Yazar "Saraç, Mehmet" seçeneğine göre listele

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  • Küçük Resim
    Öğe
    Kugel Fıtık Tamiri Gerçekten Minimal İnvaziv midir?: Prospektif Randomize Bir Çalışma
    (İnönü Üniversitesi Tıp Fakültesi Dergisi, 2006) Kırkıl, Cüneyt; Aygen, Erhan; Bülbüller, Nurullah; Doğru, Osman; Ödekmerdan, Ahmet; Girgin, Mustafa; Saraç, Mehmet
    Kugel fıtık tamirinin minimal invaziv bir teknik olduğu ileri sürülmektedir. Bu çalışmanın amacı Kugel ve Lichtenstein girişimlerinden sonra gelişen enflamatuvar yanıtları ve klinik sonuçları karşılaştırmaktı. Hastalar ve Metotlar: Tek taraflı kasık fıtığı olan 30 hasta Kugel ve Lichtenstein tamir gruplarına rastgele ayrıldılar. Cerrahi girişimden hemen önce ve girişimden sonraki 12. ve 48. saatlerde, interlökin-6 ve C-reaktif protein seviyelerini ölçmek için periferik venöz kan örnekleri alındı. Cerrahi sonrası akut ve kronik ağrı değerlendirildi. Normal aktivitelere ve işe dönüş süreleri kaydedildi. Bulgular: Lichtenstein girişiminden sonra interlökin-6 düzeyleri belirgin olarak artarken Kugel fıtık tamiri, interlökin-6 düzeylerinde anlamlı olmayan bir artışa neden oldu. C-reaktif protein düzeyleri her iki grupta da belirgin olarak arttı. Kugel girişiminden sonra hastaların ağrısı daha azdı ve daha erken iyileştiler. Sonuç: Sonuçlarımız göstermektedir ki, Kugel fıtık tamiri Lichtenstein tekniği ile karşılaştırıldığında daha az enflamatuvar yanıta, daha az ameliyat sonrası ağrıya ve daha hızlı iyileşmeye neden olmaktadır.
  • Küçük Resim
    Öğe
    Short and long term results of the Karydakis flap versus the Limberg flap for treating pilonidal sinus disease a prospective randomized study
    (The American Journal of Surgery, 2011) Ateş, Mustafa; Dirican, Abuzer; Saraç, Mehmet; Aslan, Ahmet; Çolak, Cemil
    BACKGROUND: Pilonidal sinus is a common disease that mostly affects young people. Although various surgical techniques have been described for treating sacrococcygeal pilonidal disease (SPD), controversy still exists as to the best surgical technique. The purpose of this study was to compare the efficiency and short-term and long-term results of the Karydakis flap with that of the Limberg flap for treating SPD. METHODS: In this prospective randomized study, 269 patients with SPD were recruited to undergo either the Karydakis flap (n 135) or the Limberg flap (n 134) procedure between September 2004 and September 2008. RESULTS: The mean operative time for the Karydakis group (42.32 8.64 minutes) was shorter than that for the Limberg group (50.14 6.96 minutes) (P .01). The complication rate for the Karydakis group (n 15 [11.1%]) was lower than that for the Limberg group (n 28 [20.8%]) (P .029). The visual analogue scale score for postoperative pain at the operation site on the 30th day was lower in the Karydakis group than in the Limberg group (2.22 1.01 vs 3.23 1.14, P .01). The visual analogue scale score for satisfaction with the cosmetic appearance of the scars in the Karydakis group was 7.08 1.75, whereas it was 3.16 1.40 in the Limberg group at the 3rd month (P .01). Length of hospital stay was significantly shorter in the Karydakis group than in the Limberg group (3.40 .94 vs 3.8 1.19 days, P .03). Only 4 patients in the Karydakis group developed recurrence (3%), whereas 9 patients (6.9%) did so in the Limberg group (P .151). CONCLUSIONS: The Karydakis flap procedure should be chosen instead of the Limberg flap for treating uncomplicated SPD because of its lower postoperative complication rate, lower pain scores, shorter operation time and length of hospital stay, and good cosmetic satisfaction. However, no differences existed between the 2 surgical procedures in terms of recurrence prevention.
  • Küçük Resim
    Öğe
    Short and long term results of the Karydakis flap versus the Limberg flap for treating pilonidal sinus disease a prospective randomized study
    (The American Journal of Surgery, 2011) Ateş, Mustafa; Dirican, Abuzer; Saraç, Mehmet; Aslan, Ahmet; Çolak, Cemil
    BACKGROUND: Pilonidal sinus is a common disease that mostly affects young people. Although various surgical techniques have been described for treating sacrococcygeal pilonidal disease (SPD), controversy still exists as to the best surgical technique. The purpose of this study was to compare the efficiency and short-term and long-term results of the Karydakis flap with that of the Limberg flap for treating SPD. METHODS: In this prospective randomized study, 269 patients with SPD were recruited to undergo either the Karydakis flap (n 135) or the Limberg flap (n 134) procedure between September 2004 and September 2008. RESULTS: The mean operative time for the Karydakis group (42.32 8.64 minutes) was shorter than that for the Limberg group (50.14 6.96 minutes) (P .01). The complication rate for the Karydakis group (n 15 [11.1%]) was lower than that for the Limberg group (n 28 [20.8%]) (P .029). The visual analogue scale score for postoperative pain at the operation site on the 30th day was lower in the Karydakis group than in the Limberg group (2.22 1.01 vs 3.23 1.14, P .01). The visual analogue scale score for satisfaction with the cosmetic appearance of the scars in the Karydakis group was 7.08 1.75, whereas it was 3.16 1.40 in the Limberg group at the 3rd month (P .01). Length of hospital stay was significantly shorter in the Karydakis group than in the Limberg group (3.40 .94 vs 3.8 1.19 days, P .03). Only 4 patients in the Karydakis group developed recurrence (3%), whereas 9 patients (6.9%) did so in the Limberg group (P .151). CONCLUSIONS: The Karydakis flap procedure should be chosen instead of the Limberg flap for treating uncomplicated SPD because of its lower postoperative complication rate, lower pain scores, shorter operation time and length of hospital stay, and good cosmetic satisfaction. However, no differences existed between the 2 surgical procedures in terms of recurrence prevention. © 2011 Elsevier Inc. All rights reserved.