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  1. Article ; Online: Vaginal evisceration after transvaginal instrumental gravid uterus perforation: general surgeons beware.

    Kara, Yasin

    Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology

    2019  Volume 41, Issue 2, Page(s) 312–313

    MeSH term(s) Abortion, Incomplete/surgery ; Female ; Humans ; Iatrogenic Disease ; Jejunum/injuries ; Laparotomy ; Pregnancy ; Uterine Perforation/complications ; Vacuum Extraction, Obstetrical/adverse effects ; Young Adult
    Language English
    Publishing date 2019-12-03
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 604639-3
    ISSN 1364-6893 ; 0144-3615
    ISSN (online) 1364-6893
    ISSN 0144-3615
    DOI 10.1080/01443615.2019.1679738
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The effect of parathyroidectomy on quality of life in primary hyperparathyroidism: evaluation with using sf-36 and phpqol questionnaire.

    Somuncu, Erkan / Kara, Yasin

    Endocrine journal

    2020  Volume 68, Issue 1, Page(s) 87–93

    Abstract: Quality of life (QoL) typically improves with a parathyroidectomy (PTx) in cases of primary hyperparathyroidism (PHPT), but the effect of surgery on QoL is not yet fully understood. This study evaluated the impact of PTx on health-related QoL (HRQoL). ... ...

    Abstract Quality of life (QoL) typically improves with a parathyroidectomy (PTx) in cases of primary hyperparathyroidism (PHPT), but the effect of surgery on QoL is not yet fully understood. This study evaluated the impact of PTx on health-related QoL (HRQoL). Patients who underwent PTx for PHPT between January 2016 and December 2019 were asked to complete the 36-Item Short Form Health Survey (SF-36) and the Primary Hyperparathyroidism Quality of Life (PHPQoL) questionnaire before surgery and 1 year later. A 5-point Likert scale was used: negative responses received a lower score and positive responses scored high. Forty-one of 50 patients completed the questionnaires before and 12 months after the surgery. The median patient age was 64 years (min-max: 32-83 years). In the study group, 33 were female, and 8 were male. The SF-36 results indicated that significant improvements had been observed in all 8 domains a year after surgery, particularly in the physical functioning and role, general health, energy, and mental health scales. The PHPQoL scores also improved significantly after PTx (p < 0.05). The improvement in the physical and mental health components was 50% and 76%, respectively. In conclusion, this study demonstrated that PTx for PHPT improved QoL.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Hyperparathyroidism, Primary/epidemiology ; Hyperparathyroidism, Primary/psychology ; Hyperparathyroidism, Primary/surgery ; Male ; Middle Aged ; Parathyroidectomy/adverse effects ; Parathyroidectomy/psychology ; Parathyroidectomy/rehabilitation ; Postoperative Period ; Prospective Studies ; Quality of Life ; Surveys and Questionnaires ; Turkey/epidemiology
    Language English
    Publishing date 2020-09-02
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 1151918-6
    ISSN 1348-4540 ; 0918-8959
    ISSN (online) 1348-4540
    ISSN 0918-8959
    DOI 10.1507/endocrj.EJ20-0417
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: An Important Gallbladder Pathology Mimicking Gallbladder Carcinoma: Xanthogranulomatous Cholecystitis: A Single Tertiary Center Experience.

    Bolukbasi, Hakan / Kara, Yasin

    Surgical laparoscopy, endoscopy & percutaneous techniques

    2020  Volume 30, Issue 3, Page(s) 285–289

    Abstract: Background: Xanthogranulomatous cholecystitis (XGC) is an uncommon, focal, or diffuse destructive inflammatory disease of the gallbladder mimicking or being together with the gallbladder carcinoma. This study aimed to evaluate the diagnosis, treatment, ... ...

    Abstract Background: Xanthogranulomatous cholecystitis (XGC) is an uncommon, focal, or diffuse destructive inflammatory disease of the gallbladder mimicking or being together with the gallbladder carcinoma. This study aimed to evaluate the diagnosis, treatment, and outcomes of patients with XGC as a single tertiary center experience in the light of literature.
    Materials and methods: Data about 34 patients with XGC identified after evaluating 2212 cholecystectomy specimens between January 2013 and December 2018 in a single tertiary center were documented to determine demographics (sex, age), clinical symptoms and findings, biochemical and imaging clues and operative findings, duration of hospitalization, postoperative complications, and histopathologic results.
    Results: Thirty-four patients with XGC were evaluated (17 male and 17 female patients with a mean age of 53; range, 25 to 78). Preoperative diagnosis was chronic calculous cholecystitis in 5 patients, cholelithiasis in 12 cases, acute calculous cholecystitis in 16 and emphysematous cholecystitis in 1 patient. Ultrasound was performed in all patients, computerized tomography in 11, contrast-enhanced magnetic resonance imaging in 9, and magnetic resonance cholangiopancreatography in 7 patients. None of the patients were diagnosed preoperatively. All patients received laparoscopic cholecystectomy, among whom 9 were converted to open. Partial cholecystectomy was performed in 1 patient. One patient with gallbladder adenocarcinoma was treated with radical cholecystectomy. XGC has nonspecific clinical and radiologic findings; thus, preoperative diagnosis is generally absent. Open cholecystectomy is the recommended treatment modality. Conversion to open is frequently necessary after laparoscopy. Complete cholecystectomy is the ultimate goal; however, partial cholecystectomy may be preferred to protect the structures of the hepatic hilum. Preoperative imaging studies (ultrasound or computerized tomography) of 34 patients showed a gallbladder stone in 18 patients, microlithiazis in 12 patients, sludge in 10 patients, and gallbladder sclerosis in 5 patients.
    Conclusions: Diagnosis of XGC and differentiation from gallbladder carcinoma may be difficult through preoperative or peroperative studies, even imaging is useful; the definitive diagnosis depends exclusively on pathologic examination. The surgeon should be prepared for every possibility.
    MeSH term(s) Adult ; Aged ; Cholecystectomy ; Cholecystitis/diagnosis ; Cholecystitis/epidemiology ; Cholecystitis/surgery ; Diagnosis, Differential ; Female ; Gallbladder Neoplasms/diagnosis ; Humans ; Incidence ; Male ; Middle Aged ; Retrospective Studies ; Symptom Assessment ; Tertiary Care Centers ; Turkey ; Xanthomatosis/diagnosis ; Xanthomatosis/epidemiology ; Xanthomatosis/surgery
    Language English
    Publishing date 2020-03-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1475108-2
    ISSN 1534-4908 ; 1530-4515 ; 1051-7200
    ISSN (online) 1534-4908
    ISSN 1530-4515 ; 1051-7200
    DOI 10.1097/SLE.0000000000000781
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Laparoscopic to Open Cholecystectomy: The Risk Factors and the Reasons; A Retrospective Analysis of 1950 Cases of a Single Tertiary Center.

    Kara, Yasin / Kalayci, Mustafa U

    Surgical laparoscopy, endoscopy & percutaneous techniques

    2019  Volume 30, Issue 2, Page(s) 192–195

    Abstract: Purpose: We investigated the reasons, rates, and risk factors for the conversion to open cholecystectomies (CTOC) by statistical analysis with the demographic properties.: Materials and methods: Demographic properties (age and sex), abdominal ... ...

    Abstract Purpose: We investigated the reasons, rates, and risk factors for the conversion to open cholecystectomies (CTOC) by statistical analysis with the demographic properties.
    Materials and methods: Demographic properties (age and sex), abdominal operations, and intraoperative and postoperative reasons for cholecystectomies were analyzed in 1950 patients.
    Results: The patients included 1540 (79%) women and 410 (21%) men (F/M=3.8); of these 115 (5.9%) had CTOC in early or late period. The rate of CTOC in men was significantly high (P= 0.009). There was no mortality. The reasons for CTOC were: significant inflammation (n=53, 46%), inadequate dissection of Calot triangle due to fibrotic adhesions (n=31, 27%), adhesions of previous surgery (n=9, 7.8%), uncontrollable bleeding (n=5, 4.3%), technical insufficiency (n=5, 4.3%), bile duct injury (n=5, 4.3%), anatomical variations (n=3, 2.6%), iatrogenic visceral injury (n=2, 1.7%), isolated right posterior bile duct injury (strasberg type-C) (n=1, 0.9%), and common hepatic duct partial injury (n=1, 0.9%).
    Conclusions: Significant inflammation, inadequate dissection of Calot triangle due to fibrotic adhesions, and adhesions due to previous surgery were the 3 main reasons for conversion. Men and elderly patients were associated with significantly high rate of conversion.
    MeSH term(s) Adult ; Aged ; Cholecystectomy, Laparoscopic ; Conversion to Open Surgery ; Female ; Gallbladder Diseases/complications ; Gallbladder Diseases/pathology ; Gallbladder Diseases/surgery ; Humans ; Intraoperative Complications/diagnosis ; Intraoperative Complications/epidemiology ; Intraoperative Complications/surgery ; Male ; Middle Aged ; Postoperative Complications/epidemiology ; Retrospective Studies ; Risk Factors ; Young Adult
    Language English
    Publishing date 2019-08-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1475108-2
    ISSN 1534-4908 ; 1530-4515 ; 1051-7200
    ISSN (online) 1534-4908
    ISSN 1530-4515 ; 1051-7200
    DOI 10.1097/SLE.0000000000000716
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Night Eating Syndrome According to Obesity Groups and the Related Factors.

    Kara, Yasin / Tuzun, Sabah / Oner, Can / Simsek, Engin Ersin

    Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

    2020  Volume 30, Issue 8, Page(s) 833–838

    Abstract: Objective: To find the frequency of night eating syndrome (NES) in different obesity groups and to determine related factors.: Study design: Descriptive cross-sectional study.: Place and duration of study: Department of Family Medicine, Outpatient ...

    Abstract Objective: To find the frequency of night eating syndrome (NES) in different obesity groups and to determine related factors.
    Study design: Descriptive cross-sectional study.
    Place and duration of study: Department of Family Medicine, Outpatient Clinics, University of Health Sciences, Kartal Dr. Lutfi Kirdar Training and Research Hospital from December 2018 to January 2019.
    Methodology: Participants were divided into class I, class II, and class III obesity groups according to their BMI levels and administered a survey evaluating their sociodemographic features and a NES questionnaire.
    Results: NES was detected in 92 (21.85%) of all participants; whereas, 28 participants (18.67%) of class I obesity group, 32 participants (22.70%) of class II obesity group and 32 participants (24.62%) of class III obesity group had NES (p=0.465). There was no significant difference between individuals with and without NES in terms of age, gender, marital status, income level, occupational status, presence of children, living-together subjects, cigarette consumption, BMI, waist-hip ratio, and waist-height ratio. However, within the class I obesity group, the likelihood of weight loss was significantly lower among participants with NES (p=0.026). There was no relationship between NES and the duration of obesity, dieting, and the number of main meals per day. However, the relationship between NES and the number of snacks per day was significant in class I and III obesity groups (p=0.040 and p=0.034, respectively).   Conclusion: The frequency of NES was found to be high in all obesity groups with no significant difference across groups. Therefore, all obese patients should be evaluated in terms of NES, and nutritional recommendations should be provided in the treatment of obesity. Key Words: Morbid obesity, Night eating syndrome, Obesity.
    MeSH term(s) Body Mass Index ; Child ; Cross-Sectional Studies ; Feeding Behavior ; Humans ; Night Eating Syndrome ; Obesity/epidemiology ; Surveys and Questionnaires
    Language English
    Publishing date 2020-08-28
    Publishing country Pakistan
    Document type Journal Article
    ZDB-ID 2276646-7
    ISSN 1681-7168 ; 1022-386X
    ISSN (online) 1681-7168
    ISSN 1022-386X
    DOI 10.29271/jcpsp.2020.08.833
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Minimally Invasive Parathyroidectomy: Are Auxiliary Methods Necessary?

    Bolukbasi, Hakan / Yılmaz, Serhan / Somuncu, Erkan / Kara, Yasin / Bozkurt, Mehmet Abdussamet

    Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

    2021  Volume 31, Issue 4, Page(s) 440–444

    Abstract: Objective: To determine the success rate of minimally invasive parathyroidectomies (MIPs) with preoperative scintigraphy and ultrasonography, and to assess whether these imaging modalities are sufficient.: Study design:  Observational study.: Place ...

    Abstract Objective: To determine the success rate of minimally invasive parathyroidectomies (MIPs) with preoperative scintigraphy and ultrasonography, and to assess whether these imaging modalities are sufficient.
    Study design:  Observational study.
    Place and duration of study:   Department of General Surgery, University of Health Sciences, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey between March 2017 and December 2019.
    Methodology: Medical records of 61 patients, who underwent MIP to treat primary hyperparathyroidism, were examined. Age, gender, and pre- and postoperative calcium, parathormone, and phosphorus levels were obtained from patient records. For all patients, the parathyroid (PT) glands were localised, using ultrasonography and Tc-99m methoxyisobutylisonitrile (MIBI) scintigraphy.
    Results:  The average patient age was 56.89 ± 13.47 years. Of the patients, 83.6% (n = 51) were females. Localisation of the PT glands with preoperative scintigraphy had an accuracy rate of 100%. However, ultrasonographic localisation was unsuccessful in five patients. Adenomas were noted in 44 patients (72.1%), hyperplasia in 15 patients (24.6%), and neoplasia in two patients (3.3%). Serum parathormone and calcium levels were measured 24 hours after surgery, and were found to be significantly reduced compared to the corresponding preoperative levels (p <0.001). Hypocalcaemia developed in four patients (6.6%), two (3.3%) of which were symptomatic. After three months, persistent hyperparathyroidism developed in five patients (8.2%).
    Conclusion: Parathyroid scintigraphy has been demonstrated to be the gold standard for the preoperative localisation of PT glands. In the absence of scintigraphy, ultrasound guidance is the next useful technique for PT gland localisation. Key Words: Minimal invasive parathyroidectomy, Parathyroid scintigraphy, Ultrasonography, Parathormone.
    MeSH term(s) Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Parathyroid Glands/diagnostic imaging ; Parathyroidectomy ; Radiopharmaceuticals ; Technetium Tc 99m Sestamibi ; Turkey ; Ultrasonography
    Chemical Substances Radiopharmaceuticals ; Technetium Tc 99m Sestamibi (971Z4W1S09)
    Language English
    Publishing date 2021-04-09
    Publishing country Pakistan
    Document type Journal Article ; Observational Study
    ZDB-ID 2276646-7
    ISSN 1681-7168 ; 1022-386X
    ISSN (online) 1681-7168
    ISSN 1022-386X
    DOI 10.29271/jcpsp.2021.04.440
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  7. Article ; Online: Baseline serum vitamin A and vitamin C levels and their association with disease severity in COVID-19 patients.

    Yilmaz, Gulseren / Bulut, Huri / Ozden Omaygenc, Derya / Akca, Aysu / Can, Esra / Tuten, Nevin / Bestel, Aysegul / Erdem, Baki / Atmaca, Uygar Ozan / Kara, Yasin / Kaya, Ebru / Unsel, Murat / Sahin, Ayca Sultan / Salihoglu, Ziya

    Acta bio-medica : Atenei Parmensis

    2023  Volume 94, Issue 1, Page(s) e2023007

    Abstract: Aim: We aimed to investigate the association between the serum concentrations of Vitamin A and Vitamin C and the severity of the COVID-19.  Methods: Fifty-three consecutive PCR (+) COVID-19 patients admitted to a dedicated ward were enrolled in this ... ...

    Abstract Aim: We aimed to investigate the association between the serum concentrations of Vitamin A and Vitamin C and the severity of the COVID-19.  Methods: Fifty-three consecutive PCR (+) COVID-19 patients admitted to a dedicated ward were enrolled in this study. Blood samples for serum Vitamin A and C measurements were drawn from all participants upon admission. All subjects underwent thoracic CT imaging prior to hospitalization. CT severity score (CT-SS) was then calculated for determining the extent of pulmonary involvement. A group of healthy volunteers, in whom COVID-19 was ruled out, were assigned to the control group (n=26). These groups were compared by demographic features and serum vitamin A and C levels. The relationship between serum concentrations of these vitamins and pre-defined outcome measures, CT-SS and length of hospitalization (LOH), was also assessed.  Results: In COVID-19 patients, serum Vitamin A (ng/ml, 494±96 vs. 698±93; p<0.001) and Vitamin C (ng/ml, 2961 [1991-31718] vs. 3953 [1385-8779]; p=0.007) levels were significantly lower with respect to healthy controls. According to the results of correlation analyses, there was a significant negative association between Vitamin A level and outcome measures (LOH, r=-0.293; p=0.009 and CT-SS, r=-0.289; p=0.010). The negative correlations between Vitamin C level and those measures were even more prominent (LOH, r=-0.478; p<0.001 and CT-SS, r=-0.734: p<0.001).
    Conclusion: COVID-19 patients had lower baseline serum Vitamin A and Vitamin C levels as compared to healthy controls. In subjects with COVID-19, Vitamin A and Vitamin C levels were negatively correlated with CT-SS and LOH.
    MeSH term(s) Humans ; Vitamin D ; Vitamin A ; COVID-19/complications ; Vitamins ; Ascorbic Acid ; Patient Acuity ; Vitamin D Deficiency/complications
    Chemical Substances Vitamin D (1406-16-2) ; Vitamin A (11103-57-4) ; Vitamins ; Ascorbic Acid (PQ6CK8PD0R)
    Language English
    Publishing date 2023-02-13
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2114240-3
    ISSN 2531-6745 ; 0392-4203
    ISSN (online) 2531-6745
    ISSN 0392-4203
    DOI 10.23750/abm.v94i1.13655
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  8. Article: New Anthropometric Measurements: Relationship to Thyroid Functions in Euthyroid Obese Subjects.

    Demir, Şevin / Kara, Yasin / Melikoğlu, Merve / Aydın, Kadriye / Özderya, Ayşenur / Subaşı, Huriye Ecem / Dabak, Mustafa Reşat / Temizkan, Şule

    Cureus

    2021  Volume 13, Issue 12, Page(s) e20435

    Abstract: Introduction Body mass index (BMI) is unable to make a distinction between muscle mass and fat mass. Therefore, new anthropometric measurements, such as a body shape index (ABSI), body round index (BRI), and body adiposity index (BAI), have been ... ...

    Abstract Introduction Body mass index (BMI) is unable to make a distinction between muscle mass and fat mass. Therefore, new anthropometric measurements, such as a body shape index (ABSI), body round index (BRI), and body adiposity index (BAI), have been formulated in recent years. Many studies have reported a correlation between BMI and thyroid function. In this study, we aimed to investigate the relationship between the above-mentioned new anthropometric measurements and thyroid functions in euthyroid obese subjects. Methods We included 675 euthyroid (TSH ≥ 0.4 and < 4.5 mIU/l) individuals from the obesity outpatient clinic, aged between 18 and 65 years old, with BMI ≥ 30. Thyroid-stimulating hormone (TSH), free T4 (fT4) and free T3 (fT3), anthropometric measurements (weight, height, and waist circumference), and bioelectric impedance analyses [percent body fat (PBF) and fat-free mass (FFM)] of individuals were measured and recorded. ABSI, BRI, and BAI were calculated with the data from these measurements. Anthropometric measurements were compared to thyroid function tests. Results Eighty percent of the subjects were female. The mean age and BMI were 38 ± 17 years and 38 ± 6 kg/m
    Language English
    Publishing date 2021-12-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.20435
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  9. Article ; Online: Incidentally Detected Gastrointestinal Wall Thickness on Abdominal Computed Tomography; What Does it Mean for Endoscopy?

    Somuncu, Erkan / Topal, Ümmihan / Sönmez, Süleyman / Kara, Yasin / Bozdağ, Emre / Özcan, Adem / Başaran, Ceren / Özkan, Cenk / Tatlıdil, Yunus Emre / Kalaycı, Mustafa Uygar

    Archives of Iranian medicine

    2021  Volume 24, Issue 4, Page(s) 296–300

    Abstract: Background: The clinical significance of gastrointestinal wall thickening (GWT) on abdominal computed tomography (CT) is not certain, yet. Despite the need for clinical guidelines describing the importance and evaluation of GWT on a CT scan, there have ... ...

    Abstract Background: The clinical significance of gastrointestinal wall thickening (GWT) on abdominal computed tomography (CT) is not certain, yet. Despite the need for clinical guidelines describing the importance and evaluation of GWT on a CT scan, there have been few studies evaluating these incidental imaging abnormalities. The aim of this study is to endoscopically evaluate certain etiologies that cause incidental GWT found on CT.
    Methods: This retrospective cohort study was carried out with patients who had incidentally detected GWT on a CT scan at the Kanuni Sultan Süleyman Training and Research Hospital between February 2016 and December 2018.
    Results: A total of 129 patients (62 males and 67 females; mean age 57.5 years, range: 26-87 years) were included in the study. Abnormalities observed during endoscopy at the exact site of the GWT noted on a CT image were found in 114 patients (99%): upper endoscopy revealed malignancy in 33 (29%), gastritis in 63 (52%), hiatal hernia in 19 (16%), a gastric ulcer in 7 (6%), and alkaline gastritis in 3 (2%). Colonoscopy revealed malignancy in 4 (33%), benign polyps in 5 (35%), colonic ulcer in 2 (16%), and 2 patients (16%) had normal findings. Malignancy was detected more frequently in the cardioesophageal region compared with the antrum (P=0.020).
    Conclusion: In this study, detection of GWT on CT often indicated pathologies which were subsequently confirmed endoscopically. Pathological findings were detected in 83% of these patients, with approximately 30% determined to be malignant. Endoscopic evaluation is recommended when GWT is reported on a CT scan.
    MeSH term(s) Colonoscopy ; Endoscopy, Gastrointestinal ; Female ; Gastrointestinal Tract ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Tomography, X-Ray Computed
    Language English
    Publishing date 2021-04-01
    Publishing country Iran
    Document type Journal Article
    ZDB-ID 2204979-4
    ISSN 1735-3947 ; 1029-2977
    ISSN (online) 1735-3947
    ISSN 1029-2977
    DOI 10.34172/aim.2021.41
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  10. Article: Percutaneous cholecystostomy instead of laparoscopy to treat acute cholecystitis during the COVID-19 pandemic period: single center experience.

    Somuncu, Erkan / Kara, Yasin / Kızılkaya, Mehmet Celal / Bozdağ, Emre / Yıldız, Zeynep Betül / Özkan, Cenk / Şener, Aziz / Gökay, Rıdvan / Aydın, Mahmut Ozan / Bozkurt, Mehmet Abdussamet / Kocataş, Ali

    Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES

    2021  Volume 27, Issue 1, Page(s) 89–94

    Abstract: Background: Laparoscopic cholecystectomy (LC) is the accepted standard treatment for acute cholecystitis (AC) in patients eligible for surgery. Percutaneous cholecystostomy (PC) can provide a permanent treatment for high-risk patients for surgery or act ...

    Title translation COVID-19 salgını döneminde akut kolesistit tedavisinde laparoskopi yerine perkütan kolesistostomi: Tek merkez deneyimi.
    Abstract Background: Laparoscopic cholecystectomy (LC) is the accepted standard treatment for acute cholecystitis (AC) in patients eligible for surgery. Percutaneous cholecystostomy (PC) can provide a permanent treatment for high-risk patients for surgery or act as a bridge for later surgical treatment. This study is an evaluation of the use of PC during the current coronavirus 2019 (COVID-19) pandemic at a single hospital.
    Methods: Fifty patients with AC were admitted as of the start of the COVID-19 pandemic in Turkey through June 2020. Patients with pancreatitis, cholangitis, and/or incomplete data were excluded from the study. Data of the remaining 36 patients included in the study were recorded and a descriptive statistical analysis was performed. The patients were divided into three groups: PC (n=14), only conservative treatment with antibiotherapy (OC) (n=14), and LC (n=8). The findings were compared with a group of 70 similar patients from the pre-pandemic period.
    Results: The mean age of the pandemic period patients was 53 years (range: 26-78 years). The female/male ratio was 1.11. PC was preferred in eight (11%) patients in the same period of the previous year, whereas 14 (39%) patients underwent PC in the pandemic period. Four of the 36 pandemic patients were positive for COVID-19, including one member of the PC group. There was one (7.1%) mortality in the pandemic-period PC group due to cardiac arrest. The length of hospital stay between the groups based on the type of treatment was not statistically significant.
    Conclusion: LC is not recommended during the pandemic period; PC can be an effective and safe alternative for the treatment of AC.
    MeSH term(s) Adult ; Aged ; COVID-19 ; Cholecystectomy, Laparoscopic ; Cholecystitis, Acute/epidemiology ; Cholecystitis, Acute/surgery ; Cholecystostomy/adverse effects ; Cholecystostomy/methods ; Cholecystostomy/mortality ; Cholecystostomy/statistics & numerical data ; Female ; Humans ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Pandemics ; Retrospective Studies ; SARS-CoV-2 ; Turkey
    Language English
    Publishing date 2021-01-04
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 2253739-9
    ISSN 1306-696X
    ISSN 1306-696X
    DOI 10.14744/tjtes.2020.69804
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