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    Delivery of dead fetus from inside urinary bladder with uterine perforation: Case report and review of literature
    (Elsevier Science Inc, 2005) Atug, F; Akay, F; Aflay, U; Sahin, H; Yalinkaya, A
    The incidence of cesarean sections has increased radically worldwide in the second half of the 20th century, especially in developing countries. Generally, a trial of labor after a cesarean section is safely accepted. However, a trial of labor may lead to serious complications, including unpredicted ones, such as rupture of the uterus during labor with concomitant injury to the bladder. We report the delivery of a dead fetus through the urinary bladder during labor. (c) 2005 Elsevier Inc.
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    Öğe
    Reconstruction techniques in renal injury
    (Saudi Med J, 2005) Akay, AF; Sahin, H; Nergiz, Y; Aflay, U; Bircan, MK
    Objective: Kidney repair reconstruction techniques are controversial. The conventional technique is suturing, but this is usually with further loss of viable tissue as it promotes scaring. In this animal model, we investigated the parenchymal effect of different sutures and methods. Methods: We carried out this study in the year 2000 in the Animal Laboratory of Dicle University, Diyarbakir, Turkey. We used 40 New Zealand white rabbits in this study, randomized into 5 groups. We separated the left kidney from Gerota's fascia, and performed standard lacerations with incisions 5 mm deep and 10 mm in length. We performed no reconstruction procedure in group 1, and used homeostatic collagen powder in group 2. We primarily sutured the lacerations with chromic gut (4/0) in group 3, and sutured the kidney in group 4 with polyglactin (4/0). We wrapped the kidney with a polyglactin mesh in group 5. We sacrificed 2 rabbits in each group postoperatively on day 2, 15, 45 and 90, and performed left nephrectomy for histological investigation, and assessed interstitial inflammation. Results: While group 5 established the best results, the other 4 groups had similar intermediate results. The pseudocapsule was visible macroscopically in the polyglactin mesh group. We could see mononuclear cell infiltration, dilatation of tubules, atrophy of tubules, and interstitial fibrosis in all groups except group 5. Conclusion: In this animal model, we found that the most appropriate repair material for kidney surgery was polyglactin mesh.