Browsing by Author "Simsek, Metin"

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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.
The Effect of Plasma Rich Platelet Graft on Post-Operative Complications in Mid-Penile Hypospadias
(Wiley, 2020) Eryilmaz, Recep; Simsek, Metin; Aslan, Rahmi; Beger, Burhan; Ertas, Kasim; Taken, Kerem
Hypospadias is one of the most common penile congenital anomalies, which often requires a surgical approach. After the hypospadias is repaired, urethral fistula can occur in around 20% of patients. In this study, we used platelet-rich plasma (PRP) to reduce the urethral fistula and other post-operative complications after hypospadias repair. Only patients with primary mid-penile hypospadias were included study. Patients with forms other than mid-penile hypospadias and cases with previous hypospadias surgery were excluded from the study. A total of 40 hypospadias patients were included in this study. These patients were divided into groups A and B with 20 patients in each group. Hypospadias repair was performed with the Snodgrass TIPU technique on both groups. PRP was used with group A, and PRP was not use with group B. These two groups were compared in terms of early and long-term post-operative complications. Both early and long-term post-operative UCF, urethral stenosis and post-operative infection rates were lower in the group using PRP, group A. PRP has the potential to prevent post-operative complications occurring after hypospadias repair, particularly post-operative infection.
Polyarteritis Nodosa With Perforation of the Cecum
(Turkish Soc Gastroenterology, 2012) Melek, Mehmet; Beger, Burhan; Simsek, Metin; Epcacan, Serdar; Kosem, Mustafa; Edirne, Yesim