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    Early functional outcomes of laparoscopic ventral mesh rectopexy in obstructed defecation syndrome: Case series
    (2022) Kozan, Ramazan
    Aim: Laparoscopic ventral mesh rectopexy (LVMR) has gained popularity in the treatment of obstructed defecation syndrome (ODS) related morphological disorders of the pelvic floor. The aim of this study is to investigate the effectiveness, safety and early functional results of the LVMR, especially in ODS-related disorders. Materials and Methods: Data of patients who underwent LVMR between May 2019 and December 2020 were retrospectively analyzed. Demographic characteristics, comorbid diseases, presence of previous abdominal surgery, proctological examination findings, dynamic magnetic resonance defecography results, anal manometer results, early and late complications, postoperative length of hospital stay of patients were recorded. Wexner Incontinence Score (WIS) and Wexner Constipation Score (WCS) were used in the preoperative and postoperative third month to evaluate the functional recoveries of patients. Results: Of 14 patients, one was man (7.1%) and 13 were women (92.9%). The mean age of the patients was 43.71 ± 11.72 years (range 24-61). Mean length of follow-up was 11.14 ± 4.52 months (range 4-19). Three (21.43%) of the patients had external rectal prolapse and 11 (78.57%) had ODS-related rectocele. In these 11 patients with ODS, the mean preoperative and postoperative WCS were 15.81 ± 3.68 (range 11-24) and 7.45 ± 3.24 (range 4-14), respectively, indicating a statistically significant difference (p< 0.001). Conclusion: LVMR is a safe procedure if performed with a selective approach after a thorough preoperative evaluation in ODS patients and a remarkable level of functional recovery can be achieved in these patients, particularly in the postoperative early period.
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    Effect of enteral nutritional support on nutritional status of patients with gastric cancer receiving chemoradiotherapy after gastrectomy
    (2021) Elmas, Ozlem; Kozan, Ramazan
    Elmas, O., & Kozan, R. (2021). Effect of enteral nutritional support on nutritional status of patients with gastric cancer receiving chemoradiotherapy after gastrectomy. Annals of Medical Research
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    Fundal diverticulum; a rare localization
    (İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 2017) Kozan, Ramazan
    Fundal diverticulum; a rare localization
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    Fundal diverticulum; a rare localization
    (2017) Kozan, Ramazan
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    Papillary carcinoma of the thyroid in a mature cystic teratoma of the ovary: a case report
    (2017) Burkankulu Agirbas, Derya; Tokgoz, Vehbi Yavuz; Sipahi, Mehmet; Erin, Recep; Livaoglu, Ayten; Kozan, Ramazan
    Mature cystic teratomas (MCT) are composed of a mixture of tissues derived from all three germ layers and are the most common ovarian tumor in both adolescents and women of reproductive age. Although most of these tumors are benign, malignant transformation of MCT occurs only in about 1-2% of cases. Any of the tissues within the MCT, can change malignant transformation. Struma ovarii is a rare ovarian tumor, reported as %0.5-1 of all ovarian masses and <3% of MCT’s. Less than 5% of struma ovarii present malignant transformation. We reported a 66 year-old postmenopausal woman who was admitted for routine control. We revealed solid-cystic mass in the right adnexa that suggested teratoma. We performed total abdominal hysterectomy and bilateral salpingooophorectomy and thyroid papillary carcinoma was determined in pathological assesment. It is difficult to determine the diagnosis prior to surgery, final pathological diagnosis was confirmed as struma ovarii based on the typical morphology of the thyroid follicles and the results of immunohistochemical staining.