Kargı, Eksal | Altınyazar, Cevat H. | Hosnuter, Mübin | Babuccu, Orhan | Numanoğlu, Gamze | Babuccu, Berfu

Letter | 2003 | PLASTIC AND RECONSTRUCTIVE SURGERY111 ( 4 ) , pp.1562 - 1563

WOS: 000181477700037 PubMed: 12618622

Demirel, Fatma | Acun, Ceyda | Söğüt, Ayhan | Çınar, Fikret | Numanoğlu, Kemal Varın | Tomaç, Nazan

Article | 2003 | Çocuk Dergisi3 ( 3 ) , pp.200 - 203

Amaç: Elektif şartlarda cerrahi operasyon planlanan çocuk hastalarda hepatit B, hepatit C, HIV seroprevalansını belirlemek ve uygun olanların hepatit B afisi ile immunizasyonunu sağlamak, ayrıca sağlık personelinin ameliyathane ortamında çeşitli önlemleri alabilmeleri için gereken verileri elde etmek. Yöntem: Nisan 2001-Kasım 2002 tarihleri arasında Karaelmas Üniversitesi Tıp Fakültesi Hastanesine çeşitli indikasyonlarla öpere edilmek üzere yatırılan 0-16 yaş arasındaki 429 çocukta HBsAg, AntiHBs, AntiHBc, AntiHCV ve Anti-HIV seropozitifliği araştırıldı. Gruplar arası karşılaştırmalar için SPSS programında Ki-kare ve Fischer's kesin . . . Ki-kare testleri kullanıldı. Bulgular: HBsAg pozitifliği % 1.6, AntiHBs pozitifliği % 42 bulunurken, Anti-HIV ve Anti-HCVpozitif vaka saptan-madı. Vakaların 182'si (% 42.4) hepatit B yönünden aşılanmış, ancak bunlardan 170'inde (% 39.6) aşıya bağlı seroloji gelişmişti, 247 hasta ise (% 57.6) aşısızdı. Ant i HBs ile birlikte anti HBC pozitifliği 10 çocukta (% 2.3) saptandı. Sonuç: Opere edilecek hastalarda Hepatit B, Hepatit C ve HIV serolojisine bakılması ile sağlık personelinin korunmasının yanında, bu şekildeki tarama programlarıyla hepatit B yönünden aşısız çocukları saptayıp aşılanmalarının sağlanması da mümkündür. Aim: To evaluate the seroprevalence of hepatitis B, hepati-tis C and HIV in pediatric patients who are going to have an elective surgery and also to gatter data that could help health workers in surgery rooms to take precautions. Methods: In 429pediatric patients who were going to have elective surgery for various indications, aged between 0-16 years, HBsAg, AntiHBs, AntiHBc, Anti-HCV and AntiHIV seropositivity were evaluated between April 2001-November 2002 in the Hospital of Karaelmas University School of Medicine. The comparisons between groups were evaluated in SPSS program by chi-square and Fischer's exact tests. Results: HBsAg positivity was 1.6 %, AntiHBs positivity was 42 %, there were no anti-HIV and anti-HCVpositive cases. A hundred and eighty-two of the cases (42.4 %) were immunized for hepatitis B, and 170 of these cases (39.6 %) were seropositive. Two hundred andfourty seven patients (57.6 %) were not immunized. In ten cases (2.3 %) anti HBs positivity were found with anti HBC positivity. Conclusion: The evaluation of hepatitis B, Hepatitis C and HIV serology in patients who are going to have elective surgery .gives the opportunity to immunize the nonimmunizedpatients and to protect health workers Daha fazlası Daha az

Cihan, Alper | Armutçu, Ferah | Uçan, Bülent H. | Acun, Zeki | Numanoğlu, Kemal Varın | Gürel, Ahmet | Ulukent, Suat Can

Article | 2003 | Hepato-gastroenterology50 Suppl 2 , pp.200 - 203

BACKGROUND/AIMS: This study was designed to determine whether there exists a difference between in vivo and in vitro measurements of bursting pressure (BP) of experimental intestinal anastomosis studied in Wistar-albino rats. METHODOLOGY: In the first group (n=8), the BP was measured using in vivo method without detaching the adhesions around the anastomosis. BP was determined with digital manometer, and then anastomotic region was removed to measure tissue hydroxyproline (HP) levels. In the second group (n=8), the BP was measured with in vitro method after the segment of intestine including the anastomosis was dissected and isolate . . .d. The isolated specimen was then submerged in a normal saline bath. BP was determined with a digital manometer and anastomotic region was removed to measure tissue HP levels. RESULTS: While HP value in the first group was 105.60 +/- 9.43 microg/mg dry tissue, it was found to be 121.11 +/- 16.26 microg/mg dry tissue in the second group and this difference was not statistically significant (p=0.195). The BP was determined as 240.71 +/- 11.65 mmHg in the first group, 144.71 +/- 16.41 mmHg in the second group and the difference was statistically significant (p=0.002). The anastomotic resistances to intraluminal pressure were found to be statistically different whereas tissue HP levels were normal between the groups. CONCLUSIONS: These results make us consider that mechanical changes occur about the isolated anastomotic line and dissection of adhesions weakens the anastomosis Daha fazlası Daha az