Yazar "Kebudi A." seçeneğine göre listele

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    Endoscopy training of surgical residents: Results of an university hospital [Genel cerrahi asistanlarinin endoskopi egitimi: Bir üniversite hastanesi sonuçlari]
    (2009) Manukyan, Manuk Norayık; Severge U.; Kapakli M.S.; Deveci, Uğur; Oltulu M.; Kebudi A.; Deveci, Uğur
    Purpose: 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 gastroscopios 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 gastroscopios was enough. AHough 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.
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    Is the use of a drain for thyroid surgery realistic? A prospective randomized interventional study
    (2013) Deveci, Uğur; Altintoprak F.; Sertan Kapakli M.; Manukyan, Manuk Norayık; Cubuk R.; Yener N.; Kebudi A.; Deveci, Uğur
    Background. The use of a suction drain in thyroid surgery is common practice in order to avoid hematomas or seromas. The aim of this study was to determine the efficacy of routine drainage after thyroid surgery. Methods. In this prospective randomized trial, 400 patients who underwent either a total thyroidectomy or lobectomy for thyroid disorders were randomly allocated to either the nondrainage (group 1) or the drainage (group 2) group. The volume of fluid collection in the operative bed, postoperative pain, complications, and length of hospital stay were then recorded. Results. Both groups were homogeneous according to age, gender, thyroid volume, type of procedure performed, and histopathological diagnosis. After assessment by USG, no significant difference was found between the groups in the fluid collection of the thyroid bed (P=0.117), but the length of hospital stay was significantly reduced in group 1 (P=0.004). Conclusions. In our experience, the use of drain for thyroid surgery is not a routine procedure. However, it should be used in the presence of extensive dead space, particularly when there is retrosternal or intrathoracic extension, or when the patient is on anticoagulant treatment. This trial was registered with clinical Trials.gov NCT01771523. © 2013 Ugur Deveci et al.
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    Mesenteric meckel's diverticulum : A case report
    (ARSMB-KVBMG, 2009) Manukyan, Manuk Norayık; Kebudi A.; Midi A.
    Meckel's diverticulum, an omphalomesenteric remnant caused by the failure of the vitelline duct to involute by the seventh or eight week of gestation, was first described in 1809 by Johann Friederick Meckel. It is the most common congenital abnormality of the small intestine. It is usually located in the last 90 cm of the terminal ileum and is formed by all layers of the small intestine. It frequently contains heterotopic tissue, usually gastric mucosa. Here we report a 15-year-old white female who presented to the emergency ward with abdominal pain. Laparotomy was performed with the diagnosis of acute abdomen. A Meckel's diverticulum was found in the mesenteric aspect of the ileum. Histologic examination of the specimen revealed the presence of pancreatic tissue and oxyntic and antral type gastric mucosa showing chronic peptic ulceration apart from intestinal mucosa.This case report underlines the need for a revision in our understanding and classification of Meckel's diverticulum.
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    Primary schwannoma of the thyroid gland
    (2011) Deveci, Uğur; Manukyan, Manuk Norayık; Kebudi A.; Canbaz M.; Cayirci M.; Deveci, Uğur
    Schwannomas (also known as neuromas, neurinomas, or neurilemomas) are benign, slow growing, commonly well encapsulated neoplasm that arise from spinal roots and cervical, sympathetic, vagus, peroneal and ulnar nerves. Extracranially 25% of all schwannomas are located in the head and neck region. The eighth cranial nerve is the most frequent site involved, followed by the fifth and the seventh cranial nerves, the lateral cervical region, and the oral cavity. The treatment of choice is surgical excision of the tumor. Schwannomas do not show recurrence if completely excised. In this study we present a patient with primary schwannoma of thyroid gland and discussed with only few reports exist in the literature.
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    A rare cause of intestinal obstruction: Incarcerated femoral hernia, strangulated obturator hernia
    (2006) Uludag M.; Yetkin G.; Kebudi A.; Isgor A.; Akgun I.; Dönmez A.G.
    Obturator hernia may occur bilaterally in association with another hernia, which is usually of the femoral type. We present a 77-year-old-woman who had abdominal pain with nausea and vomiting together with swelling of the right groin for 3 days. Incarcerated right femoral hernia and consequent mechanical small-bowel obstruction was diagnosed, and urgent operation was undertaken. As the incarcerated femoral hernia reduced spontaneously during the induction of anesthesia, a lower median incision was performed. During exploration, the real cause of mechanical intestinal obstruction was found to be a small intestinal loop strangulated in the left obturator hernia. Right femoral and left obturator hernia were repaired with preperitoneal polypropylene mesh. If there is enough time and general condition of the older patient is suitable, further diagnostic techniques for concomitant obturator hernias may be useful in patients who present with signs of incarcerated inguinal hernia and intestinal obstruction. © Springer-Verlag 2006.
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    The safety and accuracy of sentinel-node biopsy in early-stage invasive breast cancer - Turkish experience
    (2005) Kebudi A.; Işgör A.; Atay M.; Yetkin G.; Yazici D.; Yildiz A.
    The purpose of this prospective study was to investigate the correlation of sentinel lymph node (SLN) and axillary lymph node (ALN) metastasis in early-stage invasive breast cancer in a single institution. One hundred and fifteen patients with early-stage invasive breast cancer first underwent SLND followed by an appropriate surgical procedure (modified radical mastectomy, lumpectomy + axillary dissection, simple mastectomy + mammoplasty). In this series, a radioactive agent (technetium) was used to investigate the sentinel lymph node/nodes. In 28 (24.3%) patients, metastases were found in both SLN and axillary dissections. There were no metastases in either of these procedures in 69 (60%) patients. SLN metastasis was found in 13 (11.3%) patients, but no axillary metastasis was found. No skip metastasis was detected. Five patients in whom the sentinel node was not found were also negative for axillary metastasis. As the studies progress in this direction, it might be possible to avoid axillary dissection in patients with early breast cancer in whom metastasis in SLN cannot be detected. We believe this will reduce morbidity from breast cancer surgeries. Copyright © Taylor & Francis Inc.
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    The value of colonoscopic examination in patients with nonspecific abdominal pain [Non-spesifik karin agrisi bulunan hastalarda kolonoskopik incelemenin yeri]
    (2010) Manukyan, Manuk Norayık; Deveci, Uğur; Kebudi A.; Kapakli S.M.; Çubuk R.; Atasoy M.M.; Deveci, Uğur
    Purpose: The aim of this study was to determine the diagnostic value of colonoscopy in patients with nonspecific abdominal pain Patients and Methods: A prospective observational study was performed at the department of general surgery between March 2006 and March 2009. All patients with abdominal pain (n: 2.604) were evaluated carefully. After a detailed anamnesis, physical examination, laboratory and radiological evaluation, the patients with nonspecific abdominal pain were invited for a colonoscopic examination. Results: Colon cancer was detected in three of the patients aged 59, 63 and 68 years old. Other nine had pedunculated polyps with dysplasia in three of them. Neither had pedicle invasion. Millimetric hyperplastic polyps were detected in 16 other patients. A hundred and ninety eight patients had colonic diverticula. Seventeen of the 25 patients with polyps and 127 of the patients with diverticula were over age 50 years. Conclusion: The value of colonoscopic examination is still controversial in patients with nonspecific abdominal pain. Although the detection rate of malignant and pre-malignant lesions are low, the high detection rate of diverticula and the low complication rate due to the procedure are in favour of colonoscopic examination in these patients.