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Yayın Bilateral Nipple Leiomyoma(Hindawi Ltd, 2013) Deveci, Uğur; Kapakli, Mahmut Sertan; Altıntoprak, Fatih; Cayirci, Mine; Manukyan, Manuk Norayk; Kebudi, AbutCutaneous leiomyomas are benign smoothmuscle neoplasms of the skin. They arise fromvascular, arrector pili, genital, and areolar smooth muscles. The most common localizations of cutaneous leiomyomas are the extensor surfaces of the extremities and the trunk. To our knowledge, only few cases of one-sided nipple leiomyomas have been reported, but two-sided nipple leiomyomas have not been presented. For the first time, here, we report a bilateral nipple leiomyoma.Yayın The comparison of single incision laparoscopic cholecystectomy and three port laparoscopic cholecystectomy: prospective randomized study(KOREAN SURGICAL SOCIETY, 2013) Deveci, Uğur; Barbaros, Umut; Kapakli, Mahmut Sertan; Manukyan, Manuk Norayk; Simsek, Selcuk; Kebudi, Abut; Mercan, Selcuk; Deveci, UğurPurpose: Laparoscopic techniques have allowed surgeons to perform complicated intra-abdominal surgery with minimal trauma. Single incision laparoscopic surgery (SILS) was developed with the dim of reducing the invasiveness of conventional laparoscopy. In this study we aimed to compare results of SILS cholecystectomy and three port conventional laparoscopic (TPCL) cholecystectomy prospectively. Methods: In this prospective study, 100 patients who underwent laparoscopic cholecystectomy for gallbladder disease were randomly allocated to SILS cholecystectomy (group 1) or TPCL cholecystectomy (group 2). Demographics, pathologic diagnosis, operating time, blood loss, length of hospital stay, complications, pain score, conversion rate, and satisfaction of cosmetic outcome were recorded. Results: Forty-four SILS cholesystectomies (88%) and 42 TPCL cholecystectomies (84%) were completed successfully. Conversion to open surgery was required for 4 cases in group 1 and 6 cases in group 2. Operating time was significantly longer in group 1 compared with group 2 (73 minutes vs. 48 minutes; P < 0.05). Higher pain scores were observed in group 1 versus group 2 in postoperative day 1 (P < 0.05). There was higher cosmetic satisfaction in group 1 (P < 0.05). Conclusion: SILS cholecystectomy performed by experienced surgeons is at least as successful, feasible, effective and safe as a TPCL cholecystectomy. Surgeons performing SILS should have a firm foundation of advanced minimal access surgical skills and a cautious, gradated approach to attempt the various procedures. Prospective randomized studies comparing single access versus conventional multiport laparoscopic cholecystectomy, with large volumes and long-term follow-up, are needed to confirm our initial experience. (ClinicalTrials.gov Identifier: NCT01772745.)Yayın Endoscopy training of surgical residents: results of an university hospital(Aves, 2009) Manukyan, Manuk Norayık; Severge, Utku; Kapakli, Mahmut Sertan; Deveci, Uğur; Oltulu, Melda; Kebudi, AbutPurpose: The aim of this study is to evaluate the efficacy of endoscopy training at an university hospital surgery clinic and to find an answer to the question; when and how surgical endoscopy training should be. Materials and Methods: At the surgery clinic of our university gastrointestinal endoscopies were performed by residents under supervision and the success rates, complications and duration were recorded. An endoscopy was accepted to be succesfull if the caecum or duodenum was entubated. Results: When the residents files were examined the success rate for the first 50 gastroscopies was 58%. With an increasing experience the time of the procedure and the success rates increased. For an 100% success rate an experience of 100 gastroscopies was enough. Altough colonoscopy success rate also increased by experience, even after performing 200 colonoscopies still caecum entubation rate was not sufficient. Conclusion: Our study showes that colonoscopy is a harder procedure compared with gastroscopy and should be performed under supervision. In our country the courses designed by The Turkish Society of Surgery is a good choice to learn endoscopy for residents. But stil endoscopy training should spread along the 5 years of residency and maybe endoscopy rotation should be mandatory every year.Yayın Evaluation of ultrasound-guided erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: A prospective, randomized, controlled clinical trial(ELSEVIER SCIENCE INC, 2018) Tulgar, Serkan; Kapakli, Mahmut Sertan; Senturk, Ozgur; Selvi, Onur; Serifsoy, Talat Ercan; Ozer, ZelihaStudy objective: Laparoscopic cholecystectomy (LC) is a commonly performed minimally invasive procedure that has led to a decrease in procedure-related mortality and morbidity. However, LC requires analgesia that blocks both visceral and somatic nerve fibers. In this study, we evaluated the effectiveness of Erector Spinae Plane Block (ESPB) for postoperative analgesia management in LC. Design: Single-blinded, prospective, randomized, efficiency study. Setting: Tertiary university hospital, postoperative recovery room & ward. Patients: 36 patients (ASA I-II) were recruited in two equal groups (block and control group). Following exclusion, 30 patients were included in final analysis. Interventions: Standard multimodal analgesia was performed in Group C (control) while ESPB block was also performed in Group B (block). Measurements: Pain intensity between groups were compared using Numeric Rating Scores (NRS). Also, tramadol consumption and additional rescue analgesic requirement were measured. Main results: NRS was lower in Group B during the first 3 h. There was no difference in NRS scores at other hours. Tramadol consumption was lower in Group B during the first 12 h. Less rescue analgesia was required in Group. Conclusion: Bilateral ultrasound guided ESPB leads to effective analgesia and a decrease in analgesia requirement in first 12 h in patients undergoing LC.
