Browsing by Author "Bayram, Salih"

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Citation - WoS: 1
Citation - Scopus: 1
Comparison of Single-Incision Laparoscopic Percutaneous and Cystoscope Forceps Assisted Morgagni Hernia Repair Techniques
(W B Saunders Co-elsevier inc, 2024) Bayram, Salih; Aydogdu, Bahattin; Azizoglu, Mustafa; Arslan, Serkan; Bayram, Salih; Basuguy, Erol; Department of Surgical Medical Sciences / Cerrahi Tıp Bilimleri Bölümü
Objective: Our goal was to compare single-incision laparoscopic percutaneous and cystoscope forcepsassisted 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 1 / 4 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. (c) 2023 Elsevier Inc. All rights reserved.
Citation - WoS: 0
Citation - Scopus: 0
Evaluation of Management of Ureteroceles in Our Clinic: 8 Years of Experience
(Mexican Acad Surgery, 2025) Bayram, Salih; Bilici, Salim; Okur, Mehmet H.; Onen, Abdurrahman; Bilici, Salim; Basuguy, Erol; Arslan, Serkan; Department of Surgical Medical Sciences / Cerrahi Tıp Bilimleri Bölümü
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 antenataly 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.
Hyperbilirubinemia is a predictor of appendiceal perforation in children: A meta-analysis
(Academic Journal of Health Sciences, 2023) Bilici, Salim; Okur, Mehmet Hanifi; Aydoğdu, Bahattin; Orbay, Tuğçe Merve; Bakir, Ayten Ceren; Klyuev, Sergey Alexandrovich; Bilici, Salim; Bayram, Salih; Department of Surgical Medical Sciences / Cerrahi Tıp Bilimleri Bölümü
Objective: In this meta-analysis, our goal was to examine the diagnostic utility of bilirubin in identifying complicated from uncomplicated pediatric appendicitis. Materials and methods: Using the databases Embase, PubMed, Scopus, and Cochrane, we carried out a thorough literature search up to 2022. Studies comparing complicated appendicitis (CA) and simple appendicitis (SA) in terms of hyperbilirubinemia in the pediatric population were included. Results: A total of 5 studies with 2740 acute appendicitis patients (1097 complicated appendicitis and 1643 simple appendicitis) were included in this meta-analysis. Five studies have discussed the diagnostic value of total bilirubin (TB). When compared to simple appendicitis, complicated appendicitis had a significantly higher TB count (I2 =94%), (WMD=0.18, 95% CI -0.00 to 0.37; P=0.05), DB count (I2 =0%), (WMD=0.11, 95% CI 0.04 to 0.18; P=0.002), and IB count (I2 = not applicable), (WMD=0.04, 95% CI 0.01 to 0.07; P=0.02). Conclusions: In conclusion, in this meta-analysis, total bilirubin, direct bilirubin, and indirect bilirubin values were higher in complicated appendicitis compared to simple appendicitis. Both total bilirubin and direct bilirubin can be used as diagnostic parameters in childhood appendicitis to differentiate complicated appendicitis from simple appendicitis.