Browsing by Author "Okur, Mehmet Hanifi"

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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.
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.