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  • Küçük Resim
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    Demographic analysis of non-melanoma skin cancers in the southeastern anatolia
    (2020) Kapukaya, Rana; Cetin, Alpay; Ciloglu, Osman
    Aim: To make a demographic analysis of patients operated on because of skin cancer in the last ten years in the Diyarbakir region of Turkey. Information was mapped related to age, gender, localization, grade, and size of skin cancers other than melanoma.Material and Methods: A retrospective examination was made of patient data in the computerized information system from the last ten years. Age and gender of the relevant patients, tumour diagnosis, size, and localization were recorded. Results: From the archive scan, the data of 733 patients were retrieved. The diagnosis was basal cell carcinoma (BCC) in 540 cases, squamous cell carcinoma (SCC) in 154, and basosquamous cell carcinoma (BSCC) in 32. BCC was determined more in males (M/F:280/260), localization was mostly in the nasal region and it was seen most in the 60-70 years age range. SCC was diagnosed more in males (M/F:92/62) in the 70-80 years age group, and the most common localization was on the cheek. BSCC was observed more often in females (M/F:14/18). Conclusion: Diyarbakir is geographically located in the South-east Anatolian region of Turkey, those who live there are exposed to long hours of intense sunlight in certain months of the year. In this region, BCC and SCC were seen more in males and BSCC was determined more in females. When it is considered that UV exposure is significant in the etiology of skin cancers, it can be concluded that characteristics change according to geographic region and epidemiological characteristics (skin type, genetic factors, regional working conditions).
  • Küçük Resim
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    The exposition of generators and electrodes belonging to the pacemaker in pacemaker dependent patients: A new management method
    (2020) Karakol, Percin; Kapukaya, Rana
    Aim: In patients with pacemakers, their exposure is often mortal, as there are already patients whose general condition is impaired. In our study, by focusing on our different recommendations and exposition formation mechanisms in case of a need for re-operation when exposition and necrosis in the skin flap is observed in 8 patients who were fitted with cardiac pacemakers due to being dependent on batteries, we shared what could be done in order to prevent it from happening from the beginning.Materials and Methods: Exposed batteries and connections of 8 patients who had admitted due to pacemaker exposition between January 2015- March 2017 were carefully dissected and removed. The generator and leads were replaced with new ones and carried by opening a new subpectoral pocket on the opposite side by creating a subcutaneaus tunnel on the sternum. The area on the left side where the skin flap with development of necrosis was located was debrided. It was reconstructed with fasciocutaneous flap. Results: All patients were successfully treated. No complications were observed during the follow-up period.Conclusion: In cases where large necrosis develops at the pacemaker exposition and on the skin island, it is an effective treatment method to replace the battery with all its connections due to the biofilm layer formed on it with extracardiac lead and to place it in a new subpectoral pocket opened on the other side by tunnelizing. Since exposition is seen mostly in patients with thin subcutaneous fat tissue, pressure can be mechanically prevented by also involving muscle from the beginning or by placing in deeper tissue. Technically, the greatest advantage of the method that we recommend is that it can be done under local anesthesia. Keywords: Exposition; pacemaker; reconstruction