Yazar "Yilmaz, H. Gulsen" seçeneğine göre listele

Listeleniyor 1 - 3 / 3
  • [ X ]
    Öğe
    Abdominal trauma due to blank cartridge guns
    (Elsevier Science Bv, 2006) Korkmaz, Ozgur; Yilmaz, H. Gulsen; Tacyildiz, Brahim
    Objectives: Blank cartridge guns that are used as weapons of defense are being used widely because of gaps in the law. Both the original weapon and those with modifications are able to cause serious injury. Materials and Methods: In this study, seven patients who sustained abdominal injuries caused by blank cartridge guns which were modified to shoot metal shot, during 2005, were studied. All patients had laporotomies with the diagnosis of penetrating abdominal trauma. Operative findings, postoperative complications, Abdominal Trauma Index, Injury Severity Score and Trauma Score were recorded. Results: There was one woman and six men in the cohort. The mean age was 27.1 +/- 17.2 years. Six patients were younger than 30 years old. Two patients had a single organ injury, one patient had a large abdominal wall defect, while four patients sustained multiple organ injuries. The mean length of hospitalization was 9.6 +/- 2.1 days. Postoperative complications (wound infection and pneumonia) were seen in two patients. The mean scores of Abdominal Trauma Index, Injury Severity Score and Trauma Score were as 12.3 +/- 9.3; 9.15 +/- 5.9; 12.7 +/- 1.6 respectively. Conclusion: Although blank cartridge guns are accepted as harmless, physicians should be aware of the risk of serious injuries threatening human life. Legislative action should be taken to lessen the impact of these weapons.
  • [ 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.
  • [ X ]
    Öğe
    Surgical treatment of pulmonary hydatid cysts
    (Int College Of Surgeons, 2006) Uelkue, Refik; Yilmaz, H. Gulsen; Onat, Serdar; Oezcelik, Cemal
    Hydatid disease is a parasitic infestation that is endemic in many sheep- and cattle-raising areas and is still an important health problem in the world. The aim of our study was to present our surgical experience and strategy in the management of pulmonary hydatid disease. One hundred thirty-nine patients with pulmonary hydatid cysts underwent surgical treatment in our clinic between January 1990 and April 2002. A total of 169 cysts were present in 139 patients. Fifteen patients had concomitant hydatid cysts in liver and lung. Our series consisted of 76 male and 63 female patients, and mean age was 28.6 +/- 17 years (range, 5-65 years). Only pulmonary hydatid cysts were seen in 123 patients (88.5%), whereas there were 15 patients (10.8%) with combined pulmonary and hepatic disease. Hydatid cyst was found in a patient both in lung and spleen (0.7%). Lateral thoracotomy was performed in 115 patients (82.73%), bilateral thoracotomy in 9 patients (6.48%), thoracophrenotomy in 11 patients (7.91%), and median sternotomy and phrenotomy in 4 patients (2.88%). Resection techniques were used only in 10 patients. The most common complication was atelectasis (5.0%). The mortality rate was 1.8% (3 patients). Surgery is the treatment of choice for most patients with pulmonary hydatid cysts. Thoracaphrenotomy can be chosen as the surgical procedure in management of hepatic and pulmonary hydatid cysts.