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    Acute abdomen caused by spontaneous perforation of the urinary bladder in childhood: Report of one case
    (2015) Uygun, İbrahim; Arslan, Mehmet Şerif; Arslan, Serkan; Zeytun, Hikmet; Basuguy, Erol; Okur, Mehmet Hanifi; Aydoğdu, Bahattin
    Spontaneous urinary bladder rupture in children is a very rare clinical occurrence that can be life threatening if left untreated. Patients usually present with symptoms of peritonitis and the correct diagnosis is usually made at surgery. Here, we present a case of spontaneous bladder perforation that was operated with a diagnosis of acute abdomen. No etiological factor for bladder perforation was found, and after the operation, the patient experienced no further problems
  • Küçük Resim
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    Adölesan varikosel tedavisinde laparoskopik Palomo yöntemi sonuçlarımız
    (MEDİTAGEM Ltd. Şti., 2017) Arslan, Serkan; Basuguy, Erol; Zeytun, Hikmet; Arslan, Mehmet Şerif; Aydoğdu, Bahattin; Bayram, Salih; Okur, Mehmet Hanifi; Önen, Abdurrahman
    Öz:Amaç: Bu çalışmanın amacı adölesan yaş grubunda varikosel nedeniyle cerrahi tedavi yapılan hastaların sonuçlarını sunmaktır.Gereç ve Yöntem: Şubat 2012- Şubat 2016 tarihleri arasında varikosel nedeniyle ameliyat edilen hastaların dosyaları geriye dönük olarak incelendi. Hastalar, demografik verileri, klinik şikâyetleri, fizik muayene bulguları ve radyolojik olarak skrotal renkli doppler ultrasonografi (US) sonuçları ile değerlendirildi. Varikosel, Hoekstra ve ark. yaptığı dilate ven çapının değerlendirildiği sınıflamaya göre evrelendirildi. Semptomatik evre 2-3 varikosel ve testis boyutlarında küçülme olan hastalara cerrahi yapıldı. Tedavi sonuçları ve komplikasyonları kaydedildi. Bulgular: Yaş ortalaması 13±2 olan 14 hasta değerlendirildi. Hastaların tamamı skrotumda ağrı ve şişlik şikayetleri ile başvurmuşlardı. Hastaların tümünde varikosel sol tarafta idi. Hastaların 7'si (%50) evre 2, 7'si (%50) evre 3 idi. Cerrahi yöntem olarak laparoskopik Palomo yöntemi uygulandı. Ortalama ameliyat süresi 28±4 dakika. Ameliyat sırasında hiçbir hastada komplikasyon yaşanmadı. Ortalama hastanede kalış süresi 2 gün idi. Ortalama ameliyat sonrası izlem 12±9 ay idi. Kontrolde hastaların 11'inde varikosel düzeldi, 3 hastada ise evre 3'ten evre 1'e geriledi. Nüks görülmedi. Sadece bir hastada (%7) hidrosel gelişti. Sonuç: Laparoskopik Palomo yöntemini yüksek başarı, düşük komplikasyon oranı, daha az ağrı, kısa sürede sosyal yaşama dönüş, iyi kozmetik sonuç gibi faydaları sebebiyle avantajlı bir yöntemdir. Ayrıca single port laparoskopide ise eldiven yardımı ile hazırlanan torakoport düşük maliyet ve kolay ulaşılabilir olması sebebiyle tercih edilebilir.
  • Küçük Resim
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    The adrenal gland: An organ neglected in pediatric trauma cases
    (Urology and Nephrology Research Centre, 2016) Aydoǧdu, Bahattin; Okur, Mehmet Hanifi; Arslan, Serkan; Arslan, Mehmet Şerif; Zeytun, Hikmet; Basuguy, Erol; İçer, Mustafa
    Purpose: Adrenal Gland Injury (Agi) Caused By Trauma May Cause Bleeding And Life-Threatening Problems In Children. The Objective Of This Study Was To Analyze The Prevalence Of Agi In Final Diagnoses Of Trauma. Materials And Methods: The Records Of 458 Patients With Abdominal Trauma (Out Of A Total 8,200 Pediatric Patients With Trauma Of Any Sort), Who Were Referred To Our Clinic Between January 2009 And July 2014, Were Reviewed Retrospectively. The Numbers Of Patients With Agi And Their Ages, Gender, Trauma Patterns, Affected Organs, Pediatric Trauma Scores (Ptss), And Injury Severity Scores (Isss) Were Recorded, As Well As The Associated Ultrasound (Us) And Tomographic Scan Data, Treatments, And Complications. Computed Tomography (Ct) Scans Obtained After Trauma Were Subjected To Both Primary And Secondary Evaluation. Results: In Total, 28 Patients With Agi Were Detected; Their Average Age Was 8.54 ± 4.09 (3–17) Years. Twenty (71%) Patients Were Male And 8 (29%) Were Female. Nineteen (68%) Patients Had Fallen From Heights; The Most Commonly Injured Organs Were The Kidneys, Spleen, And Lungs. Injuries Were Right-Sided In 26 (92.9%) Patients. The Mean Iss Was 13.2 (Range 5–50) And The Mean Pts 8.6 (Range 0–11). Seven Patients Had Iss > 16 And Nine Had Pts < 8. Agi Was Diagnosed By Ct In 14 (50%) Patients And In 3 (9%) By Us At Primary Evaluation. Upon Secondary Scan Inspection Focusing On The Possibility Of Adrenal Gland Injury, Such Injury Was Ultimately Detected In 28 Patients. All Patients Underwent Conservative Follow-Up, And One Died. Conclusion: We Recommend Calculation Of The Pts, As Well As Other Trauma Scores, When Pediatric Patients SufferIng Multiple Or Blunt Abdominal Trauma(S) Present To The Emergency. In Addition, We Believe That In Children With Trauma Involving The Liver, Spleen Or Kidneys, Careful Evaluation Using A Ct Scan Would Increase The Diagnosis Of Agi And Reveal A Realistic Rate Of Agi In Trauma Cases.
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    Analysis of Complications of a Neglected Disease: 13 Years of Experience with Liver Hydatid Cysts in a High-Volume Hospital
    (Mdpi, 2024) Azizoglu, Mustafa; Aydogdu, Bahattin; Kamci, Tahsin Onat; Arslan, Serkan; Basuguy, Erol; Bilici, Salim; Okur, Mehmet Hanifi
    Background and Objectives: The aim of this study was to evaluate the clinical presentation, treatment outcomes, and complications associated with hepatic hydatid cysts in a pediatric population. Materials and Methods: This retrospective study analyzed 214 pediatric patients with liver hydatid cysts, focusing on clinical presentation, treatment outcomes, and associated complications. Patients were classified based on treatment modality, including non-operative management with albendazole, PAIR, and surgical intervention. This study compared cyst characteristics, recurrence rates, and complications such as cysto-biliary fistulas. Results: Among the patients, 68% (n = 145) had a single cyst and 86% (n = 184) were found to have isolated liver cysts. No significant statistical difference was observed between Group 1 and Group 2 in terms of age, gender, and basic laboratory values and general characteristics of the cysts, such as the lobe where the cyst was located, involvement of multiple organs, number of cysts, the state of cyst rupture, and recurrence; no statistically significant difference was found between the groups (p > 0.05 for each comparison). Cyst rupture incidence was 6%, and the average incidence of recurrence was 2%, with a surgical recurrence incidence of 3%. A total of 37 patients had a laparotomy, while 7 had laparoscopic surgery. In total, capitonnage was performed in 68 patients, omentopexy in 4, and cystostomy in 6. Consequently, among the treated patients (PAIR + surgery), the incidence of cysto-biliary fistula was 11%, anaphylaxis was 2%, surgical recurrence was 3%, and the incidence of reoperation (Clavien-Dindo >= 3) was 6%. The average follow-up period was 72 months, during which no mortality was observed. Conclusions: We identified key clinical outcomes related to both non-surgical treatments (cyst rupture and recurrence) and surgical groups (cysto-biliary fistulas, anaphylaxis, the need for reoperation, rupture, and recurrence).
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    Analysis of mortality and long-term outcomes of pediatric patients with tracheoesophageal fistula/esophageal atresia
    (Edizioni Luigi Pozzi, 2023) Cal, Suat; Arslan, Serkan; Okur, Mehmet Hanifi; Basuguy, Erol; Aydogdu, Bahattin
    BACKGROUND/PURPOSE: This study analyzed factors that affect mortality in patients surgically treated for EA, then explored the long-term problems encountered by these patients.MATERIALS AND METHODS: Among 252 patients with EA who were either diagnosed, treated, and subsequently followed at the Department of Pediatric Surgery, Dicle University Medical Faculty Hospital, or were treated surgically elsewhere but followed at our center, between January 2010 and January 2020,214 patients were included in the study.RESULTS: Early complications:One or more early complications were observed in 132(62.5%) of the 211 patients who underwent surgical EA repair. The most common early complication was AS, which developed in 106(50.2%) patients. Anastomosis leakage. Was detected in 48 (22.7%) patients. Late complications: The late findings of 161 patients who underwent definitive surgery and had a mean follow-up period of 68 months (range, 6-120 months) were evaluated. The most common late complication was GER. Mortality: Of the 214 patients in our study, 63(29.4%) died, including 48(76.2%) during the early period after the first surgery. Of the 10(15.9%) patients who died during the late period.CONCLUSION: In our study, the most common early complication was anastomotic stenosis in patients with esophageal atresia. We recommend balloon dilation in the treatment of anastomotic stenosis.Gastroesophageal reflux is the most common long-term complication. Most of these can be treated conservatively and medically. The association of low birth weight, cardiac anomalies, prematurity and VACTERL increased mortality in patients with esophageal atresia in our study.
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    Analysis of Ovarian Pathology in Children: Ten-years Experience
    (2023) Arslan, Serkan; Basuguy, Erol; Aydoğdu, Bahattin; Otcu, Serap Mutlu Özçelik; Salık, Fikret; Okur, Mehmet Hanifi
    Objective: In this study, we aimed to analyze whether laparoscopy is a feasible and safe surgical option for ovarian pathologies in children. Method: Our study included 43 patients who were followed up and treated for ovarian pathology in our clinic between January 1, 2012, and January 1, 2022. The clinical information and data for the patients were reviewed retrospectively. The patients were divided into 2 groups: Laparoscopy and the laparotomy group. Demographic data of the patients, complaints at presentation, localization of the mass, laboratory hormone levels and surgical findings, histopathological diagnoses, treatment methods, and treatment results were evaluated. Results: In the study, 43 female patients with a mean age of 9.6 years (1 month-15 years) were evaluated. It was the most common on the right side (58%). The most common symptom was abdominal pain (70%). Thirteen (30%) patients had acute abdomen findings. For surgical intervention, laparoscopy was performed in 22 (51%) patients and laparotomy was performed in 19 (44%) patients. Unilateral oophorectomy or salpingo-oophorectomy was performed in 28 (65%) of the patients as surgical treatment. Twenty-three (53%) of the ovarian pathologies were neoplastic, and 20 (47%) patients were non-neoplastic. Pathological diagnoses of ovarian pathologies 19 (44%) patients had ovarian torsion and 14 (33%) patients had teratoma. The operation time was shorter in the laparoscopy group (p<0.05). Tumor size was smaller in the laparoscopy group and larger in the conventional laparotomy surgery group (p<0.05). There was no significant difference between the laparoscopy group and the laparotomy surgery group in terms of age, tumor size, malignancy status, the presence of neoplastic mass, laterality, and tumor markers (p>0.05). While 42 of 43 patients survived, one patient with immature teratoma died from tumor-associated metastasis. Conclusion: Although the majority of ovarian pathologies are benign, since malignant masses may occur, surgery should be performed as early as possible. In lesions that are thought to be benign, ovarian- sparing surgery should be performed as much as possible. Laparoscopy is a feasible and safe surgical option for ovarian pathologies even, in malignant patients.
  • Küçük Resim
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    Analysis of risk factors for appendicitis in children: A multicenter epidemiological study
    (Dicle Üniversitesi Tıp Fakültesi, 2016) Arslan, Serkan; Aydoğdu, Bahattin; Arslan, Mehmet Şerif; Zeytun, Hikmet; Okur, Mehmet Hanifi; Basuguy, Erol; Karakaya, Ali Erdal; Uygun, İbrahim; Otcu, Selcuk
    Objectives: In our study, the assessment of age, gender, incidence and seasonal differences in the regions related to appendicitis were investigated. Methods: 676 patients that received an operation following a diagnosis of appendicitis in 3 hospitals from 3 different regions of Turkey occurring at different dates were examined retrospectively after being categorized by region. The differences among groups were compared to each. Results: The mean age of male (63%) (n = 426) and female (37%) (n = 250) patients (total = 676) was 10.8 years (range, 1–18 years). The percentage of female patients in the The Black Sea Region (BR) group was significantly higher (48%) than that in the other two groups (%33 for SR, 30% for MR) (P = 0.001). The frequency of appendicitis was higher (36%) in the spring and winter (25%) than that during summer or fall. The number of cases increased the most in the BR group in spring (47%) (P < 0.001). When the types of appendicitis in the different age groups were compared with season, acute appendicitis (P < 0.02) was more frequently (93%) seen in the child-adolesan (CA) group in the spring; however, perfore apandicitis (45%) was greater in the Infant-Preschool (IPS) group (P < 0.02). Acute appendicitis comprised 55% and perforated appendicitis comprised 45% of cases in the IPS group, whereas acute appendicitis comprised 78% and perforated appendicitis comprised 22% in the CA group. Conclusion: According to the results of our study, appendicitis was most frequently seen in the spring and winter seasons and more frequent in boys between the ages of 10-13 years. As age decreases, the frequency of perforated appendicitis increases. Appendicitis is affected by environmental factors. Reducing the incidence of appendicitis may be possible by establishing regional and specific studies related to this subject and the etiologies of the disease.
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    Bilateral renal agenesis, a severe anomaly in a premature infant with VACTERL association: A case report
    (2017) Basuguy, Erol; Ertuğrul, Sabahattin; Akdeniz, Sevinc
    We report on a preterm male (birth weight 1,100 g) with bilateral renal agenesis, a lethal malformation. Additionally, the child suffered from an atrial septal defect, ventricular septal defect, right aortic arch anomaly, a high type of anal atresia, vertebral anomalies, limbs defects (VACTERL association). The infant during first day of life was treated with an emergency sigmoid ostomy and peritoneal dialysisbecause of increasing abdominal dilatation and high urea and creatinine levels in blood. Important congenital anomalies associated with VACTERL association and prematurity are very serious causes of mortality in the early period
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    Can direct bilirubin-to-lymphocyte ratio predict surgery for pediatric adhesive small bowel obstruction?
    (Mexican Acad Surgery, 2024) Azizoglu, Mustafa; Arslan, Serkan; Kamci, Tahsin O.; Basuguy, Erol; Aydogdu, Bahattin; Karabel, Muesemma A.; Okur, Mehmet H.
    Objective: Estimating which patients might require surgical intervention is crucial. Patients with complete bowel obstructions exhibit disrupted enterohepatic cycles of bile and bacteremia due to bacterial translocation. The goal of this study was to develop a prediction index using laboratory inflammatorydatato identifypatients who mayneed surgery. Materials and methods: The patients were divided into two groups based on their management strategy: Non -operative management (Group 1) and surgical management (Group 2). Results: The indirect bilirubin, direct bilirubin, and total bilirubin were significantly higher in Group 2 than in Group 1 (p = 0.001, p < 0.001, and p < 0.001, respectively). The neutrophil-to-lymphocyte ratio (NLR), platelet-to-NLR (PNLR), and direct bilirubin-to-lymphocyte ratio (DBR) were significantly higher in Group 2 compared to Group 1 (p = 0.041, p = 0.020, and p < 0.001, respectively). In group 2, 78% have viable bowels. Resection was performed in 40% of cases, with 12% mortality and a 10 -day average hospital stay. DLR performs the best overall accuracy (72%), demonstrating a well-balanced sensitivity (62%) and specificity (81%). Conclusions: This study suggested that DBR is a more accurate predictive index for surgical intervention in pediatric adhesive small bowel obstruction patients compared to NLR and PNLR, providing valuable guidance for treatment strategies.
  • Küçük Resim
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    Çocuk cerrahisi kliniğinde ultrasonografinin yeri ve önemi
    (Dokuz Eylül Üniversitesi Tıp Fakültesi, 2014) Arslan, Serkan; Okur, Mehmet Hanifi; Zeytun, Hikmet; Basuguy, Erol; Arslan, Mehmet Şerif; Aydoğdu, Bahattin; Goya, Cemil
    Öz:Amaç: Son bir yılda çocuk cerrahisi kliniğimizde Ultrasonografi (USG) rehberliğinde yapılan işlemlerin ve çocuk cerrahları tarafından USG'nin kullanım alanlarının değerlendirmesi yapıldı. Klinisyenler tarafından USG'nin kullanımının ne derece yaygın olması gerektiği, radyologlar ve klinisyenlerin USG kullanımındaki yerlerinin belirlenmesi amaçlandı. Gereç ve Yöntem: Bu çalışmada Ocak 2013-2014 yılları arasında 63 hasta geriye dönük olarak değerlendirildi. Üriner sistem patolojisi ve/veya santral damar yolu gibi girişimsel işleme gereksinim olan hastalar USG ile değerlendirildi. Üriner sistem ile ilgili patoloji olduğu düşünülen hastalara başvuruları sırasında poliklinikte, klinisyen tarafından USG ile hastaların böbrek, üreter, ve mesaneleri değerlendirildi. Daha sonra radyolog tarafından USG'leri tekrarlanarak ikinci kez değerlendirme yapıldı. Santral kateter gereksinimi olan hastaların karotis arter ve internal juguler ven USG ile görüntülendikten sonra 45 derece açı ile seldinger yöntemi ile kateterizasyon sağlandıktan sonra işlem sonlandırıldı. Üriner sistem patolojilerinde nefrostomi veya sistofiks gerekli olan hastalara USG eşliğinde kateter takıldı. Tüm bu işlemler Çocuk Cerrahisi Kliniğinde gerçekleştirildi. Bulgular: 2013-2014 yılları arasında 30'u erkek, 33'ü kız olmak üzere toplam 63 hastanın bilgileri geriye dönük olarak değerlendirildi. Hastaların 42'sine tanısal amaçlı USG yapılırken, 21 hastaya invaziv girişimler USG eşliğinde yapılmıştır. Sonuç: Üriner USG'ler her zaman hem radyolog, hem de klinisyen tarafından ayrı ayrı yapılarak çift kontrollü olarak değerlendirilmelidir. Ayrıca Santral Venöz Kateterizasyon (SVK), kateter ihtiyacı takılması gibi invaziv girişimlerin USG eşliğinde yapılması non invaziv olup işlem süresini kısaltmakta, hem de komplikasyonları azaltmaktadır. İnvaziv girişimler öğrenme eğrisine bağlı olarak değişmekle beraber yeterli sayıda tanısal amaçlı yapılan USG'lerden sonra yapılmalıdır.
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    Çocuklarda apandisit için risk faktörleri analizi: Çok merkezli epidemiyolojik çalışma
    (2016) Uygun, İbrahim; Otçu, Selçuk; Basuguy, Erol; Arslan, Serkan; Aydoğdu, Bahattin; Zeytun, Hikmet; Okur, Mehmet Hanifi
    Amaç: Çalışmamızda apandisitin yaşı, cinsiyeti, insidansı ve mevsimsel olarak bölgesel farklılıkların değerlendirilmesi amaçlanmıştır. Yöntemler: Bu çalışmada Türkiye'nin 3 farklı bölgesindeki, 3 hastanede çeşitli tarihlerde apandisit tanısı ile ameliyat edilen 676 hasta bölgelerine göre gruplandırılarak gruplar arasındaki farklar birbirleri ile karşılaştırıldı. Bulgular: Toplamda (n = 676) hastaların %63'ü (n = 426) erkek, %37'si (n = 250) kız, yaş ortalaması 10.8 yıl (range, 1-18 years) idi. The Black Sea Region (karadeniz bölgesi) (BR) grubundaki kız hastaların yüzdesi diğer iki grupla karşılaştırıldığında istatistiksel olarak anlamlı derece yüksek (%45, p=0.001) idi. Mevsimsel olarak değerlendirildiğinde en sık (%36) ilkbahar ve kış (%25) aylarında apandisite rastlandı. İlkbaharda en çok BR grubunda hasta sayısı artmıştır (P < 0.001). Farklı yaş gruplarında apandisitin tipi mevsimler olarak karşılaştırıldığı zaman akut apandisit (%93) ilkbaharda child-adolesan (çoçuk-erişkin) (CA) grubunda daha sık idi (P < 0.02). Ancak perforasyon (%45) Infant-Preschool(bebek-okul öncesi) (IPS) grubunda daha fazla idi (P < 0.02). IPS grubunda Akut apandisit %55, perfore apandisit %45 buna karşın CA grubunda akut apandisit %78, perfore apandisit %22 oranında görüldü. Sonuç: Çalışmamızın sonuçlarına göre apandisit en sık ilkbahar ve kış mevsimlerinde, 10-13 yaşlar arasındaki erkek çocuklarda daha çok görülmüştür. Yaş küçüldükçe perfore apandisit sıklığı artmıştır. Apandisit çevresel faktörlerden etkilenmektedir. Bu konuda yapılacak bölgesel ve spesifik çalışmalar ile etiyolojiler tespit edilerek apandisitin azaltılması gelecekte mümkün olabilir.
  • Küçük Resim
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    Çocuklarda böbrek taşlarında Retrograd Intrarenal Cerrahinin (RİRC) erken dönem sonuçları: Ön çalışma
    (Fırat Üniversitesi Tıp Fakültesi, 2017) Zeytun, Hikmet; Arslan, Serkan; Arslan, Mehmet Şerif; Basuguy, Erol; Aydoğdu, Bahattin; Okur, Mehmet Hanifi; Önen, Abdurrahman; Otçu, Selçuk
    Öz:Amaç: Bu çalışmada kliniğimizde böbrek taşı nedeniyle Retrograd İntrarenal Cerrahi (RİRC) uygulanan hastaların sonuçlarının sunulması amaçlandı. Gereç ve Yöntem: Dicle Üniversitesi Çocuk Cerrahisi-Çocuk Ürolojisi kliniğinde, 2015-2016 yılları arasında RİRC uygulanan hastaların demografik verileri geriye dönük olarak değerlendirilip analiz edildi. Taş boyutu ultrasonografi ve direkt üriner sistem grafisi ile tek boyutta hesaplanan en uzun ölçüm olarak belirtildi. RİRC işlemi, genel anestezi altında üretere yerleştirilen sheath içinden fleksibl üreteroskop ile böbreğe ulaşılıp, holmium lazer ile taşlar fragmante edilerek yapıldı. Nispeten büyük parçalar forseps yardımıyla dışarı alınırken küçük parçalar doğal yolla atılmaya bırakıldı. Bulgular: Yaş ortalaması 8 yıl (2-12 yaş) olan 10 hastaya RİRC uygulandı. Hastaların 7 (%70)'si erkek, 3 (%30)'ü kız idi. Taşlar, hastaların yarısında sağ, yarısında sol böbrek yerleşimli idi. Özgeçmişlerinde 4 hastaya estrakorporeal şok dalga litotiripsi , 2 hastaya ise perkütan nefrolitotomi yapılmış- tı. Taşlar 7 hastada alt kaliks, 2'sinde pelvis, 1 hastada ise orta kaliks yerleşimli idi. Taş boyutları ortalama 9,7 mm (7-12) idi. Yedi (%70) hastada RİRC öncesi pasif dilatasyon yapıldı. Yedi (%70) hastada RİRC esnasında sheath kullanıldı. Operasyon süresi ortalama 54 (46-83) dakika idi. İki (%20) hastada konservatif tedavi ile düzelen hematüri görüldü. Taşsızlık oranı tek seansta %90 olup, 1 hastada ise ikinci kez RİRC yapılarak %100 taşsızlık sağlandı. Sonuç:RİRC'in, seçilmiş çocuk hastalarda başarı şansı yüksek, hastanede kalış süresi kısa, komplikasyon oranı düşük bir endoüroloji seçeneği olduğunu düşünmekteyiz.
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    Öğe
    Çocuklarda Böbrek Taşlarında Retrograd İntrarenal Cerrahinin (RİRC) Erken Dönem Sonuçları: Ön Çalışma
    (2017) Basuguy, Erol; Arslan, Mehmet Şerif; Zeytun, Hikmet; Arslan, Serkan; Okur, Mehmet Hanifi; Önen, Abdurrahman; Aydoğdu, Bahattin
    Amaç: Bu çalışmada kliniğimizde böbrek taşı nedeniyle Retrograd İntrarenal Cerrahi (RİRC) uygulanan hastaların sonuçlarının sunulması amaçlandı.Gereç ve Yöntem: Dicle Üniversitesi Çocuk Cerrahisi-Çocuk Ürolojisi kliniğinde, 2015-2016 yılları arasında RİRC uygulanan hastaların demografikverileri geriye dönük olarak değerlendirilip analiz edildi. Taş boyutu ultrasonografi ve direkt üriner sistem grafisi ile tek boyutta hesaplanan en uzunölçüm olarak belirtildi. RİRC işlemi, genel anestezi altında üretere yerleştirilen sheath içinden fleksibl üreteroskop ile böbreğe ulaşılıp, holmiumlazer ile taşlar fragmante edilerek yapıldı. Nispeten büyük parçalar forseps yardımıyla dışarı alınırken küçük parçalar doğal yolla atılmaya bırakıldı.Bulgular: Yaş ortalaması 8 yıl (2-12 yaş) olan 10 hastaya RİRC uygulandı. Hastaların 7 (%70)'si erkek, 3 (%30)'ü kız idi. Taşlar, hastaların yarısındasağ, yarısında sol böbrek yerleşimli idi. Özgeçmişlerinde 4 hastaya estrakorporeal şok dalga litotiripsi , 2 hastaya ise perkütan nefrolitotomi yapılmış-tı. Taşlar 7 hastada alt kaliks, 2'sinde pelvis, 1 hastada ise orta kaliks yerleşimli idi. Taş boyutları ortalama 9,7 mm (7-12) idi. Yedi (%70) hastadaRİRC öncesi pasif dilatasyon yapıldı. Yedi (%70) hastada RİRC esnasında sheath kullanıldı. Operasyon süresi ortalama 54 (46-83) dakika idi. İki(%20) hastada konservatif tedavi ile düzelen hematüri görüldü. Taşsızlık oranı tek seansta %90 olup, 1 hastada ise ikinci kez RİRC yapılarak %100taşsızlık sağlandı.Sonuç:RİRC'in, seçilmiş çocuk hastalarda başarı şansı yüksek, hastanede kalış süresi kısa, komplikasyon oranı düşük bir endoüroloji seçeneği olduğunu düşünmekteyiz.
  • Küçük Resim
    Öğe
    Çocuklarda dirençli ürinom'un perkütan kateter veya üreteral stent ile tedavisi: Olgu sunumu
    (Van Yüzüncü Yıl Üniversitesi Tıp Fakültesi, 2016) Arslan, Serkan; Arslan, Mehmet Şerif; Okur, Mehmet Hanifi; Aydoğdu, Bahattin; Zeytun, Hikmet; Basuguy, Erol; Önen, Abdurrahman; Uygun, İbrahim; Otçu, Selçuk
    Ürinom, ciddi üriner obstrüksiyon, travma veya endoüroloji girişimleri sonucu oluşmaktadır. Ürinom tanısı, altta yatan problemi düzeltmek ve gelişebilecek ürosepsis veya intraabdominal sepsis gibi komplikasyonları önlemek açısından önemlidir. Bu çalışmada perkütan tedavi ile düzelmeyen ürinomun cerrahi tedavi yönetimini sunmayı amaçladık. Travma sonrası ürinom gelişen hastaya perkütan drenaj takıldı. Perkütan drenajın uzun sürmesi üzerine Double J stent yerleştirilmeye karar verildi. Sistoskopiyle skopi altında çekilen retrograd pyelografide (RPG) üreteropelvik bileşkede ciddi ekstravazasyon saptandı. Skopi altında 3.8 Fr Double J stent renal pelvise gönderildi. 3 aylık takiplerinde klinik şikayeti olmayan hastanın üriner USG’sinde hafif hidronefroz dışında patoloji saptanmadı. Renal travmalı hastalarda geç dönemde ürinom görülebileceği, takiplerde akıldan çıkarılmamalıdır. Dirençli ürinomlu hastalarda infeksiyon ve apse gelişimini önlemek için girişim gerekebilir. Bu girişimin tipi hastaya göre perkütan drenaj veya Double J stent olabilir.
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    Comparison of single-incision laparoscopic percutaneous and cystoscope forceps assisted morgagni hernia repair techniques
    (W.B. Saunders, 2024) Okur, Mehmet Hanifi; Aydoğdu, Bahattin; Azizoğlu, Mustafa; Arslan, Serkan; Bayram, Salih; Basuguy, Erol; 0000-0002-9217-423X; 0000-0002-6720-1515; 0000-0003-2858-3984; 0000-0002-3456-9217; 0000-0002-4360-6892
    Objective: Our goal was to compare single-incision laparoscopic percutaneous and cystoscope forceps-assisted Morgagni hernia repair techniques. Materials and methods: A total of 40 patients were allocated to two groups, each with 20 patients. Group 1: Single incision (port) laparoscopic surgical percutaneous Morgagni hernia repair (with a 5 mm Storz laparoscopic scope entered through the umbilicus). Group 2: Single incision (port) laparoscopic surgical percutaneous Morgagni hernia repair (with an 11 Fr [3.6 mm] cystoscope entered through the umbilicus + using forceps + sac plication, and sac cauterization). In Group 1; the sac was not removed. In group 2; we advanced the forceps through the cystoscope, caught the sac, pushed the needle through the sac, plicated the sac, and then cauterized the sac with Bugbee electrode. Results: Of the 40 patients, 70 % (n = 28) were male. The symptoms at admission included repeated chest infections (40 %), dyspnea (30 %), vomiting (22 %), and abdominal pain (22 %). No difference was found between groups in terms of age, gender symptomatology, or associated anomalies. The operation time was shorter in group 2 compared to group 1 (p < 0.05; 25 min vs 40 min). Although there was one recurrence in Group 1, no recurrence was reported in Group 2. The recurrence incidence did not differ between groups (p > 0.05). Conclusions: Cystoscope-assisted repair of Morgagni hernia was found to be superior in terms of safety and shorter operation time. Level of evidence: Type III. Type of the study: Retrospective study.
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    A congenital anterior urethral diverticulum associated with obstructive urinary symptoms in a 1-year-old male child: A case report and review of the literature
    (2015) Arslan, Serkan; Basuguy, Erol; Okur, Mehmet Hanifi; Aydoğdu, Bahattin
    Congenital anterior urethral diverticula are rarely found in children. We present the case of a 1-year-old male child with a congenital anterior urethral diverticulum. This condition can lead to obstructive lower urinary tract symptoms and urosepsis. The clinical presentation, diagnosis, and management of this rare condition are discussed in this report. The diagnosis was made using retrograde urethrography. Patient was treated with open diverticulectomy and urethroplasty
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    Congenital-infantile fibrosarcoma of the ileocecal region: the first case presentation
    (Springer, 2016) Zeytun, Hikmet; Okur, Mehmet Hanifi; Basuguy, Erol; Arslan, Serkan; Aydogdu, Bahattin; Turkcu, Gul; Arslan, Mehmet Serif
    Infantile fibrosarcoma is a very rare soft tissue tumor that originates most commonly in the body and extremities. We present a neonate with an infantile fibrosarcoma that originated in the ileocecal region and was detected incidentally without symptoms. This is the first case of fibrosarcoma reported in the ileocecal region.
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    Cordycepin prevents postoperative formation of intra-abdominal adhesion in a rat model: An experimental study
    (Turkish Assoc Trauma Emergency Surgery, 2017) Arslan, Serkan; Zeytun, Hikmet; Basuguy, Erol; Ibiloglu, Ibrahim; Uygun, Ibrahim; Yilmaz, Ahmet; Tan, Ilhan
    BACKGROUND: The aim of the present study was to investigate whether cordycepin prevented adhesion formation in a rat model. METHODS: Rats were randomly assigned to 3 groups of 10 rats. Control group: The absence of adhesion was confirmed via laparotomy. Adhesion group: The cecum was removed from the abdomen and scraped with a dry gauze bandage until petechial hemorrhagic foci developed. Cordycepin group: The same surgical procedure was performed as in the adhesion group, and 10 mg/kg cordycepin was administered intraperitoneally. After 15 days, the rats were sacrificed humanely via cardiac blood withdrawal under anesthesia. The rats were then analyzed morphologically and histopathologically, and hydroxyproline (OH-p) and malondialdehyde (MDA) levels were measured. RESULTS: Macroscopic analysis revealed significantly less adhesion in the cordycepin group than in the adhesion group (p<0.01). Furthermore, significant histopathological improvement was also evident in the cordycepin group compared to the adhesion group (p<0.05). The levels of OH-p and MDA in blood and tissue were higher in the adhesion group than in the control group, and lower in the cordycepin group than the adhesion group. Interestingly, MDA level was significantly lower (blood: p<0.05; tissue: p<0.01) in the cordycepin group than in the adhesion group, whereas only tissue OH-p was significantly lower in the cordycepin group compared with the adhesion group (p<0.05). One rat in both adhesion group and cordycepin group died postoperatively. CONCLUSION: Results indicated that cordycepin effectively reduced adhesion in a rat abrasion model. Thus, this agent may be valuable to prevent postoperative adhesion.
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    Crystallized phenol for treatment of pilonidal sinus disease in children: a comparative clinical study
    (Springer, 2021) Arslan, Serkan; Okur, Mehmet Hanifi; Basuguy, Erol; Aydoğdu, Bahattin; Zeytun, Hikmet; Çal, Suat; Teğin, Serdest; Azizoğlu, Mustafa
    Background The aim of this study was to present our experience in the use of crystallized phenol (CP) to treat pediatric patients with 'simple' and complex' Pilonidal sinus disease (PSD). Materials and methods Patients who underwent CP treatment in between January 2015 and January 2020 were evaluated retrospectively, using prospectively collected data. The patients were divided into simple and complicated groups. The groups were assigned depending on the number of sinuses and clinical presentation. The groups were compared in terms of age, sex, number of sessions, cost analysis, body mass index (BMI), recurrence, time resolution, cosmetic results, results /improvement, and complications. Results This study included 54 patients: 28 (52%) girls and 26 (48%) boys. The mean number of sinuses was 2.4. Symptoms included discharge in 50 (92%) patients, and pain in 42 (78%) patients. Fifty (93%) patients experienced mild pain during the procedure, whereas four (7%) patients had moderate pain. The mean number of CP sessions was 2.9; mean numbers of CP sessions were 2.2 and 4.2 in the Simple and Complicated groups. In total, 5 of 54 patients (9%) had recurrence.At the end of treatment, therapeutic success was achieved in 49 of 54 (91%) patients: 31 of 33 (94%) patients in the Simple group and 18 of 21 patients (86%) in the complicated group. The mean treatment cost for the whole cohort was $17.40. One patient (2%) presented with moderate skin burns. Cosmesis was deemed acceptable by patients, although there was evidence of minor skin burns following the procedure. Conclusions The findings showed that the CP procedure was advantageous for treatment of PSD, because it was minimally invasive, cost-effective, provided good cosmesis, and had a high success rate and low complication rate. Furthermore, it did not require prior examination, and could be performed under local anesthesia. Therefore, the CP procedure may be useful as a first-line treatment option in children with PSD
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    A different approach to leakage of esophageal atresia in children
    (Turkish Association of Trauma and Emergency Surgery, 2020) Basuguy, Erol; Okur, Mehmet Hanifi; Arslan, Serkan; Zeytun, Hikmet; Aydoǧdu, Bahattin
    BACKGROUND: In this study, we aimed to present the results of patients treated for esophageal leakage with a different conservative approach. METHODS: Ninety-eight patients with esophageal atresia and tracheoesophageal fistula (EA) who underwent surgery in our clinic between February 2013 and January 2018 were retrospectively reviewed in this study. Patients’ anastomosis leakage, gestational week, gender, body weight, referral date, recovery time and stenosis were recorded. After leakage detection, the nasogastric catheter was fluoroscopically converted into a nasojejunal catheter using a guidewire and feeding continued. RESULTS: Anastomotic leakage developed in 18 (18.3%) patients. The average gestational age at birth was 35.4 weeks; the patients included ten girls and eight boys of average weight 2.41 kg; the average referral period was 2.1 days after birth and the average time of surgery was 2.4 days after birth. The average recovery time was 21.1 days (range: 8–60 days). Eight patients developed stenosis that recovered with dilatation. CONCLUSION: Our findings suggest that our conservative treatment approach, which uses a nasojejunal catheter, is an effective method that would reduce complications, enable earlier feeding, and reduce the cost compared to other treatment approaches.