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Publications (2)2.67 Total impact

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    ABSTRACT: Turkey is an endemic region for goiter. The aim of this study was to evaluate the changing factors concerning thyroid disease and thyroid surgery in a referral center in Turkey. This study was a retrospective evaluation of reports of patients who underwent surgery for thyroid disease at Hacettepe University Medical School between the years 1970 and 1974, 1980 and 1984, 1990 and 1994, and 2000 and 2004. A total of 1,270 patients were included in the study. There were 140, 141, 402, and 587 patients in the 1970-1974, 1980-1984, 1990-1994, and 2000-2004 groups, respectively. In the past decade, the use of ultrasonography has increased significantly; more thyroid cancer cases have been diagnosed and more extensive surgical procedures have been applied. During the past 40 years, significant changes have occurred in the treatment of thyroid disease, particularly diagnostic tools, pathologies, and surgical procedures.
    American journal of surgery 05/2009; 198(1):12-6. · 2.36 Impact Factor
  • Derya Karakoc, Alptekin Memis, Iskender Sayek
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    ABSTRACT: The aim of this study is to evaluate the changing factors related to surgery in intestinal obstruction. The surgical records of patients who were operated for intestinal obstruction at Hacettepe University Medical School during the years 1980-1985 and 2000-2005 were evaluated retrospectively. There were 92 patients in group I and 185 patients in group II. The cause of intestinal obstruction was adhesions in 41.30% of the patients in group I and tumors in 45.95% of the patients in group II (P = 0.0001). Patients with peritoneal carcinomatosis constituted 3.26% of the patients in group I and 27.03% of the patients in group II (P = 0.0001). Abdominal computed tomography was not used in the first group and was used in 60.54% of those in the second group (P = 0.0001). Complications were seen in 40.54% of patients in the second group and in 26.08% of patients in the first group (P = 0.01). During the past 20 years, changes have occurred that were related to causes, diagnostic tools, and nutritional support for patients undergoing surgery for intestinal obstruction. Despite these changes, no changes in length of hospital stay or mortality have been reported. Intestinal obstruction due to peritoneal carcinomatosis seems to be a growing problem.
    International surgery 01/2009; 94(4):344-9. · 0.31 Impact Factor