Yazar "Tacyildiz, Ibrahim" seçeneğine göre listele

Listeleniyor 1 - 4 / 4
  • [ X ]
    Öğe
    Factors Affecting Morbidity and Mortality in Patients Who Underwent Emergency Operation for Incarcerated Abdominal Wall Hernia
    (Int College Of Surgeons, 2012) Gul, Mesut; Aliosmanoglu, Ibrahim; Kapan, Murat; Onder, Akin; Taskesen, Fatih; Arikanoglu, Zulfu; Tacyildiz, Ibrahim
    Patients with incarcerated abdominal wall hernias (AWHs) are often encountered in emergency care units. Despite advances in anesthesia, antisepsis, antibiotic therapy, and fluid therapy, the morbidity and mortality rates for these patients remain high. Between 2006 and 2011, we retrospectively analyzed the cases of 131 patients who underwent emergency surgery for incarcerated abdominal wall hernias. Of these, there were 70 women (53.4%) and 61 men (46.6%) with an average age of 63.3 +/- 17.4 years (range, 17-91 years). Morbidity was observed in 28 patients (21.4%), and the mortality rate was 2.3%. Intestinal resection, presence of concomitant disease, and general anesthesia were the independent variants that affected morbidity of patients with incarcerated abdominal wall hernias.
  • [ X ]
    Öğe
    Factors affecting morbidity in penetrating rectal injuries: a civilian experience
    (Turkish Assoc Trauma Emergency Surgery, 2011) Gumus, Metehan; Kapan, Murat; Onder, Akin; Boyuk, Abdullah; Girgin, Sadullah; Tacyildiz, Ibrahim
    BACKGROUND The principles of the treatment of rectal injuries have been determined based on the experiences gained from military injuries. While adopting these principles in civilian life, it is essential to know the characteristics of civilian rectal injuries as well as the risk factors affecting morbidity. METHODS The characteristics of 29 inpatients who had been treated due to rectal injuries caused by gunshot wounds and penetrating devices were evaluated. In order to determine the risk factors, the patients were divided into two groups regarding the presence of morbidity (Group 1, with morbidity; Group 2, without morbidity) and compared. RESULTS Severe fecal contamination, perianal or gluteal injuries, duration of trauma- treatment interval, and isolated extraperitoneal injury were significant factors that affected the development of morbidity. The length of hospital stay was significantly longer in Group 1 as compared to Group 2. CONCLUSION Although rectal injuries are rarely encountered, they carry high morbidity and mortality. Awareness of the risk factors and planning of a patient-based treatment are essential for the success of the therapy. The rate of morbidity is substantially decreased when patients are treated in time. Thus, the awareness of both patients as well as physicians managing trauma about rectal injuries should be increased.
  • [ X ]
    Öğe
    Leptin levels and lipoprotein profiles in patients with cholelithiasis
    (Sage Publications Ltd, 2015) Sarac, Serdar; Atamer, Aytac; Atamer, Yildiz; Can, Ahmet Selcuk; Bilici, Aslan; Tacyildiz, Ibrahim; Kocyigit, Yuksel
    Objective To determine the relationships between serum leptin and levels of lipoprotein(a) [Lp(a)], apolipoprotein A-1 (ApoA-1) and apolipoprotein B (ApoB) in patients with cholelithiasis. Methods Patients with ultrasound-confirmed cholelithiasis and controls frequency-matched for age, sex, body mass index, fasting blood glucose and haemoglobin A(1c) levels were recruited. Fasting blood samples from all study participants were assayed for glucose, haemoglobin A(1c,) total cholesterol, high density lipoprotein-cholesterol (HDL-C) and triglyceride. Serum Lp(a), ApoA-1 and ApoB levels were measured using nephelometric assays; serum leptin was measured using an enzyme-linked immunosorbent assay. Results A total of 90 patients with cholelithiasis and 50 controls were included in the study. Serum levels of leptin, Lp(a), total cholesterol, triglyceride and ApoB were significantly increased, and levels of ApoA-1 and HDL-C were significantly decreased, in patients with cholelithiasis compared with controls. Serum leptin in patients with cholelithiasis were significantly positively correlated with Lp(a) and ApoB and negatively correlated with ApoA-1. Conclusions Patients with cholelithiasis have higher leptin levels and an altered lipoprotein profile compared with controls, with increased leptin levels being associated with increased Lp(a) and ApoB levels, and decreased ApoA-1 levels, in those with cholelithiasis.
  • [ X ]
    Öğe
    Perforated gastric carcinoma
    (Kare Publ, 2006) Korkmaz, Ozgur; Yilmaz, H. Gulsen; Tacyildiz, Ibrahim
    OBJECTIVES In this study, we aimed to discus morbidity, mortality and surgical procedures of the patients who had been operated on with the indication of gastric tumour perforation. METHODS A total of 29 patients (25 males, 4 females; median age 54.31 +/- 14.42 years) who underwent emergency operation were studied. The following variables were assessed: pathololic features, rate of morbidity and mortality, causes of reoperation and factors related with outcome. RESULTS A total of 29 (12%) patients with perforated gastric carcinoma were retrospectively reviewed among 241 consecutive cases of gastric cancer operated in Dicle University General Surgery Department. The complication rate was 51.7 percent. Initially, 22 patients had palliative operations. Three patients had a potentially curative procedure at the emergency operation. Overall, post-operative mortality was 20.7% (6/29). CONCLUSION In our region, gastric cancer perforation is encountered in younger patients with higher proportion. The stage of the tumor is advanced and the diagnosis of peritonitis is delayed. So, these factors decrease the rates of curative surgery.