Şahin, Ercan | Kalem, Mahmut

Article | 2018 | The European Research Journal4 ( 3 ) , pp.162 - 167

Objectives. The aim of this retrospective study was to report the treatment results obtained with the ankle- spanning Ilizarov fixator technique in the treatment of complex OTA/AO type 43C3 open tibial pilon fractures. Methods. A total of 14 patients with open OTA/AO type 43C3 tibial pilon fractures were evaluated. The demographics and fracture characteristics, preoperative and postoperative radiological evaluations, duration of follow-up (months), time to union (months) and complications were recorded. After collection of operative data, patients were invited for functional and radiological outcome evaluation. American Orthopaedic . . .Foot and Ankle Society (AOFAS) scores and range of movement (ROM) of the ankle joint were investigated. Also radiologically the ankle osteoarthritis level according to the Bargon et al. criteria was noted. Results. The mean age of the patients was 48.7 years (range, 26-72 years). The mean follow-up period was 32 months (range, 25- 46 months). The clinical and radiological time to union was mean 6.5 months (range, 5-11 months). On the postoperative ankle CT images, the separation within the ankle was measured as < 2mm in all patients and in 3 patients, stepping was measured as > 2mm. Following removal of the external fixator, dorsiflexion was measured as mean 15.5° (range, 0°-23°) and plantar flexion as mean 26.14° (range, 13°-36°). The mean AOFAS was 80.35 (range, 56-92). Conclusion. Satisfactory results can be obtained with the Ilizarov external fixator passing the ankle in the permanent treatment of AO-43C3 type open tibial pilon fractures Daha fazlası Daha az

Tanrıkulu, Yusuf | Tanrıkulu, Ceren Şen | Yılmaz, Gökhan | Bıçakcı, Ercan

Article | 2018 | Turkish Journal of Surgery34 ( 1 ) , pp.65 - 67

Gossypiboma refers to a mass formed around surgical instruments or materials left in the body postoperatively. The occurrence of gossypibomas remains an important problem, despite improvements in surgical procedures and operating room facilities. The clinical presentation of gossypiboma can vary depending on the host response. This report describes a case of abdominal gossypiboma after splenectomy. A 48-year-old man who had undergone splenectomy 27 years ago was admitted to our clinic suffering from non-specific symptoms for 2 weeks. He was cachectic, but laboratory test results were normal. Abdominal ultrasonography and computed to . . .mography revealed a mass in the left hypochondrium. An entero-enteric fistula and an encapsulated foreign body (surgical compress) were detected during an exploratory laparotomy, and the foreign body was removed. Preventing gossypibomas is very important because of their potential to create medico-legal problems and increase mortality and morbidity. Therefore, forgotten surgical material should be considered in all patients with a surgical history, and surgery should be performed carefully Daha fazlası Daha az

Ayar, Orhan | Özmen, Mehmet Cüneyt | Yazgan, Serpil | Koban, Yaran

Article | 2018 | Medicine Science7 ( 1 ) , pp.139 - 144

To compare the clinical outcomes of plate haptic and open-loop haptic toric multifocal intraocular lenses (IOLs). In this retrospective, comparative clinical trial, two different designs of multifocal toric IOL were implanted in 49 eyes of 38 cases with corneal astigmatism ? 0.75 Diopter (D). The cases that underwent AcrySof IQ restore multifocal toric IOL (Alcon, open-loop-haptic) implantation were assigned to Group1 (n=19) and the cases that underwent Acriva Reviol multifocal toric IOL (VSY, plate-haptic) implantation were assigned to Group 2 (n=30). After surgery, the groups were compared in terms of degree of IOL rotation, resid . . .ual spherical refraction and astigmatism and uncorrected near and distance visual acuity. With regard to the results of postoperative 1st month, 3rd month, 6th month and 1st year, no difference was determined in terms of uncorrected distance visual acuity, spherical equivalent (SE), degree of astigmatism (CYL), degree of rotation, and uncorrected near visual acuity (p>0.05). Significant increase was determined in all postoperative follow-up periods in terms of the distance and near visual acuity as compared to preoperative values (p0.05). Clinical outcomes of plate haptic Acriva Reviol multifocal toric IOL and open-loop haptic Acrysof IQ multifocal toric IOL are similar. Both types of IOL effectively reduce astigmatism and provide satisfactory uncorrected distance and near visual acuities Daha fazlası Daha az

Kuzu, Fatih | Unal, Mustafa | Gul, Sanser | Bayraktaroglu, Taner

Article | 2018 | Turkish Neurosurgery28 ( 2 ) , pp.168 - 170

Pituitary apoplexy is a medical condition that needs urgent diagnosis and treatment. It may occur spontaneously or may be precipitated by a variety of reasons including dynamic endocrine tests. Although pituitary apoplexy is usually seen in nonfunctional pituitary adenoma, it can also be seen in ACTH secreting macroadenomas. ACTH secreting adenomas present usually as microadenomas and in these patients apoplexy is rarely seen. In this paper we present a 30-year-old male patient with a history of Cushing’s disease who suffered from pituitary apoplexy after the 1 mg dexamethasone suppression test. He underwent endoscopic endonasal tra . . .nssphenoidal surgery and his symptoms and signs were significantly improved Pituitary apoplexy is a medical condition that needs urgent diagnosis and treatment. It may occur spontaneously or may be precipitated by a variety of reasons including dynamic endocrine tests. Although pituitary apoplexy is usually seen in nonfunctional pituitary adenoma, it can also be seen in ACTH secreting macroadenomas. ACTH secreting adenomas present usually as microadenomas and in these patients apoplexy is rarely seen. In this paper we present a 30-year-old male patient with a history of Cushing’s disease who suffered from pituitary apoplexy after the 1 mg dexamethasone suppression test. He underwent endoscopic endonasal transsphenoidal surgery and his symptoms and signs were significantly improve Daha fazlası Daha az

Türer, Çiğdem Coşkun | Turer, Akif | Altun, Gamze

Article | 2018 | Annals of Medical Research25 ( 2 ) , pp.169 - 175

Aim: Periodontitis is a chronic inflammatory disease characterized by tissue destruction. Patients with diabetes mellitus are more susceptible to severe tissue destruction. Puerarin, a biological component derived from Pueraria lobate, has anti-inflammatory and anti-diabetic effects. The purpose of the study is to evaluate the protective role of puerarin on alveolar bone loss and connective tissue destruction in ligature induced diabetic and non-diabetic rats. Material and methods: Sixty rats were divided as non-diabetic control, non-diabetic-experimental periodontitis (EP)-systemic saline, non-diabetic-EP-systemic puerarin, diabeti . . .c control, diabetic-EP-systemic saline and diabetic-EP-systemic puerarin. Diabetes was induced by injection of streptozocin (200 mg/kg). EP was achieved by placing a sterile silk suture around the first molars into the gingival sulcus for 15 days. In puerarin treated groups, 200 mg/kg puerarin was applied daily for 15 days beginning one-day prior the placement of the ligature. The alveolar bone level of the first molar tooth, alveolar bone ratio in the furcation area and the attachment level were evaluated histologically. MMP-9, TIMP-1 levels and RANKL/OPG ratio were evaluated immunohistochemically. Results: Significantreduced alveolar bone and attachment losses were found in puerarin-treated groups comparing to in salineadministered groups ( Daha fazlası Daha az

Kalem, Mahmut | Kocaoglu, Hakan | Sahin, Ercan | Kocaoglu, Merve H. | Basarır, Kerem | Kınık, Hakan

Article | 2018 | Acta Orthopaedica et Traumatologica Turcica52 ( 2 ) , pp.97 - 100

Objective: The aim of this study was to analyze the effects of preoperative echocardiography on patientsurvival, timing of surgery in length of hospital stay in patients who will undergo hip nailing for anintertrochanteric fracture.Methods: The clinical records of the patients who were admitted to a tertiary university hospital with anintertrochanteric femur fracture were retrospectively analyzed. The age, gender, American Society ofAnesthesiologists (ASA) score, days to surgery, total hospital stay, cardiac drug prescription/modiŞcation,cardiac intervention and presence of an echocardiography assessment including detailedŞndings we . . .rereviewed. Mortality data were accessed from the national civil registration system.Results: 181 (110 women and 71 men; mean age 81 (44e98)) cases were studied whom 65 underwentpre-operative echocardiography. Time to surgery and total hospital stay was 2 days longer at transthoracic echocardiography (TTE) group (p< 0.001). At one month control group survival rate was 93.1%on contrary it was 75.4% at TTE group. One-year survival rates were 77.3% and 55.1% respectively.Likewise mean expected survival time was 21.6± 1.03 months for control group and 15.12 ± 1.64 monthsfor TTE group (p< 0.001). Only increased left ventricular end diastolic diameter (LVEDD) was showed tobe associated with increasing one-year mortality with a hazard ratio of 10.78 (2.572e45.19) at multivariate model.Conclusion: CardiacŞndings and requisite for preoperative TTE and increased LVEDD is a strong predictorfor mortality. TTE signiŞcantly lengthens the time to surgery. Also LVEDD measurement can be easilyperformed in the bedside which we believe would save time and reduce mortality.Level of evidence: Level III Diagnostic study. Objective: The aim of this study was to analyze the effects of preoperative echocardiography on patientsurvival, timing of surgery in length of hospital stay in patients who will undergo hip nailing for anintertrochanteric fracture.Methods: The clinical records of the patients who were admitted to a tertiary university hospital with anintertrochanteric femur fracture were retrospectively analyzed. The age, gender, American Society ofAnesthesiologists (ASA) score, days to surgery, total hospital stay, cardiac drug prescription/modiŞcation,cardiac intervention and presence of an echocardiography assessment including detailedŞndings werereviewed. Mortality data were accessed from the national civil registration system.Results: 181 (110 women and 71 men; mean age 81 (44e98)) cases were studied whom 65 underwentpre-operative echocardiography. Time to surgery and total hospital stay was 2 days longer at transthoracic echocardiography (TTE) group (p< 0.001). At one month control group survival rate was 93.1%on contrary it was 75.4% at TTE group. One-year survival rates were 77.3% and 55.1% respectively.Likewise mean expected survival time was 21.6± 1.03 months for control group and 15.12 ± 1.64 monthsfor TTE group (p< 0.001). Only increased left ventricular end diastolic diameter (LVEDD) was showed tobe associated with increasing one-year mortality with a hazard ratio of 10.78 (2.572e45.19) at multivariate model.Conclusion: CardiacŞndings and requisite for preoperative TTE and increased LVEDD is a strong predictorfor mortality. TTE signiŞcantly lengthens the time to surgery. Also LVEDD measurement can be easilyperformed in the bedside which we believe would save time and reduce mortality.Level of evidence: Level III Diagnostic study Daha fazlası Daha az

İşcan, Hakkı Zafer | Ünal, Ertekin Utku | Aytekin, Bahadır | Sarıcaoğlu, Mehmet Cahit | Karahasanoğlu, Onur | Kiriş, Erman | Akkaya, Boğaçhan

Article | 2018 | Damar Cerrahi Dergisi27 ( 2 ) , pp.78 - 84

Amaç: Bu çalışmada yüksek riskli hasta grubuna daha etkin ve güvenli tedavi sunabilmek ve her hastada en uygun endovasküler greftin seçimine ışık tutabilmek amaçlandı. Hastalar ve Yöntemler: Ocak 2012 - Ocak 2017 tarihleri arasında AFX® (Endologix, Inc., Irvine, CA, USA - Bifurcated Endograft System) grefti kullanılarak tedavi edilen infrarenal abdominal aort anevrizması (İAAA) tanılı ardışık ve elektif 63 hastanın (60 erkek, 3 kadın; ort. yaş: 68.2±7.2 yıl; dağılım 57-87 yıl) verileri retrospektif olarak incelendi. Hastaların verileri ameliyat öncesi, ameliyat sırası ve ameliyat sonrası olarak üç aşamada değerlendirildi. Bulgular: . . .Hipertansiyon (%63.5) ve koroner arter hastalığı (%57.1) en sık eşlik eden hastalıklar olup, 34 hastaya (%53.9) lokal anestezi altında girişim yapıldı. İşlem süresi ortalama 131.3±25.4 dk., skopi süresi 17.8±4.0 dk. ve kullanılan opak miktarı 67.0±16.9 mL idi. Ameliyat sonrası erken dönemde hiçbir hastada mortalite, renal komplikasyon ve miyokard enfarktüsü saptanmadı. Ortalama hastanede yatış süresi 2.3±1.4 gün idi. Hiçbir hastada açık cerrahiye dönülmedi. İşlemin teknik başarı oranı %100 olarak bulundu. Sonuç: Çalışmamızın sonuçları, Endologix AFX® greftinin erken dönemde etkin ve güvenli olduğunu göstermektedir. Objectives: The aim of this study is to provide a more effective and safer treatment for high-risk patient group and to shed light on the selection of the most appropriate endovascular graft for each patient. Patients and methods: Between January 2012 and January 2017, data of 63 consecutive and elective patients (60 males, 3 females; mean age: 68.2±7.2 years; range, 57 to 87 years) with the diagnosis of an infrarenal abdominal aortic aneurysm (IAAA) who were treated with AFX® (Endologix, Inc., Irvine, CA, USA - Bifurcated Endograft System) graft were retrospectively analyzed. Data of the patients were evaluated in three stages: preoperatively, intraoperatively, and postoperatively. Results: Hypertension (63.5%) and coronary artery disease (57.1%) were the most common comorbidities and 34 patients (53.9%) underwent an intervention under local anesthesia. The mean duration of the procedure was 131.3±25.4 min, the duration of the scopy was 17.8±4.0 min, and the amount of opaque used was 67.0±16.9 mL. No mortality, renal complications, and myocardial infarction were observed in any of the patients in the early postoperative period. The mean length of hospital stay was 2.3±1.4 days. No conversion to open surgery was needed in any patients. The technical success rate of the procedure was found to be 100%. Conclusion: The results of our study show that the Endologix AFX® graft is effective and safe in the short-term Daha fazlası Daha az

İşcan, Hakkı Zafer | Ünal, Ertekin Utku | Sarıcaoğlu, Mehmet Cahit | Aytekin, Bahadır | Türkcan, Başak Soran | Akkaya, Boğaçhan | Yiğit, Görkem

Article | 2018 | Damar Cerrahi Dergisi27 ( 1 ) , pp.1 - 7

Amaç: Bu çalışmada elektif infrarenal abdominal aort anevrizmasına (iAAA) son beş yıldaki klinik yaklaşımımız ve erken dönem sonuçlarımız sunuldu.Hastalar ve Yöntemler: Hastanemizin Kalp ve Damar Cerrahisi kliniğinde Ocak 2012 - Ocak 2017 tarihleri arasında elektif iAAA tanısı ile girişim yapılan toplam 333 hastanın (308 erkek, 25 kadın; ort. yaş 70.6±6.6 yıl; dağılım, 54-87 yıl) verileri retrospektif olarak incelendi. Bu hastalar Grup 1 (endovasküler anevrizma tamiri [EVAR] grubu; n=187) ve Grup 2 (açık cerrahi [AC] grubu; n=146) olarak iki gruba ayrıldı.Bulgular: Grup 2'ye kıyasla Grup 1'in yaş ortalaması daha yüksek bulundu (p . . . Daha fazlası Daha az

Çelik, Sevim | Baş, Betül Kübra | Korkmaz, Zehra Nur | Karaşahin, Hatice | Yıldırım, Sibel

Article | 2018 | Bakırköy Tıp Dergisi14 ( 1 ) , pp.17 - 23

Amaç: Bu çalışma hemşirelerin ağrı yönetimi hakkındaki bilgi ve davranışlarının belirlenmesi amacıyla gerçekleştirildi.Gereç ve Yöntem: Çalışma kesitsel tipte çalışma olarak dizayn edildi. Çalışma Şubat- Nisan 2014 tarihleri arasında 560 hemşire ile yapıldı. Veriler Hemşire Tanıtıcı Formu, Hemşirelerin Ağrı İle İlgili Bilgi Ve Davranış Anketi kullanılarak toplandı. Veriler tanımlayıcı istatistiksel yöntemler, Student t testi, tek yönlü ANOVA, Kruskal Wallis testleri kullanılarak değerlendirildi.Bulgular: 560 hemşirenin %45.2’si 29-38 yaş grubunda, %88.6’sı bayan, %66.1’i lisans mezunuydu. %69.8’i dahili kliniklerde, %91.6’sı yatak b . . .aşı hemşire olarak çalışıyordu. Hemşirelerin %39.5’i 5 yıldan az deneyime sahipti. Hemşirelerin %56.2’si ağrı ile ilgili hizmet içi eğitim almamıştı ve %76.6’sı ağrı ile ilgili yayın takip etmiyordu. Hemşirelerin üçte biri (%35.2) sıklıkla ağrı için skala kullanmıyordu. Hemşireler ağrı ile ilgili bilgi ve davranış anketinden 4.95±2.16 puan almışlardı. Yüksek Lisans mezunu (6.31±2.19; p=0.002), hemşirelik yayınlarını takip eden (5.30±2.25; p=0.03) ve her zaman ağrı skalası kullanan (5.26±2.38; p=0.02) hemşirelerin ağrı ile ilgili bilgi ve davranış anket puanı anlamlı şekilde daha yüksekti. Çalışma yılı daha uzun hemşirelerin bilgi ve davranış puan ortalaması daha düşüktü (p>0.05). Dahili kliniklerde çalışan hemşirelerin bilgi ve davranış puan ortalaması cerrahi kliniklerde çalışanlardan daha yüksekti (p>0.05). Ağrı ile ilgili hizmet içi eğitim alan hemşirelerin puan ortalamaları daha yüksekti (p>0.05). Sonuç: Çalışma hemşirelerin ağrının tanılanması ve yönetimine ilişkin yeterli bilgiye sahip olmadığını göstermiştir Objective: This study was conducted with the aim of determining knowledge and behavior of nurses about pain management. Material and Method: The study was designed as a cross-sectional study. The study was performed on 560 nurses between February and April 2014. Data were collected by using Nursing Information Form and The Survey Regarding Nurses’ Knowledge and Behavior Regarding Pain. Data were evaluated by using descriptive statistical methods, Student’s t-test, One-way ANOVA and Kruskal-Wallis tests. Results: Out of total 560 nurses, 45.2% were in the age group of 29-38 years, 88.6% were female, 66.1% had a graduation degree, 69.8% were working in internal diseases units and 91.6% were working as a bedside nurse, 39.5% of nurses had an experience less than 5-year, 56.2% of nurses had no in-service training regarding pain, and 76.6% did not follow the literature about pain. One-third of nurses (35.2%) were not using scales for pain often. In the survey, nurses scored 4.95±2.16 points in knowledge and behavior about pain. The average knowledge and behavior in pain scores of nurses with post graduate degrees (6.31±2.19, p=0.002), of nurses who followed nursing publications (5.30±2.25, p=0.03) and of nurses those always used the pain scales (5.26±2.38, p=0.02) were significantly high. Longer the working times, lower the average knowledge and behavior scores of the nurses (p>0.05). The average knowledge and behavior score of nurses working in internal diseases units were higher than the scores of ones working in surgical units (p>0.05). The nurses who had in-service training in pain had higher average scores (p>0.05). Conclusions: The study indicates that nurses do not have sufficient knowledge about diagnosis and management of pai Daha fazlası Daha az

Kale, Aydemir

Article | 2018 | Gazi Medical Journal29 ( 1 ) , pp.41 - 43

Objective: Carpal tunnel syndrome (CTS) is the most common peripheral trap neuropathy resulting from compression of the median nerve in the carpal tunnel of the wrist. Open release of the transverse carpal ligament is now the most commonly used method. New techniques are being developed to avoid complications of standard long curvilinear incision. Methods: Between March 2010 and January 2016, carpal tunnel release was performed by the same surgeon with 110 minimally invasive techniques in 96 patients due to CTS. Complaints and physical examination findings were compatible with CTS and mid- to severe-severity CTS cases supported by E . . .MG were included in the study. Results: Complaints and examination findings were recorded at the post- operative 1 st year outpatient clinics of the patients. Of the110 carpal tunnel release, in 50 patients (%45,5) total, in 45 patients (%40.9) significant, in 13 patients (%11,8) slight improvement were recorded, while no improvement was recorded in 2 patients (%1,8). They stated that 88% of the patients were satisfied with the operation and 12% were not satisfied. Visual Analog Scale (VAS) was used to evaluate pain complaints. The mean VAS score was 7,5 pre- operatively and 3,2 at post-operatively 1 year follow-up. Conclusion: In patients with CTS, median nerve decompression with minimal wrist incision is an effective and reliable surgical procedure. Amaç: Karpal tünel sendromu (KTS), median sinirin el bileğindeki karpal tünelde sıkışması sonucu ortaya çıkan en sık periferik tuzak nöropatidir. Transvers karpal ligamanın açık serbestleştirilmesi günümüzde en yaygın kullanılan yöntemdir. Standart uzun kurvilinear insizyonun komplikasyonlarından sakınmak için yeni teknikler geliştirilmektedir. Yöntem: Mart 2010- Ocak 2016 yılları arasında KTS nedeniyle 96 hastaya 110 minimal invazif teknik ile aynı cerrah tarafından karpal tünel serbestleştirilmesi yapıldı. Şikayet ve fizik muayene bulguları KTS ile uyumlu olup EMG ile ön tanısı desteklenmiş orta ve ağır derece KTS olguları çalışmaya alındı. Bulgular: Hastaların post-operatif 1. yıl poliklinik kontrollerindeki şikayet ve muayene bulguları kaydedildi. 110 karpal tünel serbestleştirilmesi sonrası 1. yılda, 50’sinde (%45,5) tam, 45’ inde (%40.9) belirgin, 13’ ünde (%11,8) hafif düzelme kaydedilirken 2 (%1,8) hastada düzelme olmadı. Hastaların %88’ i olduklarını ameliyattan memnun olduklarını, %12’ si memnun olmadıklarını belirtti. Hastaların ağrı değerlendirmeleri için Görsel Analog Ağrı Skalası kullanıldı. Bu değer ameliyat öncesi 7,5 iken ameliyat sonrası 1. yılda 3,2 olarak kaydedildi. Sonuç: KTS hastalarında, minimal el bileği insizyonu ile median sinirin dekompresyonu, etkin ve güvenilir bir cerrahi prosedürdür Daha fazlası Daha az

Gok, Mustafa | Aydın, Elcin | Guneylı, Serkan | Akay, Ali | Cınar, Celal | Oran, Ismail

Article | 2018 | Turkish Neurosurgery28 ( 3 ) , pp.469 - 473

AIM: Iatrogenic vascular injuries due to spinal surgeries are rare but serious complications. Surgical management of these injuries is challenging with high morbidity rates. In this study we aim to present the results of endovascular management of iatrogenic vascular injuries due to spinal surgeries. MATERIAL and METHODS: We retrospectively reviewed 11 patients (5 male, 6 female) who had vascular injuries due to cervical and lumbar spinal surgeries. Clinical findings were bleeding (n=5), leg edema (n=6) and right heart failure with severe dyspnea (n=1). The age range of the patients were between 42-67 (mean: 57.1). Six patients were . . . reviewed with imaging before the procedures and the rest of the patients (n=5) were directly referred to the angiography unit for diagnosis and possible endovascular treatment. RESULTS: The types of surgeries were; cervical surgery (n=5) and lumbar disc operation (n=6). The type of vascular injuries were; vertebral artery stenosis (n=1), vertebral artery pseudoaneurysm (n=3), vertebral artery occlusion (n=1) and iliac arteriovenous fistula (n=6). The type of endovascular treatments were; parent artery occlusion (PAO) (n=2), covered stent graft implantation (n=6) and intrasaccular coil embolization of pseudoaneurysm (n=1). The remaining 2 patients were managed conservatively. No major complications or mortality occured during endovascular interventions. No bleeding or ischemia occured in the follow-up period. CONCLUSION: Iatrogenic vascular injuries due to spinal surgeries are rare but serious complications. Endovascular interventions are safe and effective in the diagnosis and treatment of such vascular injuries. AIM: Iatrogenic vascular injuries due to spinal surgeries are rare but serious complications. Surgical management of these injuries is challenging with high morbidity rates. In this study we aim to present the results of endovascular management of iatrogenic vascular injuries due to spinal surgeries. MATERIAL and METHODS: We retrospectively reviewed 11 patients (5 male, 6 female) who had vascular injuries due to cervical and lumbar spinal surgeries. Clinical findings were bleeding (n=5), leg edema (n=6) and right heart failure with severe dyspnea (n=1). The age range of the patients were between 42-67 (mean: 57.1). Six patients were reviewed with imaging before the procedures and the rest of the patients (n=5) were directly referred to the angiography unit for diagnosis and possible endovascular treatment. RESULTS: The types of surgeries were; cervical surgery (n=5) and lumbar disc operation (n=6). The type of vascular injuries were; vertebral artery stenosis (n=1), vertebral artery pseudoaneurysm (n=3), vertebral artery occlusion (n=1) and iliac arteriovenous fistula (n=6). The type of endovascular treatments were; parent artery occlusion (PAO) (n=2), covered stent graft implantation (n=6) and intrasaccular coil embolization of pseudoaneurysm (n=1). The remaining 2 patients were managed conservatively. No major complications or mortality occured during endovascular interventions. No bleeding or ischemia occured in the follow-up period. CONCLUSION: Iatrogenic vascular injuries due to spinal surgeries are rare but serious complications. Endovascular interventions are safe and effective in the diagnosis and treatment of such vascular injuries Daha fazlası Daha az

Küçükosman, Gamze | Aydın, Bengü Gülhan | Bereket, Mehmet | Nale, Tuğba | Ayoğlu, Hilal

Article | 2018 | Çukurova Üniversitesi Tıp Fakültesi Dergisi43 ( 1 ) , pp.211 - 214

Genel anestezi sırasında bildirilen diş travması insidansı % 0.06-12.3'dir. Perioperatif dental travmaların çoğu laringoskopi ile entübasyon sırasında ortaya çıkarken, airway, endotrakeal tüp ya da larengeal maske çıkarılması için aşırı kuvvet uygulandığında da görülmektedir. Dental yaralanmalar basit kırıktan restorasyon kaybı veya avulsiyona (dişin soketinden çıkması) kadar değişebilir. Dental yaralanma genellikle üst ön bölgede meydana gelir ve laringoskopun konumu nedeniyle sol orta kesici diş en sık karşılaşılabilecek dental travmalara yaklaşımımızı olgu üzerinden aktarmayı amaçladık. The incidence of dental trauma reported dur . . .ing general anesthesia is 0.06-12.3%. The majority of perioperative dental trauma occurs during laryngoscopy and intubation, it may be observed when excessive force is applied to remove the airway, endotracheal tube or laryngeal mask. Dental injury may vary from simple fracture to restoration loss or avulsion (removal of tooth from the socket). Dental injury generally occurs in the upper front region and the left central incisor is most frequently affected due to the position of the laryngoscope. We aim to share an approach to dental trauma that may be encountered during general anesthesia administration in this case report Daha fazlası Daha az