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Öğe Analysis of Rare Spontaneous Intraperitoneal Hydatic Cyst Rupture: a Multicentric Experience(Springer India, 2021) Tas, Ilhan; Aday, Ulas; Yigit, Yasemin Demir; Yigit, EbralThis case series analysis aims to present the clinical, operative, and follow-up results of 17 patients who were operated on for an intraperitoneal rupture in two tertiary care centers in the same region. In this study, patients who underwent emergency surgery due to ruptured liver hydatid cysts in the intraperitoneal space between January 2016 and December 2020 at two tertiary centers were retrospectively analyzed. Of the 17 patients, 14 were women (82.4%) and 3 (17.6%) were man, and the mean age was 35.9 SD15.1 (min: 17, max: 69) years. Seven (41.2%) patients had a single cyst, and 10 patients (58.8%) had two or more cysts. The time from the onset of symptoms to admission to the hospital was 16.9 SD16.1 (4-72) hours. Average operation time was 80 SD63.43 min. Complications developed in three patients in the postoperative period. These were atelectasis, ileus, and stricture in the common bile ducts. The mean hospitalization period of the patients was 8.0 SD2.78 (4-15) days. The follow-up period was 44 (IQR; 23-91) months, and recurrence occurred in 3 (17.6%) patients. The timing of medical and surgical treatment is an important factor in the morbidity and mortality of patients. Close follow-up and timely intervention are of vital importance in reducing the risk of rupture in patients who are followed up on for hydatid cysts.Öğe Continuing Diagnostic and Therapeutic Challenges in Gallbladder Polyps(Southeastern Surgical Congress, 2013) Arikanoglu, Zulfu; Taskesen, Fatih; Aliosmanoglu, Ibrahim; Gul, Mesut; Gumus, Hatice; Celik, Yusuf; Tas, Ilhan[Abstract Not Available]Öğe Risk factors influencing morbidity and mortality in perforated peptic ulcer disease(Aves, 2015) Tas, Ilhan; Ulger, Burak Veli; Onder, Akin; Kapan, Murat; Bozdag, ZubeyirObjective: Peptic ulcer perforation continues to be a major surgical problem. In this study, risk factors that influence morbidity and mortality in perforated peptic ulcer disease were examined. Material and Methods: Files of 148 patients who were included in the study due to peptic ulcer perforation between January 2006 and December 2010 were retrospectively analyzed. Data regarding age, gender, complaints, time elapsed between onset of symptoms and hospital admission, physical examination findings, co-morbid diseases, laboratory and imaging findings, length of hospital stay, morbidity and mortality were recorded. Results: The study group included 129 (87.2%) male and 19 (12.8%) female patients. The mean age was 51.7 +/- 20 (15-88) years. Forty five patients (30.4%) had at least one co-morbid disease. In the postoperative period, 30 patients (20.3%) had complications. The most common complication was wound infection. Mortality was observed in 27 patients (18.2%). The most common cause of mortality was sepsis. Multivariate analysis revealed age over 60 years, presence of co-morbidities and Mannheim peritonitis index as independent risk factors for morbidity. Age over 60 years, time to admission and Mannheim peritonitis index were detected as independent risk factors for mortality. Conclusion: Early diagnosis and proper treatment are important in patients presenting with peptic ulcer perforation.Öğe Surgical Alternatives in the Treatment of Intestinal Intussusceptions Resulting from Polyps in Adults(Southeastern Surgical Congress, 2013) Arikanoglu, Zulfu; Onder, Akin; Taskesen, Fatih; Aliosmanoglu, Ibrahim; Gul, Mesut; Gumus, Hatice; Tas, IlhanAdult intussusception is an uncommon disease requiring surgical intervention. The aim of this study is to discuss the surgical alternatives and share our experience in the treatment of adult patients with intussusceptions formed as a result of polyps. The retrospective study included 16 adult patients who underwent surgery after the diagnosis of intestinal invaginations resulting from polyps between the years 2000 and 2011. Sixteen patients (seven males and nine females; mean age, 48.18 years; range, 18 to 76 years) presented with intestinal intussusceptions. Although a preoperative diagnosis was carried out in 11 (68.75%) patients, the diagnosis was made intra-operatively in five patients (31.25%). Among the patients, seven (43.8%) had undergone emergency surgeries and nine (52.8) had elective surgery. The invagination in 12 patients (75%) was located in the small intestine, in two patients (12.5%) in the colon, and in a further two patients (12.5%), it was ileocecally located. Ten patients (62.5%) had segmental resection + anastomosis; three patients underwent (18.8%) segmental resection + enterostomy, and three (18.8%) received hemicolectomies. In adults, surgical treatment is always the primary option in intussusceptions resulting from polyps. Although the surgical method of choice in colonically located ones is en bloc resection without reduction, because the polyps located in the small intestine are usually of a benign nature, segmental resection with reduction should be performed in elective surgery and segmental resection without reduction should be performed in emergency cases.
