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    Comparison of Results of Minimal Invasive Surgery for Pilonidal Sinus with Karydakis Procedure: Less is More
    (2017) Ozyildiz, Mehmet; Yazicioglu, Murat Burc; Coskun, Murat; Turgut, Hamdi Taner; Tiryaki, Çağrı; Civil, Osman; Yuksel, Adem; Yildiz, Selim Yigit
    Aim: Controversy still remains regarding the best surgical technique to use for the treatment of pilonidal disease to minimize disease recurrence and patient discomfort. Minimal surgical procedures can be performed on an outpatient basis. In this study, the early results of our minimally invasive operative approach cases are compared with Karydakis flap reconstruction results.
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    Comparison of the methods of intracorporeal knot and hem-o-lok clip to cover the stumps in laparoscopic appendectomy
    (2018) Subasi, Ozkan; Coskun, Murat; Yuksel, Adem; Yildiz, Selim Yigit; Turgut, Hamdi Taner; Gunes, Abdullah
    Aim: Laparoscopic appendectomy (LA) is used in acute appendicitis treatment in many centers today. Various methods such as intracorporeal knot, endoloop, stapler and hem-o-lok clip are used to close of the appendix stump during LA. All of these methods has several advantages and disadvantages. In this study, we aimed to compare the effect of the intracorporal knot method with hemo-lok clip method to close of the appendix stump in LA. Material and Methods: Operative data, complications and follow-up results of 143 patients which treated with LA between January 2012 and December 2017 were evaluated retrospectively. Results: Sixty-four patients (44.7%) were males and 79 (55.2%) were females. Seventy-five patients (52.4%) were treated with 2/0 polyglactin (coated vicyrl, ethicon) sutures and 68 patients (47%) were treated with hem-o-lok clip XL (weck hem-o-lok polymer ligation system) for intracorporeal knot to close of the appendix stump. Patients were compared according to the duration of operation, the duration of hospitalization and postoperative complications and there were no statistically significant difference between the data of the cases according to the groups (p = 0.197, p = 0.902, p = 0.503, respectively). Conclusion: We identified that both techniques for appendix stump closure are effective and safe methods in LA.
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    Lower gastrointestinal endoscopy results of surgical endoscopy unit
    (2019) Coskun, Murat; Turgut, Hamdi Taner; Yuksel, Adem; Yildiz, Selim Yigit; Firtina, Gizem
    Aim: Endoscopic examinations are gold standard methods with great potential for early diagnosis of colorectal adenomas and carcinomas and reduction of colorectal cancer incidence, and mortality. Our aim in this retrospective study was to evaluate our results regarding the patients who underwent lower gastrointestinal system endoscopy in the general surgical endoscopy unitin Derince Resear hand Training Hospital. Material and Methods: We retrospectively evaluated the data of patients undergoing colonoscopy or rectosigmoidoscopy after admission to the general surgery clinic between January 2015 and December 2017 due to complaints of the lower gastrointestinal system or for bowel preparation for control purposes. Results: Colonoscopies were performed to 57% (n = 2784) of the patients and rectosigmoidoscopy procedure was performed in43% (n = 2100) of 4884 patients. 49.5% (n = 2417) of the patients were males and 50.5% (n = 2467) were females. In 81.5% of the patients the procedure was completed adequately and successfully. The number of patients evaluated as inadequate procedure was 903 (18.5%). Reasons for inadequate procedure were insufficient bowel cleansing in 12.7% (625/4884) of patients and intolerance due to pain in 5.5% (270/4884) of patients. Endoscopic procedures revealed no pathology in 28.7% of the patients (n=1170), hemorrhoids in 30.1 % (n=1198), polyps in 15.7% (n=625), anal fissure in 6.3% (n=250), and malignant diseases in 4.6% (n=183). Conclusion: In this study we evaluated the endoscopy results of the lower gastrointestinal system in our unit, we found that the inadequacy rate of operation was high and the most important cause of this was insufficient bowel cleansing. Being more careful about patient preparation before the procedure, and informing the patient in detail will increase the success of the procedure and prevent unnecessary repetition of the procedure.