Mehmet Uludağ

Sisli Etfal Training and Research Hospital, İstanbul, Istanbul, Turkey

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Publications (7)2.98 Total impact

  • Article: A rare complication of aortobifemoral bypass operation: internal herniation.
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    ABSTRACT: Intestinal brids are most common cause of postoperative ileus although there are various cause of ileus after abdominal operation. On the other hand internal herniation is a rare cause of ileus after abdominal operations. Diagnosis of this hernias are important because of strangulation and necrosis of its content due to circulatory disturbance. In this case report, we publish a patient with ileus due to a greft which has been used in a previous abdominal surgery for abdominal aort aneurysm.
    Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery: TJTES 03/2013; 19(2):164-166. · 0.33 Impact Factor
  • Article: Effects of additional intra-abdominal organ injuries in patients with penetrating small bowel trauma on morbidity and mortality.
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    ABSTRACT: We aimed to evaluate the effects on morbidity and mortality of additional organ injuries obtained concurrently with penetrating small bowel injuries. Between January 2000 and March 2005, patients in whom penetrating small bowel injuries occurred as a result of abdominal injuries were allocated into two groups and assessed. The first group included patients with isolated small bowel injuries, while those in the second group had small bowel injuries together with other intra-abdominal organ injuries. Small bowel injury was identified in 38 patients (34 M, 4 F) with an average age 38.1+/-8.86 (17-53) years (Group I: 20 patients; Group II: 18 patients). The PATI (penetrating abdominal trauma index) values of the first and second groups were 6.2+/-2.58 and 17+/-6.36, respectively, and the difference was statistically significant (p<0.001). Complication rates were 23.68% for the whole group, 5% in group I and 44.8% in group II. The rate was significantly higher in group II (p<0.01). Mortality was 2.63% and it was not related to intestinal injury. Isolated penetrating small bowel injuries are amenable to treatment with lower complication rates. Additional organ injury increases the development of complications. Injury severity score (ISS) and PATI may be useful for estimating the risk of development of complications.
    Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery: TJTES 02/2009; 15(1):45-51. · 0.33 Impact Factor
  • Article: Endometriosis of the appendix presenting as acute appendicitis.
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    ABSTRACT: As with other types of endometriosis in the intestinal tract, endometriosis of the appendix is generally asymptomatic and is usually discovered incidentally during laparotomy in patients with pelvic endometriosis. When it presents with symptoms they are difficult to differentiate from acute appendicitis. Appendiceal endometriosis may not only cause symptoms of acute appendicitis, but may also present as cyclic and chronic right lower quadrant pain, melena, lower intestinal haemorrhage and caecal intussusception. We report a case of appendiceal endometriosis clinically presenting as acute appendicitis, where the definitive diagnosis was established by histopathological examination of the appendix.
    Case Reports 01/2009; 2009.
  • Article: A rare case of acute abdomen.
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    ABSTRACT: Mesenteric cysts are tumoural formations which are generally benign in character, originate from the intestinal mesentery, and rarely cause abdominal tumours. They are asymptomatic unless a complication occurs, and thus may be incidentally diagnosed. Symptomatic cases may show up with findings such as abdominal pain, abdominal mass, nausea, and vomiting, and sometimes patients present with an acute abdomen. Treatment includes total excision of the cyst. We present the case of a male patient admitted to our emergency department with acute abdominal symptoms, who was subsequently found to have a mesenteric cyst measuring 30×20×9 cm.
    Case Reports 01/2009; 2009.
  • Article: [Penetrating cardiac injuries].
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    ABSTRACT: The aim of this study was to evaluate our clinical findings and results of cardiac injuries. We reviewed the records of patients who were admitted to our clinic between 1996 and 2005 and operated due to penetrating cardiac injury. Eighteen patients (17 male, one female; mean age 25.9; range 17-45 years) (all penetrating stab wounds) with cardiac injuries were operated. The clinical aspects were: agonal status in 5 patients (27.8%), profound shock in 7 patients (38.9%). The remaining 6 patients (33.3%) were in mild shock (hypotension 60-90 mmHg) and 3 of them (16.7%) had a diagnosis of cardiac tamponade preoperatively. Emergency room thoracotomy was made in 2 patients (11.1%). Mortality rate was %80 in agonal patients whereas overall mortality was 44.5%. Cardiac injuries have high mortality. The mortality rate of the patients, who can arrive to the hospital alive, is closely related to the vital signs and general condition. The mortality can be reduced by quick evaluation and prompt surgical intervention.
    Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery: TJTES 08/2007; 13(3):199-204. · 0.33 Impact Factor
  • Article: [Factors affecting morbidity and mortality in mechanical intestinal obstruction].
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    ABSTRACT: We evaluated the effects of factors related to both the patient and the treatment on morbidity and mortality of patients with mechanical intestinal obstruction. A total of 152 patients (83 males, 69 females; mean age 55.05 years; range 15 to 90 years) who underwent surgery for intestinal obstruction were retrospectively evaluated. The effect of several factors on morbidity and mortality during hospitalization (mean 8.6 days; range 1 to 105 days) was assessed, including age, sex, associated diseases, the presence of intestinal necrosis, previous abdominal operations, the time of the operation, and the level of obstruction. Statistical evaluations were made with the use of a multiple logistic regression analysis. Complications were encountered in 52 patients (34.2%), the most common being systemic complications (15.8%) followed by wound site infections (11.2%). During hospitalization, mortality occurred in six patients (4%), all of whom had at least one associated disease. Logistic regression analysis showed that age beyond 75 years (p<0.01), male gender (p<0.01), associated disease (p<0.05), non-viable strangulation (p<0.001), previous operations (p<0.05) and malignancies (p<0.05) were significant independent factors affecting the complication rate. On the other hand, only non-viable strangulation (p<0.05) had significant independent effect on mortality. Patient-related factors should be taken into consideration in the evaluation and treatment of mechanical intestinal obstruction.
    Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery: TJTES 08/2004; 10(3):177-84. · 0.33 Impact Factor
  • Article: Aberrant breast cancer.
    The Breast Journal 13(5):532-3. · 1.64 Impact Factor

Institutions

  • 2004–2009
    • Sisli Etfal Training and Research Hospital
      İstanbul, Istanbul, Turkey