Browsing by Author "Isik, Y."

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Bilateral Superficial and Deep Cervical Plexus Block for Thyroidectomy in Pregnancy
(Elsevier Sci Ltd, 2013) Goktas, U.; Isik, Y.; Kati, I.; Aytekin, O. C.; Bartin, S.
Buried and Trapped Penis: a Case Report
(Wiley-blackwell, 2010) Isik, D.; Isik, Y.; Peker, E.; Atik, B.
P>While buried penis cases are characterised by congenital normal attachments to penis, trapped penis cases are characterised by insufficiency of penile skin occurring as a complication after surgical operations such as circumcision. Unless diagnosed, circumcision procedures should be avoided in congenital concealed penis cases. Here we present a case of congenital buried penis with deteriorated clinical findings after two circumcision procedures at 1.5 years of age. The surgical treatment applied in this case is discussed.
Closure of Large Myelomeningocele Defects Using Dorsal Intercostal Artery Perforator Flap
(2011) Isik, D.; Tekes, L.; Eseoglu, M.; Isik, Y.; Bilici, S.; Atik, B.
Small meningomylocele defects can be closed primarily. Other repair techniques are required for closure of meningomyelocele defects of >5 cm. In this anomaly, in which random or musculocutaneous flaps are usually used, the technique for skin defect closure should have the following criteria: a safely harvested flap with good blood supply; minimal morbidity in the donor site; closure with adequate thickness to protect the underlying neural structure; and a repair to prevent leakage of cerebrospinal fluid. The dorsal intercostal artery perforator flap is a new perforator flap with a large skin island that can be used safely in the dorsal region. In this article, repair of large skin defects due to myelomeningocele has been attempted using a dorsal intercostal artery perforator flap, and the results are discussed. Copyright © 2011 by Lippincott Williams & Wilkins.
Knowns and Unknowns About Regional Anesthesia Techniques and Local Anesthetics
(2013) Isik, Y.; Goktas, U.; Bilal Cegin, M.; Yuzkat, N.; Kati, I.
In this study, a questionnaire was used to obtain information about the ideas and experiences of doctors working as operating staff from several specialties in regards to regional anesthesia and local anesthetic drugs to determine the extent to which their knowledge corroborates these types of application and to obtain data for studies to fulfill the future needs of this field. The questionnaire consisted of 18 questions about the use of regional anesthesia and local anesthetic drugs at the time of an operation at nearby hospitals. In total, 109 doctors from 12 branches were included in this study. Although the preference of doctors regarding the selection of regional anesthesia as the first priority varied by field, this choice was not affected by variables such as age, being a research assistant or specialist and working in a state or private hospital. Doctors who were 25-30 years old had more information about local anesthetic drugs than doctors who were 40 years old and older, and this difference was significant. Because doctors aged 40 years and older had less information about local anesthetic drugs among all the doctors studied, training doctors via postgraduate education about this subject would be a better decision.
Misplacement of Nasogastric Tube in Two Different Cases: Case Report
(2013) Palabiyik, O.; Goktas, U.; Isik, Y.; Kati, I.; Sozen, D.; Avcu, S.
Although the insertion of nasogastric tube has been described as an easy and simple procedure, it may cause severe complications and death. It is therefore important to verify correct nasogastric tube placement. Placement of a nasogastric tube is confirmed using several methods, including auscultation over the epigastric area, aspiration of gastric content from the tube, measuring pH of gastric content and radiological methods. We present the inadvertent insertion of nasogastric tube into the airways, that resulted in respiratory distress, in two different patients to serve as a reminder that malpositioning may cause severe complications.
Platelet Dysfunction and Gross Bleeding Associated With Uremia
(Yuzuncu Yil Universitesi Tip Fakultesi, 2015) Goktas, U.; Yuzkat, N.; Isik, Y.; Çegin, M.; Palabiyik, O.; Kati, I.
Patients with chronic kidney disease (CKD) are prone to bleeding due to the platelet dysfunction caused by uraemia. Therefore, the mortality and morbidity in patients with chronic kidney disease increase. The 81-year-old female patient, in dialysis dependent CKD, had an emergency cholecystitis operation with uremia-induced platelet dysfunction has evolved. Patient with gross bleeding intraoperatively had a cardiac arrest during operation. After cardiopulmonary resusitation cardiac impulses were started and patient was taken into intensive care unit. After the administration of estrogen and Factor VIII Inhibitor Bypass Activity treatment for the bleeding diathesis, bleeding has reduced and after 6 days from the operation patient was externed to his service. The chronic kidney disease may lead to hemorrhagic diathesis and unexpected abundant bleeding by creating a platelet dysfunction. Such being the case, the utilization of desmopressin and Factor VIII concentrate during the treatment is an efficient treatment option. © 2015, Yuzuncu Yil Universitesi Tip Fakultesi, Universitas Indonesia. All rights reserved.