Browsing by Author "Çetin, E."

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Effect of Covid-19 Quarantine on Patients Admitted To Neurosurgery Outpatient Clinic Individuals With Copd
(Ondokuz Mayis Universitesi, 2022) Çetin, E.; Akyol, M.E.
Coronavirus disease 2019 (COVID-19) emerged in Wuhan, China, and was declared a pandemic by the World Health Organization (WHO) on March 11, 2020. Throughout the pandemic period, numerous countries around the world have implemented nationwide isolation measures to control the spread and transmission of COVID-19. During this period, the prevalence of some physical and mental diseases have increased due to prolonged home isolation measures. In the present study, we aimed to examine the effect of the COVID-19 isolation measures imposed in Turkey on patients admitted to our neurosurgery outpatient clinic. © 2022 Ondokuz Mayis Universitesi. All rights reserved.
A Randomized Trial of the Effects of Platelet- Rich Plasma on Postoperative Complications After Meningomyelocele Sac Repair
(NLM (Medline), 2023) Arabacı, Ö.; Akyol, M.E.; Çelikkaleli, E.; Sönmez, B.; Çetin, E.; Beger, B.
OBJECTIVE: Meningomyelocele is a common congenital neural tube defect. To reduce complications, we need early surgery and a multidisciplinary approach. In this study, we administered platelet-rich plasma (PRP) to babies with meningomyelocele following corrective surgery to minimize cerebrospinal fluid (CSF) leakage and accelerate the healing of the immature pouch tissue. We compared these with a control group that did not receive PRP. PATIENTS AND METHODS: Of the 40 babies who had surgery with the diagnosis of meningomyelocele, 20 patients received PRP after surgical repair, and 20 were followed up without PRP. In the PRP group, 10 of the 20 patients underwent primary defect repair, the other 10 underwent flap repair. In the group that did not receive PRP, primary closure was performed in 14 patients and flap closure in six. RESULTS: In the PRP group, CSF leakage occurred in one (5%) patient, and none developed meningitis. Partial skin necrosis occurred in three (15%) patients and wound dehiscence in three (15%) patients. In the group that did not receive PRP, CSF leakage occurred in nine (45%) patients, meningitis in seven (35%), partial skin necrosis in 13 (65%), and wound dehiscence in seven (35%) patients. The rate of CSF leakage and skin necrosis in the PRP group was significantly (p<0.05) lower than that in the PRP group. Furthermore, wound closure and healing were also improved in the PRP group. CONCLUSIONS: We have shown that PRP treatment of postoperative meningomyelocele infants facilitates healing and lowers the risk of CSF leakage, meningitis, and skin necrosis.