Yazar "Tastepe, I" seçeneğine göre listele

Listeleniyor 1 - 4 / 4
  • Küçük Resim Yok
    Öğe
    Childhood chronic pleural empyema
    (Georg Thieme Verlag, 1998) Soysal, Ö; Topçu, S; Tastepe, I; Kaya, S; Çetin, G
    Background: Surgical treatment may be necessary in childhood chronic pleural empyema. Methods: Over a 21-year period 642 children with pleural empyema were hospitalized and 104 of them underwent surgical treatment. The records of the children who underwent surgery for the treatment of empyema were retrospectively reviewed to describe the role, indications, and results of surgical treatment of childhood chronic pleural empyema. Results: Etiologic diseases or conditions leading to empyema were pneumonia in 69 patients, tuberculosis in 13, hydatid cyst in eight, postpneumonectomy empyema in five, and other causes in nine patients. Indications for surgery were severe pleural thickening in 54 cases (51.9%), trapped lung in 36 cases (34.6%), loculated empyema in eight cases (7.7%) and bronchopleural fistula in six cases (5.8%). Operations performed were decortication in 90 patients, pulmonary resection and decortication in seven, muscle flap closure in five, and pneumonectomy in two. Success rates in the treatment of nonspecific and tuberculous empyema were 93% and 54%, respectively. Conclusions: Surgical treatment is still necessary in childhood pleural empyema in developing countries, and success rates are very high in nonspecific pleural empyema and acceptable in tuberculous pleural empyema.
  • Küçük Resim Yok
    Öğe
    Pleurectomy/decortication for palliation in malignant pleural mesothelioma: Results of surgery
    (Elsevier Science Bv, 1997) Soysal, O; Karaoglanoglu, N; Demircan, S; Topcu, S; Tastepe, I; Kaya, S; Unlu, M
    Objective: Surgery can only offer palliation in an attempt to slow the progression of malignant pleural mesothelioma (MPM), We want to assess the effectiveness and safety of pleurectomy/decortication in establishing a tissue diagnosis, and controlling pleural fluid accumulation and symptoms in patients with MPM. Methods: We reviewed our pleurectomy results in 100 patients with MPM over a 19 year period. Major symptoms were chest pain, cough and dyspnea, and radiographic findings included pleural mass, pleural fluid and constriction of involved hemithorax. Results: Approximately two thirds of the patients underwent underwent subtotal (44%) or total pleurectomy (56%). The surgical mortality rate was 1% (1/100) and the morbidity rate was 22%. Morbidity included prolonged air leak (n = 12), empyema (n = 6), reaccumulation of pleural fluid (n = 2) and wound infection (n = 2). Palliative results included dyspnea and cough relief in all patients, chest pain relief in 60 (85%) and pleural fluid control in 52 (96%) patients. Median survival was 17 months in MPM patients. Conclusions: We conclude that pleurectomy/decortication safely provides both tissue diagnosis and effective control of pleural effusion and symptoms and therefore excellent palliation in patients with MPM. (C) 1997 Elsevier Science B.V.
  • Küçük Resim Yok
    Öğe
    The role of decortication in childhood chronic pleural empyema
    (Monduzzi Editore, 1997) Soysal, O; Tastepe, I; Demircan, S; Topcu, S; Ozdulger, A; Gulhan, E; Bozkurt, D
    To describe the role of decortication and the outcome of the surgical treatment in childhood chronic pleural empyema, the charts of 100 children underwent decortication for the treatment of empyema were reviewed. The preoperative diagnoses were pneumonia in 46 patients, loculated empyema in 26, tuberculous empyema in 11, hydatid cyst in eight. Indications of decortication were severe pleural thickenning in 54 cases, trapped lung in 36 cases, loculated empyema in eight cases and bronchopleural fistula in two cases. Operations performed were decortication in 90 patients and pulmonary resection and decortication in 10. Morbidity occurred in 23 patients and one patient died. Success rates of decortication in the treatment of nonspecific and tuberculous empyema were 96,6% (86/89) and 90,9% (10/11), respectively. Decortication is a well-tolerated and succesfull procedure in childhood chronic pleural empyema.
  • Küçük Resim Yok
    Öğe
    Surgical treatment in nonspecific chronic pleural empyema
    (Monduzzi Editore, 1997) Soysal, O; Topcu, S; Gulhan, E; Tastepe, I; Ozdulger, A; Demircan, S; Balci, D
    The charts of the patients with nonspecific empyema underwent surgery between 1974-1994 were reviewed. Seven hundreds thirty-nine operations were performed in 682 patients. Indications of surgery were pleural thickenning in 423 (57,2%) operations, to close a persistent pleural space in 233 (31,5%), destroyed lung plus empyema in 26 (3,6%) and revision of the first operation in 57 (7,7%). Operations performed were decortication in 412 (55,8%), thoracomyoplasty in 287 (38,8%), decortication and pulmonary resection in 26 (3,6%), decortication and thoracomyoplasty in 11 (1,5%) and Eloesser flap in three operations. Postoperative hospital stay was 23 days median. Overall morbidity and mortality rates were 22,5% and 7,2%, respectively. Timing of surgery, selection of the correct surgical procedure and preoperative medical control of the pulmonary disease are important points of the success of the surgical treatment of empyema. Morbidity and mortality rates are acceptable.