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Öğe Diaphragmatic injuries due to stab wounds: Analysis of 18 patients(Turkish Surgical Society, 2010) Dirican A.; Ateş M.; Ünal B.; Yilmaz M.; Özgör D.; Yilmaz S.Purpose: Although all diaphragmatic injuries caused by stab wounds need to be repaired, preoperative diagnosis is often difficult. The purpose of the present study is to share our experience regarding diaphragmatic wounds. Patients and Methods: Eighteen patients with stab wounds causing diaphragmatic injuries treated at General Surgery Clinic of ?nönü University Faculty of Medicine between March 2000 and June 2009 were evaluated retrospectively. Results: There were 15 male and 3 female patients with mean age of 33 (20-69) years. Most common complaints were difficulty in breathing, and abdominal and chest pain. Localization of the injury was on the left side of the diaphragm in 11 (61%) patients and on the right side in 6 (33%) patients, and one (6%) patient had injuries on both sides. Surgery was performed in 17 patients with midline abdominal incision within the first 24 hours after the injury and with lateral thoracotomy in a patient 10 days after injury. Mortality occurred in 3 (17%) patients; in 2 patients due to bleeding from accompanying injuries and in one patient due to postoperative sepsis. Conclusion: Preoperative diagnosis of diaphragmatic injury due to a stab wound is difficult. These patients highly probably have visceral organ injuries in addition to diaphragmatic injuries. Diaphragmatic injuries should be kept in mind in patients with abdominal penetrating stab injuries which are located between umbilicus and xiphoid. Both hemidiaphragms should be explored carefully during abdominal surgery of these patients.Öğe The effect of repeated reading method on reading comprehension(2008) Yilmaz M.; Köksal K.In this study, effect of repeated reading method is researched in improving oral reading comprehension of skills what have read of primary school third grade students. Study is carried out with 4 students elected in proper with the aim of the research from İhsan Aras Primary School and Şinasi Primary School in Ankara. Despite not having any problems with aspects of mentality, auditory and visual, chosen students have reading difficulties. Each week four hours education total 48 hours using repeated reading method, is implemented to every student whose reading comprehension level is found. Education is continued 2 sessions for a week in 3 months and finished in 24 sessions. Training is perfomed with 24 story reading texts chosen from primary school Turkish second grade class texbooks certified by Chairmanship of Teaching and Education Commission. Training is performed individually in a quiet environment. After 3 months education period with repeated reading method, a significant increase at students's reading comprehension of skills were determined.Öğe Evaluation of hepatic hemangioma with technetium-99m RBC scintigraphy: A review of 74 cases with liver masses(2000) Yilmaz M.; Derebek E.; Dicle O.; Degirmenci B.; Sayit E.; Capa G.; Bekis R.Hepatic cavernous hemangioma is the most common benign tumor of the liver. We report the results of technetium-99m red blood cell (Tc-99m RBC) scan in patients with suspected hemangioma following ultrasonography (US) and/or computed tomography (CT). Of 74 patients with 117 liver masses, 55 had a provisional diagnosis of hemangioma, while the remaining 19 patients were negative for hemangioma. According to the final diagnosis, based on clinical follow-up, control US, biopsy and laparotomy, all patients with positive scintigraphy were eventually confirmed to have hemangiomas. In the scintigraphy negative group, there were 14 true negatives (7 metastases, 2 hepatocellular Ca, 1 cholangiocarcinoma, 1 biliary adenofibroma with malignant epithelial transformation, 1 abscess, 1 hydatid cyst 1 chronic active hepatitis with cirrhotic changes), and five false negative cases in whom SPECT failed to detect hemangiomas due to small size and location adjacent to the major intrahepatic vessels. The sensitivity, specificity, positive and negative predictive values were 92%, 100%, 100% and 74% respectively. In addition, 36 patients had Tc-99m tin colloid (Tc-99m TC) scan. Twenty one patients showed cold defects corresponding to the lesions (?2.5 cm) and 15 had normal appearance of colloid images due to small and deeply located lesions. Tc-99m RBC scan is a relatively sensitive and a very specific imaging method for noninvasive diagnosis of hemangioma. Tc-99m TC scan makes little contribution in the differential diagnosis.Öğe Gastric perforation during chest tube placement for acute diaphragmatic rupture and review of the literature(Elsevier BV, 2006) Yilmaz M.; Isik B.; Ara C.; Yilmaz S.; Kutlu R.; Kocak O.; Ugras M.[No abstract available]Öğe A new seton tightening method for anal fistula treatment: Sailor’s knot(Edizioni Luigi Pozzi, 2021) Tatli F.; Bardakci O.; Ozgonul A.; Erkmen F.; Karaca E.; Erol M.K.; Yilmaz M.AIM: There are certain problems experienced while retightening the seton material during the patient follow-ups, such as pain and anaesthesia requirements in perianal fistula. The aim of the present study was to compare a sailor’s knot with other seton tightening methods for the surgical treatment of perianal fistulas. MATERIAL AND METHODS: The records of 105 patients who underwent surgeries for perianal fistulas using the seton method between 2016 and 2019 were analysed retrospectively. The demographic characteristics, complaints, fistula localizations, surgery types, hospital stay lengths, postoperative complications and imaging modalities of the patients included in the study were recorded. The patients were divided into two groups according to the surgical treatment method. Those patients who underwent seton procedures with a sailor’s knot were included in Group 1. Group 2 included those patients who underwent other seton procedures, including silk and penrose drain procedures. Groups were compared with regard to success rates and postoperative recurrence. RESULTS: There was no statistically significant difference between the groups in terms of the age, gender, fistula type and follow-up duration. Success rate in all patient was 88.6%, 91.2% in group 1 and 87.1% in group 2 (p=0.36). The number of patients with a kind of incontinence was 7 (7.1%), 3 (5.8%) in Group 1 and 4 (7.4%) in Group 2 (p = 0.297). CONCLUSION: There were no statistically significant differences with regard to complications and recurrences between the sailor’s knot and the other seton tightening methods used for the treatment of anal fistulas. The sailor’s knot is recommended with regard to its easy application and seton retightening with satisfactory outcomes. © 2021, Edizioni Luigi Pozzi. All rights reserved.Öğe Oral reading errors correcting with repeated reading method(2009) Yilmaz M.In this research, effect of repeated reading method is examined in correcting oral reading errors of primary school third grade students. Research is carried out with 4 students elected in proper with the aim of the research from İhsan Aras Primary School and Şinasi Primary School in Ankara. Despite not having any problems with aspects of mentality, auditory and visual, chosen students have reading difficulties. Each week four hours education total 48 hours using repeated reading method, is implemented to every student whose reading level is found. Education is continued 2 sessions for a week in 3 months and finished in 24 sessions. The application is perfomed with 24 story reading texts chosen from primary school Turkish second grade class texbooks certified by Chairmanship of Teaching and Education Commission. The procedures is performed individually in a quiet environment. After 3 months education period with repeated reading method, a significant decline at students's reading errors were determined.Öğe Peritoneal encapsulation in a patient with incomplete situs inversus(2012) Ince V.; Dirican A.; Yilmaz M.; Barut B.; Ersan V.; Yilmaz S.Peritoneal encapsulation (PE) is an extremely rare congenital condition in which there is abnormal return of the midgut loop to the abdominal cavity in the early stages of development. It may be present in patients with congenital anomalies like incomplete situs inversus. Pre-operative diagnosis is possible with abdominal CT. A 71-year-old man with incomplete situs inversus was admitted to emergency department with symptoms and signs of peritonitis. Computed tomography (CT) of the abdomen showed characteristic features of the PE syndrome. He had exploratory laparotomy performed and arterial occlusion caused ileocaecal ischaemia and PE was observed. Capsule of PE and ileocaecal excision was done. Postoperative recovery was uneventful.
