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  • Küçük Resim
    Öğe
    Dev Soliter Jejunal Divertikül Perforasyonu
    (İnönü Üniversitesi Tıp Fakültesi Dergisi, 2009) Dirican, Abuzer; Ünal, Bülent; Sümer, Fatih; Başsüllü, Nuray; Özgür, Dinçer; Kırımlıoğlu, Vedat
    Jejunum divertiküllerinin çoğu mezenterik yerleşimli psödodivertiküllerdir. Jejunal divertikül perforasyonu nadir görülen bir akut karın nedenidir ve tedavide segmenter barsak rezeksiyonu önerilir. Elli bir yaşındaki erkek hasta akut karın sebebiyle ameliyat edildi. Ameliyatta Treitz ligamanının 15 cm distalinde Jejunumun antimezenterik tarafında 6.6x9x3cm boyutlarında perfore gerçek divertikül mevcuttu. Divertikülektomi ve primer onarım yapıldı.
  • Küçük Resim
    Öğe
    Incisional hernia in recipients of adult to adult living donor liver transplantation
    (World Journal of Surgery, 2014) Özgür, Dinçer; Dirican, Abuzer; Ateş, Mustafa; Yılmaz, Mehmet; Işık, Burak; Yılmaz, Sezai
    Background After receiving a living donor liver transplant (LDLT), an incisional hernia is a potentially serious complication that can affect the patient’s quality of life. In the present study we evaluated surgical hernia repair after LDLT. Materials and methods Medical records of patients who underwent surgery to repair an incisional hernia after LDLT in Turgut Ozal Medical Center between October 2006 and January 2010 were evaluated in this retrospective study. A reverse-T incision was made for liver transplantation. The hernias were repaired with onlay polypropylene mesh. Age, gender, post-transplant relaparatomy, the type, the result of surgery for the incisional hernia, and risk factors for developing incisional hernia were evaluated. Results An incisional hernia developed in 44 of 173 (25.4 %) patients after LDLT. Incisional hernia repair was performed in 14 of 173 patients (8.1 %) who underwent LDLT from October 2006 to January 2010. Relaparatomy was associated with incisional hernia (p = 0.0002). The mean age at the time of the incisional hernia repair was 51 years, and 79 % of the patients were men. The median follow-up period was 19.2 (13–36) months after the hernia repair. Three patients with intestinal incarceration underwent emergency surgery to repair the hernia. Partial small bowel resection was required in one patient. Postoperative complications included seroma formation in one patient and wound infection in another. There was no recurrence of hernia during the follow-up period.
  • Küçük Resim
    Öğe
    Rektovaginal fistül ün nadir bir nedeni vaginal punch biyopsi
    (İnönü Üniversitesi Tıp Fakültesi Dergisi, 2008) Ara, Cengiz; Özgür, Dinçer; Kahraman, Latif; Işık, Burak; Yılmaz, Sezai; Kırımlıoğlu, Vedat
    Obstetrik injuriler rektovajinal fistüllerin en sık sebebidir.1 Diğer nedenler perirektal abse, inflamatuvar barsak hastalıkları, geçirilmiş cerrahi, travma ve radyoterapidir.2 Mevcut vakada vajinadan punch biyopsi alınması sonrasında rektovajinal fistül gelişen hastanın tedavi prosedürünü sunmayı amaçladık.