Cerrahi Tıp Bilimleri Bölümü Koleksiyonu

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https://hdl.handle.net/20.500.14034/44

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Missed diagnosis of a rare retro-patellar juxta-articular angioleiomyoma: A case report
(Sage Publications Ltd, 2024) Ghayyad, K.; Xavier, J.; Sarli, N. M.; Golovachev, N.; KILIÇ, Ali İhsan
[No abstract available]
Laparoskopik morbid obezite cerrahisinde rekruitment manevralarının peroperatif solunum mekanikleri ve postoperatif solunum fonksiyonları üzerine etkileri
(Sağlık Bilimleri Üniversitesi, 2022) Güneş, Hacı Mehmet; Aydın, Gaye; Şenoğlu, Nimet
Amaç: Çalışmada laparoskopik morbid obezite cerrahisi uygulanan hastalarda peroperatif dönemde sürekli sabit pozitif ekspiryum sonu basıncı (PEEP) uygulaması ile sürekli sabit PEEP ile beraber insüflasyon sonrası aralıklı rekruitment manevrası uygulamasının arteriyel kangazı, spirometre, solunum fonksiyon testleri (SFT), postoperatif solunumsal komplikasyonlar ve hemodinamik parametreler üzerine etkilerinin karşılaştırılması amaçlanmıştır. Gereç ve Yöntemler: Genel anestezi altında laparoskopik morbid obezite cerrahisi geçirecek, Amerikan Anestezistler Birliği (ASA) 2-3 grubu, 20-60 yaş arası, VKİ>40 kg/m2 olan toplam 50 olgu çalışmaya dahil edildi. Prospektif planlanan çalışmada olgular randomize 2 gruba ayrıldı
Dekübit ülserlerinin tedavisinde larva tedavisi
(Sağlık Bakanlığı Sağlık Hizmetleri Genel Müdürlüğü, 2023) Mumcuoğlu, Kosta Y.; Çolak, Bayram; Özkan, Ayşegül Taylan
Dekübit veya bası ülserleri yumuşak dokunun üzerinde bulunduğu kemik ile sert bir dış yüzey arasında sıkışması sonucu oluşan doku nekrozudur. Bası ülseri tedavisinde öncelikle yara üzerindeki baskının azaltılması, nekroze alanların debridmanının yapılması, yaradaki bakteri kolonizasyonunun azaltılması amaçlanmaktadır. Genellikle bu amaçla keskin, mekanik, enzimatik, otolitik ve biyolojik debridman yöntemleri uygulanmaktadır. Larva Tedavisi (LT)’nin ana kullanım amacı da biyolojik debridmandır. Ancak larva salgı ve çıkartılarının dezenfeksiyon, granülasyon, anjiogenezis ve oksijenizasyon ile yara iyileşmesinde de etkili olduğu gösterilmiştir. Diğer debridman yöntemlerine kıyasla LT basınç ülserleri dahil, yarayı daha hızlı temizler, kan damarları ve tendonlar dahil olmak üzere sağlıklı dokuya zarar vermeden, nekrotik dokunun seçici debridmanını yapar, granülasyon ve yaranın iyileşmesini arttırır. Larva tedavisi yatarak veya ayaktan gelen hastaların tedavisine uygun maliyet etkin bir yöntemdir.
Shoulder pain, kinesiophobia, emotional state and muscle strength in breast cancer surgery patients: A cross-sectional study
(University of Health Sciences, 2024) Sertpoyraz, Filiz Meryem; Akyol, Murat; Altaş, Elif Umay; Kebabçı, Eyüp; Beytorun, Ecem Sak; Arslan, Fatma Demet
Breast cancer is the most common type of cancer in women. The life expectancy of patients is increasing with advances in treatment. However, lymphovascular, musculoskeletal, and psychogenic complications are reported to be expected in the follow-up period after breast cancer surgery. Kinesiophobia is the behavior of avoiding movement for fear of increased pain. Research on the frequency and interrelationships of kinesiophobia and other complications in the follow-up period is limited. Aim: We aim to evaluate shoulder pain, kinesiophobia, emotional state and muscle strength in female patients who have undergone breast cancer surgery and are in the follow-up period and to examine the relationship between these factors. Materials and Methods: A total of 50 female patients who underwent unilateral breast cancer surgery and were using aromatase inhibitors were included in this cross-sectional descriptive study. Demographic data, details of the surgical procedure and medical treatment information were recorded from the patient files. Hand grip muscle strength was measured by hand dynamometer, the Beck Depression Scale assessed emotional state, and the Tampa Kinesiophobia Scale assessed fear of movement. A Beck Depression Scale score of 10 and above and a Tampa Kinesiophobia Scale of 37 and above were considered significant. Results: The mean age of 50 female patients was 59.31 ± 11.19 years. Sixty percent of the patients had undergone surgery on the right breast and 40% on the left breast. Shoulder pain (n:31) was present in 62%. There were statistically significant correlations between pain and the Tampa kinesiophobia scale and the Beck depression scale (p:0.042, p:0.038). Kinesiophobia was present in 74% of the patients, and 64% had moderate to severe depression. The mean of the Tampa Kinesiophobia scale was 42.86±8.81, and the mean of the Beck depression scale was 15.19±10.98. When the relationship between kinesiophobia and depression was evaluated, a statistically positive significant relationship was found between them (p=0.005, r=0.410). The hand grip strength was 22.16±5.00 kg on the right and 18.22±5.10 kg on the left in patients who underwent left-sided breast cancer surgery. A significant difference was found in the left- and right-hand grip strength of those who underwent left-sided surgery for breast cancer (p
Sociocultural determinants in adolescent pregnancies: Evaluation of contraception, breastfeeding and birth outcomes
(Mümin POLAT, 2023) Şenkaya, Ayşe Rabia; Arı, Sabahattin Anıl; Karaca, İbrahim
Introduction: Adolescent pregnancies are expressed as pregnancies occurring in this age group. We evaluated the sociocultural characteristics, obstetric outcomes, contraception and breastfeeding status of early-middle and late adolescent pregnant women. Methods: The research was carried out by retrospective research of electronic and printed medical patient records. All patient files who gave birth in our clinic in Turkey, between 2017-2022 were examined. Inclusion criteria for the study were defined as being 19 years of age and younger and having a vaginal or cesarean delivery. Exclusion criteria from the study were defined as missing or inaccessible medical records. 10-16 years of age were considered as early-middle adolescent and 17-19 years of age as late adolescent. A total of 206 adolescent pregnant women were included in the study. The patients were divided into two groups as early and late adolescents. Their sociodemographic characteristics, obstetric outcomes, contraception and breastfeeding status were compared. Results: Marriage rate was higher in the late adolescent group (p
Türkiye'de yaşayan Suriyeli mülteci kadınlarda cinsel sağlık ve üreme sağlığı (CSÜS) durumunun değerlendirilmesi
(Izmir University of Democracy, 2024) Öztekin, Deniz; Şimşek Keskin, Hatice
Cinsel sağlık ve üreme sağlığı; tüm bireyler için hem cinsel sağlık hem üreme sağlığı ile ilgili bilgilendirilmiş ve sorumlu kararlar alma özgürlüğünü ve yeterliliğini içerir. Bunun için gerekli olan bilgilendirmeleri ve hizmetleri alabilecekleri tesisleri oluşturmak ve buralara erişilebilirliği sağlamak da devletlerin sorumluluğundadır. Mülteciler gibi dezavantajlı gruplar için cinsel sağlık ve üreme sağlığı problemleri toplumun diğer kesimlerine oranla daha hassas alanlar içermektedir. Genel toplumun daha nadiren karşı karşıya kalacağı bazı zorlukları günlük hayatlarının bir parçası olarak yaşamak durumunda kalabilirler. 2011 yılında ülkemize gelmeye başlayan ve bugün resmi sayıları 3,7 milyon olan Suriyeli mülteciler için kısa zamanda çok fazla sayıda kişinin gelmesi ile başta yetersiz kalan cinsel sağlık ve üreme sağlığı hizmetlerini, bugün ülke çapında SIHHAT projesi başta olmak üzere hayata geçirilen çeşitli projelerin de yardımı ile daha iyi yönetebilmekteyiz. Sağlık hizmet sunucusu olarak Suriyeli mülteci kadınların içinde bulundukları şartların ve ekonomik, sosyo-kültürel durumlarının, dini inanışlarının farkında olmak ve verilecek cinsel sağlık ve üreme sağlığı hizmetlerine kolaylıkla ulaşmalarını sağlamak hem anne ve çocuk hem de aile ve toplumun sağlık standartlarının hızlı bir şekilde yükseltilmesini sağlayacaktır. Suriyeli mülteci kadınlarda CSÜS hizmetlerinin çeşitliliğini, kapsamını, erişilebilirliğini ve hizmeti veren sağlık personelinin kapasitesinin ve farkındalığının arttırmayı sağlamaya yönelik yeni projelere ihtiyaç vardır.
Evolution of thoracic outlet syndrome research: A detailed bibliometric study
(Tıbbi Kayıtlar Derneği, 2025) Çapkın, Sercan; Kılıç, Ali İhsan; Şeker, Fatih; Akdemir, Mehmet; Aydın, Mahmud; Şahin, Ertuğrul
Aim: Thoracic outlet syndrome (TOS) is a complex clinical condition caused by the compression of neurovascular structures in the thoracic outlet. Over the past few decades, research on TOS has expanded significantly. This study aims to analyze the literature on TOS using bibliometric methods to identify critical trends, influential authors, prominent themes, and emerging topics in the field. Material and Method: A comprehensive literature search was conducted using the Web of Science (WoS) database for articles on TOS published between 1980 and 2023, employing the keyword 'thoracic outlet syndrome.' The collected data were analyzed using bibliometric methods. VOSviewer software was utilized to visualize bibliometric networks and map critical findings. Citation analysis was performed to identify influential journals and significant articles in the field. Additionally, keyword clustering and trend analyses were conducted to explore the thematic landscape of TOS research. Results: In a literature search on TOS, 2248 publications were found, with 1509 journal articles (67.13%) included in the bibliometric summary. The most common research area was surgery (633 articles, 41.94%), and the United States had the highest publication productivity (684 articles, 45.32%). The University of California System had the highest number of publications among institutions (62 articles, 4.1%). These 1509 articles received 7831 citations (6596 excluding self-citations), averaging 13.1 citations per article and with an h-index of 57. 'Annals of Vascular Surgery' published the most articles (71, 4.7%), while 'Journal of Vascular Surgery' had the highest number of cited articles (65, 4.3%), accumulating Aim: Thoracic outlet syndrome (TOS) is a complex clinical condition caused by the compression of neurovascular structures in the thoracic outlet. Over the past few decades, research on TOS has expanded significantly. This study aims to analyze the literature on TOS using bibliometric methods to identify critical trends, influential authors, prominent themes, and emerging topics in the field. Material and Method: A comprehensive literature search was conducted using the Web of Science (WoS) database for articles on TOS published between 1980 and 2023, employing the keyword 'thoracic outlet syndrome.' The collected data were analyzed using bibliometric methods. VOSviewer software was utilized to visualize bibliometric networks and map critical findings. Citation analysis was performed to identify influential journals and significant articles in the field. Additionally, keyword clustering and trend analyses were conducted to explore the thematic landscape of TOS research. Results: In a literature search on TOS, 2248 publications were found, with 1509 journal articles (67.13%) included in the bibliometric summary. The most common research area was surgery (633 articles, 41.94%), and the United States had the highest publication productivity (684 articles, 45.32%). The University of California System had the highest number of publications among institutions (62 articles, 4.1%). These 1509 articles received 7831 citations (6596 excluding self-citations), averaging 13.1 citations per article and with an h-index of 57. 'Annals of Vascular Surgery' published the most articles (71, 4.7%), while 'Journal of Vascular Surgery' had the highest number of cited articles (65, 4.3%), accumulating 2563 citations. Conclusion: This bibliometric analysis provides valuable insights into the evolution and trends of research on TOS. The keyword analysis offers a roadmap for researchers to design new studies. Additionally, the study highlights the influence of economic size and development levels on academic productivity in TOS, underscoring the importance of promoting multidisciplinary studies, especially in less developed countries.63 citations. Conclusion: This bibliometric analysis provides valuable insights into the evolution and trends of research on TOS. The keyword analysis offers a roadmap for researchers to design new studies. Additionally, the study highlights the influence of economic size and development levels on academic productivity in TOS, underscoring the importance of promoting multidisciplinary studies, especially in less developed countries.
Role of SARS-CoV2 virus in the etiology of acute pancreatitis
(Tıbbi Kayıtlar Derneği, 2023) Kızıloğlu, İlker; Akdeniz, Didem Dereli; Kantar, Funda Uğur
Aim: To investigate whether severe acute respiratory syndrome coronavirus is involved in the etiology of acute pancreatitis. Material and Methods: This study was conducted in Çiğli Educational Hospital, Bakırçay Univesity. The study included 2060 patients with AP admitted to hospital between March, 2020 and August, 2023. The patients were assigned into 2 groups based on presence of COVID-19 infection. Ethiological factors for AP were determined in all patients. Results: Gallstone was the etiological factor in 614 patients (32.9%) who were COVID (-) but it was the etiological reason in only 19 patients (19%) in COVID (+) group. No etiology was identified in 217 (11.6%) of COVID (-) patients who were diagnosed as idiopathic pancreatitis. Idiopathic pancreatitis was diagnosed in 107 cases (54%) in COVID (+) group. There was significant difference presence of the diagnosis, which was made according to etiological factor, between groups. Conclusion: There was no definitive etiological link between COVID-19 and AP; however, the fact that same team diagnosed such a different idiopathic AP in the same hospital with same diagnostic facilities implies an etiological role for SARS-CoV-2 virus in AP.
Effects of electromagnetic field (1.8/0.9 GHz) exposure on spleen in rats
(Tıbbi Kayıtlar Derneği, 2023) Kızıloğlu, İlker; Bozok, Yeliz Yılmaz; Tümkaya, Levent; Akakın, Dilek; Akçora, Dila Şener
Aim: To evaluate potential effects of whole-body 900 and 1800 MHz electromagnetic field (EMF) exposure on the rat spleen. Material and Methods: The study was conducted on 9 Sprague–Dawley rats. Pregnant rats were assigned into 3 groups: 900 MHz EMF-exposure, 1800 MHz EMF-exposure and controls. Results: Under light microscope, myeloid series cells, erythrocytes and megakaryocytes were observed in all groups. In the red pulp, dilated sinusoids were observed in both 900 and 1800 prenatal 24-hour groups with more prominent findings in the 1800 prenatal 24-hour group. Fused white pulps were apparent in 900 group while there was increase in the irregular white pulps (varying in size) with destruction in the1800 group. Biochemical evaluation showed that spleenmalondialdehyde level was higher while glutathione level waslower in the 900 MHz-exposure and 1800 MHz-exposuregroups compared to controls (p
Investigating the effects of the COVID-19 pandemic on obstetric anesthesia and perioperative outcomes in cesarean section surgery
(MediHealth Academy Yayıncılık, 2023) Kutlucan, Leyla; Altaş, Ömer Faruk; Şenoğlu, Nimet
Aim: In the literature, studies comparing the preferred anesthesia methods and related parameters in obstetric anesthesia during the pandemic period with the pre-pandemic period are limited. I n this study, primarily in patients who gave birth by cesarean section before and during the COVID-19 (Coronavirus disease 19) pandemic; It was aimed to evaluate the anesthesia method, postoperative complications, length of hospital stay, clinical urgency of the patients and ASA (American Society of Anesthesiologists) scores. In addition, in patients who underwent cesarean section with positive and negative PCR (Polymerase Chain Reaction) tests during the COVID-19 pandemic; It was aimed to evaluate the anesthesia method, postoperative complications, hospital stay, clinical urgency of the cases and ASA scores. Material and Method: In this retrospective, single-center study, we noted down and compared types of cesarean section (elective or emergency), anesthesia techniques (spinal, spinal+epidural, or general anesthesia), and patients’ ages, ASA scores, PCR test results, postoperative complications (e.g., pneumonia, excessive postpartum bleeding), and lengths of hospital stay. Results: We carried out this study with the data of 2,406 women, 1,458 of whom gave birth before the pandemic. The findings revealed that the rate of developing complications, the length of hospital stay, the number of patients with an ASA score of 3 and above, and the use of spinal anesthesia significantly increased during the pandemic. Moreover, 182 women were COVID-19-positive among a total of 948 applicants during the pandemic. Although the ASA scores and complication rates were significantly higher among those with a positive PCR test result, the length of hospital stay was similar between the patients by their PCR test results. Conclusion: Our findings revealed a significant decrease in spinal + epidural anesthesia, which was frequently adopted before, in cases with cesarean section during the pandemic. Spinal anesthesia was mostly used alone. Despite increased complication rates in PCR-positive patients with higher ASA scores undergoing cesarean section, we concluded no significant change in the length of hospital stay. In cases of increased risk of infection and transmission (e.g., pandemic), neuraxial blocks may be preferred as an anesthesia technique to minimize the risk of infection in emergency obstetric operations. It should also be noted that the risk of developing postoperative complications always be high during pandemics.
Impact of melamine exposure on apoptotic proteins and oxidative stress markers in mouse hepatic tissue
(Ankara Üniversitesi, 2025) Devrim, Alparslan Kadir; Devrim, Tuba; Ekici, Hüsamettin; Sözmen, Mahmut; Şenol, Ali; Kuruca, Nilüfer; Sudağıdan, Mert
Most melamine studies have focused on renal toxicity and its effects on the liver are still not well known. We investigated the apoptotic and oxidative effects of melamine on the liver using thirty BALB/c mice, divided into three groups. The control group received saline, while the low-dose melamine (LDM) group was given 400 mg/kg (1/8 LD50) and the high-dose melamine (HDM) group received 1600 mg/kg (1/2 LD50) intragastrically (0.Most melamine studies have focused on renal toxicity and its effects on the liver are still not well known. We investigated the apoptotic and oxidative effects of melamine on the liver using thirty BALB/c mice, divided into three groups. The control group received saline, while the low-dose melamine (LDM) group was given 400 mg/kg (1/8 LD50) and the high-dose melamine (HDM) group received 1600 mg/kg (1/2 LD50) intragastrically (0.25 ml) for 5 consecutive days. Liver Bcl-2 and caspase-3 expressions were analyzed at the protein level by immunohistochemistry and ELISA, and also at the gene level by quantitative Real-Time PCR. In addition, total antioxidant (TAS), total oxidant (TOS), and oxidative stress index (OSI) levels in liver tissues were measured spectrophotometrically. The immunohistochemical expression of caspase-3 was higher in the LDM and HDM groups compared to the control group (p = 0.002). TOS and OSI levels were increased significantly (P ml) for 5 consecutive days. Liver Bcl-2 and caspase-3 expressions were analyzed at the protein level by immunohistochemistry and ELISA, and also at the gene level by quantitative Real-Time PCR. In addition, total antioxidant (TAS), total oxidant (TOS), and oxidative stress index (OSI) levels in liver tissues were measured spectrophotometrically. The immunohistochemical expression of caspase-3 was higher in the LDM and HDM groups compared to the control group (p = 0.002). TOS and OSI levels were increased significantly (P
The relationship between fear of COVID-19 and burnout of healthcare workers in a pandemic hospital
(Esra DEMİRARSLAN, 2024) Bulut, Hülya; Bozkurt, Canan; Kamiloğlu, Dilek; Kızıloğlu, İlker
Introduction: During the pandemic period, the fear of COVID-19 in healthcare professionals affected their burnout and caused a decrease in their emotional, depersonalization, and professional success. Aim: The aim of this study is to examine the relationship between the fear of COVID-19 and the burnout of healthcare workers in a pandemic hospital. Materials and Methods: This study is descriptive, cross-sectional, and relational, and its sample consisted of 400 healthcare professionals working in a pandemic hospital in Izmir and agreeing to participate in the study. Results: The median age of healthcare workers was 39 (31.Introduction: During the pandemic period, the fear of COVID-19 in healthcare professionals affected their burnout and caused a decrease in their emotional, depersonalization, and professional success. Aim: The aim of this study is to examine the relationship between the fear of COVID-19 and the burnout of healthcare workers in a pandemic hospital. Materials and Methods: This study is descriptive, cross-sectional, and relational, and its sample consisted of 400 healthcare professionals working in a pandemic hospital in Izmir and agreeing to participate in the study. Results: The median age of healthcare workers was 39 (31.25-44); 49.9% are nurses and 23% are physicians. 65.7% of the participants stated that they did not have COVID-19, 36.5% stated that they had separated their houses during the pandemic period, and 61% stated that they had dependents during the pandemic period. The median scores given by the employees to the scales are COVID-19 fear visual analog scale 7 (6 - 9) (0-10), COVID-19 fear scale 3.14 (2.57-3.86); emotional exhaustion from the sub-dimensions of burnout 28; depersonalization 10; personal success is 30. As a result of the evaluation, it was found that fear of COVID-19 was not associated with burnout scores. Conclusion: In line with the data obtained from this study, although there is no statistically significant difference between the fear of COVID-19 and the sub-dimensions of burnout, the depersonalization scores of all healthcare professionals who are at the forefront during the pandemic period, despite experiencing emotional exhaustion due to fear of COVID-19, and The high personal achievement scores are thought to be due to their struggle to survive.-44); 49.9% are nurses and 23% are physicians. 65.7% of the participants stated that they did not have COVID-19, 36.5% stated that they had separated their houses during the pandemic period, and 61% stated that they had dependents during the pandemic period. The median scores given by the employees to the scales are COVID-19 fear visual analog scale 7 (6 - 9) (0-10), COVID-19 fear scale 3.14 (2.57-3.86); emotional exhaustion from the sub-dimensions of burnout 28; depersonalization 10; personal success is 30. As a result of the evaluation, it was found that fear of COVID-19 was not associated with burnout scores. Conclusion: In line with the data obtained from this study, although there is no statistically significant difference between the fear of COVID-19 and the sub-dimensions of burnout, the depersonalization scores of all healthcare professionals who are at the forefront during the pandemic period, despite experiencing emotional exhaustion due to fear of COVID-19, and The high personal achievement scores are thought to be due to their struggle to survive.
Letter to correlation of immediate prevalence of cervical squamous cell precancers and cancers with HPV genotype and age in women with LSIL cytology
(Wiley, 2024) Yavuz, Onur; Karaca, İbrahim
[No abstract available]
Use of cervical fascia to prevent pharyngocutaneus fistula after total laryngectomy
(Wiley, 2024) Zorlu, Mehmet Ekrem; Kertmen, Canberk; Aysel, Abdulhalim; Yilmaz, Fatih; Dalgic, Abdullah; Müderris, Togay
Objective: This study aimed to compare the pharyngocutaneous fistula (PCF) between patients who underwent reconstruction using cervical fascia after total laryngectomy and those who did not and to investigate the factors affecting PCF rates. Methods: We retrospectively compared 22 patients operated between February 2021 and March 2023 who received cervical fascia flap as the study group and 21 patients operated between January 2018 and March 2023 who did not receive fascia flap as the control group. The study included patients who underwent total laryngectomy for Stage 3 and 4 squamous cell laryngeal cancer. Results: We included 43 patients, with 22 (51.2%) and 21 patients (48.8%) in the study and control groups, respectively. The age and sex were not different between the two groups (p=0.471, p=0.176, respectively). The distribution of patients as per sex, smoking, alcohol use, chronic obstructive pulmonary disease, diabetes mellitus, coronary artery disease, and multiple comorbidities was similar in both groups (p>0.05). PCF was observed in one patient (4.5%) and seven patients (33.3%) in the study and control groups, respectively. The PCF rate was significantly lower in the study group (p=0.021). When the relationship between flap use and risk factors was compared by correlation analysis, a moderate negative relationship was found between flap use and PCF (p=0.015, r=-0.370). Conclusion: The use of a cervical fascia flap is effective in reducing fistula rates after total laryngectomy. Its main advantages include being technically simpler than alternative techniques, locally available, cost-effective.
Tip surgery in dorsal preservation rhinoplasty: the effect of modified low septal strip septoplasty on tip plasty
(Springer, 2025) Celik, Vasfi; Tuluy, Yavuz; Bozkurt, Gokcen cakir
BackgroundThe aim in tip surgery is to provide rotation, derotation, projection and deprojection. In this study, we aimed to show the effects of modified low septal strip septoplasty, septal extension graft, TIG technique and additional maneuvers on tip shape in dorsal preservation rhinoplasty (DPR) and to discuss our clinical results.Patients and MethodsOne hundred eighty-nine patients who underwent DPR with modified low septal strip septoplasty between November 2021 and August 2023 were included in the study. Demographic data, complications, revision surgeries and follow-up periods of the patients were analyzed retrospectively.ResultsThe mean age of the patients is 29.58 +/- 9.04 (17-65). The mean follow-up period was 14, 50 +/- 2,98 months. Complications were observed in 1.1% of the patients (n=2/189). Revision surgery was performed in all these patients. Residual hump in 2 were observed and dorsum rasping was performed under local anesthesia. No tip revision was performed on any patient.ConclusionsA strong tip fixation is achieved with the modified low septal septoplasty technique described in this publication, and when combined with septal extension graft, tongue in groove technique and other suture techniques, an effective and permanent tip plasty can be performed in DPR.Level of Evidence IIThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
Quality of life and somatic physical function of patients with colorectal cancer who underwent oxaliplatin-based systemic chemotherapy: a prospective study
(Springer, 2024) Tuğral, Alper; Kebabçı, Eyup; Aribas, Zeynep; Akyol, Murat; Can, Aysegul; Bakar, Yeşim
introductionThis study aimed to study the potential effects of oxaliplatin-based chemotherapy on cardiorespiratory fitness, handgrip strength (HGS), body composition, and quality of life (QoL) of stages III-IV colorectal cancer (CRC) patients before the first cycle (T0) and after the last cycle of systemic adjuvant/neoadjuvant chemotherapy (T1).MethodsCardiorespiratory fitness, HGS, body composition, and QoL were evaluated with the six-minute walk test (6MWT), hydraulic hand dynamometer, body composition analyzer, and Functional Assessment of Cancer Therapy-Colon (FACT-C) questionnaire in both T0 and T1, respectively.ResultsTwenty-eight CRC patients were included in this study. The total walked distance (TWD) was found to be decreased from T0 to T1 (499.72 m vs. 488.56 m); however, this change was not significant (z = -.706, p = 0.48). Type of chemotherapy whether adjuvant or neoadjuvant also showed no significant effect on TWD (z = -.1.372, p = .17 vs z = -1.180, p = .238, respectively). The QoL was significantly decreased (T0 = 118.35 vs T1 = 110.77, t = 2.176,p = 0.05). The TWD was significantly correlated with the physical well-being (PWB) subscale of FACT-C (r = .64, p = 0.001) as well as with HGS (r = .46, p = .018) in T0. After controlling for age, type of chemotherapy, and type of regimen, the HGS did not show a significant difference from T0 to T1 (F(1,23) = 1.557, p = .22, eta p2 = .06). However, the effect of time x gender showed significant difference from T0 to T1 (F(1,23) = 4.906, p = .037, eta p2 = .17).ConclusionThis study showed the decreased QoL and physical well-being of CRC patients who underwent oxaliplatin-based treatment. In addition, the gender effect of decreased HGS should be considered further when planning an oncological rehabilitation program.
Uterine isthmus contractions during pregnancy
(Mosby-Elsevier, 2024) Yavuz, Onur; Karaca, İbrahim
[No abstract available]
Characteristics of femoral neck fractures in osteogenesis imperfecta: Series of four-teen consecutive hips in twelve patients
(Elsevier Sci Ltd, 2024) Vahabi, Arman; Kaya, Huseyin; Cagiran, Zeynep; Sozbilen, Murat Celal; Kurt, Cengizhan; Gunay, Huseyin
Introduction: While long bone fractures are commonly seen in individuals with Osteogenesis Imperfecta (OI), femoral neck fractures (FNF) are exceedingly rare. There is a lack of comprehensive data regarding the etiology of FNFs, their characteristics, and the treatment protocols. Our aim was to determine the characteristics of femoral neck fractures in children with OI. Materials and methods: This study was conducted as retrospective series covering period of January 2011December 2022. Total of 14 femoral neck fractures in 12 patients were included into final analysis. Age, gender, fracture location, ambulation level, injury mechanism, Sillence type, pre-fracture collo-diaphyseal angle, presence of previous implants and applied treatments were noted. Results: The mean age was 9.3 (range: 3 -16), 8 out of 12 patients were males. Sillence type 3 OI was most common (50 %) type. Among 12 patients, 2 (16.6 %) were restricted ambulatory while 5 (41.6 %) were nonambulatory. Seven patients had prior femoral implants. Six fractures were managed non-operatively, while others underwent surgery, with cannulated screws (42.8 %) or plate osteosynthesis (7.1 %). All eight cases (100 %) with minor trauma or unknown origin were Sillence type 3 -4, displaying varus deformity. FNFs that occured in mobile patients required higher-energy traumas. Conclusion: Femoral neck fractures in OI showed differing trauma mechanisms in ambulatory vs. non-ambulatory patients. Non-surgical treatment may be considered with in patients with high-risk anesthesia concerns, requiring higher level clinical studies.
Comment on blood biomarkers to distinguish complicated and uncomplicated appendicitis in pediatric patients
(Elsevier Taiwan, 2024) Bilir, Cemal
[No abstract available]
Patients 75 years or older with primary glenohumeral arthritis and an intact rotator cuff show similar clinical improvement after reverse or anatomic total shoulder arthroplasty
(Mosby-Elsevier, 2024) Ardebol, Javier; Flores, Adrian; Kılıç, Ali Ihsan; Pak, Theresa; Menendez, Mariano E.; Denard, Patrick J.
Background: The optimal management of primary glenohumeral arthritis (GHOA) in the elderly is an ongoing topic of debate. The purpose of this study was to compare functional outcomes and complications in patients aged 75 years or older treated with anatomic total shoulder arthroplasty (TSA) or reverse shoulder arthroplasty (RSA) for primary GHOA with an intact rotator cuff. Methods: A retrospective study was performed on a prospectively maintained database which was queried for patients 75 years of age or older who underwent TSA or RSA for primary GHOA with an intact rotator cuff at a single institution between 2012 and 2021 with minimum 2 -year follow-up. Patient -reported outcomes (PROs), including Visual Analog Scale for pain, American Shoulder and Elbow Surgeons, and Subjective Shoulder Value, as well as active range of motion including forward flexion, external rotation, internal rotation, were collected preoperatively and postoperatively. Complications, reoperations, and satisfaction were also recorded. The percentage of patients achieving clinically significant improvement was evaluated with the minimally clinical important difference, substantial clinical benefit, and patient acceptable symptomatic state for each PRO. Results: One -hundred and 4 patients were available for analysis, including 67 TSA patients and 37 RSAs with a mean follow-up of 39.4 months. Preoperative baseline characteristics, PROs, and range of motion were similar between groups. RSA was more commonly performed for eccentric glenoid wear (Walch B2/B3, 62% vs. 22%; P < .001). While clinical outcomes improved comparably in both groups, the TSA cohort showed significantly greater improvement in external rotation (36 degrees vs. 26 degrees ; P = .013). Both cohorts had low revision (3% for TSA vs. 0% for RSA) and complication (7% for TSA vs. 5% for RSA; P = .677) rates. Satisfaction was similar in both groups (93% for TSA vs. 92% for RSA; P = .900). Clinically significant improvement was comparable between groups based on the American Shoulder and Elbow Surgeons score (minimally clinical important difference, 93% for TSA vs. 100% for RSA; substantial clinical benefit, 82% vs. 95%; patient acceptable symptomatic state, 67% vs. 78%; P > .05). Conclusion: In this retrospective small sample size comparison study, TSA and RSA provide similar short-term clinical outcomes for patients 75 years and older with primary GHOA and an intact rotator cuff. Complication and revision rates are comparably low at shortterm follow-up. Our data suggests that advanced age alone should not be used as a decision -making tool for TSA vs. RSA in the setting of primary GHOA with an intact rotator cuff. Level of evidence: Level III; Retrospective Cohort Comparison; Treatment Study (c) 2023 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.

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