Browsing by Author "Beǧer, B."

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Comparison of Hemorrhoid Electrotherapy with Direct Current and Ligasure Hemorrhoidectomy in the Treatment of Hemorrhoidal Disease
(Yuzuncu Yil Universitesi Tip Fakultesi, 2025) Aslan, F.; Oner, M.O.; Binici, S.; Beǧer, B.
Introduction: This study aims to compare LigaSure hemorrhoidectomy and direct current electrotherapy in the treatment of grade 2 and grade 3 internal hemorrhoids. Materıal and Methods: This retrospective study included patients with symptomatic grade 2 or 3 internal hemorrhoids unresponsive to medical treatment. In the galvanization group, hemorrhoidal columns were coagulated using electrotherapy with a current probe set between 2 mA and 16 mA. LigaSure hemorrhoidectomy was routinely performed as an open surgical procedure. Operative time, postoperative pain, length of hospitalization, and clinical stage were recorded. Patients were followed for 3 months to asses s healing, late complications, and recurrence. The patients' follow-ups were conducted via phone up to 2 years. Results: All patients underwent rectoscopy at the 3rd postoperative month. Patients with grade 2 or 3 hemorrhoids, as confirmed by endoscopy and physical examination, were classified as having a recurrence. The LigaSure method showed a sta tistically significant difference in recurrence rates. The mean operative time for the galvanization method was 26 minutes, and this difference was also statistically significant. Pain scores were significantly lower with direct current electrotherapy compared to other methods. Conclusion: Hemorrhoidal coagulation with galvanic electrotherapy reduces operative time and hospitalization duration. Additionally, the relapse rate and postoperative pain, as measured by VAS scores, are lower with this procedure compared to LigaSure hemorrhoidectomy. However, late complications and the intensity of late postoperative pain may be comparable between the two surgical methods. © 2025, Van Medical Journal. All rights reserved.
Revisiting the Sphenoid Sinus Anatomy in Trisomy 21: A CT Study
(Lippincott Williams & Wilkins, 2025) Arslan, B.; Erdem, M.Z.; Yalınkılıç, A.; Karaaslanlı, A.; Beǧer, B.; Sönmez, B.; Koç, T.
OBJECTIVE: The aim of the study was to compare morphologic features of the sphenoid sinus (SS) in patients with trisomy 21 (T21) with a control group. METHODS: This retrospective study contained computed tomography images of 50 T21s and 60 controls. Of 50 T21 patients aged 11.38±4.21 years, 22 were females and 28 were males. Of 60 controls aged 11.25±4.61 years, 30 were females and 30 were males. The volume (SSV), surface area (SSA), width (SSW), thickness (SST), and height (SSH) of SS were measured. The shape of SS was noted. RESULTS: In T21s, median values for SSV, SSA, SSW, SST, and SSH were determined as 1.99 mm 3 , 1.52 mm 2 , 20.10 mm, 9.85 mm, and 13.60 mm, respectively. In controls, median values for SSV, SSA, SSW, SST, and SSH were determined as 9.55 mm 3 , 5.50 mm 2 , 30.44 mm, 19.67 mm, and 19.88 mm, respectively. T21s had statistically smaller SSV, SSA, SSW, SST, and SSH compared with controls ( P <0.001). Four types related to SS shape were observed in T21s (conchal: 42%, presellar: 30%, sellar: 24%, and postsellar: 4%) and controls (presellar: 33.3%, sellar: 31.7%, postsellar: 30%, and conchal: 5%). Thus, SS shape was affected by T21s ( P <0.001). CONCLUSIONS: Patients with T21 had statistically smaller SSV (about 79%), SSA (about 72%), SSW (about 34%), SST (about 50%), and SSH (about 32%) compared with controls. The most common pneumatization pattern in T21s was the conchal type. © © 2025 by Mutaz B. Habal, MD.