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    Can ropivacaine be preferred for epidural anesthesia for Turp operations?
    (2006) Aydin N.; Ölmez G.; Özyilmaz M.A.
    Objective: Epidural anesthesia is preferred in endoscopic urological procedures as it decreases the incidence of surgical bleeding and venous thrombosis and provides early diagnosis of complications such as bladder rupture and TURP syndrome. The aim of this study is to compare ropivacaine and bupivacaine in epidural anesthesia for cases to undergo TURP surgery. Method: Forty eight ASA I-III male patients aged 45-85 with benign prostate hypertrophy undergoing transurethral resection were included in this study. In Group I, 20 ml of ropivacaine 0.5 %, in Group II 20 ml of bupivacaine 0.5 % were administered by epidurally. Hemodynamic parameters, patients' comfort, anesthetic properties and side effects were compared. Results: In Group I, time it took for the anesthesia level to reach T10, two-segment regression time and regression time to T12 were found to be faster than in Group II (p=0.024, p=0.006, p=0.004). Motor blockade was more intense in Group II than in Group I. Efficient anesthesia and analgesia were obtained in both groups. There was no difference in terms of side effects and quality of blockade between the groups. The most commonly encountered side effects were hypotension, and bradycardia in both groups. Conclusion: We can say that both medications are safe and effective in TURP surgery. However, ropivacaine has faster sensorial block, dissipates more rapidly and has less motor block density bupivacaine.
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    Öğe
    Histochemical Characterization of Mucins in the Cervix and Uterus of Cows during the Sexual Cycle
    (University of Dicle, 2022) Aydin N.; Ketani M.A.; Topaloglu U.; Celenk F.; Bayram B.; Sagsoz T.
    In all mammals, including humans, the mucosal surfaces of the gastrointestinal, respiratory, genital and urinary systems are the gateway for infectious agents. Against these factors cause diseases, mucosal surfaces are covered with a slimy substance called mucus, which acts as a physiochemical barrier. The study was conducted to investigate the types and distributions of mucins secreted in the bovine uterus and cervix during the follicle and luteal phases of the sexual cycle. For this purpose, organs of 23 healthy Holstein cows were used. After the tissues were fixed in 10% neutral formalin, paraffin was embedded following routine histological procedures. In both cervix and the uterus, the mucins were more dominant in luminal epithelial and gland epithelial cells during the luteal phase than those of the follicular phase. Periodic acid Schiff (PAS) and Aldehyde Fuchsin (AF) were dominant in the cervix during the luteal phase. Uterinal gland epithelial cells reacted more intensely in both follicular and luteal phases in the Best's Carmine staining. In Periodic acid-Phenilhydrazine-Schiff (PAPS) staining, there was no staining of gland epithelial cells in the uterus during sexual cycle. As a result, bovine cervix and uterine mucosae secreted neutral, sulphated acid mucins, Nacetyl sialomucins and glycogen at varying densities during sexual cycle, while carboxylated acid mucins were not present. Considering the physiological functions of the mucus, we can say that they are also involved in creating a protective barrier in the cervix and uterine mucosa and during the implantation periods © 2022, Journal of International Dental and Medical Research. All Rights Reserved.