical Society, 2013) Atalay, Talha; Cakir, Murat; Tekin, Ahmet; Kucukkartallar, Tevfik; Kargin, Suleyman; Kartal, Adil; Kaynak, AdnanPurpose: Hepatopulmonary syndrome is an arterial oxygenation disorder brought about by advanced liver failure and pulmonary vascular dilatations. The reason why hypoxia develops in hepatopulmonary syndrome depends on the broadening of perialveolar capillary veins. Our study aims to investigate the effects of Flavanoid on hepatopulmonary syndrome through its inhibition of nitric oxide. Methods: Three groups, each having 8 rats, were formed within the scope of our study. Group I (the control group) only received laparatomy, group II received choledoch ligation, and group III was administered Flavanoid (90% flavonoid diosmin, 10% flavonoid hesperidin) following choledoch ligation. The rats were administered Flavanoid at week two following choledoch ligation. The rats' livers and lungs were examined histopathologically following a five-week follow-up and the perialveolar vein diameters were measured. Arterial blood gases and biochemical parameters were evaluated. Results: It was seen that fibrosis and oxidative damage in the liver with obstructive jaundice as well as hypoxia with pulmonary perialveolar vein sizes were significantly lower than the other group with cirrhosis formed through the administration of Flavanoid. Conclusion: We have concluded that Flavanoid administration might be useful in the treatment of hypoxia in hepatopulmonary syndrome and the delay of cirrhosis contraction.Öğe Ekstrahepatik yerleşimli primer intraabdominal hidatik kist olguları(2013) Gündeş, Ebubekir; Küçükkartallar, Tevfik; Çakır, Murat; Aksoy, Faruk; Bal, Ali; Kartal, AdilAmaç: Kist hidatik halen bölgemiz ve ülkemiz için yaygın bir sağlık sorunu olarak önemini korumaktadır. Karın içi diğer organların primer tutulumu nadir olarak görülmektedir. Ekstrahepatik primer intraabdominal hidatik kist nedeniyle cerrahi tedavi ettiğimiz olguları literatür eşliğinde incelendik. Yöntemler: Karaciğerin eşlik etmediği ve primer intra- abdominal hidatik kist nedeniyle tedavi edilen toplam 22 hastanın tıbbi kayıtları geriye dönük olarak incelendi. Bulgular: Hastaların 16 (%72,7)’sı kadın, 6 (%27,3)’si erkek olup yaş ortalamaları 44. 5 (26- 75) olarak saptandı. Yerleşim yeri en fazla dalak (n 8) olarak görüldü. Hastaların tamamı elektif şartlarda ameliyat edildi. Hastalarında 12 (%54)’sinde organ rezeksiyonuna ihtiyaç duyuldu. Total kist eksizyonu 16 (%72,7) hastada gerçekleştirilebildi. Diğer 6 (%27,3) olguya parsiyel kistektomi yapıldı. Tüm hastalara ameliyat sonrası 10 mg/kg dozunda albendazol tedavisi başlandı. Hastaların ortalama takip süresi 40 (6- 68) ay olup hiçbir hastada nüks saptanmadı. Sonuç: Echinococcus granulosus’un her organı tutabileceği unutulmamalıdır. Karaciğer ve akciğerde hidatik kiste rastlanılmamış olsa bile hastanın şikayetine göre diğer tüm sistemler dikkatli bir şekilde tetkik edilmelidir. İntraabdominal yerleşimli kistik kitlelerin ayırıcı tanısında, özellikle endemik bölgelerde, hidatik kist düşünülmelidir. Mümkün olan durumlarda total perikistektomi seçilecek tedavi yöntemdir.Öğe Enzymatic Debridement in Necrotizing Pancreatitis(Int College Of Surgeons, 2015) Cakir, Murat; Tekin, Ahmet; Kucukkartallar, Tevfik; Vatansev, Husamettin; Kartal, AdilMultiple organ failure and pancreatic necrosis are the factors that determine prognosis in acute pancreatitis attacks. We investigated the effects of collagenase on the debridement of experimental pancreatic necrosis. The study covered 4 groups; each group had 10 rats. Group I was the necrotizing pancreatitis group. Group II was the collagenase group with pancreatic loge by isotonic irrigation following necrotizing pancreatitis. Group III was the collagenase group with pancreatic loge following necrotizing pancreatitis. Group IV was the intraperitoneal collagenase group following necrotizing pancreatitis. The progress of the groups was compared hematologically and histopathologically. There was no difference among the groups regarding the levels of leukocyte, hemogram, and urea. The differences in AST levels between Group I and II; and differences in glucose, calcium, LDH, AST, and amylase between Group II and III; between Group II and IV; between Group I and III; and between Group I and IV were statistically significant (P < 0.05). There were statistically significant differences between Group II and III, and Group II and IV regarding edema, acinar necrosis, inflammatory cell infiltration, hemorrhage, and fat necrosis (P < 0.05). In conclusion, the collagenase preparation used in this experimental pancreatitis model was found to be effective in the debridement of pancreatic necrosis.Öğe Estimation of the capacity of emergency surgery in Konya: Nine-year multicenter study(2016) Küçükkartallar, Tevfik; Çakır, Murat; Tekin, Ahmet; Balasar, Mehmet; Kartal, Adil; Köksal, Hande; Erengül, Bülent; Türk, EminAmaç: Cerrahi acillerin sayısının sürekli artmasına rağmen acil cerrahi yatışları hakkında kısıtlı veri bulunmaktadır. Bu çok merkezli çalışmanın amacı, Konya şehrinde acil genel cerrahi sonuçlarını değerlendirmektir.Gereç ve Yöntemler: Konya'da tüm genel cerrahi acil başvurularının dokuz yıllık sonuçları incelendi (Ocak 2003Ocak 2012). Tüm demografik veriler istatistiksel olarak değerlendirildi.Bulgular: Konya'da yer alan 4 hastaneden 21954 hasta çalışmaya alınmıştır. Konya Numune Hastanesi (7154), Konya Eğitim ve Araştırma Hastanesi (6654), Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi (6400) ve Başkent Üniversitesi Konya Eğitim ve Araştırma Hastanesi (1390) verileri toplandı. Hastaların yaş ortalaması 59,6 ve ortalama hastanede kalış süresi 3,3 gündü. Hastaneye kabul edilen hastaların tanıları; akut apandisit (%59,57), bağırsak tıkanıklığı (%11,12), travma (%7,97), boğulmuş kasık fıtığı (%5,46), akut kolesistit (%4,87), peptik ülser perforasyonu (%4,09), mezenterik iskemi (%2,73), nekrotizan fasiit (%2,73), gastrointestinal sistem kanaması (%1,79) ve diğerleriydi (%1,1).Sonuç: Bu çalışma ile cerrahi kabullerin sürekli arttığı görülmüştür. Non-travmatik akut karın, genel cerrahi acillerinin en sık nedeniydi. Yaşlı hastaların sayısında artış olmasına rağmen, hastanede kalış süresi ve mortalite oranları azalmıştır.Öğe Gastrointestinal stromal tumor in the stomach co-existent with renal cell carcinoma(2014) Gündeş, Ebubekir; Küçükkartallar, Tevfik; Çolak, Muzaffer Haldun; Kartal, Adil; Esen, Hacı HasanGastrointestinal stromal tümörler (GİST), gastrointestinal sistem (GİS)in en sık mezenkimal tümörleridir. Renal hücreli kanserler (RCC) ile birlikte bulunabilirler. İkili vakalar literatürde rapor edilmekle beraber, bunlar olgu raporları biçimindedir. Bu olgu raporunda midede GIST olan ve aynı anda RCC tespit edilen bir hasta sunulmaktadır. Tedavi kapsamında, midede kama rezeksiyonu ve parsiyel nefrektomi uygulandı. Ameliyat sonrası komplikasyonu olmayan hasta, post-op 7. günde taburcu edildi.Öğe Hepatocellular Carcinoma Recurring in the Opposite Lobe Nine Years After Regular Right Hepatectomy(Modestum Ltd, 2014) Simsek, Gurcan; Kartal, Adil; Tekin, AhmetA recurrence was detected in the remaining left lobe of a patient who underwent regular right hepatectomy 9 years ago because of HCC (hepatocellular carcinoma). Left lateral segmentectomy was performed on the patient. Following right and left hepatectomies, the patient survives with hyperthrophied segment IV. We think that the FHCC (fibrolamellar HCC) that recurred in the opposite lobe 9 years after is a secondary primary tumor. The patient received no adjuvant therapy after the second resection and no recurrences were seen in the remaining segment IV during the 36-month follow-up.Öğe Hepatocellular Carcinoma Recurring in the Opposite Lobe Nine Years After Regular Right Hepatectomy(Modestum Ltd, 2014) Simsek, Gurcan; Kartal, Adil; Tekin, AhmetA recurrence was detected in the remaining left lobe of a patient who underwent regular right hepatectomy 9 years ago because of HCC (hepatocellular carcinoma). Left lateral segmentectomy was performed on the patient. Following right and left hepatectomies, the patient survives with hyperthrophied segment IV. We think that the FHCC (fibrolamellar HCC) that recurred in the opposite lobe 9 years after is a secondary primary tumor. The patient received no adjuvant therapy after the second resection and no recurrences were seen in the remaining segment IV during the 36-month follow-up.Öğe Ileosigmoidal knotting, an unusual form of acute intestinal obstruction(Wiley, 2015) Cakir, Murat; Tekin, Ahmet; Kucukkartallar, Tevfik; Kartal, AdilAimIleosigmoidal knotting is an unusual form of acute intestinal obstruction characterized by closed-loop obstruction of both ileum and sigmoid colon. We present 36 cases of ileosigmoidal knotting. MethodsA retrospective analysis was designed to examine preoperative, operative, and postoperative findings of the 36 patients with ileosigmoidal knotting who were surgically treated in Necmettin Erbakan University's Meram Medical Faculty (Konya, Turkey) throughout a 26-year period. ResultsThe mean age was 55 (range, 47-61) years. The most common symptoms were abdominal pain, distention, obstipation, and vomiting, and the most common signs were abdominal tenderness and distention. The preoperative diagnosis was acute obstructed bowel in all patients. After resuscitation, all patients underwent emergency laparotomy. The most common type of ileosigmoidal knotting was type IA, in which the active ileum encircled the passive sigmoid in a clockwise manner. There was gangrene in both ileum and sigmoid colon in all patients. All ischemic bowels including ileum and sigmoid colon were resected and the continuity was carried out using primary anastomosis or Hartmann's procedure. ConclusionsIleosigmoidal knotting is a rare disease but its preoperative diagnosis is difficult. In cases of knotting there is no form of conservative treatment. Resective surgery is absolutely necessary.Öğe The Increase of Intra-Abdominal Pressure Can Affect Intraocular Pressure(Hindawi Ltd, 2015) Ece, Ilhan; Vatansev, Celalettin; Kucukkartallar, Tevfik; Tekin, Ahmet; Kartal, Adil; Okka, AndmehmetObjective. This study aims to explore the usage of intraocular pressure measurements as the early indicator of the increase in intra-abdominal pressure. Methods. In this prospective study, 40 patients undergoing elective surgery were included. Patients were divided into four groups of 10 patients. The control group (Group C) was not subjected to laparoscopic intervention. Laparoscopic surgery was, respectively, performed with an intra-abdominal pressure of 9, 12, and 15 mmHg in Groups L (low), M (medium), and H (high pressure). Intraocular pressure was measured binocularly in each patient at three different times (before, during, and end of surgery) using a contact tonometer. Results. Patients' gender, age, body mass index (BMI), American Society of Anesthesiology (ASA) class, and operative times were not different among the groups. No complications occurred with either the surgery or measurement of intraocular pressure. Intubation was associated with a severe rise in IOP (P < 0.05). An increase in intraocular pressure was seen in groups M and H (P < 0.05). Conclusion. Intraocular pressure was increased in the groups with an intra-abdominal pressure of 12 mmHg or more. Measuring the intraocular pressure might be a useful method to estimate the intra-abdominal pressure.Öğe Inflammatory pseudotumor of the breast: A rare case(2013) Gündeş, Ebubekir; Kartal, Adil; Aksoy, Faruk; Toy, HaticeMemenin inflamatuar psödotümörü (MIP) çok nadir bir durumdur. Literatürde sınırlı sayıda olgu bildirilmiştir. Patogenezi tartışmalı bir konudur. Memenin inflamatuvar psödotümörü ön tanısıyla rezeksiyon yapılan 65 yaşında bir kadın hasta irdelendi. Sağ memesinde ağrısız kitle yakınması ile kliniğimize başvurdu. Görüntüleme eşliğinde tru-cut biyopsi yapıldı. Tru-cut biyopsi sonrası patolojik bulgular inflamatuvar psödotümörle uyumluydu. Lokal eksizyon işlemi uygulandı. Yirmi dört aylık takiplerinde nüks saptanmadı.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 Tamamlayıcı Tiroidektomi Olgularının Retrospektif Değerlendirilmesi(2013) Küçükkartallar, Tevfik; Çakır, Murat; Erikoğlu, Mehmet; Çolak, Bayram; Aksoy, Faruk; Kartal, AdilAmaç: Çalışmamızın amacı tamamlayıcı tiroidektomilerin sebeplerini ve komplikasyonlarını araştırmaktır. Gereç ve Yöntemler: Tamamlayıcı tiroidektomi yapılan 110 hasta, yaş, cinsiyet, uygulanan ameliyat teknikleri, nüks, ince iğne aspirasyon biyopsileri, ilk ve son patoloji sonuçlar ve komplikasyonlarına göre incelendi. Bulgular: Yüz on hastanın 97’si kadın, 13’u erkek idi. Elli altı hasta malign, 54 hasta benign nedenlerle ameliyat edilmişti. Hastaların %55’i dış merkezlerden kurumumuza gönderilmişti. Histopatolojik sonuç olarak en sık multinoduler guatr ve ikinci sıklıkla papiller tiroid ca tespit edildi. Kırk hastada geçici hipokalsemi, 17 hastada seroma,1 hastada rekurren larengeal sinir hasarına bağlı kalıcı ses kısıklığı, 1 hastada ozofagus yaralanması, 1 hastada internal juguler ven yaralanması, 1 hastada apse tespit edildi. Hastaların %38’inde ilk ameliyata göre farklı taraf tiroid lobunda nuks tespit edildi. Olguların %23,6’sının retiroidektomi piyesinde paratiroid dokusuna rastlandı. Sonuç: İkincil ameliyatlarda birincil ameliyatlardan daha ciddi komplikasyonlarla karşılaşılmaktadır ve insidental paratiroidektomi oranı artmaktadır. Tamamlayıcı tiroidektomi gereksinimi ve buna bağlı oluşacak komplikasyonların total tiroidektomi ile en aza indirilebileceği kanısındayız.Öğe The Use of Radiofrequency Thermal Ablation Method in The Treatment of Hepatic Hydatid Cysts: Ex vivo Sheep Study(2019) Sarıcık, Bekir; Kartal, Adil; Esen, Hacı Hasan; Demircili, Mehmet EminObjective: Hydatid disease is a disease caused by parasites belonging to the echinococcus family. This disease is often caused byEchinococcus granulosus and rarely by echinococcus alveolaris.The parasite may cause illness anywhere in the human body, mainlyin liver. In this study, we aimed to destroy the hydatid cyst viability by Radiofrequency Thermal Ablation (RFTA) method whichhas been used in many areas in medicine.Methods: We used fresh sheep liver with hydatid cysts. Average diameter of cysts was 3.3 cm. The study was performed in 3groups, each of which involved 20 cysts. After more than half of the cyst fluid was drained, ablation was performed. When thecore temperature of the cyst exceeded 95C, ablation procedure was continued for 3 minute in 1st group and for 4 minutes in 2ndgroup. Third group was the control group. And then, cyst fluid and germinative membrane were collected for microbiologic andpathologic assessment.Results: In 1st group, the cysts could not be destroyed at the desired level. In 2nd group, it was observed that 100% of theprotoscolex died and 100% of the germinative membranes was degenerated. In control group, %13 of protoscolex died and %10of germinative membranes wasdegenerated.Conclusion: We destroyed all the protoscolex and germinative membranes by using RFTA in 2nd group.
