Sürdürülebilir Kalkınma Amaçları

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• MakaleYalnız künye2024Scopus SJRQ4/r/gumushane/16109
  A New Marker Evaluating the Risk of Ischemic Bowel in Incarcerated Hernia: Immature Granulocytes

  Senlikci, Abdullah; Kosmaz, Koray; Durhan, Abdullah; Suner, Mert Orhan; Bezirci, Rifat; Mercan, Umit; Suleyman, Marlen

  To evaluate the predictive value of immature granulocytes in intestinal necrosis in incarcerated hernia. The study included patients who were operated on due to incarcerated hernia. The cases were separated into 2 groups as those with or without bowel resection. Age, gender, hernia type, side, white blood cell count, neutrophil count, neutrophil-lymphocyte ratio, red cell distribution width count, immature granulocyte count, platelet count, and platelet lymphocyte ratio were statistically compared between the groups. There were 27 cases (17.3%) in the group with bowel resection and 127 cases (82.7%) in the group without bowel resection. A statistically significant difference was determined between the groups in respect of the hernia type, white blood cell count, neutrophil count, neutrophil-lymphocyte ratio and immature granulocyte count (p<0.05). The cut-off value of the immature granulocyte count was found to be 0.065, with sensitivity of 63% and specificity of 80%. In multivariate analysis, age over 65 years and immature granulocyte count>0.065 were found to be independent predictors of necrosis development. The immature granulocyte value is a fast, easily accessible and reliable marker that can be used to predict intestinal necrosis in cases of incarcerated hernia.

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  AtıfWoS5·OpenAlex4

  İncele
• MakaleAçık Erişim2014Scopus SJRQ3/r/gumushane/15602
  Stereotactic Excision of Additional Lesions Detected with Intraoperative Ultrasound Examination During Radiofrequency Dissecting Sealar (Habib®) Assisted Hepatic Metastasectomy: Report of 4 Cases

  Altuntas, Yunus E.; Unel, Sacide; Gezen, Fazli C.; Aksakal, Nihat; Civil, Osman; Vural, Selahattin; Ozates, Mustafa; Oncel, Mustafa

  Intraoperative ultrasound has been using to achieve a proper resection strategy in patients undergoing a hepatic colorectal metastasectomy. This study aims to describe and reveal the place of stereotactic metastasectomy in nonpalpable colorectal liver metastases (CLM). A chart review was initiated for all patients underwent resection for CLM between 2006 and 2011. The data concerning perioperative data and intraoperative strategy were abstracted. Among the 58 patients, who underwent a resection for CLM, 4 (6.9 %) (all men, median age 65.5, range 49-72, years) necessitated a stereotactic metastasectomy. Preoperative evaluations showed 1 (n = 1), 2 (n = 2), or 3 (n = 1) lesions, and intraoperative ultrasound (IUS) found an additional lesion in a case. Stereotactic marking was performed for nonpalpable lesions located in segments IVA, II, and VI and at the junction of segments V and VI. The margins were negative for all lesions both resected with conventional and stereotactic techniques. The examinations of the stereotactic resection materials revealed metastatic adenocarcinoma (patients n = 2), focal nodular hyperplasia (n = 1), and abnormal benign liver histology probably induced by chemotherapy (n = 1). The median (range) operation and hospitalization periods were 217.5 (150-310) minutes and 5.5 (2-9) days. No complications were observed except biliary fistula in a case, which spontaneously disappeared within 2 weeks. A patient died due to systemic disease including hepatic metastases 33 months after the liver surgery. Stereotactic metastasectomy may be feasible for the removal of nonpalpable CLM. Further evaluations are necessitated to understand the accurate place of this novel technique.

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