Yazar "Yücel, Yusuf" seçeneğine göre listele

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  • Küçük Resim
    Öğe
    Acute Abdomen Caused by Spontaneous Perforation of Hydatid Liver Cyst
    (2017) Tatlı, Faik; Gözeneli, Orhan; Yücel, Yusuf; Uzunköy, Ali; Yalçın, Hüseyin Cahit; Özgönül, Yalçın; Dirican, Abuzer
    Abstract: Amaç: Bu çalışmada, kist hidatik hastalığının endemik olduğu bölgemizde, karaciğer kist hidatiğinin spontan perforasyonlarına bağlı olarak gelişen akut batın olguları değerlendirmeyi amaçladık. Yöntemler: Kliniğimizde 01.01.2012 ile 01.08.2016 tarihleri arasında opere edilen toplam 218 kist hidatik hastasının dosyaları geriye dönük olarak incelendi. Karaciğer kist hidatik rüptürü nedeniyle acil olarak operasyona alınan 12 (%5,5) vaka çalışmaya dâhil edildi. Olgular yaş, cinsiyet, mevcut semptomları, radyolojik bulguları, laboratuvar sonuçları ve postoperatif takipleri yönünden değerlendirmeye alındı. Sonuçlar: Çalışmaya alınan 12 hastanın 10 (%83,3)'u kadın, 2 (%16,7)'si erkekti, ortalama yaşları 40.4 yıl idi. Olguların hepsinde spontan rüptür mevcuttu. Hastaların 11'inde tek kist, bir hastada ise multiple kist mevcuttu. Dokuz hastaya ultrasonografi (US), üç hastaya ise bilgisayarlı tomografi (CT) ile tanı kondu. Sonuç olarak, kist hidatik hastalığının endemik olduğu bölgelerde, akut batın nedenleri arasında kist hidatik rüptürü de düşünülmelidir. Karaciğerde, periferik yerleşimli ve tek kisti olan hastalarda spontan perforasyon riskinin yüksek olduğunu düşünüyoruz. Kist hidatik rüptürü tanısı konulan hastalar, acil olarak operasyona alınmalı ve ameliyat sonrası medikal tedavi başlanmalıdır.
  • Küçük Resim
    Öğe
    Efficiency of alvarado score in diagnosis of acute appendicitis
    (Turgut Özal Tıp Merkezi Dergisi, 2016) Tatlı, Faik; Ekici, Uğur; Kanlıöz, Murat; Gözeneli, Orhan; Uzunköy, Ali; Yücel, Yusuf; Dirican, Abuzer
    Abstract Aim: Acute appendicitis is the most common cause of abdominal pain resulting in surgery. This study aims to investigate the efficiency of Alvarado Score (AS) in diagnosis of acute appendicitis. Materials and Method: The files of 185 patients operated due to acute appendicitis between January 2013 and February 2015 were retrospectively examined. The Alvarado Scores of the patients were calculated. The patients were divided into 2 groups as <7 and ?7 according to their Alvarado Scores and their pathology results were compared. Results: Of the185 patients included in the study, 44.8% (n: 83) were females and 55.2% (n: 102) were males. The average age was 27.12 (10-80) years. In terms of distribution, 63.8% (n: 118) of the patients had an Alvarado score of ?7 and 36.2% (n: 67) had a score of <7. In the study, 16.7% (n: 31) of the patients had normal pathology results and the pathology of 83.2% (n: 154) patients operated with the pre-diagnosis of acute appendicitis were acute appendicitis patients. We also obtained the following results: specificity of Alvarado score: 90.3%; sensitivity: 74.6%; positive predictive value: 97.4%; negative predictive value: 18.1%; and accuracy ratio: 77.2%. Conclusion: Alvarado Scoring is an affordable and effective method that is easy to use in the diagnosis of acute appendicitis. Keywords: Acute Appendicitis; Alvarado Score; Abdominal Pain.
  • Küçük Resim
    Öğe
    Removing gallbladder from intra abdominal area by a different technique
    (İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 2017) Gözeneli, Orhan; Tatlı, Faik; Yücel, Yusuf; Uzunköy, Ali
    Öz:Aim: Laparoscopic cholecystectomy is a widely performed technique worldwide. The use of laparoscopic threaded holders for this is routine but takes a lot of time and may tear the gallbladder. There are no wide-mouthed and short endoscopic instruments that can be used for removing the gallbladder without perforation. We look at gallbladder removal methods that are quick and do not involve damage at the end of laparoscopic cholecystectomy. Material and Methods: This prospective study was conducted on 30 laparoscopic cholecystectomy patients divided into two equal groups, one employing conventional laparoscopic cholecystectomy (CLC) and the other using a sponge holding forceps (SHF) (n=15, both groups) to demonstrate the effectiveness of our management. In the CLC group, the number of male patients was two (13.3 %) and female patients 13 (86.7%); in the SHF group, number of male patients was six (40%) and female patients nine (60%). When we compared the results statistically for bladder removal time, total operation time, gallbladder perforation, and wound infection, the p values were found to be 0.016, 0.182, 0.169, and 1, respectively. Results: Thirty patients were analyzed. The SHF group showed significantly better results than the CLC group for gallbladder removal time and better although not significantly better results for perforation of bladder, while there was no difference between the groups for wound infection. Conclusion: Removing the gallbladder with an SHF significantly shortens the duration of removal and also reduces perforations as compared to CLC.