Browsing by Author "Avci, V."

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Comparison of Snodgrass and Bracka Methods in Terms of Urethral Fistula and Meatal Stenosis in Hypospadias Repair
(Yuzuncu Yil Universitesi Tip Fakultesi, 2020) Koçak, Ö.F.; Avci, V.; Ayengin, K.
Hypospadias is one of the most frequent congenital anomalies in birth. Many factors may have part in etiology. Its treatment is possible only through surgical intervention, and there are more than 300 methods in literature identified for hypospadias repair. The purpose of this study is to compare Snodgrass and Bracka methods, the methods most frequently used for hypospadias repair, in terms of urethral fistula and meatal stenosis. In this study, the data of 40 patients operated between 2014 and 2019 years have been used. 20 of the patients have been operated with Snodgrass, and the others have been operated with Bracka method. The average ages of the patients operated with Snodgrass method and Bracka method were 4 years 3 months and 2 years 9 months respectively. Average length for follow-up for the patients operated with Snodgrass method was 18 months 9 days, and it was 35 months 1 day for the patients operated with Bracka method. Urethral fistula was observed to develop in %30 of the patients operated with Snodgrass method and %25 of those operated with Bracka method totally. In both methods, rates of meatal stenosis were more frequent compared to fistula (Snodgrass: %35, Bracka %40). Fistula development is found numerically more in the patients operated with Snodgrass method while meatal stenosis development is observed numerically more in those operated with Bracka method. © 2020, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Congenital Duodenal Obstruction: Ten-Year Results of a Tertiary Center
(Yuzuncu Yil Universitesi Tip Fakultesi, 2018) Avci, V.; Bilici, S.; Düz, E.; Beger, B.; Değer, İ.
The most common place of gastrointestinal obstruction in the newborn is duodenum. In this study, we aimed to present our 10 years of experience about patients that diagnosed with congenital duodenal obstruction by the guidence of literature. Between 2008 and 2017, patients who underwent surgery for congenital duodenal obstruction were evaluated retrospectively in terms of age, gender, birth weight, symptom-findings, additional congenital anomalies, treatment modalities, postoperative complications, average length of hospitalization and morbidity-mortality. A total of 32 patients (18 male, 14 female) with congenital duodenal obstruction were included in the study. The mean birth weight of the patients was 1920 ± 1130 grams. Vomiting (75%) was the most common symptom. Surgical intervention was performed with an average of two days; the most prefered (59%) method was duodenodeudenostomy. The most common complication after surgery was wound infections (22%). 50% of the patients had additional congenital anomalies. Down syndrome was the most common one. Two patients died due to sepsis. The average length of hospitalization was 14 ± 5 days. For a good outcome in congenital duodenal obstruction, the tips of early diagnosis and treatment should be known. © 2018, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Repeated Bougie Dilation With Savary-Gilliard Dilators in the Treatment of Pediatric Esophageal Strictures: How Effective Is It
(Galenos Publishing House, 2019) Avci, V.; Güven, B.
INTRODUCTION: Data on pediatric esophageal strictures is limited. The aim of this study was to investigate the efficiency of repeated bougie dilation with Savary-Gilliard dilators in the treatment of pediatric esophageal strictures caused by various etiologies METHODS: The retrospective study included patients who underwent bougie dilation with Savary-Gilliard dilators due to esophageal strictures between January 2012 and July 2018. Demographic and clinical characteristics including age, gender, stricture length, etiology and localization, mean diameter of endoscopic dilators, mean number of endoscopies, and long-term outcomes and complications were reviewed for each patient. RESULTS: The 25 patients comprised 15 (60%) boys and 10 (40%) girls with a median age of 24 (range, 5-132) months. Dysphagia was the only presenting symptom in all the patients. The most common etiology was primary repair of esophageal atresia (n=18; 72%). Mean dilator diameter was 11,4±2,32 (range, 5-15) mm and the mean number of endoscopies performed was 2,2 (range, 1-7) per patient. The mean length of the narrow esophageal segment was 15,84±7,97 (range, 5-32) mm. The complaints were completely resolved in 21 (84%) patients over a one-year follow-up period. No complication occurred in any patient. DISCUSSION and CONCLUSION: Endoscopic bougie dilation is an ideal treatment method for pediatric esophageal strictures. Repeated bougie dilation with Savary-Gilliard dilators is a simple, practical, cost-effective,and effective technique. © 2019, Galenos Yayincilik,. All rights reserved.
The Use of Phosphate Enema in the Treatment of Short Segment Intussusception Cases
(Yuzuncu Yil Universitesi Tip Fakultesi, 2019) Bilici, S.; Avci, V.
In the treatment of intussusception wide variety of surgical and non-surgical treatment modalities have been applied so far. Nowadays, it is usually treated with hydrostatic and pneumatic reduction. In this study, the reduction of short segment intussusception by using phosphate enema was used as a practical method which was not previously reported. We retrospectively reviewed the cases of intussusception that is named reduction by p hosphate enema applied by rectal administration in the pediatric surgery department. 88 patients were included in the study. Monobasic sodium phosphate + dibasic sodium phosphate containing 67.5 ml solution (Fleet Enema®) or Sodium Dihydrogenphosphate 3,5 gr + Disodium Hydrogenphosphate containing 67.5 ml solution (BT® Enema) was administered rectally in one shot. After defecation, the patients were reevaluated with ultrasonography. The procedure was successful in 80 cases. Eight cases in which the procedure was unsuccessful were treated by ultrasound guided hydrostatic reduction. During childhood, short segment intussusception cases can be managed successfully with phosphate enema, it is easy to apply and a practical treatment. We believe that this approach would be an acceptable treatment when it is validated with larger scale studies. © 2019, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.