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İstanbul, Turkey

Kara M.,Acibadem University | Alzafer S.,Bakirkoy Acibadem Hospital | Okur E.,Acibadem University | Halezeroglu S.,Acibadem University
Acta Chirurgica Belgica | Year: 2013

Background: As a minimal invasive procedure, a standard threeportal videothoracoscopy may have complications such as chronic and residual pain. However, a single incision thoracoscopic surgery is a less invasive procedure with minimal complications. We present our series of patients who had single incision thoracoscopic surgical procedures. Patients and methods: A total of 49 patients, 29 (59.2%) male and 20 (40.8%) female with a mean age of 45.7 ± 17.6 years (range, 16 to 86 years) underwent a total of 59 single incision thoracoscopic surgical procedures. We most often made a 2-2.5 cm single incision on the seventh or eighth intercostal space at the midaxillary line. VAS (Visual analogue scale) scores for pain at postoperative day 1 and the mean of chest tube removal times were recorded for each procedure. The patients were discharged following chest tube removal. Results: We performed an overall of 59 procedures including 8 (13.7%) wedge resections for either histologic diagnosis or spontaneous pneumothorax, 4 (6.8%) pleural biopsies, 23 (38.9%) pleurectomies, 9 (15.2%) deloculation and decortications, 5 (8.6%) traumas in and 10 (17.5%) sympathectomies. No patient required an additional thoracoscopic port or conversion to thoracotomy. The overall mean of postoperative VAS scores for all procedures at postoperative day 1 and day 30 were 3.2 ± 0.9 and 1.4 ± 0.5, respectively (p < 0.0001). The overall mean of chest tube removal time was 2.3 ± 0.8 days (median; 2). We observed neither morbidity nor mortality. Conclusions: In selected patients, single incision thoracoscopic surgery is an effective and a safe procedure with lower levels of pain and shorter hospital stay. A wide spectrum of thoracic surgical procedures can be performed with the use of single incision thoracoscopic surgery. Source


Pata O.,Acibadem University | Gunduz N.M.,Bakirkoy Acibadem Hospital | Unlu C.,Bakirkoy Acibadem Hospital
Journal of the Turkish German Gynecology Association | Year: 2012

Hepatic calcification in the fetus is considered an uncommon occurrence and the clinical significance is not fully known. We describe five cases with isolated hepatic calcification. The causes and postnatal outcome of the fetal liver calcifications detected by ultrasound imaging are discussed. Isolated fetal liver calcifications with no aneuploidy and infection have a good prognosis. © Copyright 2012 by the Turkish-German Gynecological Education and Research Foundation. Source


Kara M.,Acibadem University | Alzafer S.,Bakirkoy Acibadem Hospital | Okur E.,Acibadem University | Halezeroglu S.,Acibadem University
Acta Chirurgica Belgica | Year: 2013

Background: A number of procedures have been used in the management of malignant pleural effusion including repeated thoracentesis, tube thoracostomy, drainage with catheter, chemical pleurodesis, pleurectomy and pleuro-peritoneal shunt. However, the optimal method of management remains unclear. On the other hand, single incision thoracoscopic surgery has been defined as a less invasive method than the standard threeportal videothoracoscopy. We herein present our series of patients who underwent single incision thoracoscopic pleurectomy for malignant pleural effusion. Patients and methods: We performed a single incision thoracoscopic pleurectomy in a total of 19 consecutive patients, 11 (57.8%) male and 8 (42.2%) female with a mean age of 56.3 ± 16.9 years who had malignant pleural effusions. We made a single 2-2.5 cm incision at the seventh or eighth intercostal spaces on the midaxillary line for the procedure. Results: We performed a total of 23 single incision thoracoscopic total pleurectomies consisting of 11 (57.8%) rightsided, 4 (21.1%) left-sided and 4 (21.1%) bilateral procedures. The mean total postoperative drainage was 553 ± 266cc (Median ; 470 cc), and the mean chest tube removal time was 2.3 ± 0.4 days (Median ; 2 days). We observed neither morbidity nor mortality. No patient required an additional port or a conversion to thoracotomy. Median follow-up was 83 days (range, 30 to 359 days). Pleural effusion recurred in two (8.6%) out of 23 procedures which resulted in a success rate as 91.4% for the procedure. Conclusion: Single incision thoracoscopic pleurectomy is a safe, less invasive and an effective method of pleurodesis with a low recurrence rate in patients with malignant pleural effusion. Source


Kaya I.,Haseki Training and Research Hospital | Boynuk B.,Bakirkoy Acibadem Hospital | Gunerbuyuk C.,29 Mayis Hospital | Ugras A.,Istanbul University
Acta Orthopaedica et Traumatologica Turcica | Year: 2013

Osteoblastoma is a benign local aggressive tumor mostly localized in the vertebra or long bones. Carpal location and recurrence are extremely rare. Treatment options include either curettage or wide en bloc resection which causes functional disability in the hand and wrist and should be reserved only for recurrence. We present a case of recurrent trapezoid osteoblastoma previously treated with curettage of the trapezoid bone and a case of primary triquetral osteoblastoma. © 2013 Turkish Association of Orthopaedics and Traumatology. Source

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