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  1. Article ; Online: New Techniques in Hemorrhoidal Disease but the Same Old Problem: Anal Stenosis.

    Leventoglu, Sezai / Mentes, Bulent / Balci, Bengi / Kebiz, Halil Can

    Medicina (Kaunas, Lithuania)

    2022  Volume 58, Issue 3

    Abstract: Anal stenosis, which develops as a result of aggressive excisional hemorrhoidectomy, especially with the stoutly use of advanced technologies ( ... ...

    Abstract Anal stenosis, which develops as a result of aggressive excisional hemorrhoidectomy, especially with the stoutly use of advanced technologies (LigaSure
    MeSH term(s) Anorectal Malformations ; Constriction, Pathologic/etiology ; Constriction, Pathologic/surgery ; Fissure in Ano/complications ; Fissure in Ano/surgery ; Hemorrhoids/complications ; Hemorrhoids/surgery ; Humans ; Quality of Life
    Language English
    Publishing date 2022-03-01
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2188113-3
    ISSN 1648-9144 ; 1010-660X
    ISSN (online) 1648-9144
    ISSN 1010-660X
    DOI 10.3390/medicina58030362
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Treatment of horseshoe fistula with a two-stage modified Hanley procedure: A video vignette.

    Leventoglu, Sezai / Balci, Bengi / Yildiz, Alp / Mentes, Bedrettin Bulent

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2022  

    Abstract: A horseshoe fistula is a complex fistula that needs to be appropriately recognized to decrease recurrence rates usually resulting from insufficient treatment. The video presents a modified Hanley procedure for horseshoe fistula. ...

    Abstract A horseshoe fistula is a complex fistula that needs to be appropriately recognized to decrease recurrence rates usually resulting from insufficient treatment. The video presents a modified Hanley procedure for horseshoe fistula.
    Language English
    Publishing date 2022-07-06
    Publishing country England
    Document type Letter
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16250
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Marsupialization of fistulotomy wound in an intersphincteric fistula - A Video Vignette.

    Balci, Bengi / Cam, Sena / Leventoglu, Sezai / Mentes, Bulent B

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2022  Volume 24, Issue 5, Page(s) 668–669

    MeSH term(s) Anal Canal/surgery ; Humans ; Rectal Fistula/surgery
    Language English
    Publishing date 2022-01-21
    Publishing country England
    Document type Letter ; Video-Audio Media
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16044
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  4. Article ; Online: Local excision versus thrombectomy in thrombosed external hemorrhoids: a multicenter, prospective, observational study.

    Yalcinkaya, Ali / Yalcinkaya, Ahmet / Atici, Semra Demirli / Sahin, Can / Leventoglu, Sezai

    BMC surgery

    2023  Volume 23, Issue 1, Page(s) 228

    Abstract: Background: Available guidelines describing the procedural treatment of thrombosed external hemorrhoids (TEH) rely solely on expert opinion. We aimed to compare local excision (LE) and thrombectomy (incision) in terms of treatment success, factors ... ...

    Abstract Background: Available guidelines describing the procedural treatment of thrombosed external hemorrhoids (TEH) rely solely on expert opinion. We aimed to compare local excision (LE) and thrombectomy (incision) in terms of treatment success, factors affecting success, and outcomes.
    Methods: This was a multicenter, prospective, observational study conducted in eight centers from September 2020 to September 2021. A total of 96 patients (58 LE, 38 thrombectomy) were included. Risk factors, demographics and clinical characteristics were recorded. Follow-up studies were scheduled for the 1
    Results: Overall mean age was 41.5 ± 12.7 years. At baseline, groups were similar with regard to demographics and disease severity (HDSS) (p > 0.05 for all). Success was relatively higher in the thrombectomy group (86.8%) compared to the LE group (67.2%) (p = 0.054). Constipation and travel history were significantly associated with lower likelihood of LE success. Symptoms during follow-up were similarly distributed in the groups. Both methods yielded significant improvements in HDSS, SHS and Wexner scores; however, SHS scores (6 months) and Wexner scores (all time points) were significantly better in the thrombectomy group.
    Conclusion: The in-office thrombectomy procedure may have better short-term outcomes compared to LE in terms of relative success, recurrence and quality of life-despite the fact that success rates were statistically similar with the two interventions. LE may yield particularly worse results in patients with constipation and travel history; thus, thrombectomy appears to be especially advantageous in these patient subsets.
    MeSH term(s) Humans ; Adult ; Middle Aged ; Hemorrhoids/complications ; Hemorrhoids/surgery ; Prospective Studies ; Quality of Life ; Thrombectomy/methods ; Thrombosis/etiology ; Treatment Outcome ; Constipation/etiology
    Language English
    Publishing date 2023-08-10
    Publishing country England
    Document type Observational Study ; Multicenter Study ; Journal Article
    ZDB-ID 2050442-1
    ISSN 1471-2482 ; 1471-2482
    ISSN (online) 1471-2482
    ISSN 1471-2482
    DOI 10.1186/s12893-023-02105-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Retrorectal tumors: A challenge for the surgeons.

    Balci, Bengi / Yildiz, Alp / Leventoğlu, Sezai / Mentes, Bulent

    World journal of gastrointestinal surgery

    2021  Volume 13, Issue 11, Page(s) 1327–1337

    Abstract: Retrorectal or presacral tumors are rare lesions located in the presacral area and considered as being derived from multiple embryological remnants. These tumors are classified as congenital, neurogenic, osseous, inflammatory, or miscellaneous. The most ... ...

    Abstract Retrorectal or presacral tumors are rare lesions located in the presacral area and considered as being derived from multiple embryological remnants. These tumors are classified as congenital, neurogenic, osseous, inflammatory, or miscellaneous. The most common among these are congenital benign lesions that present with non-specific symptoms, such as lower back pain and change in bowel habit. Although congenital and developmental tumors occur in younger patients, the median age of presentation is reported to be 45 years. Magnetic resonance imaging plays a crucial role in treatment management through accurate diagnosis of the lesion, the evaluation of invasion to adjacent structures, and the decision of appropriate surgical approach. The usefulness of preoperative biopsy is still debated; currently, it is only indicated for solid or heterogeneous tumors if it will alter the treatment management. Surgical resection with clear margins is considered the optimal treatment; described approaches are transabdominal, perineal, combined abdominoperineal, and minimally invasive. Benign retrorectal tumors have favorable long-term outcomes with a low incidence of recurrence, whereas malignant tumors have a potential for distant organ metastasis in addition to local recurrence.
    Language English
    Publishing date 2021-12-14
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2573700-4
    ISSN 1948-9366
    ISSN 1948-9366
    DOI 10.4240/wjgs.v13.i11.1327
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Laparoscopic ventral mesh rectopexy vs. transperineal mesh repair for obstructed defecation syndrome associated with rectocele: comparison of selectively distributed patients.

    Balci, Bengi / Leventoglu, Sezai / Osmanov, Igbal / Erkan, Beyza / Irkilata, Yasemin / Mentes, Bulent

    BMC surgery

    2023  Volume 23, Issue 1, Page(s) 359

    Abstract: Purpose: Obstructed defecation syndrome represents 50-60% of patients with symptoms of constipation. We aimed to compare the two frequently performed surgical methods, laparoscopic ventral mesh rectopexy and transperineal mesh repair, for this condition ...

    Abstract Purpose: Obstructed defecation syndrome represents 50-60% of patients with symptoms of constipation. We aimed to compare the two frequently performed surgical methods, laparoscopic ventral mesh rectopexy and transperineal mesh repair, for this condition in terms of functional and surgical outcomes.
    Methods: This study is a retrospective review of 131 female patients who were diagnosed with obstructed defecation syndrome, attributed to rectocele with or without rectal intussusception, enterocele, hysterocele or cystocele, and who underwent either laparoscopic ventral mesh rectopexy or transperineal mesh repair. Patients were evaluated for surgical outcomes based on the operative time, the length of hospital stay, operative complications, using prospectively designed charts. Functional outcome was assessed by using the Initial Measurement of Patient-Reported Pelvic Floor Complaints Tool.
    Results: Fifty-one patients diagnosed with complex rectocele underwent laparoscopic ventral mesh rectopexy, and 80 patients diagnosed with simple rectocele underwent transperineal mesh repair. Mean age was found to be 50.35 ± 13.51 years, and mean parity 2.14 ± 1.47. Obstructed defecation symptoms significantly improved in both study groups, as measured by the Colorectal Anal Distress Inventory, Constipation Severity Instrument and Patient Assessment of Constipation-Symptoms scores. Minor postoperative complications including wound dehiscence (n = 3) and wound infection (n = 2) occurred in the transperineal mesh repair group.
    Conclusion: Laparoscopic ventral mesh rectopexy and transperineal mesh repair are efficient and comparable techniques in terms of improvement in constipation symptoms related to obstructed defecation syndrome. A selective distribution of patients with or without multicompartmental prolapse to one of the treatment arms might be the preferred strategy.
    MeSH term(s) Humans ; Female ; Adult ; Middle Aged ; Rectocele/complications ; Rectocele/surgery ; Defecation ; Rectal Prolapse/complications ; Rectal Prolapse/surgery ; Surgical Mesh/adverse effects ; Treatment Outcome ; Follow-Up Studies ; Laparoscopy/methods ; Constipation/complications ; Constipation/surgery ; Hernia/complications ; Rectum/surgery
    Language English
    Publishing date 2023-11-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050442-1
    ISSN 1471-2482 ; 1471-2482
    ISSN (online) 1471-2482
    ISSN 1471-2482
    DOI 10.1186/s12893-023-02206-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Correction: Local excision versus thrombectomy in thrombosed external hemorrhoids: a multicenter, prospective, observational study.

    Yalcinkaya, Ali / Yalcinkaya, Ahmet / Atici, Semra Demirli / Sahin, Can / Leventoglu, Sezai

    BMC surgery

    2023  Volume 23, Issue 1, Page(s) 321

    Language English
    Publishing date 2023-10-24
    Publishing country England
    Document type Published Erratum
    ZDB-ID 2050442-1
    ISSN 1471-2482 ; 1471-2482
    ISSN (online) 1471-2482
    ISSN 1471-2482
    DOI 10.1186/s12893-023-02215-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The Effect of Stoma Site Marking on Stomal Complications: A Long-term Retrospective Study.

    Guler, Sevil / Eyuboglu, Gulcan / Baykara, Zehra Gocmen / Hin, Aysel Oren / Akdemir, Hülya / Akar, Emine / Leventoglu, Sezai / Yuksel, Osman

    Advances in skin & wound care

    2024  Volume 37, Issue 5, Page(s) 254–259

    Abstract: Objective: To identify the effect of stoma site marking on stoma-related complications.: Methods: The study sample included 639 individuals with stomas who were followed up in a stomatherapy unit in Turkey between January 1, 2017, and June 20, 2021. ... ...

    Abstract Objective: To identify the effect of stoma site marking on stoma-related complications.
    Methods: The study sample included 639 individuals with stomas who were followed up in a stomatherapy unit in Turkey between January 1, 2017, and June 20, 2021. Researchers collected patient data from nursing records. Data were evaluated using number, percentage, χ2, and logistic regression tests.
    Results: Of the individuals with stomas, 60.6% (n = 387) were men, and 72.6% (n = 464) had a cancer diagnosis. Their mean age was 60.16 (SD, 14.81) years. The stoma site was marked preoperatively in of 67.1% of patients (n = 429), and 17.1% (n = 109) developed stoma-related complications. The complication rate was higher in individuals with unmarked stoma sites (25.7%; P = .000), emergency surgeries (25.0%; P = .006), colostomies (23.9%; P = .042), and permanent stomas (28.3%; P = .002). The three most common complications were peristomal skin problems (56.9%), mucocutaneous separation (13.8%), and edema (9.2%).
    Conclusions: The incidence of stoma-related complications in the postoperative period was higher in individuals with unmarked stoma sites. The authors recommend that stoma and wound care nurses mark the stoma site in individuals for whom stoma creation is planned.
    MeSH term(s) Humans ; Male ; Female ; Middle Aged ; Retrospective Studies ; Surgical Stomas/adverse effects ; Aged ; Turkey/epidemiology ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Adult
    Language English
    Publishing date 2024-04-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2012792-3
    ISSN 1538-8654 ; 1527-7941
    ISSN (online) 1538-8654
    ISSN 1527-7941
    DOI 10.1097/ASW.0000000000000134
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Martius flap for rectovaginal fistula after obstetric injury - a video vignette.

    Yildiz, Alp / Balci, Bengi / Leventoglu, Sezai / Bulent Mentes, Bedrettin

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2021  Volume 23, Issue 9, Page(s) 2487

    MeSH term(s) Female ; Humans ; Pregnancy ; Rectovaginal Fistula/etiology ; Rectovaginal Fistula/surgery ; Surgical Flaps
    Language English
    Publishing date 2021-07-13
    Publishing country England
    Document type Journal Article ; Video-Audio Media
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.15765
    Database MEDical Literature Analysis and Retrieval System OnLINE

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