Browsing by Author "Güner, S."

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An Alternative Surgical Method for Treatment of Osteoid Osteoma
(International Scientific Literature Inc., 2016) Gökalp, M.A.; Gözen, A.; Ünsal, S.Ş.; Önder, H.; Güner, S.
Background: An osteoid osteoma is a benign bone tumor that tends to be <1 cm in size. The tumor is characterized by nighttime pain that may be relieved by aspirin or other non-steroidal anti-inflammatory drugs. Osteoid osteoma can be treated with various conservative and surgical methods, but these have some risks and difficulties. The purpose of the present study was to present an alternative treatment method for osteoid osteoma and the results we obtained. Material/Methods: In the period from 2010 to 2014, 10 patients with osteoid osteoma underwent nidus excision by using a safe alternative method in an operating room (OR) with no computed tomography (CT). The localization of the tumor was determined by use of a CT-guided Kirschner wire in the radiology unit, then, in the OR the surgical intervention was performed without removing the Kirschner wire. Results: Following the alternative intervention, all the patients were completely relieved of pain. In the follow-up, no recurrence or complication occurred. Conclusions: The presented alternative method for treating osteoid osteoma is an efficient and practical procedure for surgeons working in clinics that lack specialized equipment. © Med Sci Monit, 2016.
The Analysis of The Relationship Between The Cultural Intelligence and The Feeling of Compassion in The Health Staff
(Yuzuncu Yil Universitesi Tip Fakultesi, 2022) Güner, Ş.I.; Karaaslan, S.; Güner, S.; Orhun, R.; Ulay, G.
In this study, we aim to analyze the relationship between the cultural intelligence and the feeling of compassion in the health staff. The universe of the research is composed of the health staff who service in a university hospital (n=925). The data of the research was collected with “Personal Information Form”, “The Cultural Intelligence Scale” and “The Compassion Scale”. Mann-Whitney U Test, Kruskal-Wallis Test and Spearman Correlation Analysis were used for the statistical analysis. The Cronbach’s alpha internal consistency coefficient was found to be 0.895 for the cultural intelligence scale and to be 0.876 for the compassion scale, respectively. Based on the study, it was determined that the age average of the health staff was 31.15±6.99 and the average service period was 7.83±6.06. It was found that among the health staff 83% performed their job with enjoyed, 65.4% considered their performance effective and 93.4% perceived themselves compassionate. 80.2% of the health staff believes that they had cultural intelligence. According to the cultural intelligence scale, the average score of the health staff was calculated to be 96.54±18.43. This number was found to be 88.61±14.96 in the compassion scale. It was determined that there was a strong positive relationship (r=0.74) between the cultural intelligence and the feeling of compassion in the health staff. We believe that the health staff that has a cultural intelligence would evaluate the patients considering cultural para meters and thus be less judgmental and show more compassion. © 2022, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Asymptomatic Bilateral Köhler's Disease: a Case Report
(2013) Güner, S.; Çakar, A.; Fethi Ceylan, M.; Murat Kalender, A.; Hamdi Şahan, M.
Köhler's disease is the idiopathic osteochondrosis of the tarsal navicula. It is an uncommon disorder of the foot. Köhler's disease is a bening disease and recoverable itself. Main symptom of the disease is pain in the midfoot. Treatment is symptomatic. Generally, surgery is not necessary. The popular choices of treatment are shoe support and cast immobilization. In this article, we presented a-six year old boy who had bilateral Köhler's disease.
Can the Public Image of Nursing Be Improved Via the Use of Photographs as a Symbolic Language
(Yuzuncu Yil Universitesi Tip Fakultesi, 2023) Bezgin, S.; Güner, Ş.İ.; Buzlu, S.; Güner, S.; Orhun, R.
The society‟s opinion on the image of nursing is influence on various factors, including choosing the nursing profession and continuation in the profession. This study aimed to examine the effects of using the language of photography to explain the nursing profession as a professional occupation to society. Designed as a non-randomized quasi-experimental (One group pre-test-post-test) study, the research included a sample of 1088 participants who viewed 59 photographs specific to the nursing area. A personal information form and the “Nursing Image Scale” were used as data collection tools. The participants‟ mean score on the Nursing Image Scale was 65.33 before they attended the photo exhibition and 68.02 after attending it, indicating a statistically significant difference between the pre-test mean score and post-test mean score on the Nursing Image Scale applied to the participants before and after the exhibition (p=0.000). From these results, it was concluded that the participants‟ image of nursing was higher than average, meaning that the photo exhibition improved their image of nursing. © 2023, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Due To a Serious Knee Injury To Traffic Accident
(Derman Medical Publishing, 2012) Güner, S.; Ceylan, M.F.; Ünsal, S.S.
Intramedullary Nailing of Femural Shaft Fracture
(Yuzuncu Yil Universitesi Tip Fakultesi, 2016) Gökalp, M.A.; Ünsal, S.Ş.; Gözen, A.; Güven, N.; Güner, S.
In this study, we examined adult patients with femur shaft fracture who treated with open-closed reduction and reamerized intramedullary nailing. Thus we aimed to evaluate clinical and radiological results of the adult patients and compare them with the studies in the literature. 42 extremities of 40 patients (35 male-5 female) who admitted to Yüzüncü Yıl University Faculty of Medicine, Department of Orthopeady and Traumatology with femur shaft fracture and were treated with locked intramedullary nail between 2009 and 2012 are included in this study. We aimed to evaluate early results of locked intramedullary nailing. In light of these evaluations we saw that our results were compatible with the literature. We believe that locked intramedullary nailing is one of the most successful methods in the treatment of femur shaft fractures. © 2016, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
The Outcomes of Open Reduction by the Medial Approach for Developmental Dysplasia of the Hip in the 3-18 Months Old Patients
(Yuzuncu Yil Universitesi Tip Fakultesi, 2017) Türközü, T.; Güner, S.; Ceylan, M.F.; Güven, N.
This study has aimed to evaluate the outcomes of open reduction technique by the medial approach performed in the 3-18 months old infants. The patients who underwent an open reduction by the medial approach for typical dysplasia of hip between the years 2007-2011 were screened retrospectively. The study included 28 hips of 19 patients. The correction percentage of acetabular index was calculated by acetabular angle measurements performed prior to operation and at the last control examination. Avascular necrosis (AVN) was classified by the criteria of Kalamchi-MacEwen while radiological and clinical evaluations were performed using Severin and McKay criteria. The mean age at surgery was 12.1 months (3-18 months) while mean follow-up period duration was found 18.6 months (6-48 months). According to Severin radiological criteria, 9 (32.1%) and 9 (32.1%) hips were evaluated as excellent and good, respectively. Whereas, according to the evaluation based on McKay criteria, 22 (78.6%) and 6 (21.4%) hips were found excellent and good, respectively. Avascular necrosis (AVN) of the femoral head was encountered in 3 (10.7%) of the 28 hips. According to the criteria of Kalamchi-MacEwen Classification; 2 and 1 hips revealed Type I and Type 4 avascular necrosis, respectively. We have encountered according to outcomes data of this study that open reduction technique by the medial approach for treatment of developmental dysplasia of the hip (DDH) presented more successful clinical and radiological outcomes in the 3-12 months old infants compared with its application in the 13-18 months old infants. © 2017, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Problems Encountered in Screening Study With Ultrasound for Early Diagnosis of Developmental Dysplasia of Hip in Eastern Region of Turkey
(Yuzuncu Yil Universitesi Tip Fakultesi, 2018) Ceylan, M.F.; Güner, S.; Gökalp, M.A.; Kurdoğlu, Z.; Gözen, A.; Korkmaz, M.F.; Tuncer, O.
The aim of this study is to evaluate results of the screening program of the development al dysplasia of the hip (DDH) examined in newborn period. The problems encountered in the applicability of the early screening program were e valuated. By interviewing with the family of 1680 newborns born in our institution or referred, the information was given about the DDH and its risk factors, obtained results were recorded. The families were told to bring their babies for examination and hip ultrasound at the 3rd or 4th week of birth. In addition, all the parents were called by telephone the day prior to their appointments. Five hundred and thirty-six babies (31.3%) were brought to the first appointment. Forty-two hips (3.9%) of the 30 infants (5.6%) were detected as dislocated (Type 2c, D, 3). The 8 of these 30 patients (26.7%) whom the treatment was started were brought for the second control. Asymmetry of thigh folds was positive in the highest rate as the finding of the examination in the infants brought to the appointment. The rate of swaddling at the first appointment was found to be 74.2%. Surprisingly, less than one third of children were brought to ultrasound examination at first control. Similarly, about 3/4 of the parents continued to use swaddling for their babies. For the success of national DDH screening program, additional precautions must be taken to ensure the participation of the families and re lease of the swaddling. © 2018, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Results of Open Reduction and Salter Innominate Osteotomy for Developmental Dysplasia of the Hip
(Yuzuncu Yil Universitesi Tip Fakultesi, 2015) Ünsal, S.Ş.; Ceylan, M.F.; Güner, S.; Gökalp, M.A.; Türktaş, U.; Doğan, A.; Gözen, A.
We aimed to evaluate the clinical and radiological results of open reduction (OR) and Salter innominate osteotomy (SIO) for patients with developmental dysplasia of the hip (DDH). In this study, the results of 45 instances of OR and SIO treatment on 36 DDH patients between 2004 and 2012 were evaluated retrospectively. 28 (77.77%) of the patients were female and 8 (22:33%) of them were male. The mean age was 28.8 (18-55) and the mean follow-up period was 41.8 months (6-101). A recovery percentage was calculated by measuring the acetabular index on plain radiographs recorded before surgery, immediately after surgery, and final checkup. During patients’ final checkup, the clinical evaluation was performed according to a modified version of McKay’s criteria and the evaluation of the range of the joint motion was carried out according to the Trevor-Johns-Fixen scoring system. The acetabular index values recorded from patients’ hips had an average of 39.9 (35-47) degrees before the operation, but had a mean of 30.5 (20-35) degrees after the operation and an average of 18.5 (10-30) degrees during the final checkup. Clinically, excellent results were obtained in 22 hips (49%), good results were obtained in 17 hips (38%), and satisfactory results were obtained in 4 hips. Two of the patients could not be evaluated since they could not be mobilized due to cerebral palsy. Re-dislocation emerged in 3 hips (6.6%), deep infection emerged in 1 hip (2.2%), and a supracondylar femur fracture emerged for 1 patient (2.2%). OR and Salter’s innominate osteotomy is a highly effective surgical technique in the treatment of DDH cases that have lasted more than 18 months. © 2015, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Retrospective Analysis of Anesthesia Methods in Orthopaedics and Traumatology Surgery
(Anestezi Dergisi, 2015) Er, S.; Çeʇin, M.B.; Gökyaş, U.; Güner, S.; Yüzkat, N.
Objective: In this study, the cases which were operated in our Orthopaedics and Traumatology clinic were retrospectively analyzed. However, we aimed to investigate retrospectively the effect of the anesthesia methods on perioperative mortality and morbidity. Method: In this study, age, gender, diagnosis, type of anesthesia, ASA clinical classification, intraoperative blood tranfusion requirement, type of surgery, emergency or elective, the presence of comorbid diseases, perioperative complications, postoperative transfer of the patients to the intensive care unit (ICU) requirement was analyzed in cases of orthopedics and traumatology surgery, between the dates of 2006-2012. Results: Between the dates of 2006-2012, 2814 patients had Orthopaedics and Traumatology surgery. Sixty two point one percent of these patients were male and 37,9% were female, 68,5% of the cases were operated with general anesthesia, 31,5% of the cases with regional anesthesia. After the surgery 97,4% of the patients were transferred to service, 2,6% were transferred to intensive care unit. The patients who received intensive care were 23,6% of ASA 1,14% ASA II, 62,5% ASA III. In 10% of all cases at least one complication was observed. The incidence of complications is, 10,3% in general anesthesia, 9,1% in regional anesthesia. In 12,4% of all patients blood transfusion was peiformed. Of the all cases, 182 patients had additional diseases, whereas 2632 patients had no additional disease. Postoperatively, 69% of patients with comorbid disease was transferred to service and 31% of them were transferred to the ICU. The most common complication during the operation was hypotension, latter was bradycardia. Conclusion: In orthopaedic and traumatology surgery, regional anesthesia techiques may decrease the risk of perioperative complications but the medical risk factors of patients must be the basic predictor for the decision making of the anesthesia techniques. In the complex surgery of the patients with high ASA class or with accompanying diseases, anesthesia decisions should be made keeping in mind that there may be a need for blood transfusion. Postoperative follow up of the intensive care should definitely be evaluated as well.