Browsing by Author "Beger, B."

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A Computed Tomography Study of the Sella Turcica in Chiari Malformation Type 2
(Lippincott Williams and Wilkins, 2025) Yalinkiliç, A.; Beger, B.; Erdem, M.Z.; Sönmez, B.; Karaaslanli, A.; Çetin, C.Ş.; Beger, O.
Objective: To reveal differences in morphology of the sella turcica (ST) in patients with Chiari malformation type 2 (CMT2) by comparison normal subjects. Methods: Computed tomography slices of 46 CMT2 (sex: 22 females and 24 males, and mean age: 8.80±5.87 y) and 46 controls (sex: 22 females and 24 males, and mean age: 8.48±5.13 y). Results: Patients with CMT2 had statistically similar ST size (its surface area, height, width, length, and diameter) to controls. Four configurations regarding Axelsson shape types were detected in CMT2s (normal sella: 71.70%, oblique anterior wall: 15.30%, irregularity: 6.50%, and pyramidal shape of the dorsum sellae: 6.50%) and controls (normal sella: 76.10%, oblique anterior wall: 10.90%, irregularity: 6.50%, and pyramidal shape of the dorsum sellae: 6.50%). Three configurations regarding Camp shape types were detected in CMT2s (oval: 28.30%, round: 67.40%, and flattened: 4.30%) and controls (oval: 26.10%, round: 71.70%, and flattened: 2.20%). CMT2 did not correlate with Axelsson (P=0.942) or Camp (P=0.804) shape types. Conclusion: The authors' computed tomography study displays that ST size and shape in CMT2s were similar to that of healthy subjects. © 2025 by Mutaz B. Habal, MD.
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.
The Effect of Platelet Rich Plasma on Wound Healing in the Repair of Experimental Penile Fractures
(Agricultural Research Communication Centre, 2022) Duz, E.; Beger, B.; Saglam, K.; Yildirim, S.
Background: Penile fractures are caused by the rupture of the tunica albuginea and the underlying layers of corpus cavernosum as a result of the exposure of the erect penis to blunt trauma. Although conservative treatment methods have been recommended in former studies, recent studies favor early surgical options. Platelet-rich plasma (PRP) is a blood product rich in cytokines and several growth factors, obtained from the patient's own blood commonly used to stimulate healing in acute and chronic wound treatments. The efficiency of homologous PRP treatment in rats with penile fractures have been assessed in terms of clinical manifestation and histopathological findings in the present study. Methods: Thirty-five rats were randomly divided into five groups, each containing seven rats as follows: 1. Conservative group: Following the formation of penile fracture, medical interventions were not initiated on fracture area and the wound was left for secondary healing. 2. Bandage group: Following the formation of penile fracture, self-adherent elastic bandage (3 M Coban) was applied to the fracture area for three days. 3. Primary repair group: Following the formation of a penile fracture, the lacerated area was repaired with 7/0 vicryl primary sutures. 4. Primary repair + Homologous Platelet Rich Plasma group: Before the operation, 10 cc of blood was taken from one rat under general anesthesia by intracardiac puncture and PRP material was prepared from this blood. Homologous PRP was topically administered on the wound in the fracture area and then the penile fracture was repaired with 7/0 vicryl as simple separate stitches. 5. Non-operative control group: Surgical procedures were not applied to this group; it was used as the control group. Result: The effect of the PRP treatments on the surgical repair options in the rats with penile fractures was investigated. The present findings revealed that following the repair with conservative treatments, the fracture format persisted and various complications like infection, oedema, excessive fibrosis and hyperemia were encountered. On the other hand, the best healing was achieved in primary repair + PRP group in terms of clinical manifestation and histopathological findings.
Hepatic Portal Venous Gas After Blunt Abdominal Trauma in a Child
(Yuzuncu Yil Universitesi Tip Fakultesi, 2021) Beger, B.; Kızılyıldız, B.S.; Ozdemir, O.
Hepatic portal venous gas is defined as tubular areas with decreased enfeeblement around the periphery of the liver. It is a rare finding and associated with various underlying abdominal pathologies, from benign causes to potentially life threatening conditions. Rate of diagnosis of hepatic portal venous gas have been increased due to widespread use of advanced imaging techniques. Existence of gas in the portal veins after blunt abdominal trauma is a temporary incidental finding that could be resolved spontaneously. Here we report an extremely rare condition that describes a child who was suffering from air emboly of the portal veins due to blunt abdominal trauma. The condition was clinically under control and resolved spontaneously. © 2021, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Hydrostatic Reduction Supported With External Manuel Reduction in Treatment of Intussusception: a New Technical Synthesis
(Yuzuncu Yil Universitesi Tip Fakultesi, 2019) Beger, B.; Kızılyıldız, B.S.; Şimşek, M.; Düz, E.; Akdeniz, H.
Intussusception treatment is routinely performed in our clinic using ultrasound-guided hydrostatic reduction (USGHR). Because of the difficulties seen in technique and its less-than-ideal success rate, alternative methods are searched. In this study, we would like to discuss using external manual reduction (EMR) in combination with USGHR in intussusception treatment. This retrospective study was completed in Pediatric Surgery Department of Van Training and Research Hospital, between February2018 and May 2018. Patients that treated with USGHR marked as Group 1 and Patients that treated with combination of USGHR and marked as Group 2. Patient age, gender, symptoms, treatment techniques, complications and hospitalization periods were noted. In Group 1; 14 patients were treated with a single session and 2 were treated with 2 sessions. 4 patients were treated with surgery. Mean reduction time was calculated as 16 minutes, the fluid volume required for each reduction was 84 ml/kg and mean hospitalization period was calculated as 33 hours. In Group 2; 18 out of 20 patients were treated in the first session and 2 required a secondary session. Mean reduction time was calculated as 13 minutes, the fluid volume required for reduction was 65 ml/kg and mean ho spitalization period was calculated as 25 hours. The results were statistically assessed by using SPSS version 24. Normality controls were done using Shapiro-Wilk Test. As an alternative; USGHR supported by EMR can be beneficial in increasing the treatment success rate in intussusception treatment and decreasing negative laparotomy rates, especially in partial reduction cases. © 2019, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Management and Treatment of Foreign Bodies Ingestion in Childhood
(2011) Melek, M.; Cobanoglu, U.; Bilici, S.; Beger, B.; Kizilyidiz, B.S.; Melek, Y.
Ingestion of foreign bodies (FBs) is a significant problem that causes morbidity and mortality in childhood. The aim of this retrospective study was to report our experience of foreign body ingestion in pediatric patients. The medical records of 165 patients who were hospitalized for foreign body (FB) ingestion in pediatric and chest surgery departments between 2005 and January 2010 were evaluated retrospectively. X-ray films and abdominal ultrasound scan were used for the diagnostic approach of the patients. The common complaints were odynophagia-dysphagia (n=107), hypersalivation (n=81), cough (n=21), vomitting (n=20) and asymptomatic in 34 patients. Radiological examinations showed that FB was located in the esophagus in 81.2% (n=134) of the patients, in the stomach of 6.74% (n=11) patients, in the intestinal segments in 10.4% (n=17), in the rectum in 1.21% (n=2) and in the liver parenchyma 0.6% (n=1) patients. Endoscopic examination performed in 134 (81.2%), FB proceeded uneventfully in 23 (13.9%) in follow up period and 8 (4.8%) patients underwent surgery. The type of ingested FB varied widely. The coins (n=54, 32.7%) and pieces of plastic toys (n=29, 17.5%) were the most frequently ingested FBs. Foreign body ingestion is a major problem in childhood. Management depends on carefully and close follow up for complications and favorable treatment choice.
Morphometric Properties of the Tensor Fascia Lata Muscle in Human Foetuses
(Via Medica, 2018) Beger, O.; Koc, T.; Beger, B.; Uzmansel, D.; Kurtoglu, Z.
Background: In neonatal and early childhood surgeries such as meningomyelocele repairs, closing deep wounds and oncological treatment, tensor fasciae lata (TFL) flaps are used. However, there are not enough data about structural properties of TFL in foetuses, which can be considered as the closest to neonates in terms of sampling. This study's main objective is to gather data about morphological structures of TFL in human foetuses to be used in newborn surgery. Materials and methods: Fifty formalin-fixed foetuses (24 male, 26 female) with gestational age ranging from 18 to 30 weeks (mean 22.94 +/- 3.23 weeks) were included in the study. TFL samples were obtained by bilateral dissection and then surface area, width and length parameters were recorded. Digital callipers were used for length and width measurements whereas surface area was calculated using digital image analysis software. Results: No statistically significant differences were found in terms of numerical value of parameters between sides and sexes (p > 0.05). Linear functions for TFL surface area, width, anterior and posterior margin lengths were calculated as y = -225.652 + 14.417 x age (weeks), y = -5.571 + 0.595 x age (weeks), y = -4.276 + 0.909 x age (weeks), and y = -4.468 + 0.779 x age (weeks), respectively. Conclusions: Linear functions for TFL surface area, width and lengths can be used in designing TFL flap dimensions in newborn surgery. In addition, using those described linear functions can also be beneficial in prediction of TFL flap dimensions in autopsy studies.
A New Enema for Treatment of Intussusception With Hydrostatic Reduction: Olive Oil
(Wolters Kluwer Medknow Publications, 2019) Beger, B.; Duz, E.; Kizilyildiz, B.; Akdeniz, H.; Melek, M.; Agengin, K.; Sonmez, B.
Objectives: Intussusception is routinely treated using ultrasound-guided hydrostatic reduction (USGHR) with normal saline in our paediatric surgery department. With this study, olive oil was added to normal saline in ultrasound-guided reduction of intussusception. Materials and Methods: Forty patients who were diagnosed and treated for intussusception in Van Yuzuncu Yil University Faculty of Medicine Pediatric Surgery Department from March 2017 to May 2017 were included in the study. During this retrospective study, randomly chosen 20 patients that treated with USGHR using normal saline were marked as Group 1. Moreover, 20 patients that treated with USGHR using a mixture of olive oil and saline (10% olive oil 90% normal saline) were marked as Group 2. Patients' age, gender, symptoms, treatment techniques, complications and hospitalisation periods were retrospectively noted. Results: Forty patients were included in the study. In Group 1, 14 patients were treated in the first session, 4 patients were treated in the second session and 2 patients required laparotomy. Mean reduction time in this group was 15 min mean fluid volume used in each reduction was 80 ml/kg and mean hospitalisation period was 38 h. In Group 2, 19 patients were treated in the first session, and only 1 patient required a second session. Mean reduction time was 12 min, used fluid volume was 58 ml/kg for each reduction and hospitalisation period was 24 h. Conclusion: The average volume of fluid used for reduction, average reduction time, numbers of recurrent reductions and hospitalisation were less when a mixture of olive oil and normal saline were used in comparison with when normal saline was used alone to reduction the intussusception under ultrasound guidance. Using olive oil mixed with normal saline as a new enema fluid is likely to increase the success rate of ultrasound-guided reduction of intussusception. © 2019 Wolters Kluwer Medknow Publications. All rights reserved.
Obstructive Uterovaginal Anomalies in Children
(Yuzuncu Yil Universitesi Tip Fakultesi, 2024) Beger, B.; Etgül, C.; Sonmez, B.; Simsek, M.; Kızılyıldız, B.S.
Introduction: The congenital vaginal obstructions, which may be associated with labial synechia, imperforate hymen, complete vaginal transverse septum, partial vaginal agenesis or atresia are extremely rare reproductive system anomalies in children and a dolescents. A complete consensus has not been achieved in the diagnosis and management of uterovaginal canal obstructions in children and a dolescents. In this study, our uterovaginal canal obstruction experiences were evaluated with the literature. Materials and Methods: Data of patients with uterovaginal obstruction were evaluated, between 2015 and 2018. Values were expressed as counts and percentages. The files containing age, symptoms, diagnosis, radiological modalities and surgical management of the pa tients diagnosed with reproductive tract obstruction, between 1st April 2015 and 1st August 2018 were evaluated retrospectively. In addition to the general physical examination, a careful urogenital system examination was performed in the initial evaluation of the patients Results: Twenty-one female patients with uterovaginal obstruction were detected. The mean age was. The most common anomalies detected were labial synechia and imperforate hymen. Moreover, the labial synechia was determined in 9 patients, the imperfora te hymen in 7 patients, the distal vaginal atresia in 2 patients, the OHVIRA in 2 patients. Conclusion: Most of the uterovaginal obstructions can be treated with simple surgical interventi on when differential diagnosis is kept in mind. However, complex cases require a multidisciplinary approach. © 2024, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Ovarian Artery Injury as a Peritoneal Dialysis Complication: Case Report
(2009) Melek, M.; Edirne, Y.; Beger, B.; Çetin, M.
Patients treated with peritoneal dialysis are prone to many complications like peritonitis, catheter exit-site infection, catheter disfunction, insufficient clearance and ultra-filtration. Although hemoperitoneum is described as a benign complication, one should be cautious against it because of its life-threatening severe form seen in approximately 20 % of patients. There are several studies reporting intra-peritoneal hemorrhage during the procedure but a specific localization of the hemorrhage is not mentioned. We present here a case of 2 months old female infant who died due to intra-abdominal hemorrhage caused by ovarian artery injury on the 4th day after peritoneal dialysis was performed. Catheters made of hard material can cause hemorrhage. Fixation of these catheters is vital.
Oxidative Stress and Antioxidant Enzyme Activities in Newborns With Oesophageal Atresia and Their Mothers
(Sage Publications Ltd, 2012) Melek, M.; Demir, H.; Bilici, S.; Beger, B.; Cobanoglu, U.; Meral, I.; Ozmen, E.
OBJECTIVE: To measure the oxidant/antioxidant status of newborn babies with oesophageal atresia and their mothers, compared with healthy control subjects. METHODS: This case control study included 40 participants: 10 newborns with oesophageal atresia and their mothers, and 10 healthy newborns and their mothers. Whole blood malondialdehyde (MDA) levels and the activities of antioxidant enzymes (catalase, carbonic anhydrase [CA], glucose-6-phosphate dehydrogenase [G-6-PD], and superoxide dismutase [SOD]) were measured. RESULTS: MDA levels and CA activity were significantly higher, and catalase, SOD and G-6-PD activities were significantly lower, in newborns with oesophageal atresia and their mothers than in healthy newborns and their mothers. Although CA activity was similar between the newborns and mothers in the patient group, it was significantly lower in newborns than in mothers in the healthy group. CONCLUSIONS: Increased lipid peroxidation might play an important role in the pathogenesis of oesophageal atresia. Impairment of the free radical/antioxidant balance may lead to increased free radical and decreased antioxidant levels in oesophageal atresia.
Premenarchal Ovarian Torsion: Ten Years of Experience of a Tertiary Center
(Yuzuncu Yil Universitesi Tip Fakultesi, 2021) Dirik, D.; Beger, B.; Okyay, T.Y.; Soysal, L.; Karaman, E.
Ovarian torsion is a surgical emergency, as it could lead to tissue necrosis and loss of fertility in the long term when diagnosis and intervention are delayed. In this study, the effectiveness of sonographic ovarian appearance in the decision of surgery and the clinical value of ovarian size in the diagnosis of torsion were investigated in premenarchal girls whose diagnosis of ovarian torsion was surgically verified. A retrospective cohort study design was utilized. Demographic characteristics, physical examination find ings, laboratory findings, ultrasonography findings, operation records, pathology reports of 20 premenarchal girls who were admitted to Van Yuzuncu Yil University Medical Faculty Emergency Service between 2010-2020 and who were surgically confirmed to have torsion scanned and recorded. The cases included in the study were divided into two groups: nine patients with normal ovarian torsion (group1) and eleven patients with mass or cystic ovarian torsion (group2). Regarding the duration passed between admissio n to the emergency department and undergoing surgery, the time was shorter in group 2 compared to group 1 (13.54 ± 6.02 hours and 77.0 ± 101.86 hours respectively; p=0.053). Conservative surgical treatment was realized in all patients in Group 1 (9/9; 100%) and 7 patients in Group 2 (7/11; 63.6%); patients in Group 2 underwent cystectomy. Furthermore, oophorectomy was performed on 4 patients in Group 2. In terms of the torsion side, right-sided torsion predominance was detected in the ovary in both groups (6 patients (66.6%) in Group 1 and 7 patients (63.6%) in Group 2. Ovarian volume and Doppler flow could be considered as a potential predictive variable for ovarian torsion. © 2021, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
A Randomized Trial of the Effects of Platelet- Rich Plasma on Postoperative Complications After Meningomyelocele Sac Repair
(NLM (Medline), 2023) Arabacı, Ö.; Akyol, M.E.; Çelikkaleli, E.; Sönmez, B.; Çetin, E.; Beger, B.
OBJECTIVE: Meningomyelocele is a common congenital neural tube defect. To reduce complications, we need early surgery and a multidisciplinary approach. In this study, we administered platelet-rich plasma (PRP) to babies with meningomyelocele following corrective surgery to minimize cerebrospinal fluid (CSF) leakage and accelerate the healing of the immature pouch tissue. We compared these with a control group that did not receive PRP. PATIENTS AND METHODS: Of the 40 babies who had surgery with the diagnosis of meningomyelocele, 20 patients received PRP after surgical repair, and 20 were followed up without PRP. In the PRP group, 10 of the 20 patients underwent primary defect repair, the other 10 underwent flap repair. In the group that did not receive PRP, primary closure was performed in 14 patients and flap closure in six. RESULTS: In the PRP group, CSF leakage occurred in one (5%) patient, and none developed meningitis. Partial skin necrosis occurred in three (15%) patients and wound dehiscence in three (15%) patients. In the group that did not receive PRP, CSF leakage occurred in nine (45%) patients, meningitis in seven (35%), partial skin necrosis in 13 (65%), and wound dehiscence in seven (35%) patients. The rate of CSF leakage and skin necrosis in the PRP group was significantly (p<0.05) lower than that in the PRP group. Furthermore, wound closure and healing were also improved in the PRP group. CONCLUSIONS: We have shown that PRP treatment of postoperative meningomyelocele infants facilitates healing and lowers the risk of CSF leakage, meningitis, and skin necrosis.
A Rare Complication of Abdominal Surgery in a Patient Injured in War: Gossypiboma in a Child Refugee After War Surgery
(Yuzuncu Yil Universitesi Tip Fakultesi, 2018) Beger, B.; Düz, E.; Akdeniz, H.
Gossypiboma is a term used for a forgotten cotton sponge or gauze in the body. Gossypiomas may be fistulae from the peritoneal cavity to the gastrointestinal tract or may extructed to the urinary bladder, intestines and skin. Intestinal obstruction and perforation may ocur. In this case we present a four years old war victim boy complicated with a huge gossypiboma. He applied to our clinic with intestinal obstruction. Clinic investigations showed that 11×4 cm sized mass presented on the left upper side of the abdomen. While surgical operation, a gastro-ileo-colic fistula was detected due to a foreign body. After all approaches he survived with no complication. Forgeting a foreign object in human body by surgical operations is a very worrying situation for surgeons, although it is very rare. Gossypiboma should be kept in mind especially in the cases of refugees and war victims who went under surgery with increased stress due to war conditions. © 2018, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Spinal Deformity After Thoracotomy in Children With Pulmonary Hydatid Disease
(BioMed Central Ltd, 2025) Kaya, Ş.; Karaaslanlı, A.; Beger, B.
Background: Pulmonary hydatid cyst disease is a common zoonotic infection, especially in agricultural and livestock communities. Thoracotomy is an important surgical procedure in the treatment of pulmonary hydatid cysts in children. However, the development of a spinal deformity is one of the long-term musculoskeletal complications of this procedure. The aim of this study was to evaluate the incidence, risk factors and clinical outcomes of spinal deformity in pediatric patients after thoracotomy. Methods: Between 2008 and 2022, 116 pediatric patients who underwent thoracotomy for pulmonary hydatid disease and met the study criteria were retrospectively reviewed. Age, sex, side of surgery, pre- and postoperative spinal radiographs, presence of spinal deformity and Cobb angles were measured. Results: Spinal deformities developed in 57.8% of 116 patients after thoracotomy. The risk of spinal deformity increases with decreasing age at surgery. The side of the thoracotomy can influence the direction of the apex of the spinal deformity. However, sex had no significant effect on the development of spinal deformity. Conclusions: Children with pulmonary hydatid cyst disease are at high risk of developing spinal deformity after thoracotomy, and this risk is greater in younger patients. This study emphasises the importance of multidisciplinary approaches in the prevention and management of spinal deformity. © The Author(s) 2025.