Ankara Numune Teaching Hospital

Ankara, Turkey

Ankara Numune Teaching Hospital

Ankara, Turkey
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Dinc T.,Ankara Numune Teaching Hospital | Yildiz B.D.,Ankara Numune Teaching Hospital | Kayilioglu I.,Ankara Numune Teaching Hospital | Sozen I.,Ankara Numune Teaching Hospital | And 2 more authors.
Asian Pacific Journal of Cancer Prevention | Year: 2014

Gastric cancer is the fourth most common malignancy worldwide. Poor prognosis in gastric cancer is linked with hypoalbuminemia. Previous studies demonstrated relationships between gastric cancer and chronic inflammation. The aim of this study was to assess the prognostic value of preoperative inflammation-based prognostic scores regarding hospital mortality after gastrectomy. Unlike other recent articles on the same topic; we could only verify prognostic value of prognostic nutritional index for in hospital mortality after surgery.


PubMed | Kafkas University, Ankara Numune Teaching Hospital and Turkiye Yuksek Ihtisas Hospital
Type: Comparative Study | Journal: Advances in clinical and experimental medicine : official organ Wroclaw Medical University | Year: 2015

Classical laparoscopic cholecystectomy involves four ports while most novel single port technique only requires one incision on the abdominal wall. This technique is thought to decrease surgical trauma and improve cosmesis although there are reports pointing out that classical laparoscopic cholecystectomy is also feasible in terms of cosmesis.In this study we tried to determine if there are certain advantages in quality of life after single port surgery which would justify its utilization instead of classical laparoscopic cholecystectomy.This is aprospective randomized study which enrolled 30 patients randomized either into classical laparoscopic cholecystectomy or single port surgery. The primary endpoint was patient satisfaction after surgery. This was assessed with short form 36 and gastrointestinal quality of life index (first preoperatively and then 3months postoperatively) and avisual analogue scale on the first and seventh days.There was not astatistically significant difference between groups in the emotional role, social functions, mental health, vitality and general health subscales of short form 36. At the end of 12 weeks, both groups demonstrated increases in the gastrointestinal and social subscales of the gastrointestinal quality of life index. There was not astatistically significant difference between groups when the visual analogue scale scores on first and seventh days were compared.The equal length of hospitalization, patient quality of life and pain perception and the longer operative times, high likelihood of incisional hernia and surgical site infection call into question the utilization of single port surgery, as it does not seem to confer an advantage over classical laparoscopic cholecystectomy.


Akhan O.,Hacettepe University | Yildiz A.E.,Hacettepe University | Akinci D.,Hacettepe University | Yildiz B.D.,Ankara Numune Teaching Hospital | Ciftci T.,Hacettepe University
CardioVascular and Interventional Radiology | Year: 2014

Objective: The purpose of this study was to determine the safety and efficacy of adjuvant albendazole medication in percutaneous liver hydatid cyst treatment with puncture, aspiration, injection, and reaspiration (PAIR) method. Methods: Between November 2007 and May 2011, total of 39 patients with newly diagnosed liver hydatid cyst (total of 77 cysts) were prospectively randomized and enrolled in 3 groups. In the first group, cysts (n = 14) were treated with PAIR without albendazole. In the second (n = 16) and third groups (n = 47), cysts were treated with PAIR with albendazole 1 week before and 1 month after the procedure, with albendazole 1 week before and 3 months after the procedure respectively. Results: Technical and clinical success rates were 100 and 96.1 % respectively. In 3 of 77 cysts (3.9 %), findings of recurrence were detected on US imaging. All recurrent cysts were in group 1 and recurrence rates in this group were statistically different from cysts of second and third groups (p = 0.005). Side effects of albendazole were detected in 7 of 29 patients (24.1 %), and no statistically significant difference was observed between the second (15.3 %) and third (38.4 %) groups (p = 0.378). Conclusions: Use of albendazole medication as an adjuvant to percutaneous treatment of liver hydatid cyst decreases the recurrence rate. Although there is no statistically significant difference between groups 2 and 3 in terms of efficacy and recurrence rate, patients in group 3 had a higher rate of side effect. Therefore, we conclude that albendazole treatment 1 week before and 1 month after PAIR treatment is sufficient to reduce/prevent recurrences. © 2014 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).


Sulu B.,Kafkas University | Yildiz B.D.,Ankara Numune Teaching Hospital | Buyukuysal C.,Zonguldak Karaelmas University | Demir E.,Kafkas University | Gunerhan Y.,Kafkas University
Journal of Laparoendoscopic and Advanced Surgical Techniques | Year: 2012

Background: Colonoscopy is the gold standard in diagnosis of diseases of the colon. Sedation and antispasmodic agents are recommended during colonoscopy. Age is a limiting factor when the surgeon is deciding whether to use these medications or not. Subjects and Methods: One hundred twenty patients older than 65 years of age were randomized into two groups. The first group (n=60) received 2 mg of midazolam and 25 mg of meperidine intravenously. The second group (n=60) received 2 mg of midazolam and 20 mg of hyoscine N-butylbromide intravenously. The data collected were colonoscopy procedure time, time to cecum, visual analog pain scale, systolic blood pressure before and after the procedure, pulse, partial oxygen pressure, comfort of the endoscopist, the modified observer's assessment of alertness/sedation scale, and morbidity. Results: Total colonoscopy and cecal reach times were shorter in Group 2 (19.58±4.82 minutes and 10.57±2.54 minutes, respectively) than in Group 1 (25.05±5.93 minutes and 13.78±3.37 minutes, respectively) (P<.001). The sedation score of Group 2 (4.52±0.50) was better than that of Group 1 (3.45±0.75) (P<.001). Nine patients (15%) in Group 1 experienced diaphoresis, temporary memory loss, or lip smacking. Three patients in Group 1 and 1 patient in Group 2 had hypoxia. Three patients in Group 1 had hypotension; this was seen in 1 patient in Group 2. One patient had perforation in Group 1. The visual analog scale score was 4.37±1.38, and the endoscopist satisfaction was 6.72±0.99 in Group 1, while these values were 3.95±0.81 and 7.75±0.89, respectively, in Group 2 (P>.05). Conclusions: Use of midazolam and hyoscine N-butylbromide during colonoscopy is safe in the elderly and significantly reduces procedure time while increasing comfort for the endoscopist. © Copyright 2012, Mary Ann Liebert, Inc. 2012.


Akturk O.,Ankara Numune Teaching Hospital | Yildiz B.D.,Ankara Numune Teaching Hospital | Karabeyoglu M.,Ankara Numune Teaching Hospital | Karabeyoglu I.,Ankara Numune Teaching Hospital
International Surgery | Year: 2015

Most of the small bowel obstruction cases are due to adhesions and hernias. Identifying strangulated cases may save patients from consequences of unnecessary operations and save patients who need urgent intervention by early detection. Serum markers of intestinal ischemia may help to identify and detect strangulation. The aim of this study was to identify if certain blood values such as RDW can accurately predict presence of strangulation preoperatively. We reviewed files of 127 patients who were operated because of incarcerated abdominal hernias for serum biomarkers and evaluated them with the operative findings. Our results show that elevation in red cell distribution width and white blood cell count may reflect strangulation. These findings may be useful in identifying the strangulated cases that need urgent surgical intervention.


Bostanoglu A.,Ankara Numune Teaching Hospital | Yildiz B.,Ankara Numune Teaching Hospital | Kulacoglu S.,Ankara Numune Teaching Hospital | Avsar F.,Ankara Numune Teaching Hospital
Turkish Journal of Gastroenterology | Year: 2013

Sarcomas represent less than 1% of adult solid malignancies and are rarely seen in the gastrointestinal tract. Here, we report a 59- year-old female with a well-differentiated liposarcoma of the stomach. This is the first case in the literature in which endoscopic ultrasound proved to be a diagnostic tool for gastric liposarcoma.


Sulu B.,Kafkas University | Yildiz B.,Ankara Numune Teaching Hospital
Hong Kong Journal of Emergency Medicine | Year: 2013

Introduction: Patients with acute abdominal pain are sometimes held under long-term observation because of failure to make a certain diagnosis. This study investigates the effectiveness of utilising laboratory and clinical variables to choose between surgical and medical treatment to reduce costs and speed up the evaluation period. Methods: In a university hospital setting, 165 patients with abdominal pain who had undergone surgical (n=115) or nonsurgical (n=50) treatment after observation were prospectively analysed. Upon presentation body temperature, white blood cell count, neutrophil count, seroreactive protein, and malonyl dialdehyde levels were determined. The area under the ROC curve and logistic regression analyses were performed. Surgical probability formula was prepared by using parameters. Results: Body temperature, white cell count, neutrophil count, C-reactive protein were higher in the surgical group (p=0.0001). Sensitivity of C-reactive protein was higher in determining patients who required surgical treatment. Multivariate analysis showed that above mentioned variables (except neutrophil count) along with malonyl dialdehyde levels were effective in determining optimal treatment strategy. Conclusions: It is possible to identify patients who need to undergo surgery by implementation of a 'probability of surgery' model using certain laboratory values from blood samples obtained from patients with abdominal pain and unknown diagnosis, upon presentation in the emergency room.


Yildiz B.D.,Ankara Numune Teaching Hospital
ASAIO Journal | Year: 2014

Thousands of patients with renal disease are on waiting lists for kidney transplant. Survival and quality of life on hemodialysis are much lower than that after renal transplantation. Renal allografts are extremely valuable and worth saving at all costs. Many complications can be seen after organ transplants on short and long term as rejection, vascular compromise, and infection. There are various reports on partial nephrectomy after renal transplant secondary to de novo masses in the renal allograft. Here, we present a case where we used radiofrequency bipolar sealer for partial nephrectomy for necrotic abscess of the renal allograft. We successfully saved the allograft with partial nephrectomy despite parenchymal infection and necrosis. © 2014 by the American Society for Artificial Internal.


PubMed | Ankara Numune Teaching Hospital
Type: Case Reports | Journal: The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology | Year: 2013

Sarcomas represent less than 1% of adult solid malignancies and are rarely seen in the gastrointestinal tract. Here, we report a 59-year-old female with a well-differentiated liposarcoma of the stomach. This is the first case in the literature in which endoscopic ultrasound proved to be a diagnostic tool for gastric liposarcoma.


PubMed | Ankara Numune Teaching Hospital
Type: Journal Article | Journal: The Indian journal of surgery | Year: 2016

Psoriasis is a multifactorial, inflammatory chronic skin condition affecting 1-3% of the population worldwide. Obesity is more common in patients with psoriasis. Psoriasis and obesity are linked via a mechanism of chronic inflammation. There are reports on improvement of psoriasis after obesity surgery. Role of sleeve gastrectomy in psoriasis improvement is not fully elucidated yet. In this article, we describe two obese patients with psoriasis who had improvement of their skin lesions 1month after sleeve gastrectomy. To our knowledge, this is the first report of psoriasis remission after sleeve gastrectomy in current medical literature.

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