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Öğe Analysis Of Pathology Results Of Our Apendectomy Cases(Düzce Üniversitesi, 2016) Doğan, Sam; Çetin, Mehmet FuatObjective: In this study we aimed to evaluate the results of pathology that patients undergoing laparoscopic and open appendectomy with suspected appendicitis from August 2012 to August 2014. Material and Method: In this study data from 131 patients undergoing laparoscopic and open appendectomy between August 2012 and August 2014 in Van Training and Research Hospital were examined retrospectively for demographic characteristics. Results: In the laparoscopic appendectomy group handmade endoloop technique was used for closing the base of the appendix. Mc Burney’s incision was used for open appendectomy. 47% of patients was female (n=61), 53% of patients were male (n=69). The average age of the patients was 27.7 years. According to surgical technique, open appendectomy was performed 15% (n=20), laparoscopic appendectomy was performed 85% (n=110). Postoperative drainage tube was put to 15% of patients (n=20). Wound infection was seen in 4 open appendectomy performed patients (20%). Laparoscopic appendectomy was associated with a shorter hospital stay (2.2 days vs 2.8 days). When the pathology results are analyzed, 2 malignancies are revealed (1,5%), 1 carcinoid tumor, 1 neuroendocrine tumor. After pathology results hemicolectomy was performed. Conclusion: Appendectomy is the most frequently performed surgery, even if macroscopic pathology is not present the risk of malignancy can not be underestimatedÖğe Comparing the Effects of Antiadhesıve Materials after Abdominal Surgery(2020) Doğan, Sami; Çetin, Mehmet Fuat; Günal, Ömer; Erdem, HavvaObjective: We aimed to evaluate and compare the effects of anti-adhesion materials,Seprafilm, Suprofilm, olive oil, and olive oil containing Vitamin E by measuring tensionforces.Methods: 60 male Wistar-Albino rats were divided into six groups. The front side of thececum and right abdominal parietal peritoneal wall were abrased. The rats wereeuthanized on the 14th postoperative day. Adhesions between intestines, omentum, otherabdominal organs, cecum, incisionsites, and abdominal anterior wall peritoneum were allevaluated. Adhesion strength was measured with dynamometer. Histopathologicalevaluations of the adhesion area was performed.Results: Stage-I (0.43Newton) in Group-I, stage-IV (1.0540N) in Group-II, stage-II(0.6370N) in Group-III, stage-II in Group-IV (0, 5230N), stage-III (0.7620N) in Group-V,stage-IV (1.3560N) in Group-VI, were detected. A significant difference was foundbetween these findings. P = 0.001, (p <0.05). Histopathological examination: It was foundthat GroupV-VI reduced inflammation, increased collagen production, fibroblastic activityand vascular proliferation.Conclusions: More objective evaluation can be made by measuring the tension force ofthe adhesions. Suprafilm can also be effectively used as an antiadhesive, such asSeprafilm. Olive oil and vitamin E require more studies to be used as antiadhesives.Öğe Discussion About Demographic Distribution And Surgery Technique Of Our Apendectomy Cases(Düzce Üniversitesi, 2016) Doğan, Sami; Çetin, Mehmet FuatIn this study we aimed to evaluate the outcomes of patients undergoing laparoscopic and openappendectomy with suspected appendicitis from August 2012 to August 2014.In this study data from 131 patients undergoing laparoscopic and open appendectomy betweenAugust 2012 and August 2014 in Van Training and Research Hospital were examinedretrospectively for demographic characteristics. In the laparoscopic appendectomy grouphandmade endoloop technique was used for closing the base of the appendix. Mc Burney’sincision was used for open appendectomy.47% of patients were female (n = 62), 53% of patients were male (n = 69). The average age ofthe patients was 27.7 years. According to surgical technique, open appendectomy was performed15% (n = 20), laparoscopic appendectomy was performed 85% (n = 110). For 3 patients,laparoscopic appendectomy was planned but then operation was converted to open techniquedue to device problems. PID has been detected in one patient who underwent diagnosticlaparoscopy so appendectomy was not performed. Postoperative drainage tube was placed to15% of patients (n = 20). Wound infection was seen in 4 open appendectomy performed patients(20%). Laparoscopic appendectomy was associated with a shorter hospital stay (2.2 days vs 2.8days). Laparoscopic appendectomy is as safe and efficient as open appendectomy in the treatment ofacute appendicitisÖğe Feasibility and safety of partial ampullary endoscopic mucosal resection: a novel technique for difficult biliary cannulation (with video)(Springer, 2022) Tokmak, Salih; Çetin, Mehmet Fuat; Torun, SerkanBackground Biliary cannulation can be challenging even for expert endoscopists, and rescue techniques are limited. Our objective was to determine the feasibility and safety of partial ampullary endoscopic mucosal resection (PA-EMR), a novel technique for biliary cannulation. Methods Monocentric, retrospective analysis of a prospectively maintained database in a tertiary referral university hospital. Fourteen patients who required endoscopic retrograde cholangiopancreatography (ERCP) and underwent PA-EMR between January 1, 2020 and January 31, 2021 were included. For biliary cannulation of prominent papillae, PA-EMR was performed using a standard polypectomy snare, alone or in combination with needle-knife sphincterotomy. In patients with non-prominent papilla, the papillary mucosa was elevated with the aid of methylene blue injection before resection and combined with needle-knife fistulotomy when needed. The rate of technical success and adverse events was assessed. Results The bile duct cannulation success was 99% in the first attempt and 100% overall with the PA-EMR technique. Only one patient experienced mild bleeding, which spontaneously stopped. Conclusion PA-EMR is an effective technique that may be considered as a rescue technique for difficult biliary cannulation in expert hands. Future studies including larger cohorts and comparisons with other techniques are warranted to further confirm the feasibility and safety of this novel technique.Öğe Response to the letter to the editor sedation strategy for retrograde cholangiopancreatography in older patients by He et al.(Wiley, 2022) Tokmak, Salih; Çetin, Mehmet Fuat; Torun, Serkan[Bastract Not Available]Öğe Yüksek doz senna bağırsak hazırlığında standart rejimler kadar etkin ve tolere edilebilir mi? Senna ile PEG ve sodyum pikosülfat rejimlerinin karşılaştırılması(2024) Şirin, Abdullatif; Akan, Kübra; Çetin, Mehmet FuatGiriş ve Amaç: Bağırsak temizliğinin kalitesi tanısal doğruluğu ve işlem güvenliğini yakından etkiler. Bağırsak temizlik preparatlarının hastaya uygun seçilmesi hasta uyumunu arttırabilir. Bu çalışmada, yüksek doz sennanın etkinlik ve tolere edilebilirliğinin standart preparatlar ile karşılaştırılması amaçlandı. Gereç ve Yöntem: Elektif kolonoskopi yapılması planlanan toplam 150 ayaktan hasta çalışmaya dahil edildi. Hastalar polietilen glikol, senna ve sodyum pikosülfat magnezyum sitrat olacak şekilde 3 gruba ayrıldı. Hastaların tümüne işlemden 2 gün önce düşük lifli diyet, 1 gün önce berrak sıvı diyet verildi. İşlem öncesinde hazırlık sürecine olan tolerans ve yan etkiler kayıt edildi. Tüm işlemler öğleden önce sedoanaljezi altında yapıldı. Kolon temizliği Aronchick bağırsak hazırlık skalası ile derecelendirildi. Bağırsak hazırlık düzeyi, yan etkiler ve hazırlık sürecine olan tolerans gruplar arasında karşılaştırıldı. Bulgular: Senna grubundaki hastaların %74’ünde mükemmel/iyi derecede kolon temizliği sağlandı. Senna, polietilen glikol ve sodyum pikosülfat magnezyum sitratın kolon temizlik düzeyleri benzerdi (p = 0.846). Senna rejiminin en belirgin yan etkisi karın ağrısı idi (p < 0.001). Sodyum pikosülfat magnezyum sitrat en iyi tolere edilen rejimdi (p < 0.001). Senna ve polietilen glikol grubunda tolerans benzerdi. Gruplar arasında adenom tespit oranı, çekal entübasyon oranı ve çekuma ulaşma süresinde fark yoktu. Sonuç: Kolonoskopi hazırlığında yüksek doz senna etkili ve tolere edilebilir bulundu. Standart polietilen glikol ve sodyum pikosülfat magnezyum sitrata alternatif bir rejim olarak düşünülebilir.
