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  • Küçük Resim
    Öğe
    Barsak tıkanıklığı ve üriner retansiyona yol açan rektal yabancı cisim
    (2011) Tüzün, Abidin; Aday, Ulaş; Önder, Akın; Kapan, Murat; Keleş, Celalettin
    Amaç: Anal kanal, rektum ve sigmoid kolona yerleşen yabancı cisimler, yol açtığı komplikasyonlar nedeni ile önemli acil cerrahi sorunlardan birini oluşturmaktadır. Bu çalışmada transanal yol ile rektuma kaçan ve üriner retansiyona yol açan rektal yabancı cisim olgusunun güncel literatür eşliğinde sunulması amaçlanmıştır. Olgu sunumu: Defekasyonu indüklemek için anal kanala yerleştirdiği yabancı cismin rektuma kaçması sonucu kliniğimize başvuran 69 yaşında erkek hastada üriner retansiyon geliştiği görüldü. Perforasyona neden olmayan yabancı cisim non-operatif yöntemle transanal yoldan çıkarıldı. Sonuç: Perforasyon gibi komplikasyonlara yol açmamış olan rektal yabancı cisimlerin çıkarılmasında öncelikli olarak cerrahi dışı yöntemler kullanılmalıdır.
  • Küçük Resim
    Öğe
    Gynecological Pathologies in Negative Acute Appendicitis
    (Düzce Üniversitesi, 2012) Kapan, Murat; Gül, Mesut; Evsen, Mehmet Sıddık; Aliosmanoglu, İbrahim; Arıkanoglu, Zülfü; Taşkesen, Fatih; Polat, Serkan
    Objective: Most common disorders confused with acute appendicitis are gynecologicalpathologies. Here, we aimed to investigate the patients with negative acute appendicitis anddetermined gynecological pathology.Methods: Between 2006-2010, 25 patients who underwent laparatomy with the diagnosis ofacute appendicitis and determined gynecological pathologies were analyzed retrospectively.Results: The mean age was 28.87±8.63 years. The most common complaint and finding onphysical examination of the patients were abdominal pain and tenderness, respectively. In 15patients, intraabdominal fluid was determined with abdominal ultrasonography. Appendectomyand additional procedures, such as bleeding control and cyst excision in ovarian cyst rupture,drainage in pelvic inflammatory disease and/or tubo-ovarian abscess, were performed. Ovariancyst rupture was the most common gynecological pathology (76%).Conclusion: The female patients presenting with acute abdominal symptoms must be evaluatedmore carefully. Gynecological pathologies which may mimic acute appendicitis should be keptin mind in terms of differential diagnosis
  • Küçük Resim
    Öğe
    Trocar-Site Hernias After Laparoscopic Cholecystectomy
    (Düzce Üniversitesi, 2011) Önder, Akın; Gümüş, Metehan; Böyük, Abdullah; Girgin, Sadullah; Kapan, Murat
    Introduction: Trocar-site hernia (TH) development after laparoscopic cholecystectomy (LC)is a rare complication. In this study, we aimed to investigate the TH after LC in the light ofcurrent literature.Methods: Between January 2007 and June 2010, the records of the patients with TH in 515patients performed LC analyzed retrospectively in terms of age, sex, location, size, performedprevious operation and risk factors.Results: TH was determined in 3 (0.58%) patients among patients underwent LC. The averageage was 49.67±5.77 and all of them were women. The 10-mm trocars entry site related to THappeared at umbilical region for 2 patients and at epigastric region for patient. The average timefrom LC to TH formation was 18.33±10.97 months. The diameter of the hernia defects were1.33±0.29 cm. The average of body mass index was 30.3 ± 3.1. During the LC, 2 cm in diametergallstone in 1 patient and multiple gallstones smaller than 1 cm in the others were detected.Wound infection at the umbilical trocar region in one patient was detected after LC.Conclusion: Although the risk of TH after LC is rare, 10 mm or larger diameter trocar sitesshould be sutured especially in the patients including risk factors
  • Küçük Resim
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    Ureteral Stones: Results of ESWL Treatment in 146 Patients
    (Düzce Üniversitesi, 2009) Bozkurt, Yaşar; Sancaktutar, Ahmet Ali; Yağcı, Sezgin; Kapan, Murat; Murat, Hacı
    Aim: The aim of this study was to evaluate the success rate and factors that effective on stone-free ratio.Materials and methods: Data belong to 146 patients with ureteral stones that treated by ESWL between January 2007 and August 2008, were retrospectively reviewed. Treatment outcome, stone-free and treatment failure ratios and frequency of complications were determined.Results: The mean age and stone diameter of patients were 39 years and 10.3 mm , respectively. Mean of 2.5 séance ESWL was applied at the 4066 shoots. The overall stone-free ratio was 69.2% after 3 weeks of ESWL. No significant difference was found in patients’ age, stone-diameter, amount of shoot and stone-free ratio between lower, mid and upper ureteral stones (P gt;0.05). A significant negative correlation was found between stone diameter and stone-free ratio (r=-0.340, P