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    Comparison of surgery and surgery plus corticosteroid therapy in idiopathic granulomatous mastitis, prospective randomized study
    (2019) Akcan, Alper Celal; Patmano, Mehmet; Oz, Abdullah Bahadir; Arikan, Turkmen Bahadir; Gun, Iskender; Dogan, Serap; Sozuer, Erdogan
    Aim: To compare therapeutic effectiveness of surgery alone with surgery plus corticosteroid in patients with granulomatous mastitis.Material and Methods: The study included 30 patients aged 23-60 years. The patients were randomly assigned into two groups by lot. In-group 1, the patients received 375 mg ampicillin-sulbactam (twice daily, p.o.) for a week; than 32 mg prednisolone was started which was gradually tapered (biweekly by 8 mg) over 8 weeks. Surgery was performed 2 weeks after tapering. In-group 2, the patients received 375 mg ampicillin-sulbactam (twice daily, p.o.) for a week and underwent surgery. During 2-years follow-up, all patients were assessed for etiological factors and recurrence.Results: No significant differences was found in demographic characteristics, smoking habits, oral contraceptive use, presenting complaints, physical examination findings, localization and diagnostic tools used between groups. During follow-up, recurrence was seen in one patient (6.7%) in surgery group and in 3 patients (20%) in steroid group but no significant difference was detected between groups (p>0.05). Conclusion: In patients with granulomatous mastitis, systemic steroid therapy is an effective modality in patients unresponsive to antibiotic therapy after ruling out tuberculosis.
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    Is MR imaging correlated with mid-term clinical results after arthroscopic all-inside meniscal repair?
    (2019) Uzun, Erdal; Dogan, Serap; Guney, Ahmet; Akkurt, Soner
    Aim: To research the correlation between clinical and radiological results after arthroscopic meniscus repair with all-inside suture technique and to assess the magnetic resonance imaging (MRI) diagnostic value on previously repaired meniscus.Materials and Methods: Fifty-two patients were included in the study.All-inside suture technique with a Fast-Fix suture device was used for all patients. After at least 24 months follow-up, the affected knee was checked with 1.5 Tesla MRI if there was an additional pathology or the meniscal pathology persisted with criteria of Crues et al. International Knee Documentation Committee (IKDC) and Lysholm scores were used for evaluation of the functional status of patients. Barrett’s criteria wascriteria were used for failure rates and clinical improvement. Correlation between clinical results and MRI findings were investigated.Results: The mean follow-up was 39.6 (range, 24–60) months. The mean age was 31.4 (range, 21–45) years. At the last time follow up the mean IKDC and Lysholm scores were improved significantly (p0.001). Healing in RR zone tears were significantly better than for the RW zone according to the clinical scores (p=0.02). MRI had one false negative and 11 false positive resultsresult when compared with the clinical results. In radiological results, repairs after at least 8 weeks were different from early repairs and had significantly higher failure rates (p=0.01).Conclusion: Clinical examination and radiological investigation for meniscal healing with 1.5 Tesla MRI gave significantly different healing and failure rates (p=0.006).Evaluating a previously repaired meniscus with MRI is controversial.