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Öğe Endoscopic procedures in neurosurgery: Report of two cases and review of the literature(Turkish Neurosurgical Society, 1995) Akbasak A.; Sariyuce O.; Ozkan S.; Gurel M.Endoscopic systems have now been used with relatively low complication rates in numerous situations including the aspiration and resection of colloid cysts of the third ventricle, biopsy and resection of cystic and intraventricular tumours, evacuation of intracerebral haematomas, and a terminal third ventriculostomy through the foramen of Monro for hydrocephalus. In this paper, we present our experience in two cases, the retrieval of a retained ventricular catheter and the drainage of an intracerebral abscess respectively.Öğe Intraoperative laparoscopy by a flexible scope: is it reliable in contralateral childhood hernias?(1997) Gursoy M.H.; Gurel M.; Koltuksuz U.; Uguralp S.; Aydinc M.BACKGROUND AND OBJECTIVES: Negative contralateral groin exploration for childhood hernias raises the question of whether contralateral groin exploration is necessary or not. To find out whether a contralateral processus vaginalis was patent, we performed laparoscopy with a flexible scope. METHODS: After carbon dioxide insufflation, a flexible laparoscope was inserted through the opened hernia sac and the contralateral processus vaginalis orifice was examined. We considered a patent processus vaginalis as a potential hernia. The study involved 20 children: 16 boys and 4 girls. The symptomatic side was explored in a conventional manner and laparoscopy was performed through the opened hernia sac. RESULTS: A contralateral processus vaginalis was found in 6 children: 4 boys and 2 girls. These results were confirmed by exploring the opposite groin. We did not explore if the laparoscopic examination was within normal limits. There was one false-positive result in a female patient. CONCLUSIONS: Intraoperative non-puncture laparoscopy utilizing a flexible laparoscope through the hernia opening is an uncomplicated, reliable and precise method for identifying a patent contralateral processus vaginalis. It may represent a satisfactory alternative to routine bilateral inguinal exploration. Also, use of the flexible laparoscope may be more beneficial than use of a rigid laparoscope passed through the umbilicus or hernia sac.Öğe Laparoscopic removal of a gallbladder remnant(1995) Gurel M.; Sare M.; Gurer S.; Hilmioglu F.We describe a patient who had an incomplete open cholecystectomy 32 years previously and was hospitalized with jaundice due to a stone in the gallbladder remnant encroaching on the common bile duct. Despite extensive adhesions the gallbladder remnant was removed with laparoscopic techniques and the patient had an uneventful recovery. We conclude that previous surgery, even on the gallbladder, does not preclude the successful completion of a laparoscopic cholecystectomy. © 1995 Lippincott-Raven Publishers, philadelphia.