Browsing by Author "Bilici, Salim"

Now showing 1 - 20 of 28

Acute Appendicitis in Two Children With Henoch-Schonlein Purpura
(Maney Publishing, 2012) Bilici, Salim; Akgun, Cihangir; Melek, Mehmet; Peker, Erdal; Akbayram, Sinan; Bulut, Gulay; Dogan, Murat
In Henoch-Schonlein purpura (HSP), involvement of the ileum and ascending colon with vasculitis can mimic appendicitis and cause unnecessary appendicectomy. A 13-year-old boy presented with signs of HSP and abdominal pain. He was treated with prednisolone (2 mg/kg/day) for 10 days, but there was no improvement. At laparotomy he had acute suppurative appendicitis. A 12-year-old girl presented with HSP associated with abdominal pain and bloody diarrhoea and at laparotomy was also found to have suppurative appendicitis. Both patients had vasculitic areas in the ileum. In HSP, although suppurative appendicitis is rare, it should always be considered and appropriate investigations, including ultrasonography, undertaken.
Beneficial Influence of Topical Extra Virgin Olive Oil Application on an Experimental Model of Penile Fracture in Rats
(Sage Publications inc, 2015) Gunes, Mustafa; Ozkol, Halil; Pirincci, Necip; Gecit, Ilhan; Bilici, Salim; Yildirim, Serkan
Penile fracture (PF) is known as a traumatic rupture of the tunica albuginea of corpus cavernosum. In this study, we aimed to investigate the healing influence of topical extra virgin olive oil (EVOO) on PF through evaluating levels of some oxidative stress biomarkers for the first time. Histopathological evaluation was also realized. A total of 18 male Sprague-Dawley albino rats were divided into three groups of six rats each as control group, in PF (alone) group, and PF + EVOO group. Experimental PF was formed via incising from the proximal dorsal side of the penis in the rats of all groups except control. While in PF (alone) group, fracture was formed and the incision was primarily closed, in PF + EVOO group in addition to foregoing processes, EVOO was also administrated topically twice a day for 3 weeks. At the end of the experiment, all rats were killed and penectomy was carried out. While malondialdehyde, myeloperoxidase, lipid hyroperoxide, and total oxidant status significantly (p < 0.05) increased, reduced glutathione and total free sulfhydryl groups markedly (p < 0.05) decreased in PF (alone) group when compared with PF + EVOO group. Levels of these parameters were reversed to nearly normal values by topical EVOO application. Protection by EVOO is further substantiated via the improved histological findings in PF + EVOO group as against degenerative changes in the rats of PF (alone) group. Our data revealed that EVOO has protective effect in penile cavernosal tissue through probably its antioxidant, free radical defusing, anti-inflammatory, and antimicrobial effects.
Borchardt Triade: a Symptom of Acute Gastric Volvulus
(derman Medical Publ, 2014) Bilici, Salim; Goksu, Mehmet; Melek, Mehmet; Sayir, Fuat; Simsek, Metin
Gastric volvulus, especially cases with an acute onset, may result strangulation, perforation, peritonitis, shock and death. The disease is rarely seen in children, but early diagnosis and treatment is essential due to its life-threatening potential. In patients with acute gastric volvulus, the clinical Borchardt triade may be observed, which is characterized by acute severe pain and distension in the upper abdomen or lower thoracic region, retching and the inability to pass a nasogastric tube. In this article, We aimed to emphasize the Borchardt's triad by presenting a pediatric case who was diagnosed with Borchardt's triad and who had acute mesenteric axial gastric volvulus which diaphragmatic hernia and mobile (wandering) spleen were accompanied.
Burkitt's Lymphoma Causing Acute Pancreatitis in a Child
(Elsevier Science Bv, 2013) Akil, Muhammed; Kaya, Avni; Bektas, M. Selcuk; Aktar, Fesih; Akbayram, Sinan; Bilici, Salim; Beyazal, Mehmet
A 8-year-old boy admitted with abdominal pain, fever and vomiting for the previous 10 days. Sensitivity was detected in the epigastric area. There was not defense and rebond. Aspartate aminotransferase was 106 U/L, alanine aminotransferase 25 U/L, alkaline phosphatase 311 U/L, blood amylase level 748 U/L, blood lipase level 391 U/L. In thoracic CT, soft tissue with smooth contours measuring 32 mmx28 mm was identified in the posterior mediastinum. Bone marrow aspiration biopsy was normal. A mass specimen obtained from the duodenum endoscopic biopsy. This specimen was diffuse staining by leukocyte common antigen, CD10 and CD20. The patient was diagnosed with acute pancreatitis associated with stage 3 duodenal Burkitt's lymphoma. Modified LMB-98 was initiated. Burkitt's lymphoma may rarely cause acute pancreatitis.
Circumcision in Patients With Congenital Factor X Deficiency
(Springer india, 2014) Akbayram, Sinan; Garipardic, Mesut; Karaman, Kamuran; Bilici, Salim; Oner, Ahmet Faik
The Clinical Analysis of Childhood Henoch-Schonlein Purpura Patients
(deri Zuhrevi Hastaliklar dernegi, 2012) Akgun, Cihangir; Akbayram, Sinan; Kaya, Avni; Temel, Hayrettin; Bilici, Salim; Aktar, Fesih; Arslan, Sukru
Background and Design: Henoch-Schonlein purpura is affected often the skin, joints, gastrointestinal tract and kidneys and common systemic vasculitis of childhood. Henoch-Schonlein purpura are many and varied symptoms, also it was followed in children policlinics and hospitalized diseases for an important role. We aimed to determination of the patients with Henoch-Schonlein purpura by examination of their clinical analyses. Material and Method: The medical records of 212 patients with Henoch-Schonlein purpura in our polyclinics have been retrospectively studied. These patients were analyzed age groups, diagnosed seasons, held systems, laboratory findings, the treatments, complications and prognosis. SPSS 13 statistical software package was used for data analysis. Results: The mean age of the patients was 9.33 +/- 3.20 years. The disease was more frequently demonstrated in fall and winter seasons. There was no statistically assosiation between age groups with season, joint involvement, central neryeous system involvement, gastrointestinal system involvement and scrotal involvement but there was a positive correlation between age groups and renal involvement Conclusion: The treatment duration increases with the age of the patient and the necessity to use a combined treatment (antihistaminic, non-steroid anti-inflammatory treatment and steroids) increases. (Turkderm 2012; 46: 73-7)
The Clinical Outcome of 260 Pediatric Itp Patients in One Center
(Sage Publications inc, 2011) Akbayram, Sinan; Dogan, Murat; Ustyol, Lokman; Akgun, Cihangir; Peker, Erdal; Bilici, Salim; Oner, Ahmet Faik
In the current study, clinical and laboratory findings and treatment modalities of children with acute and chronic immune thrombocytopenic purpura (ITP) were evaluated retrospectively. Our purpose was to determine clinical outcome of children with ITP and their responses to different treatment regimes. Total of 260 children with ITP were enrolled in the study. The mean age of patients was 76.8 +/- 48.1 months. The therapy responses of high-dose methylprednisolone (HDMP; n = 134), standard dose methylprednisolone (n = 32), and intravenous immunoglobulin (IVIG; n = 15) treatments were similar. Two (0.8%) of the 260 ITP patients had intracranial bleeding. None of the patients died due to hemorrhage. Of all the patients with ITP, 191 (73.5%) completely resolved within 6 months after initiation of the disease and therefore they were diagnosed as acute ITP; 69 patients (26.5%) had progressed into chronic ITP. The therapy responses of HDMP, standard dose methylprednisolone, and IVIG treatments are similar.
Çocuk, Erişkin ve Yaşlı Populasyonda Akut Apandisitin Klinik Özelliklerinin Karşılaştırılması
(2000) Barut, İbrahim; Kotan, Çetin; Sönmez, Reşit; Aras, Abbas; Bilici, Salim; Köseoğlu, Burhan
Akut apandisit, özellikle erken çocukluk çağı ve yaşlı populasyonda yüksek perforasyon oranı nedeni ile morbidite ve mortalite nedeni olabilmektedir. Çalışmamızda Genel Cerrahi ve Çocuk Cerrahisi Kliniklerinde ameliyat edilen akut apandisitli olgular, perforasyon, postoperatif komplikasyon, mortalite oranları ve hastanede yatış süreleri açısından karşılaştırıldı. Çalışma periyodunda çocuk cerrahisi kliniğinde ameliyat edilen 84 ve genel cerrahi kliniğinde ameliyat edilen 176 olgu retrospektif olarak incelendi. Onbeş yaş altı grupta perforasyon oranı % 50, 16 yaş üstü grupta ise % 41.5 olarak bulundu. Perforasyon oranı açısından gruplar arasında anlamlı farklılık yoktu. Yaş gruplarına göre perforasyon oranları incelendiğinde 0-4 yaş grubunda % 86, 60 yaş üstü grupta ise % 83 perforasyon oranı bulundu. Pediatrik gruptaki olgularda yedi günden uzun süren adinamik ileus, mekanik intestinal obstrüksiyon, intraabdominal apse ve sepsis komplikasyonları erişkin gruba göre anlamlı olarak yüksek bulundu. Erişkin grupta ise akciğer komplikasyonları anlamlı olarak daha yüksek bulundu. Pediatrik grupta mortalite oranı (% 2.7) erişkin gruba göre (% 0.77) anlamlı olarak daha yüksek bulundu. Hastanede yatış süresi 0-4 ve 60 yaş üstü gruplarında diğer alt gruplara göre anlamlı olarak daha yüksek bulundu.
Çocuklarda Kronik İnvajinasyon: Dört Olgu Sunumu
(2001) Köseoğlu, Burhan; Demirtaş, İsmail; Önem, Önder; Bakan, Vedat; Bilici, Salim
İnvajinasyon çocuklarda barsak tıkanıklığının sık nedenlerinden biridir. Akut invajinasyonda, hastaların çoğunda klasik semptom ve bulguların varlığıyla doğru tanı konur. Kronik invaginasyon da ise atipik klinik prezentasyon ve kronik semptomlar nedeniyle tanıda gecikme olabilir. Bu makalede dört kronik invaginasyon olgusu sunulmuştur. Hastaların hiç birinde başlatıcı nokta bulunamazken, tümünde mobil kolon saptanmıştır. Kronik invajinasyon olgularında tipik olmayan klinik ortaya çıkış ve tanısal gecikme vurgulanmaktadır.
Çocukluk Çağı Gastrointestinal Yabancı Cisimlerinin Tedavisi
(2001) Bakan, Vedat; Köseoğlu, Burhan; Katı, İsmail; Bilici, Salim; Önem, Önder; Demirtaş, İsmail
Amaç: Gastrointestinal sistem yabancı cisimleri, çocukluk çağında önemli bir sağlık problemi olmaya devam etmektedir. Retrospektif olarak yapılan bu klinik çalışmada, gastrointestinal yabancı cisimlerde, yabancı cismin tip ve lokalisazyonuna göre tedavi yaklaşımı ve başarısı incelendi. Metod: Haziran 1995 ile Şubat 2000 tarihleri arasında, gastrointestinal yabancı cisim tanısı almış yaşları 1 ay ile 15 yaş arasında değişen 74 hasta kliniğimizde tedavi edilmiştir. Bulgular: Yabancı cisimlerin 65' i (% 85.5) metaldi. En sık çıkarılan yabancı cisim madeni para olup sıklıkla özefagus 1. darlığa yerleşimliydi. Altmış bir hastada (%82.4), yabancı cisim endoskopik olarak çıkarılırken 2 hastada (%2.7) mideye itildi, dokuz hastada (%12.1) yabancı cisim defekasyonla çıktı. İki hastada (%2.7) ise cerrahi olarak alındı. Olgularımızda önemli komplikasyon izlenmezken mortalite gözlenmedi. Sonuç: Midedeki ve duodenumda keskin ve batıcı yabancı cisimlerin endoskopik olarak çıkarılması, midedeki künt ve barsaklardaki tüm yabancı cisimlerin konservatif takip edilmesi gerektiği görüşündeyiz. Peritoneal irritasyon bulguları varlığında veya yabancı cismin 48-72 saatten fazla aynı lokalizasyonda kalması halinde cerrahi girişim planlanmalıdır. Çocukluk çağı özefageal yabancı cisimlerin çıkarılmasında endoskopik yaklaşım, yüksek başarı oranı, emniyetli ve kolay uygulanabilirliği nedeniyle ilk tercih olmaya devam etmektedir.
Comparison of Dartos Flap and Dartos Flap Plus Spongioplasty To Prevent the Formation of Fistulae in the Snodgrass Technique
(Springer, 2011) Bilici, Salim; Sekmenli, Tamer; Gunes, Mustafa; Gecit, Ilhan; Bakan, Vedat; Isik, Daghan
The aim of our study was to evaluate the role of paraurethral spongial tissue plus dartos flap using an additional urethral cover to prevent fistula formation in patients who underwent surgery with the Snodgrass technique. A retrospective study was performed on 161 patients aged 10 months to 15 years who underwent midpenile and distal hypospadias repair using the Snodgrass technique. The patients were assigned to one of two groups. In Group I (75 patients), the neourethra was covered with the dartos flap, and in Group II (86 patients), the neourethra was covered with the dartos flap plus spongioplasty. Urethral fistulae were encountered in six cases (8%) in Group I, and no fistulae were encountered in Group II. The use of corpus spongiosum as an intermediate layer in urethral coverage, combined with the dartos flap, reduces the likelihood of fistula formation. This procedure can be applied easily and effectively to prevent the formation of fistulae.
Comparison of the Methods of Fibrinolysis by Tube Thoracostomy and Thoracoscopic Decortication in Children With Stage Ii and Iii Empyema: a Prospective Randomized Study
(Pagepress Publ, 2011) Cobanoglu, Ufuk; Sayir, Fuat; Bilici, Salim; Melek, Mehmet
Today, in spite of the developments in imaging methods and antibiotherapy childhood pleural empyema is a prominent cause of morbidity and mortality. In recent years it has been shown that there has been an increase in the frequency of pleural empyema in children, and antibiotic resistance in microorganisms causing pleural empyema has made treatment difficult. Despite the many studies investigating thoracoscopic debridement and fibrinolytic treatment separately in the management of this disease, there is are not enough studies comparing these two treatments. The aim of this study was to prospectively compare the efficacy of two different treatment methods in stage II and III empyema cases and to present a perspective for treatment options. We excluded from the study cases with: i) thoracoscopic intervention and fibrinolytic agent were contraindicated; ii) immunosup pression or additional infection focus; iii) concomitant diseases, those with bronchopleural fistula diagnosed radiologically, and Stage I cases. This gave a total of 54 cases: 23 (42.6%) in stage II, and 31 (574%) cases in stage III. These patients were randomized into two groups of 27 cases each for debridement or fibrinolytic agent application by video-assisted thoracoscopic decortication (VATS). The continuity of symptoms after the operation, duration of thoracic tube in situ, and the length of hospital stay, in the VATS group were of significantly, shorter duration than in the streptokinase applications (P=0.0001). In 19 of 27 cases (70.37%) in which fibrinolytic treatment was applied and in 21 cases of 27 (77.77%) in which VATS was applied, the lung was fully expanded and the procedure was considered successful. There was no significant difference with respect to success rates between the two groups (P-0.533). The complication rate in our cases was 12.96% and no mortality was observed. Similar success rates in thoracoscopic drainage and enzymatic debridement, and the low cost of enzymatic drainage both served to highlight intrapleural streptokinase treatment as a reliable method in reducing the need for surgery in complicated empyema.
Dev Akciğer ve Karaciğer Kubbe Hidatik Kistlerinde Tek Seanslı Transtorasik Yaklaşım
(2009) Şahitoğulları, Abidin; Çobanoğlu, Ufuk; Bilici, Salim; Çıkman, Öztekin
Amaç: 2002 nisan-2008 aralık tarihleri arasındakliniğimizde dev akciğer ve dev karaciğer kisthidatik vakalarını literatür eşliğinde incelemek.Gereç ve Yöntem: Sadece hem akciğer hemkaraciğerde bulunupta, ikisinde de çapı 10 cm veüzerinde olan kist hidatikli olgulardeğerlendirilmeye alındı.Bulgular: Kliniğimizde altı yıllık sürede yaşları 8- 65 arasında olan altısı bayan, üçü erkek dokuzhasta değerlendirildi. Aynı anda hem akciğer hemkaraciğer kist hidatiği bulunan ve iki organda daçapı 10 cm üzerinde olan olgular ele alındı. Tümolguların çapları bilgisayarlı tomografi(BT) ileölçüldü. Kist hidatiğin çapı akciğerde 10-16 cm,karaciğerde 10-25 cm arasında değişmekte idi.Lezyonların yerleşimi yedi olguda sağ alt lobta, ikiolguda sağ orta lobta idi. Çapı 16 cm olan hidatikkist, 12 yaşında kız çocuğunda olup, sağ alt lobun%80’nini doldurduğu ve lobun geri kalan kısmıhavalanmadığı için rezeksiyon uygulandı. Diğervakalara parankim koruyucu cerrahi uygulandı;kistotomi + kapitonaj yapıldı. Aynı anda diafragmakesilerek karaciğerdeki kistlere de kistotomi +kapitonaj yapıldı. Hiç bir vakada komplikasyongelişmedi. Hastanede kalma süreleri 4-12 gün idi. Sonuç: Çapı ne kadar büyük olursa olsun; tümakciğer kist hidatiklerine parankim koruyucucerrahi ve yine karaciğerdekilere de; aynı seanstaeğer kubbede ise diafragma insize edilerekkistotomi + kapitonaj yapılmalıdır.
Diagnostic Dilemma in Hydatid Cysts: Tumor-Mimicking Hydatid Cysts
(Aves, 2015) Cobanoglu, Ufuk; Asker, Selvi; Mergan, Duygu; Sayir, Fuat; Bilici, Salim; Melek, Mehmet
OBJECTIVES: Hydatid cysts are sometimes confused with different pathologies, and problems arise in their diagnosis and treatment. In this study, cases that are followed up with a diagnosis of lung malignancy and that are detected to have hydatid cysts were retrospectively examined. MATERIAL AND METHODS: Seven patients with hydatid cysts whose clinical and radiological features were consistent with lung malignancy were retrospectively examined between 2010 and 2014 regarding sex, age, symptoms, diagnostic methods, surgical procedures performed, and postoperative complications. In the diagnosis of the patients, radiological diagnostic methods such as chest radiography, thoracic computed tomography (TCT), and positron emission tomography+computed tomography (PET-CT) as well as invasive diagnostic methods such as bronchoscopy, fine-needle aspiration biopsy, thoracentesis, and video-assisted thoracoscopic surgery were used. RESULTS: The average diameter of the lesions was determined as 4.14 +/- 1.57 cm in TCT. Maximum standardized uptake value (SUV max) was measured as 8.77 +/- 3.41 (5.4-15.1) in the PET-CT analysis. Bronchoscopy, fine-needle aspiration biopsy, and thoracentesis yielded no results. Definitive diagnosis was established by performing thoracotomy and video-assisted thoracoscopic surgery. CONCLUSION: Pulmonary hydatid cysts can appear as malignant diseases such as lung cancer as well as infectious pathologies such as tuberculosis or benign pathologies. Radiologically, it should be kept in mind that pulmonary hydatid cysts can mimic many pulmonary pathologies, particularly malignancies. Necessary examinations towards its differential diagnosis must be performed in the preoperative period.
Diaphragmatic Herniation Diagnosed at a Late Stage: an Evaluation of Eight Cases
(Baycinar Medical Publ-baycinar Tibbi Yayincilik, 2012) Sayir, Fuat; Cobanoglu, Ufuk; Bilici, Salim; Melek, Mehmet; Mergan, Duygu
Background: In this study, we aimed to analyze patients with diaphragmatic hernias who had specific clinical features and interesting clinical, radiologic presentations, and had operated following late diagnosis. Methods: A total of eight diaphragmatic hernia cases, of whom three were adults and five were children (4 males, 4 females; mean age 12.4 +/- 24 years; range 9 months to 28 years), who were diagnosed in the late period and who were operated on in our clinic between January 2006 and August 2010 were evaluated retrospectively. In all patients, primary repair of the diaphragm was performed following laparotomy and thoracotomy. Results: The children were diagnosed following the neonatal period. Three patients were diagnosed in adulthood. Five patients had right-sided congenital Morgagni hernias, one patient had a hiatal hernia, and two patients had left-sided Bochdalek hernia. All patients were discharged between the 5th and 19th postoperative days. The average duration of hospital stay was 9.8 days (range 7 to 23 days). The follow-up time were between six months and two years, and no significant respiratory and gastrointestinal complaints were recorded. No morbidity was detected in three cases with Morgagni hernia. Conclusion: Congenital diaphragmatic hernias are pathologies which are seen in the neonatal period, and the diagnosis of these hernias can be difficult after this period. Mortality and morbidity rates are low in cases who are followed and treated in clinics by dedicated thoracic surgeon.
Gecikmiş Trakeobronşial Yabancı Cisim Aspirasyonu Olgusu: Pisi Pisi Otu (Hordeum Murinum)
(2000) Köseoğlu, Burhan; Önem, Önder; Bilici, Salim; Bakan, Vedat
Yabancı cisim aspirasyonu çocukluk çağında morbidite ve mortalitenin önemli bir sebebidir. Tekrarlayan alt solunum yolu infeksiyonu hikayesi olan ve tedaviye cevap vermeyen hastalarda yabancı cisim aspirasyonu altta yatan gerçek neden olabilir. Yabancı cisim aspirasyonu tanısında gecikme sebebi ile segmentektomi yapılan bir olgu sunularak erken tanısal ve tedavi edici bronkoskopinin önemi vurgulanmıştır.
Kutlay Technique for Hypospadias Repair
(Springer, 2012) Gecit, Ilhan; Isik, Daghan; Pirincci, Necip; Bilici, Salim; Gunes, Mustafa; Canbaz, Yasin; Kocak, O. Faruk
Although many techniques have been described, new techniques with a wide range of therapeutic options are needed. The Kutlay technique is a novel technique that is based on the reconstruction of the neourethra with two horizontal meatal-based skin flaps. In the present study, the data of 31 patients who underwent surgery with the Kutlay technique are presented. Thirty-one patients with hypospadias with an average age of 5.6 years who did not have previous hypospadias repair were operated on with the Kutlay technique. Ten patients had chordee. Among those patients, three patients were circumcised. The patients were followed up for 4-13 months (average, 9.3 months). During the follow-up period, a fistula was observed in only one patient. None of the patients developed neourethral dehiscence, meatal stenosis, urethral stricture, wound infection, penile torsion, hematoma, or persistent or recurrent chordee. On uroflowmetry studies, the maximum flow rate of the patients was approximately 10.5 ml/s (range, 6-17 ml/s). The patients were observed to void with a single straight urinary stream in a forward direction. The Kutlay technique is a technique that is easily applied in patients with chordee and that provides a low risk of fistulas and acceptable functional and esthetic results. The factors that reduce the risk of fistula are the lack of the superposition of the suture lines of the skin and the urethra, the reconstruction of the urethra with well-vascularized flaps, and the replacement of the neourethra in its appropriate location through the tunnel created in the glans.
A Long-Term Study Assessing the Factors Influencing Survival and Morbidity in the Surgical Management of Bronchiectasis
(Biomed Central Ltd, 2011) Sehitogullari, Abidin; Bilici, Salim; Sayir, Fuat; Cobanoglu, Ufuk; Kahraman, Ali
Background: Although the prevalence of bronchiectasis decreased significantly in developed countries, in less developed and in developing countries, it still represents a significant cause of morbidity and mortality. The aim of this retrospective study is to present our surgical experiences, the morbidity and mortality rates and outcome of surgical treatment for bronchiectasis. Methods: We reviewed the medical records of 129 patients who underwent surgical resection for bronchiectasis between April 2002 and April 2010, at Van Training and Research Hospital, Thoracic Surgery Department. Variables of age, sex, symptoms, etiology, and surgical procedures, mortality, morbidity and the result of surgical therapy were analyzed retrospectively. Results: Mean age was 21.8 year (the eldest was 67 year, the youngest was 4 years-old). Male/female ratio was 1.86 and 75% of all patients were young population under the age of 40. Bilateral involvement was 14.7%, left/right side ratio according to localization was 2.1/1. The most common reason for bronchiectasis was recurrent infection. Surgical indications were as follows: recurrent infection (54%), hemoptysis (35%), empyema (6%), and lung abscess (5%). There was no operative mortality. Complications occurred in 29 patients and the morbidity rate was 22.4%. Complete resection was achieved in 110 (85.2%) patients. Follow-up data were obtained for 123 (95%) of the patients. One patient died during follow-up. The mean follow-up of this patient was 9 months. Mean postoperative hospitalization time was 9.15 +/- 6.25 days. Significantly better results were obtained in patients who had undergone a complete resection. Conclusions: Surgical treatment of bronchiectasis can be performed with acceptable morbidity and mortality at any age. The involved bronchiectatic sites should be resected completely for the optimum control of symptoms.
Our Eight-Year Surgical Experience in Patients With Pulmonary Cyst Hydatid
(E-century Publishing Corp, 2012) Sayir, Fuat; Cobanoglu, Ufuk; Sehitogullari, Abidin; Bilici, Salim
Background: In this clinical retrospective study, we aimed to investigate our experinces and whether capitonnage is an effective therapy method for a pulmonary hydatid cyst or not. Material and methods: A total of 412 patients with hydatid cyst operated in our hospitals were evaluated retrospectively between January 2003 and January 2011. In order to create a study group to compare the hydatid cyst operations with and without capitonnage in our department, 60 uncomplicated patients with the diagnosis of hydatid cyst who had undergone operations in the previous two years, were divided into two groups; while no capitonnage was performed and bronchial leaks were closed in one group, standard cystotomy plus the capitonnage operation was performed in the second group. All patients underwent surgery. Results: In many patients, one or more symptoms were present on admission (339 cases, 82%). Perforated cysts/nonperfore cysts rate was statistically significant (p = 0.001). There was no statistical difference between patients with or without capitonnage in terms of morbidity rates between patients with or without capitonnage (p = 0.041). However, morbidity rates were higher in the group without capitonnage. There were found statistically significant between capitonnage and non capitonnage groups in terms of length of hospital stay (p = 0.001). Conclusions: In the surgical treatment, resection should be avoided as much as possible. An average time of 3-5 minutes should be allocated and capitonnage should be performed. Capitonnage should always be performed in the surgical treatment of hydatid cyst. We believe that povidone iodine per se provides sufficient disinfection.
Oxidative Stress Enzyme Nox1 Is a New and Important Biomarker for Childhood Appendicitis
(Springer india, 2023) Avci, Veli; Ayengin, Kemal; Huyut, Zubeyir; Huyut, Mehmet Tahir; Soysal, Lokman; Bilici, Salim
Delayed appendicitis diagnosis may result in perforation and an increased risk of mortality. This study aimed to assess the diagnostic value of ischemia-modified albumin, nicotinamide adenine dinucleotide phosphate oxidase 1, 2, and 4 levels in the diagnosis of non-complicated and complicated appendicitis. The study included 60 pediatric patients who presented to our clinic with a complaint of abdominal pain and underwent surgery with a diagnosis of appendicitis between November 2020 and December 2021 and also included 30 controls. Cases were divided into three groups: (i) non-complicated appendicitis (n = 30), (ii) complicated appendicitis (n = 30), and (iii) control (n = 30). The nicotinamide adenine dinucleotide phosphate oxidase 1 and 4 and ischemia-modified albumin levels were higher in non-complicated and complicated appendicitis compared to the control (p < 0.001). In addition, considering the odds ratio values, the most effective biomarkers in the diagnosis were nicotinamide adenine dinucleotide phosphate oxidase 1 and 2, and procalcitonin, while the most effective biomarkers in the prognosis were nicotinamide adenine dinucleotide phosphate oxidase 1 and 2, and neotrophil/lymphocyte ratios. The data suggested that since the most successful biomarker nicotinamide adenine dinucleotide phosphate oxidase 1, with a value of 0.98- area under the curve, is the most successful biomarker in both diagnosis and prognosis of the disease, it can be used as an important biomarker in childhood appendicitis.