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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 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 TRAUMATIC PSEUDOANEURYSMS OF PERIPHERAL ARTERIES AND THEIR SURGICAL-MANAGEMENT(Westminster Publ Inc, 1993) YASAR, T; INCI, I; FURTUN, K; OZGEN, GFrom 1977 through 1990, 60 patients who had traumatic pseudoaneurysms underwent surgical treatment at Dicle University, School of Medicine, Thoracic and Cardiovascular Surgery Department; 65% of the aneurysms were localized at lower extremities and 35% at upper extremities. The most frequent localization was 40% at the superficial femoral artery. Etiology of the trauma was as follows: 67% shotgun injuries, 25% penetrating instrument injuries, 5% blunt trauma, and 3% iatrogenic. In 31.7% end-to-end anastomosis, in 45% saphenous venous interposition, in 10% ligation, in 8.3% lateral suture, and in 3.3% artificial grafting were done as a surgical management. Primary amputation was done in 1.7% of the patients; 93.3% of all the patients have recovered, and only 1 patient died (1.7%).