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Browsing by Author "Ustun, Y"

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    Article
    Peripartum Hysterectomy in a Teaching Hospital in the Eastern Region of Turkey
    (Elsevier Science Bv, 2005) Zeteroglu, S; Ustun, Y; Engin-Ustun, Y; Sahin, G; Kamaci, M
    Objectives: The aim of this study was to find the incidence and clinical implications of peripartum hysterectomy in our hospital at the Eastern region of Anatolia. Study design: We analyzed retrospectively all cases of peripartum hysterectomy performed at YYU Medical Faculty Hospital between January 1995 and April 2003. Emergency peripartum hysterectomy was performed for hemorrhage which cannot be controlled with other conventional treatments within 24 h of a delivery. There were 24 cases of emergency peripartum hysterectomy performed. Results: The incidence of emergency peripartum hysterectomy was 5.09 per 1000 deliveries. Half of the hysterectomies followed cesarean section. Eleven patients were referred to our clinics from other hospitals. Uterine atony (45.8%) was the most common indication and placenta accreta (25.0%) was the second most common. Eighteen patients (75%) had subtotal hysterectomy. Bladder injury was seen ill three cases, Re-exploration was performed in three cases ( 12.5%). Seventeen patients stayed in hospital over 7 days. There were four ( 16.7%) maternal deaths all of whom were referred from other hospitals. Conclusion: The mortality and morbidity of performing a peripartum hysterectomy is elevated, especially if performed in critical patients referred from other hospitals. (c) 2004 Elsevier Ireland Ltd. All rights reserved.
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    Article
    The Prevalence of Pancreatitis in Organophosphate Poisonings
    (Arnold, Hodder Headline Plc, 2002) Sahin, I; Onbasi, K; Sahin, H; Karakaya, C; Ustun, Y; Noyan, T
    Objective: The aim of this study was to evaluate the prevalence of pancreatitis in cases of organophosphate (OP) poisonings admitted to Yuzuncu Yil University Teaching Hospital over an 18-month period. Materials and Methods: A total of 47 patients of acute poisoning with OP insecticides attended the Emergency Department of the Yuzuncu Yil Medical School Hospital, from May 1999 to December 2000, and were prospectively studied. Serum amylase and lipase levels were studied with colorimetric assay. Serum SGOT, SGPT, LDH, CPK, K levels, leukocyte count and total hospitalization days were also evaluated. Results: Four of 47 patients had obviously elevated amylase and lipase levels (amylase > 300 U/L, lipase > 60 U/L). Only two of the patients with amylase levels between 100 and 300 V/L had also elevated levels of lipase. None of the patients with normal amylase levels had elevated levels of lipase. A total of 12.76% was diagnosed as acute pancreatitis. Conclusion: Acute pancreatitis as a complication of OP intoxication is not a rare condition. In order to improve the outcome of OP poisoning, early diagnosis of acute pancreatitis is important and serum levels of amylase and lipase should be routinely considered carefully. In acute pancreatitis, serum levels of SGOT, SGPT, LDH and leukocyte counts may also be found to be elevated. However, serum K levels are only slightly decreased.