Yazar "Ozdas, Sabri" seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • Küçük Resim
    Öğe
    Investigation of the characteristics differentiating complicated and non-complicated appendicitis: A prospective analysis
    (2020) Ozdas, Sabri; Turgut, Kasim; Sirik, Mehmet; Aydin, Irfan
    Aim: To investigate preoperative laboratory and clinical results and imaging methods in patients with complicated and non-complicated appendicitis.Materials and Methods: A total of 141 patients aged over 16 years, who underwent surgery with the diagnosis of acute appendicitis, were included in the study. In patients diagnosed with acute appendicitis based on physical examination and laboratory findings, abdominal contrast-enhanced tomography was performed for confirmation and differential diagnosis. Age, gender, body temperature, complaint, duration of complaint, number of white blood cells, the largest diameter of appendicitis measured on computed tomography (CT), Alvarado score, and recurrent admission to any health institution with the same complaint were recorded. Intraoperative findings and pathology reports were evaluated to determine whether the appendicitis was complicated, and the cases were divided into two groups as complicated and non-complicated. Results: Totally 141 patients were included in the study, 39 cases were classified as complicated and 102 cases as non-complicated appendicitis. There were more people with high fever in the complicated group (p=0.023). The median of largest appendicitis diameter measured on the CT was 8.5 (5.5-15) mm, and a significant difference was determined between the two groups in terms of diameter (p0.001). The median time from the onset of the complaints to the emergency department presentation was 12 hours, and this duration was significantly longer in the complicated group (p0.001). Analysis of receiver operating characteristic curves yielded the cutoff values of 8.35 mm for diameter (area under the curve [AUC]: 0.860; sensitivity: 87.2%; specificity: 63.7%), and 10.5 hours for time interval (AUC: 0.868; sensitivity: 97.4%; specificity: 64.7%) were found to be the best predictive values for the complicated acute appendicitis determination.Conclusion: In patients diagnosed with acute appendicitis, necessary interventions should be immediately undertaken, especially in the presence of fever, increased appendicitis diameter, and delayed presentation to hospital.
  • Küçük Resim
    Öğe
    Risk of port site hernia after laparoscopic sleeve gastrectomy
    (2020) Ozdas, Sabri; Bozkurt, Hilmi
    Aim: Recently, one of the most preferred options in the surgical treatment of obesity is laparoscopic sleeve gastrectomy The purpose of this study is to investigate the incidence of port site hernia formation and the factors affecting the fascia defect in the group with and without closure after LSG.Material and Methods: The data of patients who were operated due to morbid obesity in a single center between March 2014 and June 2018 was reviewed and analyzed retrospectively. The patients were divided into two groups, being those in whom the fascial defect at the 12-mm trocar insertion site from which the gastric remnant was removed during surgery was closed, and those in whom the fascial defect was not closed. The incidence of port site hernia and the factors affecting the development of port site hernia were evaluated with physical and ultrasound examinations 1year after surgery.Results: The study was completed with a total of 207 patients, of which 112 fascias was not closed and 95 fascia was closed. The rate of hernia formation was significantly lower in the fascial closure group than in the non-fascial closure group (p:0,036). Aside from this parameter, no significant difference was identified in the other parameters of the two groups. Age was significantly higher in patients that developed hernias following surgery than in those who did not develop hernias.Conclusion: This study determined that the closure of the fascial defect is a protective factor against the development of port site hernia when compared to non-fascial closure.