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    A dog tooth case stuck to the bone after bite
    (2021) Sen Tanrikulu, Ceren; Karaman, Serhat; Tanrikulu, Yusuf
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    Effectiveness of ursodeoxycholic acid for the treatment of gall bladder stones and sludge in pregnant women
    (2021) Okus, Ahmet; Tanrikulu, Yusuf; Gemici, Kazim; Alptekin, Husnu; Sevinc, Baris
    Aim: The objective of this study is to evaluate the effectiveness of ursodeoxycholic acid (UDCA) for the treatment of symptomatic pregnant women with gall bladder stones and/or sludge. Material and Methods: Gynecology and obstetrics clinic patients who were symptomatic with gallbladder stones and/or microlithiasis were included in the study. Group 1 consisted of cases with conservative treatment and group 2 consisted of cases with UDCA treatment. After treatment, the groups were compared for symptomatic and radiological relief and hospitalization. Results: For group 2, the mean treatment time with UDCA was 7.6 weeks. After treatment, a full cure was achieved in 28% of cases and symptomatic relief was achieved in 36% of cases. In group one; there was response to treatment in only 12% of cases. In the UDCA group, none of the patients needed hospitalization; however, in the conservative treatment group, five cases needed hospitalization. Conclusion: UDCA is effective for the treatment of symptomatic gall bladder disease in pregnancy. It both relieves symptoms and decreases the need for hospitalization.
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    Physio-pathological risk factors from gallbladder affecting the conversion from laparoscopic cholecystectomy to open cholecystectomy
    (2021) Tanrikulu, Yusuf; Yilmaz, Gokhan; Goksoy, Beslen
    Aim: Laparoscopic cholecystectomy is the first-line treatment method in the surgical treatment of gallbladder pathologies. Predicting conversion from laparoscopic to open cholecystectomy is still an important problem in the world. In our study, we aimed to investigate the gallbladder-derived physiopathological risk factors that affect the conversion from laparoscopic to open cholecystectomy.Materials and Methods: 370 patients who underwent cholecystectomy with the indications of symptomatic gallstone, acute cholecystitis, asymptomatic gallstones and gallbladder polyps were included in the study. Patients' demographic data such as age and sex, and pathological diagnoses, gallbladder wall thickness, and gallbladder volumes were obtained from pathology results. The effects of physiological parameters on conversion to open cholecystectomy were compared.Results: The most common indication for surgery is symptomatic gallstones (227 patients, 74.9%). The first preferred surgical technique is laparoscopic cholecystectomy with 86.5%. The conversion rate was 10.5% (n=39). The rate of conversion to open cholecystectomy was found to be high and a statistically significant difference was observed in patients with high gallbladder wall thickness and large sac volume (p0.001 for wall thickness, p=0.008 for gallbladder volume)Conclusions: We determined that the wall thickness and volume of the gallbladder had a significant effect on the conversion rate of laparoscopic cholecystectomy to open cholecystectomy. We believe that, patients who can be detected ultrasonographically prior to surgery with increased gallbladder wall thickness, and gallbladder volumes are more likely to conversion to open surgery and that patients should be informed in detail.
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    A rare cause of incarcerated inguinal hernia content: Ruptured hemorrhagic ovarian cyst
    (2021) Tanrikulu, Yusuf; Tanrikulu, Ceren; Yilmaz, Gokhan
    The hernia is called the protrusion of the intra-abdominal organs out of a defect in the abdominal wall. Although the contents of the hernial sac generally form the omentum and small intestines, it can be found in organs such as appendix, fallopian tubes, ovary, bladder, Meckel diverticulum in the hernial sac. Although ultrasonographic imaging is helpful in determining the contents of the hernia sac, surprise sac contents may still be encountered during surgery. In this case report, a 38-year-old female patient with a ruptured ovarian cyst in the incarcerated hernia sac is discussed with the literature.
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    Surgical treatment of secondary hyperparathyroidism
    (2019) Tanrikulu, Yusuf; Temiz, Ayetullah; Karadeniz, Erdem
    Aim: Initial treatment of secondary hyperparathyroidism (sHPT), often seen as a result of end-stage renal failure, is medical treatment. Treatment-resistant patients require surgery. The aim of this study is to evaluate the diagnosis and treatment of patients who underwent sHPT.Material and Methods: Twenty-one patients who were operated for sHPT were included in the study. The demographic data of the patients and correlation of imaging results with correct localization and pathological diagnosis were evaluated.Results: The mean age of the patients was 45.80±1.10. While the number of patients with growth in a parathyroid gland was 7 (32%), the number of patients with multiple glands was 8 (39%). According to scintigraphy evaluation, the same values were 4 (19%) and 12 (57%) patients. 7 (34%) patients were underwent adenoma excision, 11 (52%) patients were underwent subtotal parathyroidectomy and 3 (14%) patients were underwent total parathyroidectomy + parathyroid auto-implantation. Persistent hyperparathyroidism was seen in 2 patients who underwent subtotal parathyroidectomy and 1 patient who underwent adenoma excision. Conclusion: Today, the treatment of sHPT is still the best treatment option, and as a treatment, subtotal parathyroidectomy and total parathyroidectomy + parathyroid autoimplantation surgery should be preferred.