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Öğe EARLY DECORTICATION FOR POSTPNEUMONIC EMPYEMA IN CHILDREN - EFFECT ON PULMONARY PERFUSION(Scandinavian University Press, 1995) EREN, N; OZCELIC, C; ENER, BK; OZGEN, G; SOLAK, H; BALCI, AE; TAS, SEarly pulmonary decortication was performed on 66 of 137 children with postpneumonic empyema, while 71 received conventional treatment. The mean age of the 66 patients with decortication was 5.5 years (range 6 months-14 years). The empyema was left-sided in 34 and right-sided in 32. Decortication was performed when lung expansion was not obtained after 10-12 days of intercostal tube drainage, antibiotic therapy (guided by sensitivity tests of pleural fluid) and pleural irrigation. Scintigraphy showed loss of pulmonary perfusion on the side of empyema to be 65% +/- SD 20 (25-98)% before decortication in the 23 tested patients. In ten of them the test was repeated after surgery and showed;significant (p < 0.001) diminution of the perfusion defect, from 57 +/- 6.8 (25-84)% to 4 +/- 2.6 (0-8)%. The hospital stay was significantly (p < 0.001) shorter for the surgically treated than for the classically managed patients, viz. 19.5 +/- 4 (13-36) days vs 73.6 +/- 14 (34-110) days. Early decortication thus had beneficial effects on pulmonary perfusion and hospital stay.Öğe NEAR-TOTAL ESOPHAGEAL EXCLUSION IN THE TREATMENT OF LATE-DIAGNOSED ESOPHAGEAL-PERFORATION(Scandinavian University Press, 1994) OZCELIK, C; INCI, I; OZGEN, G; EREN, NTwo cases of late-diagnosed esophageal perforation were successfully treated with near-total esophageal exclusion, using cervical T-tube esophagostomy with circumferential suture fixation of the lower arm of the T-tube. Esophageal stricture developed at the site of catgut or dexon tie. This complication can be managed with esophageal dilation. Drainage-tube gastrostomy proved to be unnecessary.Öğe PERIPHERAL ARTERIAL INJURIES WITH GUNSHOT WOUNDS - SURGICAL TREATMENTS AND RESULTS(Westminster Publ Inc, 1989) OZGEN, G; EREN, N; SOLAK, H[Abstract Not Available]Öğe PERIPHERAL VASCULAR INJURIES IN CHILDREN(W B Saunders Co, 1991) EREN, N; OZGEN, G; ENER, BK; SOLAK, H; FURTUN, K[Abstract Not Available]Öğe SIMULTANEOUS OPERATION FOR RIGHT PULMONARY AND LIVER ECHINOCOCCOSIS(Scandinavian University Press, 1990) EREN, N; OZGEN, G[Abstract Not Available]Öğe SURGERY IN HYDATID CYST OF THE LUNG - A REPORT OF 460 CASES(Scandinavian University Press, 1988) SOLAK, H; OZGEN, G; YUKSEK, T; EREN, N; SOLAK, N; KIRCA, NK; AKKOC, O[Abstract Not Available]Öğe SURGICAL-TREATMENT OF PULMONARY HYDATIDOSIS IN CHILDREN - EXPERIENCE IN 92 PATIENTS(W B Saunders Co, 1994) OZCELIK, C; INCI, I; TOPRAK, M; EREN, N; OZGEN, G; YASAR, T[Abstract Not Available]Öğe TRAUMATIC POPLITEAL AND TRIFURCATION ARTERIAL INJURIES - HOW CAN WE PREDICT THE ULTIMATE OUTCOME(Westminster Publ Inc, 1994) OZCELIK, C; INCI, I; KIR, A; TOPRAK, M; KANDEMIR, N; EREN, N; OZGEN, GDuring a sixteen-year period ending in March 1993, 63 patients with 88 popliteal or trifurcation arterial injuries underwent surgical management, and the ultimate outcome was recorded according to both mangled extremity severity score (MESS) and risk classification at Dicle University. There were 14 major (22.2%) and 3 minor (4.8%) amputations and 4 (6.3%) deaths. Of 40 patients with an ischemic period of more than eight hours, 13 required amputation. According to MESS, there were 28 patients with scores of 7 or more (44.4%). In this group 13 patients required amputation (46.4%), and 8 had a good outcome (28.6%). As regards patients' classification by risk factors of nerve injury, soft-tissue injury, and open fracture, 15 of 17 patients having one or less risk factor had a good outcome (88.2%), whereas 20 of 46 patients having two or more risk factors had good outcome (43.5%). A comparison of patients having one or less risk factor with those having three risk factors found statistical significance according to amputation rates (P < 0.05). The difference in amputation rates between 23 patients who were operated on within less than eight hours and 40 patients who were operated on within more than eight hours was statistically nonsignificant (P > 0.05).Öğe VASCULAR INJURIES AND AMPUTATION FOLLOWING LIMB FRACTURES(Georg Thieme Verlag, 1990) EREN, N; OZGEN, G; GUREL, A; ENER, BK; FURTUN, K[Abstract Not Available]
