Önder Karabay

• Doctor of Medicine
• General surgeon at Yedikule surp pirgic armenian hospital

Objective Breast cancer awareness month increases public awareness in association with increased rates of screening and new diagnoses. This study aimed to evaluate the effect of breast cancer awareness month on primary diagnosis of breast cancer. Methods Asymptomatic women with the intention of breast cancer screening were included. The non-BCAM (...

Situs inversus totalis (SIT) is a rare condition. In this case, a patient who underwent laparoscopic anterior resection for repeated sigmoid colon diverticulitis with SIT was presented. Laparoscopy surgery in patients with this condition has some important technical differences than standard laparoscopic procedures. Therefore, it may be more approp...

Aim: The biliary fistula development after liver hydatid cyst surgery is a common complication. The aim of this study is to examine the factors affecting the development of postoperative biliary fistula in patients operated for liver hydatid disease. Methods: The study was retrospectively performed in patients treated surgically for liver hydatid c...

Background: Live donor nephrectomy is an important donor source. Donor nephrectomy can be performed by laparoscopy or hand-assisted laparoscopy. Different types of hand port devices can be used for assistance. In the literature there are few studies about hand-assisted laparoscopy without a hand port. In this study, we aimed to evaluate the impact...

Aim: Pilonidal sinus is a common disease. Postoperative pain, limitation of movement, return to daily routine and recurrence are major problems. The aim of this study was to evaluate the postoperative outcomes of patients operated with sinusotomy for pilonidal sinus disease. Methods: This study was performed retrospectively between 2016 and 2019 in...

Background: Hyperthermic intraoperative intraperitoneal chemotherapy (HIPEC) with a closed CO 2 recirculation has been recently developed to amplify better distribution of chemotherapeutic drugs and adequate fluid circulation due to turbulent flow and increased intraabdominal pressure by CO 2. In this study, we aimed to present clinicopathological...

Background: Postoperative nausea and vomiting (PONV) is a frequent adverse effect following laparoscopic sleeve gastrectomy. Palonosetron with a standard dosing (75 μg) schedule has been questioned due to its low efficiency in obese patients. This study aimed to investigate the effectiveness and safety of the body weight-based dosing of palonosetr...

Objective: Although readmission after surgical procedures has been recognized as a new problem, its association with cholecystectomy has not been solved. We aimed to investigate the rate of unplanned readmission after cholecystectomy and to evaluate the reasons and outcomes in these patients. Methods: All consecutive patients who underwent open...

Background: Older patients undergoing emergency laparotomy have high morbidity and mortality rates. Preoperative risk assessment with good predictors is an appropriate measure in this population. Frailty status is significantly associated with postoperative outcomes in older adults. This study aimed to investigate the effect of preoperative risk f...

Purpose: The minimum harvested 12 lymph nodes (LNs) is regarded as the limit for accurate staging of nodal status in colorectal cancer patients. Besides the association of the lengths of resected intestinal segments and vascular pedicles, the mesocolic mesenteric area's impact on LN count has not been studied. We aimed to evaluate the associations...

This study aimed to explain the working order of the Terminology Commission, which was established at the workshop of the Turkish Society of Colon and Rectal Surgery (TKRCD) on February 22, 2020, the criteria and results in the preparation of the terminology report. The commission prepared a work plan to complete in three main steps. The working pr...

Introduction: Although fine-needle aspiration biopsy (FNAB) with cytologic interpretation using the Bethesda System for Reporting Thyroid Cytopathology has been widely used for thyroid nodules, its efficiency in Bethesda categories of III, IV, and V has been questioned due to variable risk of malignancy. We aimed to evaluate the impact of radiolog...

Background: Due to variable rates of colon carcinoma or advanced adenoma mimicking an acute diverticulitis episode, the necessity of colonoscopy to detect colon cancer or advanced adenoma remains to be explored. This study investigated the incidence and predictive factors of colon cancer or advanced adenoma following acute diverticulitis. Methods...

Aim: Hidradenitis suppurativa (HS) is a disabling and suppurative disease affecting primarily the apocrine-bearing areas. Although wide surgical excision can be performed in later stages, minimally invasive surgical techniques have been developed to limit tissue loss. Fistula-tract Laser Closure (FiLaC™) has been used to shrink the fistulous tract...

Aim: Liver metastasis (LM) is the most common cause of death in colorectal cancer (CRC). In cases of recurrent LM, individualized aggressive local treatments are recommended for better survival outcomes. In this study, we aimed to present the health outcomes obtained in a group of highly selected patients with metastatic CRC. Materials and Methods...

Background: This study aimed to investigate factors associated with the development of ileostomy complications in rectal cancer patients, including those who received neoadjuvant treatment. Methods: This retrospective trial included 133 consecutive patients who underwent surgery for rectal cancer with temporary diverting ileostomy. Patients' dem...

Developmental cysts are a subgroup of perirectal cysts seen extremely rarely. They have no symptoms in 50% of cases, and mostly occur among middle-aged women. The ratio of male to female is approximately 1/3. In the differential diagnosis, malignancies and pilonidal cysts are common. Although they usually occur as benign lesions, 30% of cases are r...

Purpose: We aimed to evaluate the results of the fistula-tract laser closure associated with primary closure of internal orifice. Materials and methods: The surgical objective was to seal the fistula tract using laser energy and closing internal orifice with purse-string suture. Between January 2017 and December 2018, 35 consecutive patients who...

Purpose The aim of this study was to investigate the effect of chest physiotherapy (CP) applied to patients undergoing bariatric surgery on pulmonary functions, dyspnea levels, functional capacity, and quality of life. Methods The patients were randomized and divided into two groups each comprising 74 patients. CP and mobilization was applied to t...

Objective: Use of diagnostic tools with high predictive value for common biliary duct (CBD) obstruction has the potential to provide valuable information. This study aimed to examine the respective diagnostic values of biochemistry, abdominal ultrasonography (US), and magnetic resonance cholangiopancreatography (MRCP) in patients with suspected bi...

Pankreas cerrahisi ve özellikle pankreatikoduodenektomi ameliyatı (Whipple ameliyatı) çoklu organı ve anatomik oluşumu ilgilendiren bir cerrahi olması, bölgenin anatomisinin zorluğu ve ana damarlara olan komşuluğu nedeniyle teknik zorluklar içermektedir. Yapılacak olan R0 rezeksiyon, hastanın sağkalımına olumlu etki edeceğinden uygun cerrahi genişl...

Kabızlık günlük pratiğimizde sık karşılaşılan bir sorun olup, etiyolojide birçok etken rol almaktadır. Unutulmamalıdır ki kabızlık bir hastalık değil, semptomdur. Kişilerin bu semptomu tarif etme şekli farklılık gösterebilir. Genellikle haftada iki ve daha az dışkılama yapılması kabızlık olarak kabul edilse de tek başına yeterli olmamaktadır. Dışkı...

Amaç: İnguinal herni günlük pratikte en sık karşılaşılan uygulamalardan birisidir. Laparoskopik tedavi yöntemleri giderek artan oranda bu alanda da kullanılmaktadır. Abdominal veya ekstraperitoneal girişimlerde rutin olarak mesh kullanılmakta olup, mesh tespiti içinde değişik materyaller üretilmektedir. Ağrı ameliyat sonrası dönemde en sık karşılaş...

PURPOSE: Cervical lymph node (LN) metastases in papillary thyroid cancer (PTC) are common in tumors especially that are larger than 1cm. Ipsilateral central neck dissection (CND) is usually preferred even in the absence of a palpable LN. This study aims to clarify the incidence and predictive factors for occult ipsilateral central LN metastasis in...

Partial necrosis of the cecum is a rare form of ischemic colitis with unknown etiology. A 68-year female patient was admitted due to a severe pain in the right lower quadrant of the abdomen for one week. One month ago, she had coronary artery bypass graft surgery with carotid endarterectomy. During physical examination, tenderness and rebound tende...

Parsiyel çekum nekrozu iskemik kolitin nadir bir formudur. Etiyolojisi ile ilgili kesin bir neden henüz belirlenmemiştir (1,2). Vasküler obstrüksiyonların ya da hipotansif ataklara bağlı iskeminin rol oynadığı düşünülmektedir. Tanısı daha çok ameliyat esnasında konulur. Bu olguda parsiyel çekum nekrozu nedeniyle çekum rezeksiyonu ve ileokolostomi a...

Fecalomas are usually found in the colon or the rectum. In adult ages, jejunal giant fecaloma is a very rare condition. It has been thought that there should be any kind of chronic diseases leading to the occurrence of such fecalomas at the unexpected localizations. In this case, it was aimed to present a 50-year-old male patient with small bowel o...

Background: Cystic Echinococcosis is a chronic parasitic infection, which is still an important problem in rural areas. Due to the development in technology, laparoscopic surgery has been introduced for the surgical treatment of hydatid disease of the liver (HD-L). The present study aimed to evaluate the clinical outcomes of laparoscopic versus op...

Transanal haemorrhoidal dearterialisation (thd)

İnce barsak malign tümörleri tüm GİS tümörlerinin %1'ini oluşturur. Bunun yaklaşık yarısı duodenum yerleşimli olup ve histolojik olarak tanı çoğunlukla adenokanserdir. Bu çalışmada kliniğimizde karşılaştığımız duodenum tümörü vakalarının tanı ve tedavisindeki yaklaşımları ve tecrübemizi paylaştık.

Laparoscopic cholecystectomy is gold standart technique for treatment of cholelithiasis. In last years the procedure has performed with single incision. In 2009 December, single incision (single port) laparoscopic cholecystectomy was performed in two cases. Elastic port was entered just through the umbilicus. Roticulating devices were entered t...

Hairy cell leukemia is a rare chronic lymphoproliferative disease which goes with splenomegaly. Splenomegaly was determined in the 67 years old male patient have been treated for hairy cell leukemia for four years. Splenectomy was performed for preventing complications of splenomegaly. CD3, CD20, TRAP were determined as positive with the immunohist...

Cases of rectal foreign body are not an uncommon presentation to the emergency department, which causes a major problem with their complications. Here, we report a case of rectal foreign body and discuss the treatment modalities.