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Öğe Intraoperative laparoscopy by a flexible scope: Is a a good alternative to routine bilateral exploration in childhood hernias?(Monduzzi Editore, 1997) Gursoy, MH; Gurel, M; Koltuksuz, U; Uguralp, S; Aydinc, MNegative contralateral explorations go on raising the question on whether the contralateral exploration is still necessary or not. To iind out whether the contralateral processus vaginalis was patent or not, we performed intraoperative non-puncture laparoscopy by a flexible scope. We inserted the flexible scope through the open hernia sac and tried to see the opening of the contralateral processus vaginalis. The study involved a total of 20 children, 16 boys and 4 girls. The symptomatic side was explored and laparoscopy was performed through the opened hernial sac. We found a contralateral processus vaginalis in 6 children, 4 boys and 2 girls, by flexible scopy. We confirmed the results by exploring the opposite groin. There was 1 false-positive result in a girl. Intraoperative non-puncture laparoscopy by a flexible scope through the hernial opening is an uncomplicated, reliable and precise method. it may represent a very satisfactory alternative to routine bilateral inguinal exploration and also by its enhanced mobility, it may be much more beneficial than the recently developed technique of scoping children with a rigid laparoscope.Öğe Multifocal omental mesenteric inflammatory pseudotumor (plasma cell granuloma)(Hippokrates Verlag Gmbh, 1999) Koltuksuz, U; Gürsoy, MH; Mutus, M; Aydin, A; Aydinc, M; Çetin, S; Çiralik, HInflammatory pseudotumor (IP) is an uncommon benign tumor during childhood. The most common location is lung, and sporadic cases of IP with extrapulmonary involvement such as liver and abdomen are reported. However, the IP among the reported cases have appeared as solitary masses. A multifocal IP in a 14-year-old girl presumed to result following an Entamoeba histolytica infestation is reported.Öğe Plasma superoxide dismutase activity and malondialdehyde level correlate with the extent of acute appendicitis(Springer-Verlag, 2000) Koltuksuz, U; Uz, E; Özen, S; Aydinc, M; Karaman, A; Akyol, ÖAlthough the mechanism of acute appendicitis (AA) is partly understood, the progression following the onset of inflammation has not yet been clarified. To determine oxidative activities in the plasma of patients with AA, superoxide dismutase (SOD) activities and malondialdehyde (MDA) levels were measured in samples from 31 patients diagnosed as having AA and 10 otherwise healthy children with inguinal pathologies. The patients with AA were divided into three subgroups: acute focal (AFA) (n = 8), acute suppurative (ASA) (n = 9), and acute perforated appendicitis (APA) (n = 14), according to the intraoperative findings and histopathologic examination.. SOD and MDA were compared statistically between these subgroups and between them and the control group. Additionally, mean leukocyte counts of each group were determined and the differences between the groups were evaluated. Both SOD and MDA were significantly higher in the ASA and APA groups compared to controls and AFA group. The mean leukocyte numbers of the ASA and APA groups were significantly higher compared to the AFA group. Based to these results, it may be speculated that oxygen free radicals (OFR) may play an important role in the extent of AA. To prevent the hazardous effects of OFR, the organism may increase SOD and other antioxidant enzyme levels and/or activities.