Browsing by Author "Yaycioglu, Soner"

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The Effect of Povidone-Iodine on Peridural Fibrosis in Spinal Surgery
(Journal Neurological Sciences, 2014) Samancioglu, Halil; Yaycioglu, Soner; Ak, Hakan; Tataroglu, Canten; Gulsen, Ismail
Aim: The purpose of this study was to evaluate whether povidone-iodine has any incremental effect on peridural fibrosis in spinal surgery. Materials and methods: 24 albino rats were used for this experimental study. They were divided into three groups. In the first group (n= 8) only Th8-Th12 laminectomy was performed (control group). In the second group (n= 8), laminectomy area was irrigated with 2.5% concentrated povidone-iodine for 30s seconds. In the third group (n= 8), laminectomy area was irrigated with 10% concentrated povidone-iodine for 30 seconds. In pathological specimens, fibrosis length and fibrosis area was calculated and compared between groups. Results: Peridural fibrosis length and fibrosis area didn't show statistically significant difference between all groups. Conclusion: Povidone-iodine has not increasing effect on peridural fibrosis so it may be safely used in spinal surgery when it is needed.
The Effects of Membranous Abnormalities on Mortality and Morbidity in Chronic Subdural Hematomas
(Journal Neurological Sciences, 2015) Ak, Hakan; Gulsen, Ismail; Yaycioglu, Soner; Atalay, Tugay; Demir, Ismail; Sosuncu, Enver; Arslan, Mehmet
Objective: Our aim was to evaluate the effects of membranous abnormalities on morbidity and mortality in chronic subdural hematomas (CSDH). Methodology: This retrospective study included 116 patients operated in three different hospitals during last three years. Patients were analyzed for the presence of trauma, operation type, recurrence, complication/s, presence of membranous abnormalities like thick outer membrane and septa formation, and mortality. Results: The mean age of the patients 62,06 +/- 11.4 ranging between 42 and 87. 78 (67.2%) of them were male and 38 (32.8%) were female The most common predisposing factor was the trauma especially in male gender. The presence of membranous abnormalities played significant effects on recurrence and complication rates. However, it didn't have significant effect on mortality. Conclusion: Trauma is still the most common etiological factor in chronic subdural hematomas. The presence of membranous abnormality in CSDH increases the recurrence and complication rates.
Indications of Brain Computed Tomography Scan in Children Younger Than 3 Years of Age With Minor Head Trauma
(Hindawi Ltd, 2014) Gulsen, Ismail; Ak, Hakan; Karadas, Sevdegul; Demir, Ismail; Bulut, Mehmet Deniz; Yaycioglu, Soner
Objective. To investigate the indications to receive brain computed tomography (CT) scan and to define the pathological findings in children younger than three years of age with minor head trauma in emergency departments. Methods. In this study, hospital case notes of 1350 children attending the emergency department of Bitlis State Hospital between January 2011 and June 2013 were retrospectively reviewed. 508 children under 3 years of age with minor head trauma were included in this study. We also asked 37 physicians about the indications for requiring CT in these children. Results. This study included 508 children, 233 (45,9%) of whom were female and 275 were male. In 476 (93,7%) children, the brain CT was completely normal. 89,2% of physicians asked in the emergency department during that time interval reported that they requested CT scan to protect themselves against malpractice litigation. Conclusion. In infants and children with minor head trauma, most CT scans were unnecessary and the fear of malpractice litigation of physicians was the most common reason for requesting a CT.