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  • Küçük Resim
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    Does prematurity indicate poor prognosis in the treatment of infant ureteropelvic junction obstruction?
    (2019) Huseynov, Mirzaman; Emre, Senol; Ozcan, Rahsan; Bakir, Ayten Ceren; Canpolat, Nur; Elicevik, Mehmet
    Aim: To evaluate the outcomes of management of ureteropelvic junction obstruction in premature patients by comparing them to a group of non-premature. Material and Methods: We reviewed the medical records of 102 patients with isolated hydronephrosis which were referred from pediatric nephrology outpatient clinic or those who admitted directly to pediatric urology clinic under one year of age between the years of 2005 and 2016. Two groups were set up; premature and term. The gestational age, sex, management for ureteropelvic junction obstruction, complications were recorded. Chi-Square, Fisher’s and Mann-Whitney-U tests were used for statistical analyzes. Results: There were 92 patients in the term group and 10 in the premature group. All patients were operated. Preoperative symptoms such as pyonephrosis, renal calculi, and hypertension were relatively common in the premature group. Preoperative low function, postoperative loss of function, and poor outcome were statistically more common in premature patients. Conclusion: In our limited experience, prematurity is an independent factor associated with UPJO, and it may indicate a poor prognosis. We advocate that this issue should be considered in practice.
  • Küçük Resim
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    Long term outcomes of early and late diagnosed congenital diaphragmatic hernia and pulmonary asymmetry
    (2019) Hakalmaz, Ali Ekber; Emre, Senol; Ozcan, Rahsan; Tekant, Gonca; Celayir, Recep Sinan
    Aim: It is to determine problems in long-term follow-up of patients operated in infancy and newborn period for congenital diaphragmatic hernia in our clinic before one year of age and to evaluate significance of perioperative findings on long-term results. Material and Methods: Among patients, 16 patient above 8 years of age with outpatient control in the past year were investigated retrospectively. Patients were grouped regarding operation age as newborn and infancy period. Preoperative predictive data, early and late postoperative findings, diagnostic studies, disorders were evaluated. Results: Male-to-female ratio was 3/1, right-to-left sided hernia was 1/15. Average age was 13.1(9-17). Average follow-up was 13years (8-17 years). Thirteen patients were diagnosed in newborn period, 3 in infancy. On follow-up, 85% of newborns and 33% of infants were found to have at least one disorder. Scoliosis presented in 6, asthma in 5, gastroesophageal reflux (GER) in 4, pectus excavatum in 4, undescended testis in 3, failure to thrive in 2 patients. All the musculoskeletal system deformities were diagnosed in only newborn period patients. Four cases (25%) were uneventful. Spirometry revealed obstructive dysfunction in 1, restrictive in 2 patients. CT showed increased aeration and pulmonary asymmetry. Conclusions: Among evaluated patients, 75% showing disorders requiring treatment or observation indicates the need for follow-up until adolescence