Browsing by Author "İliklerden, Ü.H."

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Methods for the Diagnosis of Acute Appendicitis in Pregnant Women
(Yuzuncu Yil Universitesi Tip Fakultesi, 2019) Kalaycı, T.; İliklerden, Ü.H.
Acute appendicitis (AA) is the most common non-obstetric surgical pathology during pregnancy. It is difficult to diagnose because of physiological changes. In our study, we aimed to define factors which are helpful in the diagnosis of AA. This study was started at Van Yuzuncu Yil University Faculty of Medicine Department of General Surgery. We collected the data retrospectively from the pregnant patients who underwent surgery between January 2013 and January 2018 with the diagnosis of AA. Demographic features, laboratory analyses, imaging modalities, intraoperative and postoperative pathologic findings were gathered. Final pathology was accepted as gold standard; the sensitivity and specifity of the investigated parameters were calculated. From our study, the second trimester had been the most common surgery applied time (n=30, 49.2%). Although leukocytosis is seen in most patients (67.2%), there was no significant relationship between leukocytosis and AA. 51 cases (83.6%) were suitable for AA form evaluation of operation material. In 33 cases (Alvarado score of 7 and above), pathology was suitable for acute appendicitis (positive predictive value = 89.2%). However, in 10 cases pathology was not suitable for AA (negative appendectomy rate was 16.4%). The most important result of our study is that; there is no valid diagnostic method in pregnant women for AA. We impress that the patient's history and physical examination is still the most important clinical parameter. © 2019, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Outcomes of Splenectomy for Hematologic Diseases-A Single Center Experience
(Yuzuncu Yil Universitesi Tip Fakultesi, 2021) Çalli, I.; Aslan, F.; İliklerden, Ü.H.; Kiziltan, R.; Kotan, M.Ç.
Splenectomy is a standard, effective and approved approach to the treatment of patients with failed medical treatment who develop recurrent, refractory or chronic diseases. The leading indications for elective splenectomy are benign and malignant hematologic diseases. We present here the findings of a retrospective analysis of the splenectomies performed in a single center for the treatment of hematologic diseases, and the associated outcomes . A retrospective examination was made of 64 patients who underwent splenectomy for the treatment of hematologic diseases at our clinic between 2010 and 2018. The patients were assessed for gender, age, hematologic disease, spleen size, presence of hepatomegaly, presence of accessory spleen, type of surgery (laparoscopic or open), wound site infection, preoperative and postoperative platelet counts, intraoperative and/or postoperative blood replacement, and length of hospital stay. The study sample comprised 23 (36%) male and 41 (64%) female patients, with a mean age of 40.4 years. Of the patients, 51 underwent laparoscopic splenectomy and 13 underwent splenectomy with laparotomy. Of the total, 57 (89%) patients responded fully to the splenectomy, six (9%) patients recorded a partial response and one (2%) patient had no response. Following the splenectomy procedure, one patient developed wound site infection and two patients died due to sepsis. Splenectomy should be considered a good treatment option in hematologic splenic diseases that are resistant to medical treatment, being also associated with low mortality and morbidity. © 2021, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.