Browsing by Author "Bartin, Mehmet Kadir"

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Comparison of Milligan Morgan Hemorrhoidectomy and Direct Current Electrotherapy for the Treatment of Hemorrhoidal Disease
(Discovery Publication, 2018) Bartin, Mehmet Kadir; Tekeli, Arzu Esen; Eker, Esra; Oner, Muzaffer Onder
Background: It is aimed to compare Milligan Morgan hemorrhoidectomy and direct current electrotherapy for the treatment of grade 2 and grade 3 internal hemorrhoids. Material and Methods: Patients with symptomatic grade 2 or 3 internal hemorrhoids which is refractory to medical treatment were enrolled in this retrospective study. In the galvanization group, hemorrhoidal columns were coagulated using electrotherapy by a 2mA to 16mA current probe. And the Milligan Morgan hemorrhoidectomy was applied routinely as an open surgical procedure. Operative time, postoperative pain, hospitalization duration, clinical stage was measured. Patients were followed up for 3 months for healing, late complications and the recurrence. Results: The operative time and the hospitalization duration were significantly more in Milligan Morgan group (p<0.05). The relapse occurred in 3 patients in Milligan Morgan group and in 1 patient in galvanization group. The relaps rate was statistically less in galvanization group (p<0.05). Postoperative pain scores were similar in two groups at seventh day of the surgery (p=0.326). But at the first and third day of surgery the VAS values were higher in Milligan Morgan group (p=0.032). Conclusion: Hemorrhoidal coagulation with galvanic electrotherapy reduces the operation time and hospitalization duration. Also the relaps rate and the postoperative pain which is scored by the VAS values are less in this procedure according to the Milligan Morgan open surgery. However the late complications and late postoperative pain violence may be equivalent between these two surgery types.
The Efficacy of Transversus Abdominis Plane Block for Postoperative Analgesia in Laparoscopic Cholecystectomy Cases: a Retrospective Evaluation of 515 Patients
(Sage Publications Ltd, 2020) Tekeli, Arzu Esen; Eker, Esra; Bartin, Mehmet Kadir; Oner, Muzaffer Onder
Objective To compare patients that received intravenous (i.v.) analgesics with those that received transversus abdominis plane (TAP) block for pain relief after laparoscopic cholecystectomy. Methods This retrospective study enrolled patients that had undergone laparoscopic cholecystectomy and divided them into two groups: the i.v. analgesic group (controls; group A) and the TAP block group (group T). Data retrieved from the medical records included postoperative visual analogue scale (VAS) pain scores, duration of intensive care unit (ICU) stay, total hospital stay, additional analgesic requirements and the occurrence of nausea and vomiting. Results A total of 515 patients were included (group A,n = 247; group T,n = 268). Postoperative VAS pain scores at 0, 2, 4 and 6 h and the need for additional analgesics were significantly lower in group T than in group A. Postoperative VAS pain scores at 12 and 24 h were significantly higher in group T than in group A. Postoperative nausea and vomiting were significantly lower in group T than in group A. The rate of ICU admission in group T was significantly lower than in group A. Conclusions Effective postoperative analgesia can be achieved with TAP block and undesirable effects can be reduced.
Evaluation of the Open and Laparoscopic Appendectomy Operations With Respect To Their Effect on Serum Il-6 Levels
(Turkish Assoc Trauma Emergency Surgery, 2016) Bartin, Mehmet Kadir; Kemik, Ozgur; Caparlar, Mehmet Ali; Bostanci, Mustafa Taner; Oner, Muzaffer Onder
BACKGROUND: Postoperative serum inflammatory cytokine levels are thought to reflect the magnitude of surgical stress. Cytokine interleukin-6 (IL-6) is an early marker of systemic inflammatory response and tissue damage. This study evaluated levels of IL-6 after open and laparoscopic appendectomy to compare the degree of surgical stress associated with these procedures. METHODS: IL-6 levels were measured pre- and postoperatively in the plasma of 200 consecutive patients with a diagnosis of acute appendicitis. After preoperative randomization, 100 patients underwent open appendectomy, and 100 patients underwent laparoscopic appendectomy. RESULTS: Preoperative concentrations of IL-6 were 65.22 +/- 4.76 pg/mL in the open appendectomy group and 65.73 +/- 6.34 pg/mL in the laparoscopic appendectomy group (p=0.752). Postoperative levels were 105.28 +/- 16.14 pg/mL and 76.11 +/- 16.18 pg/mL, respectively (p<0.05). CONCLUSION: Lower postoperative serum IL-6 levels suggest that laparoscopic surgery is associated with lower degree of surgical stress. Laparoscopic appendectomy has significant advantage over open appendectomy due to more rapid postoperative recovery.
Pleural Effusion Resultant After Upper Abdominal Surgery: Analysis of 47 Cases
(derman Medical Publ, 2011) Cobanoglu, Ufuk; Bartin, Mehmet Kadir; Mergan, Duygu; Yilmaz, Ozkan; Demir, Ali; Toktas, Osman
Aim Postoperative pulmonary complications, following upper abdominal surgery, occur at a rate which is higher, than lower abdominal surgery. One of these complications is pleural effusion. In this study, the frequency and causes of pleural effusions and the changes of the blood gas values and pulmonary functions of the patients with pleural effusions, occured after upper abdominal surgery are discussed in the accompaniment of the literature. Material and Methods 148 patients to whom upper adominal surgery is performed and in 47 of these patients pleural effusion is developed (31.75%), were examined restrospectivitely. Preoperative and postoperative pulmonary function tests (PFT) and arterial blood gas (ABG) results and the blood proteins, albumin values were recorded. The anesthesia type, the surgery properties, involving type of surgery and the surgical incision were determined. Results Pleural effusion is detected bilaterally in 8 patients (17: 02), at the right side in 21 patients (44.69%), and at the left side in 18 patients (38.29%). The 40.42% (19 cases) of the patients who has pleural effusion in the postoperative period, had liver and gallbladder surgery, the % 23.41 (11 cases) had spleen and pancreas surgery and the % 36.17 (17 cases) had the other surgical procedures. Conclusions While the upper abdominal surgery, impairment of the integrity of the diaphragm's peritoneum that covers the abdominal cavity where there is a highliquid pressure, may cause the liquid transition to the pleural space that has a negative pressure. Hypoalbuminemia and hipoproteinemia, that will occur due to the changes of oral intake and diet regulation in the postoperative period, may cause a reason for the pleural effusion. For this reason, doctors who performed these surgery procedures, should not ignore this complication, in the period of postoperative follow-ups of the patients.
Pulmonary Embolism Associated With Pandemic H1n1 Influenza a Virus Infection: a Case Report
(Galenos Publ House, 2011) Dulger, Ahmet Cumhur; Avcu, Serhat; Arslan, Harun; Ozbay, Bulent; Gunbatar, Hulya; Kucukoglu, Mehmet Emin; Bartin, Mehmet Kadir
On May 15, 2009, the Turkish Ministry of Health reported the first case of 2009 pandemic influenza A (H1N1) virus infection in the Republic of Turkey. Pandemic H1N1virus is a new and mutant influenza virus and has many epidemiologic and clinic features. These cases have been reported in multiple geographic regions of the world. School children are more affected than adults. In the elderly, it has a higher mortality rate. The clinical aspects of infection with H1N1 influenza A virus remains to be understood. A few cases of pulmonary embolism associated with H1N1 influenza A virus infection were reported. We herein report a pulmonary embolism in a patient with pandemic influenza A (H1N1) virus infection. A 42-year-old Turkish woman was admitted to our emergency department with dyspnea and pleuritic chest pain. She complained of fever, myalgia, sore throat and cough of four days duration on admission to our hospital. She was tested for pandemic influenza A (H1N1) virus by a polymerase chain reaction (PCR) test which revealed a positive result. Chest tomography showed pulmonary embolism. She was successfully treated with intravenous heparin and oseltamivir. This case report demonstrates the importance of considering pulmvonary embolism as a diagnosis in 2009 pandemic influenza A (H1N1) virus infected persons who present with sudden onset of dyspnea, fever and chest pain.