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    Evaluation mean platelet volume as a new indicatot for confirming the diagnosis of necrotizing pancreatitis
    (Edizioni Luigi Pozzi S.r.l., 2015) Erbis H.; Aliosmanoglu I.; Turkoglu M.A.; Ay E.; Turkoglu A.; Ulger B.V.; Akdeniz H.
    BACKGROUND: The aim of the present study is to discuss the possible role of mean platelet volume as a new predictor in the diagnosis of necrotizing pancreatitis. METHODS: Study subjects are arranged in three different groups: Group I; control group (n= 40), Group II; acute pancreatitis (n= 40), Group III; necrotizing pancreatitis (n= 36). Demographic data and mean platelet volume values are recorded retrospectively. RESULTS: Mean platelet volume of patients in Group II was 7.9±0.53, while in Group III patients' it was 7.2±0.52 (p < 0.001). When we compared the study groups with ROC analysis, results demonstrated that cut offvalue of necrotizing pancreatitis patients as 7,8 (area under curve: 0.857), sensitivity as 86.1% and specificity as 72.5%. CONCLUSION: The current study shows that mean platelet volume in necrotizing pancreatitis patients is significantly reduced compared to that of patients in the control and acute pancreatitis group.
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    Factors affecting morbidity and mortality in hollow visceral injuries following blunt abdominal trauma
    (2014) Arikanoglu Z.; Turkoglu A.; Taskesen F.; Ulger B.V.; Uslukaya O.; Basol O.; Aldemir M.
    Background and Aim: Hollow visceral injuries following blunt abdominal trauma are uncommon. The potential risk factors affecting morbidity and mortality are not well known. The purpose of our study was to evaluate the outcomes of hollow viscus perforation after blunt abdominal trauma. Materials and Methods: Patient files of 56 adult patients who were treated with diagnosis hollow viscus injuries due to blunt abdominal trauma between the years 2000 and 2011 at the Dicle University Medical School General Surgery Clinic were retrospectively evaluated by analyzing the relationship between morbidity-mortality and potential risk factors. Results: Fifty-six patients formed the study group, with median age of 37.5±17,0 (range, 16-78) years and a significant male (80.3%) predominance. The median Injury Severity Score was 4 (1-25). The median length of hospital stay 7.5 (1-21) days. The mean age in the group with morbidity (47.1±17.4) was significantly higher than the group without morbidity (34.3±15.8) (p<0.05). Also, re-operation (p=0.0013), treatment modality (p=0.037), cause of injuries (0.0046) were other factors that affect morbidity. Conclusions: These findings suggest that factors affecting morbidity were cause of injuries, re-operation and treatment in patients with hollow viscus injury caused by blunt abdominal trauma. And factors affecting mortality were the injured organ, the presence of shock and median injury severity score. © Societá Editrice Universo (SEU).
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    Rectovaginal fistulas: Five year's experience
    (Societa Editrice Universo, 2014) Taskesen F.; Arikanoglu Z.; Bostanci S.; Oguz A.; Uslukaya O.; Turkoglu A.; Veli Ulger B.
    Background: Rectovaginal fistula is an epithelial connection between the anterior wall of the rectum and posterior wall of the vagina. The etiology of the rectovaginal fistula can be trauma orginated from violent acts or foreign bodies as well as trauma during obstetric, gynecologic, or colorectal surgeries. The purpose of this study was to share our clinic experience and surgical management for rectovaginal fistulas. Patients and Methods: This study was conducted at the Department of General Surgery, University of Dicle. All patients who were treated for rectovaginal fistulas between January 2005 and December 2011 were included to this study. Results: There were fifteen patients in a mean age of 32 ± 9.6. The most common complains of patients were arrival of gas and stool from the vagina. The etilogy of rectovaginal fistula was most commonly obstetric trauma in our patients and three of them had anal incontinance. The mean time of hospital stay was 5 days± 1.7. Postoperative wound infection was seen in two patients and reccurence disease occurred in two patients during the postoperative period. Conclusions: Rectovaginal fistula treatment is a challenging condition for the surgeon since anatomical relationships and different surgical conditions changes according to the paitents. Various surgical techniques are available for the management of rectovaginal fistulas according to their etiology, size, location. For the treatment of low fistulas, best results were achieved using conservative fistulectomy, layer closure, and both-sided covering of the tissue defect with advancement vaginal and rectal flaps. © Società Editrice Universo (SEU).