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    Çocuklarda Abdominal Bölge Travmatik Yaralanmaların Bibliyometrik Çerçeveden Görünümü
    (Akdeniz Üniversitesi, 2025) Bilir, Cemal; Meral, Orhan
    ÖZ Amaç: Çocukluk çağı abdominal bölge travmatik yaralanmaları hayati tehlike oluşturabilen ve aynı zamanda adli tıbbi öneme sahip ciddi yaralanmalardır. Dünya genelinde her gün 2000'den fazla çocuğun bu yaralanmalar sonucu hayatını kaybettiği belirtilmektedir. Bu çalışmada, Web of Science veritabanı kullanılarak yapılan çocukluk çağı abdominal bölge travmatik yaralanmalarına ilişkin çalışmalara bibliometrik çerçeveden bakılması amaçlanmaktadır. Yöntemler: Web of Science veritabanında "Child", "Children", "Pediatric", "Abdominal Trauma", "Abdominal Traumas", "Abdominal Injury" ve "Abdominal Injuries" anahtar sözcükleri kullanılarak bu sözcüklerin çalışma başlığında yer aldığı makaleler tespit edilmiş, bu makalelerin yazım dili, yayın yılı, yayınlandığı dergi, yazarları, yazar kurumları, çalışmaların yapıldığı ülke ve makalelere yapılan atıf sayısı gibi özellikleri incelenmiştir. Bulgular: Çalışma kapsamına alınan 285 makalenin 260’ının (%91,3) İngilizce dilinde yazıldığı, çalışmaların en sık Amerika Birleşik Devletleri, Türkiye ve Kanada’da yapıldığı, WoS kategorisine göre Cerrahi, Pediatri ve Acil Tıp kategorilerinin ön plana çıktığı belirlenmiştir. Sonuç: Bu çalışmada elde edilen veriler sayesinde ülkemizde ve diğer ülkelerde çocukluk çağı abdominal travmatik yaralanmaları ile ilgili yayınlanan makalelerin bibliyometrik değerlendirmesi ortaya konulmuştur. Çalışmamız bu alandaki araştırma verimliliğini ortaya koyan ilk çalışma niteliğindedir.
  • [ X ]
    Öğe
    Comment on Blood biomarkers to distinguish complicated and uncomplicated appendicitis in pediatric patients
    (Elsevier Taiwan, 2024) Bilir, Cemal
    [No abstract available]
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    Dorsal dartos flap prepared before urethroplasty, less bleeding of operation: a new perspective on hypospadias
    (Aves, 2022) Issi, Yaşar; Bilir, Cemal
    Objective: The benefits of preparing the dorsal dams flap before urethroplasty were investigated. Materials and methods: Patients with coronal, subcoronal, and distal penile hypopadias without severe cordee who underwent surgical repair between October 2016 and September 2020 were included in the study. Tubularized incised plate urethroplasty technique was applied to all patients. The patients were divided into two groups: In Group 1, the dorsal dartos flap was prepared after urethroplasty, which is the commonly used technique today, and sutured on the neourethra. In Group 2, the dorsal dartos flap was prepared before the post-degloving urethroplasty. The amount of bleeding, the duration of the surgery, and the complications between the two groups were recorded and compared. Results: Twenty-two patients who could be followed up for at least 3 months were examined. There were 10 patients in Group 1 and 12 patients in Group 2. A statistically significant difference was found between the amount of bleeding of the operation in the two groups. Duration of operation, hematoma, infection, skin necrosis, or glanular dehiscence were not observed in any patient. Conclusion: Preparing the dorsal dartos flap, before urethroplasty significantly reduces the amount of bleeding. This may be a new modification alternative in hypospadias surgery.
  • Küçük Resim
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    The Effectiveness of Rectal Suction Biopsy in the Diagnosis of Hirschsprung's Disease
    (Galenos Publ House, 2023) Bilir, Cemal; Oztan, Mustafa Onur; Diniz, Gulden; Ozdemir, Tunc; Sayan, Ali; Koyluoglu, Gokhan
    Objective: In order to analyse the adequacy, sensitivity, and specificity of samples obtained with rectal suction biopsy (RSB) as the standard histopathological diagnostic method in patients with suspected Hirschsprung's disease (HD).Method: This study was carried out between November 2016 and March 2018 with 24 suspected HD patients aged 0-3 years. After calculating rectosigmoid indexes (RSIs) according to barium enema images obtained in contrast -enhanced colon graphies, patients with RSI <1 underwent RSB. Clinical features of patients, treatment options, complications, laboratory test results and radiological findings were recorded for further analyses. An expert pathologist evaluated biopsy specimens, and observations were recorded.Results: There were no ganglion cells in RSB specimens in 10 (41. 6%) patients who received the diagnosis of HD later on. Ganglion cells were detected in specimens of 5 (20. 8%) patients; thus, the diagnosis of HD was excluded. Inadequate or suspicious biopsy specimens for histopathological evaluation were observed in 9 (37. 5%) patients. If the biopsy specimen volume was more voluminous than 4 mm3, its diagnostic sensitivity and specificity for HD were 80% and 66.67%, respectively (area under the curve=0.789); If the submucosa/mucosa ratio was greater than 0.75 or the submucosa/total specimen ratio was greater than 0.42, then the diagnostic sensitivity and the specificity of the specimen for HD were 86.67% and 66.67%, respectively.Conclusion: In this prospective cross-sectional study, we demonstrated that RSB in diagnosing HD is a feasible, safe method with high sensitivity and specificity and low complication rates.