Yazar "Gozeneli, Orhan" seçeneğine göre listele

Listeleniyor 1 - 8 / 8
  • Küçük Resim Yok
    Öğe
    CONGENITAL TRANSMESENTERIC DEFECT : INTERMITTENT INTESTINAL OBSTRUCTION DUE TO INTERNAL HERNIATION
    (Istanbul Univ, Faculty Medicine, Publishing Office, 2011) Ince, Volkan; Isik, Burak; Gozeneli, Orhan; Ersan, Veysel; Koc, Cemalettin
    Internal hernias are a rare cause of intestinal obstruction. Intestinal obstruction occurs as a result of herniation, developing of congenital or acquired defects. Mortality rates reach 20% if surgical intervention is not made on time. We describe a 27-years-old female patient complained of intermittent obstruction, with no history of previous operations, treated with timely surgical intervention when irreversible changes have not been developped in herniated small bowell by only the reduction of hernia and closure the transmesenteric defect.
  • Küçük Resim Yok
    Öğe
    Effects of thymoquinone and curcumin on the regeneration of rat livers subject to 70% hepatectomy
    (Acta Cirurgica Brasileira, 2018) Gozeneli, Orhan; Tatli, Faik; Gunes, Ali Erdal; Guldur, Muhammed Emin; Taskin, Abdullah; Bardakci, Osman; Yilmaz, Mehmet
    Purpose: To investigate thymoquinone, curcumin and a combination of these two drugs were effective or not at the growth of liver. Methods: Forty female Wistar-Albino rats distributed into five groups of eight rats each, control, thymoquinone, curcumin, and thymoquinone/curcumin groups. Pathological specimens were studied using the Ki-67 Proliferation Index(PI); and arginase(Arg), tissue plasminogen activator(tPA), ceruloplasmin(Cer) and nitric oxide(NO) were studied in biochemical analysis. Results: Our results showed that Ki-67 proliferation index was low in Groups 1. The proliferation coefficient was significantly higher in the Group 2 and Group 4 than in the Group 1 and Group 3.(P < 0.001 between Groups 1 and 2, 1 and 4, and 3 and 4). There was no difference between Groups 2 and 4 (P = 1). The results of the biochemical Arg, tPA and Cer test showed statistically between the Group 1 and Group 2. NO showed significant differences Group 1 and 3. Conclusions: Thymoquinone and curcumin both have known positive effects on the organism. Histological and biochemical tests showed that thymoquinone is more effective than curcumin.
  • Küçük Resim Yok
    Öğe
    Isolated Pneumomediastinum Following Laparoscopic Cholecystectomy: An Unpredictable Situation
    (Coll Physicians & Surgeons Pakistan, 2014) Aydin, Cemalettin; Akbulut, Sami; Gozeneli, Orhan; Kahraman, Aysegul; Kayaalp, Cuneyt
    Pneumomediastinum is a clinical event characterized by the presence of air in the mediastinum. Often a result of physical trauma, this condition results from air escaping from the respiratory airway and moving into the mediastinal cavity. Although rare, it can also develop following abdominal laparoscopic surgical procedures. Diagnosis is commonly made by visualizing a radiolucent airline in the mediastinum and/or surrounding the heart following a chest X-ray radiography or a thoracic CT scan. This case study describes the diagnosis, treatment and follow-up of a 51 years old female patient who developed pneumomediastinum following a laparoscopic cholecystectomy.
  • Küçük Resim Yok
    Öğe
    Narrowing of giant gastric perforation by purse-string suture before omental plugging
    (Elsevier Sci Ltd, 2015) Usta, Sertac; Kayaalp, Cuneyt; Gozeneli, Orhan
    Introduction: Timely diagnosis of the gastroduodenal perforation usually allows primary repair or resection. Treatment of a large gastric perforation is more difficult than the common duodenal ulcer perforation by plugging and usually requires agastric resection. On the other hand, gastric resection fora hemodynamically compromised patient in sepsis hasa high rate of anastomotic failure and mortality. Here, we described a practical surgical technique that can avoid emergency gastric resection in such situations. Presentation of case: A 83 year-old female admitted with peritonitis, severe sepsis and hemodynamic instability. After the diagnosis of hollow organ perforation and supportive therapy, laparotomy revealed a delayed and large (7 cm) gastric perforation. Instead of gastrectomy, we downsized the large defect by means of a purse-string suture around the perforation and made it suitable for the application of omental plugging. Discussion: The patients with poor performance status who are not suitable for the gastric resection, a free omental plug fixation to the narrowed perforation area by a purse-string suture can overcome the problem. Conclusion: This method can be keep in mind as a damage control surgery technique in the non-traumatic abdominal emergencies due to large gastric perforations. (C) 2015 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Limited. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
  • Küçük Resim
    Öğe
    Removing gallbladder from intra abdominal area by a different technique
    (2017) Gozeneli, Orhan; Tatli, Faik; Uzunkoy, Ali; Yucel, Yusuf
    Aim: Laparoscopic cholecystectomy is a widely performed technique worldwide. The use of laparoscopic threaded holders for this is routine but takes a lot of time and may tear the gallbladder. There are no wide-mouthed and short endoscopic instruments that can be used for removing the gallbladder without perforation. We look at gallbladder removal methods that are quick and do not involve damage at the end of laparoscopic cholecystectomy.Materials and Methods: This prospective study was conducted on 30 laparoscopic cholecystectomy patients divided into two equal groups, one employing conventional laparoscopic cholecystectomy (CLC) and the other using a sponge holding forceps (SHF) (n=15, both groups) to demonstrate the effectiveness of our management. In the CLC group, the number of male patients was two (13.3 %) and female patients 13 (86.7%); in the SHF group, number of male patients was six (40%) and female patients nine (60%). When we compared the results statistically for bladder removal time, total operation time, gallbladder perforation, and wound infection, the p values were found to be 0.016, 0.182, 0.169, and 1, respectively.Results: Thirty patients were analyzed. The SHF group showed significantly better results than the CLC group for gallbladder removal time and better although not significantly better results for perforation of bladder, while there was no difference between the groups for wound infection.Conclusion: Removing the gallbladder with an SHF significantly shortens the duration of removal and also reduces perforations as compared to CLC.Keywords: Laparoscopic Cholecystectomy; Forceps; Techniques.
  • Küçük Resim Yok
    Öğe
    SKIN NECROSIS OF THE BREAST DUE TO METHYLENE BLUE INJECTION
    (Aves, 2012) Sumer, Fatih; Gozeneli, Orhan; Piskin, Turgut; Unal, Bulent
    Sentinel lymph node biopsy (SLNB) has become a standart application in early stage breast cancer. Radiocolloid substances and / or blue dye technics like methylene blue or isosulfan blue are used during the SLNB. Although rare, reactions to these substances may ocur. In this case report, we aimed to present a rare complication that is periareolar skin necrosis related with subareolar injection of methylene blue, of the patient who was performed lumpectomy and SLNB because of breast cancer.
  • Küçük Resim Yok
    Öğe
    swallowed dental prosthesis causing duodenal obstruction in a patient with schizophrenia: Description of a new technique
    (Elsevier Sci Ltd, 2012) Yilmaz, Mehmet; Akbulut, Sami; Ozdemir, Fatih; Gozeneli, Orhan; Baskiran, Adil; Yilmaz, Sezai
    INTRODUCTION: Foreign body ingestion has been a fundamental subject in the area of emergency surgery. The problem is encountered across all age groups; however, it is more common in the pediatric age group. Foreign body ingestion is rare in adults and usually occurs accidentally or in those with psychiatric problems, behavioral disorders, emotional disturbance, mental retardation, or impaired judgment caused by alcohol use. PRESENTATION OF CASE: A 33-year-old Caucasian man with chronic schizophrenia was admitted to the emergency department with signs of upper gastrointestinal discomfort as a result of ingestion of a lower dental prosthesis. An abdominal X-ray showed the swallowed dental prosthesis in front of the vertebral column. A technique comprising gastrotomy and duodenal kocherization was used to remove the dental prosthesis; the prosthesis could not be removed endoscopically due to its fixed position on the duodenal wall. DISCUSSION: Surgery of the duodenum is difficult and carries high mortality and morbidity. Therefore, endoscopy should be the first choice for patients in whom a foreign object is demonstrated to be fixed in the duodenum. In cases where endoscopic extraction fails, surgery should be considered. During surgery, foreign bodies should be removed, paying meticulous attention not to harm the integrity of the duodenum. CONCLUSION: The technique presented in this study was performed successfully without any injury to the duodenum. (C) 2012 Surgical Associates Ltd. Published by Elsevier Ltd. Open access under CC BY-NC-ND license.
  • Küçük Resim Yok
    Öğe
    Ultrasonography in diagnosis of acute appendicitis
    (Edizioni Luigi Pozzi, 2016) Tatli, Faik; Ekici, Ugur; Kanlioz, Murat; Gozeneli, Orhan; Uzunkoy, Ali; Yucel, Yusuf; Dirican, Abuzer
    PURPOSE: 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.