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    A Case of Tibialis Anterior Muscle Herniation Diagnosed by Ultrasonography
    (Galenos Yayincilik, 2013) Ulu, Mehmet Ali; Cakmak, Muharrem; Nas, Kemal
    Muscle hernia is a focal muscular protrusion through a fascial defect and the tibialis anterior muscle is the most commonly affected site in the lower leg. It is usually an asymptomatic bulge which changes in size with the patient's position. In this article, we report a patient who presented with a swelling on his leg and was diagnosed with tibialis anterior muscle herniation by ultrasonographic examination. Turk J Phys Med Rehab 2013;59:73-5.
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    Comparison of preoperative and postoperative arterial blood gas analysis, respiratory function test and lung perfusion scintigraphy of adult patients undergoing lung decortication surgery
    (Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2012) Oruc, Menduh; Cakmak, Muharrem; Eren, Sevval
    Background: In this study, we aimed to determine the effect of lung decortication surgery on the postoperative respiratory function, comparing pre- and postoperative findings of arterial blood gas analysis, respiratory function test and lung perfusion scintigraphy of the adult patients. Methods: Between January 2000 and November 2008, the clinical data of 37 patients over 15 years of age (25 males, 12 females; mean age 37.3 years; range 15 to 73 years) were retrospectively analyzed, who underwent lung decortication surgery due to chronic empyema in Thoracic Surgery Department of the Faculty of Medicine of Dicle University, Diyarbakir. Pre- and postoperative findings of arterial blood gas analysis, respiratory function test and lung perfusion scintigraphy were analyzed statistically. Results: Sixteen (43.24%) of the patients underwent right thoracotomy, while 21 (56.75%) underwent left thoracotomy. Histopathologic examination revealed chronic fibrinous pleuritis in 28 patients (75.6%) and tuberculous pleuritis in nine patients (24.3%). Statistical significance was found in PO2, SO2 (p<0.05), FEV1 and FVC and perfusion scintigram (p<0.001), whereas no statistical significance was observed in PCO2 (p>0.05). Conclusion: Our study results suggest that decortation surgery eliminates the compression on the lungs, allowing re-ventilation and leads to improvement of the respiratory function over time. These findings were also consistent with the previous study results.