Campodonico F. | Michelazzi A. | Kargi E. | Babucçu O. | Hoşnuter M. | Yeşilli C. | Akduman B.
Letter | 2004 | Urology64 ( 1 ) , pp.188 - 189
[No abstract available]
Erol B. | Tuncel A. | Hanci V. | Tokgoz H. | Yildiz A. | Akduman B. | Kargi E.
Article | 2010 | Urology75 ( 5 ) , pp.1193 - 1198
Objectives: To identify the prognostic factors and the new parameters that might predict a worse outcome in nonsurvivors compared with survivors of Fournier's gangrene (FG) and evaluated the validity of the Fournier's Gangrene Severity Index (FGSI) in patients with FG. Methods: The medical records of 18 patients with FG who were treated and followed up in our clinic were reviewed. Data were collected in terms of medical history, symptoms, and physical examination findings. The biochemical, hematologic, and bacteriologic study (aerobic and anaeorobic wound cultures) results at admission and at the final evaluation, the physical exami . . .nation findings, the timing and extent of surgical debridement, and the antibiotic therapy were also recorded. The Charlson Comorbidity Index (CCI) and FGSI were evaluated stratified by survival. Results: The results were evaluated for 2 groups: those who survived (n = 14) and those who did not (n = 4). The admission FGSI score was 5.00 ± 2.91 (range 0-10) for survivors compared with 13.5 ± 2.62 (range 9-15) for nonsurvivors (P = .001). The CCI score was 3 ± 1.5 in survivors and 7 ± 2.2 in nonsurvivors (P = .008). Individual laboratory parameters such as hypomagnesemia, hemoglobin, hematocrit, alkaline phosphatase, creatinine, and the heart and respiratory rates were associated with a worse prognosis. In addition, a FGSI >9, rectal involvement, colostomy diversion, and a high CCI were associated with high mortality. Conclusions: Low magnesium levels might be a new parameter for a worse prognosis. High CCI and FGSI scores might be associated with a worse prognosis in patients with FG. A FGSI threshold of 9 was a predictor of mortality during the initial assessment. © 2010 Elsevier Inc. All rights reserved Daha fazlası Daha az
Altinyazar H.C. | Kargi E. | Gün B.D. | Koca R. | Tekin N.S.
Article | 2002 | Journal of Dermatology29 ( 8 ) , pp.508 - 511
Collagenoma is a hamartomatous lesion consisting of proliferation of normal collagen tissue. We describe a 19-year-old girl with a firm, elastic 3 × 2 cm nodule located on her right plantar fossa. Histopathologically, dense, coarse, thick collagen fibers were located in the dermis. In addition, the number of elastic fibers was slightly decreased. Based on these findings, the case was diagnosed as isolated plantar collagenoma.
Kargi E. | Acun C. | Tomaç N. | Savranlar A. | Dursun A. | Babuccu O.
Article | 2004 | Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery38 ( 6 ) , pp.361 - 364
Altinyazar H.C. | Kargi E. | Özen Ö. | Koca R. | Babucçu O.
Letter | 2003 | Plastic and Reconstructive Surgery112 ( 3 ) , pp.927 - 928
[No abstract available]
Görgülü T. | Buz A. | Kargi E.
Letter | 2015 | Surgical Innovation22 ( 1 ) , pp.108 - 109
[No abstract available]
Kargi E. | Yeşilli Ç. | Akduman B. | Babucçu O. | Hoşnuter M. | Mungan A.
Article | 2003 | Urology62 ( 5 ) , pp.928 - 931
Objectives. To evaluate the efficacy of fascia lata graft in the repair of secondary urethral fistulas. Urethral fistulas may result from a complication of hypospadias repair. The treatment of urethral fistulas is quite challenging. Methods. This technique was used in 8 patients between 2000 and 2002. All patients had undergone hypospadias repair and had recurrent fistula formation. A 2 × 2-cm fascia lata graft was harvested from the lateral aspect of the thigh. After repair of the fistula, the fascia lata graft was placed between the urethra and skin. The mean age of the patients was 8 years (range 5 to 13). Results. During 8 to 22 . . . months (average 11) of follow-up, no recurrence of urethral fistula was observed. No complications occurred, and patients were completely satisfied with the results. Conclusions. The results of this study show that the fascia lata graft can be used for the closure of urethral fistula secondary to hypospadias repair. Additional studies are warranted. © 2003 Elsevier Inc Daha fazlası Daha az
Yurtlu S. | Hanci V. | Kargi E. | Erdogan G. | Köksal B.G. | Gül S. | Okyay R.D.
Article | 2011 | Journal of International Medical Research39 ( 5 ) , pp.1923 - 1931
This prospective, randomized, placebocontrolled study evaluated the effects of dexketoprofen as an adjunct to lidocaine in intravenous regional anaesthesia (IVRA) or as a supplemental intravenous (i.v.) analgesic. Patients scheduled for elective hand or forearm soft-tissue surgery were randomly divided into three groups. All 45 patients received 0.5% lidocaine as IVRA. Dexketoprofen was given either i.v. or added into the IVRA solution and the control group received an equal volume of saline both i.v. and as part of the IVRA. The times of sensory and motor block onset, recovery time and postoperative analgesic consumption were recor . . .ded. Compared with controls, the addition of dexketoprofen to the IVRA solution resulted in more rapid onset of sensory and motor block, longer recovery time, decreased intra- and postoperative pain scores and decreased paracetamol use. It is concluded that coadministration of dexketoprofen with lidocaine in IVRA improves anaesthetic block and decreases postoperative analgesic requirements. © 2011 Field House Publishing LLP Daha fazlası Daha az
Kargi E. | Babuccu O. | Hoşnuter M. | Babuccu B.
Article | 2005 | Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat14 ( 01.Feb ) , pp.32 - 34
Hemangiomas of the bone account for 0.7% of all bone tumors. The craniofacial region is a rare site of involvement, with the mandible, zygoma, and maxilla being the most frequently affected areas. Hemangioma of the nasal bone is very rare. A 60-year-old male patient presented with complaints of difficult breathing through the nasal airway and a slowly growing hard mass at the nasion with a history of 10 years. Computed tomography demonstrated a round mass involving the left nasal bone with submucosal extension. An en bloc excision of the mass and its extension was performed. Histopathological examination showed two neighboring tumor . . .s, cavernous hemangioma of the bone and arteriovenous malformation of the nasal mucosa. During a-year follow-up, the patient had no complaints and the functional and cosmetic results were excellent Daha fazlası Daha az
Hosnuter M. | Babucçu O. | Kargi E. | Altinyazar C.
Article | 2003 | Annals of Plastic Surgery50 ( 4 ) , pp.398 - 402
To enhance skin flap viability, pharmacological and ischemic preconditioning methods were investigated intensively. This study was designed to determine whether combined local dexamethasone administration and pedicle clamping would result in an additive enhancement of skin flap survival in the rat model. Twenty-eight male Sprague-Dawley rats were included in dexamethasone injection, clamping, clamping plus dexamethasone injection, and control groups. A rectangular random skin flap (3 x 11 cm) was outlined as bipedicled on the back of the animals. The dexamethasone or saline injection points in the flap were standardized. In the dexa . . .methasone injection group, after raising the flaps, a total of 2.5 mg/kg dexamethasone was injected into the flaps. In the ischemic preconditioning group, 1 hour after saline injection, the cranial pedicle was clamped for 20 minutes and then 40 minutes reperfusion was performed. The clamping-plus-dexamethasone injection group was the same as the clamping group except dexamethasone was injected instead of the saline. In the control group, saline was injected instead of dexamethasone. Regardless of the group, all flaps were cut at the cranial side at the end of the 2 hours and were sutured back. On day 7, the surviving area was significantly greater in all experimental groups compared with the control group (p < 0.05). Furthermore, the clamping-plus-dexamethasone group demonstrated the highest flap viability Daha fazlası Daha az
Babuccu O. | Ozdemir H. | Hosnuter M. | Kargi E. | Sögüt A. | Ayoglu F.N.
Article | 2006 | Journal of Reconstructive Microsurgery22 ( 1 ) , pp.49 - 52
The purpose of this study was to determine the average diameter of the radial, thoracodorsal, and dorsalis pedis arteries in a pediatric population and to evaluate the relationship of these measurements to the subject's age, sex, height, weight, and body mass index (BMI). The internal diameters of the radial, thoracodorsal, and dorsalis pedis arteries were non-invasively studied in 45 normotensive, presumed normal children of various ages (4 to 14 years) with the use of a Doppler system. The average diameters of the radial, thoracodorsal, and dorsalis pedis arteries in females and males were as follows: radial artery 1.39 (SD ± 0.18 . . .) mm and 1.57 (SD ± 0.18) mm; thoracodorsal artery 1.27 (SD ± 0.11) mm and 1.36 (SD ± 0.2) mm; and dorsalis pedis artery 1.22 (SD ± 0.08) mm and 1.34 (SD ± 0.12) mm. These were correlated with the age, height, weight, and BMI. Gender had a strong influence on the diameter of these arteries. In a linear regression model, weight was found to be statistically the best independent variable for predicting radial and dorsalis pedis diameters, whereas age was the best predictor for the diameter of the thoracodorsal artery. The diameters of these three arteries in an age group of 4 to 14 years ranged between 1 to 2 mm. The age and weight of the children predicted the diameters of the peripheral arteries. Copyright © 2006 by Thieme Medical Publishers, Inc Daha fazlası Daha az
Buz A. | Görgülü T. | Olgun A. | Kargi E.
Article | 2016 | European Journal of Trauma and Emergency Surgery42 ( 6 ) , pp.775 - 783
Background: Thermal burns are the leading cause of trauma worldwide. Currently, no consensus on optimal treatment of deep partial-thickness (second-degree) burns has emerged, as reflected by the wide variability in available wound-care materials. The relative efficacies of products used for treatment of partial-thickness thermal burns remain unclear. Mesotherapy features intradermal administration of various agents, depending on burn location. In the present experimental study, we explored the efficacy of mesotherapy used to treat partial-thickness thermal burns in 50 male Wistar rats divided into five groups of equal number. No pro . . .cedure was performed after infliction of thermal burns in control group (Group 1). Mesotherapy was applied with physiological saline in sham group (Group 2), glutathione, taurine, and l-carnitine were separately applied in Group 3, Group 4, and Group 5, respectively. Materials and methods: Mesotherapeutic agents were injected intradermally into the reticular layer of the dermis using the point technique. The first course of mesotherapy was given within the first 2 h after infliction of thermal burns, and therapy was continued to day 10. On day 22, unhealed thermal burn areas were measured prior to sacrifice, and biopsies covering the total areas of burns were performed to allow of pathological evaluation. Results: Group 3 (the glutathione group) showed the best extent of healing, followed by Group 4 (the taurine group) and Group 5 (the l-carnitine group). The healed thermal burn areas in these groups were significantly greater than those in the control and sham groups (P = 0.001). All of healing, acute and chronic inflammation, the amount of granulation tissue, the level of fibroblast maturation, the amount of collagen, the extent of re-epithelization and neovascularization, and ulcer depth were scored upon pathological examination of tissue cross-sections. The best outcomes were evident in the glutathione group, with statistical significance. Although wound healing in the l-carnitine and taurine groups was better than in the control and sham groups, the differences were not statistically significant. Conclusion: Thus, glutathione mesotherapy was effective when used to treat partial-thickness thermal burns and may be a useful treatment option for various human burns. © 2015, Springer-Verlag Berlin Heidelberg Daha fazlası Daha az