Publications (11) View all
-
Article: Outcome of the patients with chronic mesh infection following open inguinal hernia repair.
[show abstract] [hide abstract]
ABSTRACT: Hernia repairs are the most common elective abdominal wall procedures performed by general surgeons. The use of a mesh has become the standard for hernia repair surgery. Herein, we discuss a management strategy for chronic mesh infections following open inguinal hernia repair with onlay prosthetic mesh. In this study, 15 patients with chronic mesh infections following open inguinal hernia repairs were included. The medical records of these patients were retrospectively reviewed and information regarding presentation, type of previous hernia repair, type of mesh, operative findings and bacteriological examination results were obtained. In all cases, the infected mesh was removed completely and the patients were treated with antibiotic regimens and local wound care. Fifteen mesh removals due to chronic infection were performed between January 2000 and March 2012. The mean interval of hernia repair to mesh removal was 49 months. All patients were followed up for a median period of 62 months (range, 16 to 115 months). In all patients, the infections were resolved successfully and none were persistent or recurrent. However, one patient developed recurrent hernia and one developed nerve injury. Chronic mesh infection following hernia repair mandates removal of the infected mesh, which rarely results in hernia recurrence.Journal of the Korean Surgical Society 05/2013; 84(5):287-91. · 0.12 Impact Factor -
Article: Glove port single-incision laparoscopic splenectomy and the treatment of its complications.
Clinics (São Paulo, Brazil) 12/2012; 67(12):1519-21. · 1.59 Impact Factor -
Dataset: Jejunal Divertikülit Perforasyonu: Olgu Sunumu Perforated Jejunal Diverticulitis: A Case Report
[show abstract] [hide abstract]
ABSTRACT: ZET Jejunal divertiküller nadirdir (insidans <% 0,5) ve s›kl›kla asemptomatik seyreder. Bununla birlikte jejunal divertiküller kronik nonspesifik semptomlara veya nadiren akut peritonit tablosuna neden olabilir. Jejunal divertikülit akut apandisite, kolesistite veya kolon divertikülitine benzer bir klinik tablo ile seyredebilir fakat genellikle atipik semptomlarla seyreder (1). Akut peritonit bulgular›yla gelen hastalarda nadir bir sebep olan jejunal divertikülit ay›r›c› tan›da düflünülmelidir. Komplike olmufl bir jejunal divertikülün tan›s› zordur ve cerrahi eksplorasyon gerekebilir. Jejunal divertikülite ba¤l› jejenum perforasyonu nedeniyle ince barsak rezeksiyonu yap›lan 54 yafl›nda erkek hasta sunulmaktad›r. Hastan›n fizik muayenesinde akut kar›n bulgular› mevcuttu. Abdominopelvik tomografide proksimal jejunal divertikülit görüldü. Hastan›n ameliyat› s›ras›nda, yaklafl›k 70 cm uzunlu¤unda proksimal jejenumda mezenterik kenarda multipl divertiküller izlendi. Bu divertikülitlerin birinde perforasyon mevcuttu. Etkilenen segment rezeke ABSTRACT Jejunal diverticula are rare (incidence <0,5 %) and often asymptomatic. However, jejunal diverticula can cause chronic non-specific symptoms, or rarely acute peritonitis. Jejunal diverticulitis, acute appendicitis, cholecystitis or colonic diverticulitis may present with similar symptoms, but they are generally atypical (1). Diagnosis of complicated jejunal diverticula is difficult and surgical exploration may be required. 54 years old male patient presented with 1 day left upper quadrant abdominal pain was intensified in this case report. Physical examination showed signs of acute abdomen. Abdominopelvic computed tomography showed the proximal jejenum diverticulitis. Intraoperatively multiple diverticula were found at the mesenteric edge of the proximal jejunal segment, nearly 70 centimeters length. Perforation was seen in one of the diverticulitis. The affected segment was resected and end to end anastomosis was performed. Jejunal diverticula, as a very rare cause, must be thought in differential diagnosis of acute peritonitis. -
Article: Occlusion of the celiac trunk, the inferior mesenteric artery and stenosis of the superior mesenteric artery in peripheral thrombangiitis obliterans.
[show abstract] [hide abstract]
ABSTRACT: Buerger's disease is an inflammatory occlusive disease which commonly involves medium-sized or smaller vessels of extremities. Mesenteric involvement in Buerger's disease is very rare. It can occur at any time during the course of the disease and presents with acute mesenteric ischaemia. In this study, a case of Buerger's disease with mesenteric involvement diagnosed before the onset of acute mesenteric ischaemia and managed endovascularly is reported.VASA.: Zeitschrift für Gefässkrankheiten. Journal for vascular diseases 11/2009; 38(4):394-6. · 1.31 Impact Factor -
Article: Fournier’s gangrene: Is it scrotal gangrene?
[show abstract] [hide abstract]
ABSTRACT: IntroductionFournier’s gangrene was originally described as scrotal gangrene in young males. Today, it is generally accepted as synergistic necrotizing fasciitis of perineal, genital, or perianal regions, and the epidemiologic data have changed. However, there are still limited data about females due to the lack of female patients, even in large case series. MethodsA retrospective review of the medical records of all patients who received surgery for emergency conditions over the past 22 years was performed to identify patients with Fournier’s gangrene. Data from these patients were then reviewed to determine the age, gender, etiology, causative bacteria, predisposing factors, treatment modalities, length of hospital stay, and morbidity and mortality rates associated with Fournier’s gangrene. Data were evaluated using multivariate analyses. ResultsSixty-five patients (20 female) were identified with the diagnosis of Fournier’s gangrene. The mean age was 50.8 years. The most common etiology was hemorrhoidectomy in male and perianal abscess in female patients. The most commonly isolated microorganism in both male and female patients was Escherichia coli. Twenty-nine patients had diabetes mellitus, which was the most common predisposing factor. Mean hospitalization time was 24.4 days and the overall mortality was 27.70%. ConclusionFournier’s gangrene is still an important disease with high mortality rates in spite of the developments in intensive care units and new-generation antibiotics. It seems that there are no major differences between male and female patients in the characteristics of the condition.Advances in Therapy 04/2012; 25(10):1065-1074. · 2.11 Impact Factor
