Browsing by Author "Binici, S."

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Application of the Hybrid Seton Technique in High, Complex Perianal Fistulas and One-Year Outcomes
(Yuzuncu Yil Universitesi Tip Fakultesi, 2025) Cikman, O.; Binici, S.
Introduction: Perianal fistulas are defined as abnormal, epithelialized connections in the anorectal region. In this study, we aimed to present the treatment outcomes of patients undergoing treatment with an elastic cutting seton (hybrid seton) for tran ssphincteric fistulas. Materials and Methods: A total of 92 cases diagnosed with high and complex anal fistulas in our hospital's general surgery clinic between 2023-2024 were included in the study. Patients had fistulas involving more than one-third of the sphincter muscles or transsphincteric fistulas in the anterior region. Demographic data, operation duration, treatment plans, visual analog scores, anal incontinence scores, recurrence rates, and complications were evaluated. Results: All patients presented with complaints of malodorous discharge, pain, swelling, and pruritus ani in the perianal region. During examination under anesthesia, the fistula tract was identified with a stylet, and the wrist portion of a size 8 glove was pla ced as a seton. The seton either fell off spontaneously or was removed with a fistulotomy within an average of 45 days. Over an average 12-month follow-up period, no recurrence or incontinence was observed in any of the cases. Conclusıon: The hybrid seton technique does not cause incontinence as it gradually cuts through sphincter tissue without causing acute damage. Additionally, the lack of seton revisions and quality-of-life deterioration in follow-up makes hybrid seton a preferred treatment option. © 2025, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Evaluation of Diagnostic Methods for Complications of Meckel's Diverticulum: A Retrospective Analysis
(Yuzuncu Yil Universitesi Tip Fakultesi, 2025) Binici, S.; Yeşilyurt, D.; Eryilmaz, I.; Aslan, F.; Tahiroğlu, V.; Beger, B.
Meckel's diverticulum (MD) is the most common congenital abnormality of the small intestine, often asymptomatic but occasionally presenting with acute abdominal symptoms that can mimic other conditions such as appendicitis, perforated peptic ulcer, or bowel obstruction. This study reviews eight cases of MDs diagnosed and treated surgically, highlighting the clinical presentations, diagnostic challenges, and surgical outcomes. This retrospective study included seven male and one female patients aged 18 to 43 who presented to the emergency department with symptoms of acute abdomen. Imaging studies, including abdominal computerised tomography (CT) scans and ultrasonography, were utilized to assess the patients. Laparoscopic surgery was performed in six cases, while two cases required open surgery. Surgical management involved excision of the Meckel's diverticulum using a line ar stapler. All patients presented with severe abdominal pain, and physical examination revealed signs of acute abdomen such as tenderness, guarding, and rebound tenderness. Initial diagnoses included appendicitis, perforated peptic ulcer, mechanical bowel obstruction, and foreign body ingestion. Intraoperative findings confirmed the presence of Meckel's diverticulum in all cases. The excision of the diverticulum was successfully performed, and all patients had uneventful postoperative recoveries. The mean hospital stay was 3.75 days, and no major complications were observed.Meckel’s diverticulum can present with a wide range of symptoms, often mimicking other abdominal conditions, making early diagnosis and appropriate surgical intervention essential. Laparoscopic surgery is a safe and effective approach for the excision of Meckel's diverticulum, with favorable outcomes and minimal complications. Prompt recognition and treatment are key to ensuring optimal patient outcomes. © 2025, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Reference Values for Normal Main Portal Vein Diameter in Subjects Aged 1–80 Years
(Springer International Publishing, 2025) Binici, S.; Aslan, F.; Yanç, U.; Eryılmaz, I.; Tahiroǧlu, V.; Beǧer, B.; Uslu, N.
Purpose: Demographic features of subjects such as body mass index, height, weight, age or sex affect diameters of vessels like main portal vein (MPV). Some articles use different anatomical indicators like L1’s body for creating a complete standard while diagnosing venous pathologies. This work aimed to display relationships of portal veins with L1 in normal subjects aged 1–80 years. Methods: Abdominopelvic computed tomography views of 800 subjects were included in the work. The diameter of left (LPV) and right (RPV) branches of MPV, and the diameter of MPV at the distal level (MPV1), the middle level (MPV2), and the proximal level (MPV3) were measured. The transverse diameter of L1’s body (L1TD) was measured. The ratios of vein diameters to L1TD were calculated. Results: Age affected the diameters of portal veins and L1’s body. L1TD increased until the early 50 s, but thereafter showed no statistically significant change. The diameters of portal veins increased from birth to approximately the early 50 s, but then decreased statistically. Moreover, MPV1 / L1TD, MPV2 / L1TD and MPV3 / L1TD generally showed a pattern of first increasing and then decreasing with advancing age, whereas RPV / L1TD and LPV / L1TD showed a pattern of decreasing with advancing age. L1TD was greater in males than females (p < 0.001). MPV1, MPV2, MPV3, RPV and LPV were statistically similar for both sexes (p > 0.05). Conclusion: Age-specific diameter measurements and calculated ratios in our study may be useful for clinicians to diagnose disorders regarding portal system in pediatric and adult subjects. © 2025 Elsevier B.V., All rights reserved.