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Öğe A comparison of crystal phenol treatment, midline primary closure and Limberg flap reconstruction methods in female patients with primary pilonidal sinus disease(Edizioni Luigi Pozzi, 2021) Kanlioz, Murat; Uyanikoglu, Hacer; Ekici, Ugur; Karatas, Turgay; Tatli, FaikPilonidal sinus disease (PSD) is a chronic problem often occurs in healthy hirsute men, however, women may also be affected. A range of conservative techniques to surgical flaps have been used to treat this condition. Currently, midline primary closure (MPC) is considered the standard of therapy; however, no statistically significant difference has been noted between primary versus secondary (Karydakis flap or Limberg flap) closure. Recently, flap reconstruction methods have been applied and superiority of these methods have been shown. Treatment methods should be employed to the individual, taking into account recurrence and complication rates of the method, recovery time, patients' preference and surgeon's skill.Öğe Correlation between perforated appendicitis and total bilirubin(2019) Ekici, Ugur; Kanlioz, MuratAim: In this study, we aimed to examine to what extent total bilirubin (TB) measurements can help us in diagnosing perforated appendicitis. Material and Methods: The TB levels of the patients for whom a surgery was planned with a preliminary diagnosis of appendicitis, were measured and then recorded. The patients with a TB level of 1.20 mg/dL and below were considered “normal”, and those with a TB value of 1.21 mg/dL and above were considered “high”. The appendectomy materials were divided into three groups, namely nonappendicitis, perforated appendicitis and non-perforated appendicitis, according to postoperative pathology report. The statistical correlation between the postoperative pathological findings of appendectomy materials and the groups formed according to TB results was analyzed. Results: Of the patients included in our study, 80 (46%) were female and 96 (54%) were male. The average age was 27.48±12.08 years, and the median age was 25 years. As per the pathology report, 15 patients had no appendicitis (negative laparotomy), 2 (13%) of whom had a high TB level whereas 24 patients had perforated appendicitis, 8 (33%) of whom had a high TB level and 135 patients had non-perforated appendicitis, 28 (21%) of whom had a high TB level. Conclusion: Our study found that the TB level in perforated appendicitis was 1.6 times higher than that in non-perforated appendicitis and 2.5 times higher than that in negative laparatomies. The bilirubin value differences between the groups were statistically significant (p< 0.05).Öğe Efficacy of Intragastric Balloon Placement and Botulinum Toxin Injection in Bariatric Endoscopy(Lippincott Williams & Wilkins, 2020) Kanlioz, Murat; Ekici, Ugur; Tatli, Faik; Karatas, TurgayBackground: To evaluate the results obtained from the combination of intragastric botulinum toxin A (IGBTA), intragastric balloon (IGB), and IGBTA(+)IGB in the treatment of obesity. Materials and Methods: Three separate treatment groups were set up. IGBTA, IGB, and IGBTA(+)IGB were administered to Group 1, 2, and 3, respectively. The body mass indexes (BMI) of patients were measured before and 6 months after the treatment. The intragroup and intergroup treatment results have been evaluated. PResults: The mean BMI decreased by 1.6 kg/m(2) in 40 patients who received IGBTA in group 1 (P<0.001), 3.95 kg/m(2) in 42 patients who received IGB in group 2 (P<0.001), and 4.9 kg/m(2) in 39 patients who received IGBTA and IGB in group 3 (P<0.001) after 6 months of treatment. The intolerance because of the application was the highest in group 3, followed by group 2. Conclusion: The treatment was most successful in group 3 followed by group 2 and group 1, respectively. The authors recommend the group 3 treatment, provided that nausea, vomiting, and flatulence have a high index of probability in such a treatment. However, when deciding between group 1 and group 2 treatments, the authors recommend opting for group 2 treatment that shows to be more efficient.Öğe Pilonidal Sinus Disease: An Analysis of the Factors Affecting Recurrence(Lippincott Williams & Wilkins, 2021) Kanlioz, Murat; Ekici, Ugur; Tatli, Faik; Karatas, TurgayOBJECTIVE: o assess the success of treatment methods at reducing recurrence, the most important problem in pilonidal sinus disease (PSD), along with factors affecting the occurrence of PSD and posttreatment recurrence. METHODS; The researchers retrospectively analyzed files of patients treated for PSD between 2003 and 2018. Three study groups were created: G1, G2, and G3. G1 included all PSDs with recurrence, and a comparable number of cases without recurrence were selected randomly for the G2 group. The control group, G3, included healthy individuals without PSD. In all groups, the following were recorded: body mass index, skin color and oiliness, family history of PSD, hair overgrowth, smoking habit time spent sitting per day, and number of baths per week. The following were additionally recorded for G1 and G2 treatment methods, follow-up periods, pretreatment abscess(es), and time of onset of complaints before treatment The number of recurrences and the period between last treatment and recurrence were also recorded for G1. RESULTS: G1 comprised 234 patients: G2, 247 patients; and G3, 128 healthy individuals. The significant factors causing recurrence included body mass index, family history, bathing habits, hair overgrowth, skin color and oiliness, time spent sitting per day, smoking habit, abscessles), and duration of symptom(s)(P < .05). Limberg flap repair was the most successful treatment method. Sixty-three (27%), 135 (58%), and 185 (79%) recurrences occurred in the first 6 months, in the first year, and in the first 2 years, respectively. CONCLUSIONS: The researchers recommend Limberg flap repair for treatment. It is possible to reduce recurrence by taking preventable factors into consideration.Öğe The place of total testosterone in the etiology of pilonidal sinus disease(2020) Kanlioz, Murat; Karatas, Turgay; Ekici, Ugur; Tatli, FaikAim: There are lots of factors accused in the etiology of SPSD. One of those factors is hypertrichosis. Hypertrichosis is increased by high levels of testosterone. In our clinical practices, we observe the secondary effects of high testosterone levels in those with SPSD. Hence, we intended to analyze the correlation between testosterone and SPSD.Material and Methods: The first 200 patients who applied to General Surgery Clinic at Malatya State Hospital and were diagnosed with SPDS, were included in the study after being informed of our research and signing the informed consent form. The total testosterone (TT) levels of the patients were measured and recorded along with their demographic data. Also, a control group was formed of male and female patients without SPSD having the same demographic characteristics, whose TT levels were also subsequently recorded. The data from control and study groups were then compared and analyzed.Results: Of the 200 patients included in the study, 43 (21.5%) were female and 157 (78.5%) were male. Their overall mean age was 24.13±7.04 years and the median age was 22 years (min:14- max:50). The male-to-female ratio was 3.65. The rate of females and males who had high levels of TT was significantly higher than that of the control group (p0.001). Conclusion: We recommend measuring serum TT levels of patients who apply to hospital for SPSD. SPSD might be the first visible ring of the chain of diseases characterized by high levels of TT.Öğe Predisposing factors and demographic analysis in inguinal hernia(2019) Kanlioz, Murat; Ekici, UgurAim: This study aims to identify the distribution of inguinal hernia by types, age and gender, and to find the correlation between inguinal hernia and chronic diseases, lifestyle and familial tendency. Material and Methods: Of the patients admitted to our clinic, the following were recorded: age, gender, height, weight, body mass index (kg/m²), whether they do heavy labour or sports, chronic disease, direction of hernia, whether there is incarceration and strangulation and immediate family history of inguinal hernia. The data were analysed using the SPSS statistics software. p<0.05 was considered significant. Results: The study included 116 patients, of whom 12 (10.34%) were female and 104 (89.66%) were male. The mean age was 52.89 years, and the median age was 53.5 years. When the whole study group was evaluated, it was found that 5 (4.31%) of the patients had incarceration where 31 (26.72%) had family history, 36 (31.03%) had a history of chronic disease and 85 (73.27%) had a history of heavy labour/sports. Conclusion: Whereas the rate of hernia history in the families of patients with inguinal hernia was 28.8% in males and 8.3% in females, the difference in-between was statistically significant (p<0.001). Of the patients with inguinal hernia, the chronic disease rate was 31.7% in males and 25% in females, and the difference in-between was statistically significant (p<0.01). Of the patients with inguinal hernia, the rate of doing heavy labour/sports was 78.6% in males and 41.6% in females, and the difference in-between was statistically significant (p<0.01).Öğe Ultrasonography in diagnosis of acute appendicitis(Edizioni Luigi Pozzi, 2016) Tatli, Faik; Ekici, Ugur; Kanlioz, Murat; Gozeneli, Orhan; Uzunkoy, Ali; Yucel, Yusuf; Dirican, AbuzerPURPOSE: Acute appendicitis is the most common surgical abdominal emergency. In the early diagnosis of acute appendicitis, the fact that there is no a sign which could be a reliable indicator in most of the patients increases the complications. In this study we aimed to search the relation between Ultrasonography(US) findings in patients with diagnosis of acute appendicitis and postoperative histopathologic investigation on remoced appendix.. MATERIALS AND METHODS: The files of 174 patients who came in our emergency department with lower right abdominal pain were studied retrospectively from January 2013 to May 2014. Of them, 26 patients were excluded, because these patients were not studied with US. US findings and histopathology reports of 148 patients with suspected acute appendicitis and studies preoperatively with abdominal US were enrolled. Greater than 6-mm diameter of the appendix under compression was accepted as positive sign of appendicitis in US. The demographic characteristics of the patients, US findings (acut appendicitis or not) and the pathology results were recorded on the standard proform. RESULTS: Of these 148 patients, 100 were acute appendicitis in preoperative US, and of these 100 patients, 93 histopathologic reports were acute appendicitis, 7 were normal appendices. The sensitivity of US was 75.6 % and specificity was 72 %. Positive predictive value (PPV) was 93 %, negative predictive value (NPTO was 14.6 % and the accuracy of US value was 81.7%. As a result, although US in diagnosis of acute appendicitis is a reliable technique, negative result doesn't mean no acute appendicitis. In order to determine an accurate diagnosis of acute appendicitis clinical and laboratoary findings should be assessed together.
