Browsing by Author "Arslan, S."

Now showing 1 - 2 of 2

Comparison of Single-Incision Laparoscopic Percutaneous and Cystoscope Forceps Assisted Morgagni Hernia Repair Techniques
(W.B. Saunders, 2024) Okur, M.H.; Aydoğdu, B.; Azizoğlu, M.; Arslan, S.; Bayram, S.; basuguy, E.
Objective: Our goal was to compare single-incision laparoscopic percutaneous and cystoscope forceps-assisted Morgagni hernia repair techniques. Materials and methods: A total of 40 patients were allocated to two groups, each with 20 patients. Group 1: Single incision (port) laparoscopic surgical percutaneous Morgagni hernia repair (with a 5 mm Storz laparoscopic scope entered through the umbilicus). Group 2: Single incision (port) laparoscopic surgical percutaneous Morgagni hernia repair (with an 11 Fr [3.6 mm] cystoscope entered through the umbilicus + using forceps + sac plication, and sac cauterization). In Group 1; the sac was not removed. In group 2; we advanced the forceps through the cystoscope, caught the sac, pushed the needle through the sac, plicated the sac, and then cauterized the sac with Bugbee electrode. Results: Of the 40 patients, 70 % (n = 28) were male. The symptoms at admission included repeated chest infections (40 %), dyspnea (30 %), vomiting (22 %), and abdominal pain (22 %). No difference was found between groups in terms of age, gender symptomatology, or associated anomalies. The operation time was shorter in group 2 compared to group 1 (p < 0.05; 25 min vs 40 min). Although there was one recurrence in Group 1, no recurrence was reported in Group 2. The recurrence incidence did not differ between groups (p > 0.05). Conclusions: Cystoscope-assisted repair of Morgagni hernia was found to be superior in terms of safety and shorter operation time. Level of evidence: Type III. Type of the study: Retrospective study. © 2023 Elsevier Inc.
Evaluation of management of Ureteroceles in our Clinic: 8 years of Experience
(Permanyer Publications, 2025) Bayram, S.; Aydoğdu, B.; Okur, M.H.; Önen, A.; Bilici, S.; Basuguy, E.; Arslan, S.
Objective: We aimed to investigate patients who were managed and followed up in our clinic for ureteroceles. Method: We retrospectively analyzed 52 patients’ records with ureterocele diagnoses who were treated at the Pediatric Surgery Clinic of the Medical School of Dicle University between January 2009 and December 2017. Results: Of the patients 29 were female and 23 were male. Thirty-six patients had left-sided ureteroceles, 12 had right-sided ureteroceles, and four had bilateral ureteroceles. Thirty-three were intravesical and 19 were ectopically located. Twenty-seven were on a duplex system. Ureterocele was diagnosed antenatally in 12 patients and 21 in the first 6 months of the post-natal period. Ultrasonography was the most common diagnostic method. Urinary infection was the most frequent symptom (38.4%). Except for a patient who received conservative follow-up, all ureteroceles were decompressed. Vesicoureteral reflux (VUR), urinary tract infection (UTI), and renal scarring were all significantly higher in patients with the duplex system. Significantly decreased UTI rates were observed in early-diagnosed patients (p = 0.04). Conclusion: Ureterocele is still a challenging problem due to the high risk of UTI, VUR, and renal scarring. Endoscopic decompression is the most preferable intervention for ureteroceles. UTI and renal scarring could be decreased with early detection and treatment. © 2023 Academia Mexicana de Cirugía.