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    Commonly administered physiotherapy techniques in thoracic surgery clinics in Turkey
    (2021) Kilicgun, Ali; Ozel, Alp; Yaksi, Osman; Unal, Mehmet
    Aim: The aim of this study was to investigate the physiotherapy techniques in the thoracic surgery clinic in Turkey. Materials and Methods: The data of this research was obtained through the online questionnaire created by the authors. The questions in the questionnaire were created by the researcher in parallel with the literature (14 questions). In the questionnaire, descriptive information was asked using multiple-choice question types about chest surgery clinics and applied physiotherapy. A chest surgeon from each participating clinic was asked to respond to the questionnaire. Results: A total of 62 clinics participated in the study. The mean number of monthly operations of these clinics is 0-20 in 51.6%, 21-40 in 19.4%, and 41-60 in 19.4%. 64.5% of the clinics participating in the study perform regular physiotherapy practices to their patients. The clinics that applied pulmonary rehabilitation to their patients, 65% of them additionally performed pulmonary rehabilitation in the preoperative period. The most common applications were early mobilization, airway cleaning techniques, deep breathing exercises, assisted coughing, humidification of the airway, incentive spirometer exercises, forced expiration, and exercise practices. 53.3% of the clinics where routine physiotherapy was administered benefited from assistive devices for pulmonary rehabilitation. Conclusion: Although physiotherapy practices are performed in the thoracic surgery clinic in Turkey, they are not at the desired level. Preoperatively pulmonary rehabilitation practice in thoracic surgery is even rarer. Moreover, the content of pulmonary rehabilitation programs is not standard. The prevalence of evidence-based physiotherapy applications should be increased in thoracic surgery clinics.
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    Öğe
    Surgery for Pulmonary Hydatidosis in Turkey in 2014: A Nationwide Study
    (Aves, 2019) Gulhan, Sakir Erkmen; Kilicgun, Ali; Samancilar, Ozgur; Altinok, Tamer; Kutluk, Ali Cevat; Baysungur, Volkan Selami; Celik, Muhammet Reha
    OBJECTIVES: Turkey remains among the countries where hydatid disease is endemic. In this study, it was aimed to determine the number of operations performed for the treatment of pulmonary hydatid disease in Turkey during 2014 and to present the distribution of these operations according to the different regions of the country. MATERIALS AND METHODS: The Turkish Thoracic Society Thoracic Surgery Study Group connected with the thoracic surgeons in each city through telephone. A data set was sent by email. The age, sex, contact with animals that might be a risk of gaining the hydatid disease, the side of the disease, the type of surgical method, other organ involvement were recorded and collected from each data set to form the final data, and the results were evaluated. Turkey comprises of 81 cities that are grouped in seven different regions. The number of operations was calculated for each city and region to present the distribution. RESULTS: Overall, 101 centers from 81 cities were considered in the study. A total of 715 pulmonary hydatid cyst operations were performed in 690 patients during the study period. The most common operation technique was cystotomy and capitonnage through thoracotomy (76%). The highest incidence rate of operated patients was in the Eastern Anatolian Region (2.15 patients per 100 000 person-years). CONCLUSION: Pulmonary hydatid disease still has a high incidence rate particularly in the southeast and east of Turkey, which are mainly rural areas and where stockbreeding is very common. Cystotomy and capitonnage is still the most common surgical method used to treat pulmonary hydatid cysts. Preventive methods should be performed strictly in these cities and regions to decrease the risk of infection.