Browsing by Author "Yalcinkaya, Irfan"

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Giant Hydatid Cyst of Lung: Analysis of 24 Cases
(Aves, 2008) Cobanoglu, Ufuk; Yalcinkaya, Irfan
Aim: The aim of this study was to evaluate the patients diagnosed to have giant pulmonary hydatid cyst in our department in 12 years period. Material and methods: Twenty four cases of the 157 hydatid lung disease cases, operated at Elazig State Hospital and Research Hospital of YOzOnc0 Yil University Faculty of Medicine between 1995 and 2007, with a cyst diameter of more than 10 cm in any axis were studied retrospectively. Results: Of the 24 cases, seven were female and seventeen were male. They were aged seven to 38 years and the mean age was found to be 20,2 years. The mean age for giant hydatid disease of the lung was smaller than other hydatid disease of the lung. It was observed to be more frequent in the right hemithorax than in the left. In all the cases, the common complaints were chest pain, cough, sputum production and shod-mess of breath. In two patients the hydatid cysts were bilateral, in one patient the cysts was multiple. Twenty two patients underwent cystotomy and capitonnage, two patients underwent lobectomy. There were no earlyor late mortalities. Three patients (12,5%) had postoperative complication. No operative mortality was encountered. There were no recurrences in these cases for two years. Conclusion: As in the hydatid cysts, in the treatment of giant hydatid cysts as well, the treatment to be chosen should be surgical. It should also be considered that the risks of surgical treatment are greater than those of the normal hydatid cysts.
Surgery for Bronchiectasis: the Effect of Morphological Types To Prognosis
(Wolters Kluwer Medknow Publications, 2011) Cobanoglu, Ufuk; Yalcinkaya, Irfan; Er, Metin; Isik, Ahmet Feridun; Sayir, Fuat; Mergan, Duygu
BACKGROUND: Although the incidence has declined over the past years in societies with high socioeconomic status, bronchiectasis is still an important health problem in our country. AIM: To review and present our cases undergoing surgery for bronchiectasis in the past 12 years and their early and late term postoperative outcomes and our experience in bronchiectasis surgery and the effect of morphological type on the prognosis. METHODS: The medical records of 62 cases undergoing surgical resection for bronchiectasis in the Clinics of Thoracic and Pediatric Surgery were evaluated retrospectively. The disease was on the left in 33 cases, on the right in 26 and bilateral in three cases. The most common surgical procedure was lobectomy. Forty one patients underwent pneumonectomy, lobectomy and complete resection including bilobectomy. Twenty-one (33.87%) cases underwent incomplete resection, of whom 11 (17.74%) underwent segmentectomy and 10 (16.13%) underwent lobectomy + segmentectomy. RESULTS: It was found that the rate of being asymptomatic was significantly higher in patients undergoing complete resection compared to those undergoing incomplete resection. Spirometric respiratory function tests were performed to assess the relationship between morphological type and the severity of disease. All parameters of respiratory function were worse in the saccular type and FEV1/FVC showed a worse obstructive deterioration in the saccular type compared to the tubular type. CONCLUSION: The success rate of the procedure increases with complete resection of the involved region. The morphological type is more important than the number and extension of the involved segments in showing the disease severity.
Thoracic Injuries
(Turkish Assoc Trauma Emergency Surgery, 2010) Cobanoglu, Ufuk; Yalcinkaya, Irfan
BACKGROUND In this study, it was aimed to assess patients who applied to our clinics with the complaints of thorax trauma, consistent thoracal wall injury, complications due to these traumas, and the therapeutical methodology. METHODS Records of 668 patients, hospitalized at Sureyyapasa Training and Research Hospital and Yuzuncu Yil University Faculty of Medicine between January 1995 and December 2007, were reviewed retrospectively. Three hundred ninety-nine (59.7%) patients had blunt trauma whereas 269 (40.2%) patients had penetrating trauma. Thoracic wall injury was detected in a total of 361 (54%) patients (303 (75.9%) with blunt trauma; 58 (21.5%) with penetrating trauma). RESULTS Patients were assessed according to any developed pathology related with thoracic wall injuries (contusion, hematoma, subcutaneous emphysema, bone fractures, flail chest, penetrating chest wall wounds, and traumatic asphyxia), complications and treatment modality. CONCLUSION Thoracal wall injuries increase morbidity and mortality due to the close proximity of the chest wall to the cardiopulmonary system. At the initial evaluation, even without any corresponding intrathoracic pathology, these patients must be monitored attentively for a probable cardiopulmonary complication for consecutive days.
Tracheobronchial Foreign Body Aspirations
(Turkish Assoc Trauma Emergency Surgery, 2009) Cobanoglu, Ufuk; Yalcinkaya, Irfan
BACKGROUND Determining and removing aspirated foreign bodies from the airways is important in preventing complications. Foreign body aspiration is usually seen in childhood but can occur at any age. Complete or partial obstruction of the main bronchial system produces different findings, and death can result if emergency treatment is not given. We analyzed patients treated for foreign body aspiration in our clinic. METHODS In this report, 96 cases were examined in our clinic for aspiration of foreign bodies between 1995 and 2007. Patients were aged between 10 months and 70 years. Most cases were in the pediatric age group. Sixty-two (62%) patients were female and 34 (38%) were male. The period between aspiration and treatment varied from I hour to 10 years. RESULTS Bronchoscopies were established with controlled ventilation under general anesthesia. The foreign bodies were seen and extracted in 83 patients (86.5%) using foreign body forceps. Thirteen (13.5%) cases underwent thoracotomy. In the late period, pulmonary resection was performed in 5 (5.2%) cases because of irreversible pathology. CONCLUSION This study reports that foreign body aspiration is important in adults as well as in children, and suspicion and history are the most important diagnostic criteria. Radiologic findings with physical examination are of great importance in the evaluation of these patients.
Traumatic Diaphragmatic Rupture
(Turkish Assoc Trauma Emergency Surgery, 2008) Yalcinkaya, Irfan; Kisli, Erol
BACKGROUND Traumatic diaphragmatic rupture is an urgent and life-threatening condition concerning the branches of chest surgery and general surgery because of the accompanying injuries. We reviewed the results of our cases with traumatic diaphragmatic rupture who were operated over a period of 9 years. METHODS The patients who underwent surgery for traumatic diaphragmatic rupture in Department of Chest Surgery Medicine Faculty of Yuzuncu Yil University were included into the study. The diagnosis was established by chest X-ray, computerized thoracic tomography, abdominal ultrasonography, and contrast upper gastrointestinal imaging modalities when needed. RESULTS Twenty-six cases (21 males, 5 females; mean age 33; range 13 to 67 years) with traumatic diaphragmatic rupture were operated in Department of Chest Surgery Medicine Faculty of Yuzuncu Yil University between August 1996 and October 2005. Treatment approach in 15 cases was thoracotomy, in 7 cases laparotomy and in 4 cases thoracotomy + laparotomy, and in all cases, diaphragma was primarily sutured. Left diaphragmatic rupture was detected in 18 cases and right diaphragmatic rupture in 8 cases. Laceration in the diaphragma ranged between 0.5 and 15 cm. Various accompanying injuries were present in all cases except one. Abdominal organs were herniated to the thorax in 12 cases. Three cases who were operated on urgently with severe accompanying injuries died. There was no mortality in the postoperative period and morbidity occurred in 5 cases. CONCLUSION Traumatic diaphragmatic rupture, when overlooked and accompanied with severe injuries, can cause complications and even death. Its diagnosis and treatment must be dealt with rapidly and cautiously.
Traumatic Diaphragmatic Ruptures: Diagnostic and Therapeutic Approaches
(Baycinar Medical Publ-baycinar Tibbi Yayincilik, 2012) Cobanoglu, Ufuk; Kara, Volkan; Yalcinkaya, Irfan; Er, Metin; Isik, Ahmet Feridun; Sayir, Fuat; Mergan, Duygu
Background: This study aims to evaluate the characteristics of patients with traumatic rupture of diaphragm (TDR), the diagnostic and therapeutic approaches used in these cases and and the outcomes of the patients. Methods: Forty-one patients (31 males, 10 females; mean age 41.9 years; range 7 to 71 years) with thoracoabdominal trauma and diagnosis of TDR who were treated in our clinic between January 2000 and January 2010 were analyzed retrospectively. The patients were statistically compared in terms of age, gender, the time of diagnosis (early or late), the diagnostic procedures that were performed, whether the diagnosis of rupture was made during or after the operation, the localization of the rupture, the diameter of the rupture, accompanying injuries, the surgery performed, mortality and morbidity and the trauma injury severity score. Results: The etiology for the diaphragmatic rupture was blunt trauma in 43.9% and penetrating trauma in 56.10% of the patients. 85.36% of the patients were diagnosed in early stage and 14.64% in late stage. Herniation dignosis was made radiologically in 118 (43.9%) patients and diaphragmatic rupture was detected during the operation in 23 patients (56.1%). Twenty-nine (70.73%) patients had thoracotomy, seven (17.02%) patients had laparatomy and five (12.19%) patients had thoracotomy plus laparatomy. The overall mortality rate was 14.63% (n=6). Conclusion: Traumatic diaphragmatic ruptures may have a fatal course depending on the strangulation of the herniating abdominal viscera. Traumatic diaphgram rupture should be suspected in all multitraumatic patients and these cases shuld be seriously evaluated for the definitive diagnosis and treatment plan.