Browsing by Author "Aslan, F."

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Evaluation of Diagnostic Methods for Complications of Meckel's Diverticulum: A Retrospective Analysis
(Yuzuncu Yil Universitesi Tip Fakultesi, 2025) Binici, S.; Yeşilyurt, D.; Eryilmaz, I.; Aslan, F.; Tahiroğlu, V.; Beger, B.
Meckel's diverticulum (MD) is the most common congenital abnormality of the small intestine, often asymptomatic but occasionally presenting with acute abdominal symptoms that can mimic other conditions such as appendicitis, perforated peptic ulcer, or bowel obstruction. This study reviews eight cases of MDs diagnosed and treated surgically, highlighting the clinical presentations, diagnostic challenges, and surgical outcomes. This retrospective study included seven male and one female patients aged 18 to 43 who presented to the emergency department with symptoms of acute abdomen. Imaging studies, including abdominal computerised tomography (CT) scans and ultrasonography, were utilized to assess the patients. Laparoscopic surgery was performed in six cases, while two cases required open surgery. Surgical management involved excision of the Meckel's diverticulum using a line ar stapler. All patients presented with severe abdominal pain, and physical examination revealed signs of acute abdomen such as tenderness, guarding, and rebound tenderness. Initial diagnoses included appendicitis, perforated peptic ulcer, mechanical bowel obstruction, and foreign body ingestion. Intraoperative findings confirmed the presence of Meckel's diverticulum in all cases. The excision of the diverticulum was successfully performed, and all patients had uneventful postoperative recoveries. The mean hospital stay was 3.75 days, and no major complications were observed.Meckel’s diverticulum can present with a wide range of symptoms, often mimicking other abdominal conditions, making early diagnosis and appropriate surgical intervention essential. Laparoscopic surgery is a safe and effective approach for the excision of Meckel's diverticulum, with favorable outcomes and minimal complications. Prompt recognition and treatment are key to ensuring optimal patient outcomes. © 2025, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Fissurectomy and Anocutaneous V-Y Flap in the Treatment of Chronic Anal Fissure: Clinical Experiences in Low Tone Cases
(Yuzuncu Yil Universitesi Tip Fakultesi, 2025) Cikman, O.; Aslan, F.
Chronic anal fissure is a common condition that severely affects the quality of life. For patients who do not respond to medical and conservative treatments, alternative treatment methods such as fissurectomy and anocutaneous V-Y advancement flap application stand out. This study aims to evaluate the outcomes of 53 patients who underwent fissurectomy and anocutaneous V-Y advancement flap treatment as a sphincter-preserving method. This study includes 53 female cases conducted at the Department of General Surgery, Van University Faculty of Medicine, between 2022 and 2024. Parameters such as demographic data (age, gender), number and type of deliveries, clinical features of chronic anal fissures, complications related to wound healing in the postoperative period, recurrence rates, and incontinence were examined. The anocutaneous V-Y advancement flap was successfully applied to all 53 patients, and all patients recovered within an average of 45 days. Only six patients developed wound dehiscence, which was completely healed by the sixth month. At the end of the 12-month follow-up, no recurrence or incontinence was observed in any case. This study demonstrates that the anocutaneous V-Y advancement flap is an effective and safe method for treating chronic anal fissures in patients with low anal tone who have undergone multiple vaginal deliveries. Due to its high success rate, low complication risk, and ability to preserve anal continence, this method should be considered an important alternative in chronic anal fissure treatment. © 2025, 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.
Reference Values for Normal Main Portal Vein Diameter in Subjects Aged 1–80 Years
(Springer International Publishing, 2025) Binici, S.; Aslan, F.; Yanç, U.; Eryılmaz, I.; Tahiroǧlu, V.; Beǧer, B.; Uslu, N.
Purpose: Demographic features of subjects such as body mass index, height, weight, age or sex affect diameters of vessels like main portal vein (MPV). Some articles use different anatomical indicators like L1’s body for creating a complete standard while diagnosing venous pathologies. This work aimed to display relationships of portal veins with L1 in normal subjects aged 1–80 years. Methods: Abdominopelvic computed tomography views of 800 subjects were included in the work. The diameter of left (LPV) and right (RPV) branches of MPV, and the diameter of MPV at the distal level (MPV1), the middle level (MPV2), and the proximal level (MPV3) were measured. The transverse diameter of L1’s body (L1TD) was measured. The ratios of vein diameters to L1TD were calculated. Results: Age affected the diameters of portal veins and L1’s body. L1TD increased until the early 50 s, but thereafter showed no statistically significant change. The diameters of portal veins increased from birth to approximately the early 50 s, but then decreased statistically. Moreover, MPV1 / L1TD, MPV2 / L1TD and MPV3 / L1TD generally showed a pattern of first increasing and then decreasing with advancing age, whereas RPV / L1TD and LPV / L1TD showed a pattern of decreasing with advancing age. L1TD was greater in males than females (p < 0.001). MPV1, MPV2, MPV3, RPV and LPV were statistically similar for both sexes (p > 0.05). Conclusion: Age-specific diameter measurements and calculated ratios in our study may be useful for clinicians to diagnose disorders regarding portal system in pediatric and adult subjects. © 2025 Elsevier B.V., All rights reserved.