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Öğe Comparison of Unilateral Fasciocutaneous V-Y Flap Technique with Cleft Lift Procedure in the Treatment of Recurrent Pilonidal Sinus Disease: A Retrospective Clinical Study(Int Scientific Literature, Inc, 2018) Koca, Yavuz Savas; Yildiz, Ihsan; Okur, Selahittin Koray; Saricik, Bekir; Ugur, Mustafa; Bulbul, Mustafa Tevfik; Uslusoy, FuatBackground: This study aimed to assess treatment outcomes of the cleft lift procedure and V-Y flap technique in the treatment of recurrent pilonidal sinus disease (PSD). Material/Methods: A total of 51 patients who underwent cleft lift procedure and 43 patients who underwent fasciocutaneous V-Y flap technique were evaluated. The demographic characteristics, previous operations, duration of symptoms, perioperative complications, duration of operation and hospital stay, duration of draining of all patients, and recurrence of PSD were recorded. Results: The mean operation time was 35.61 +/- 5.254 min in the cleft lift group (CLG) and 57.42 +/- 7.327 min in the V-Y flap group (VYFG) (p=0.001). No wound dehiscence was found in the VYFG and 5 patients (9.8%) had wound dehiscence in the CLG (p=0.035). Draining time was 1.39 +/- 0.603 days in the CLG and 2.79 +/- 0.638 days in VYFG (p=0.001). The mean hospital stay was 1.75 +/- 0.523 days in the CLG and 3.77 +/- 1.02 days in the VYFG (p=0.001). Two patients (3.9%) in the CLG had recurrence and no recurrence was reported in the VYFG (p=0.189) in the given time interval. Conclusions: Both methods in treatment of recurrent PSD can be preferred because of low complication and recurrence rates. Because no recurrence was found after the V-Y flap technique, it appears to be a preferable method despite some disadvantages.Öğe The role of co-administration of damage control surgery and vacuum-assisted closure in the treatment of perineal wounds(Turkish Surgical Assoc, 2018) Ugur, Mustafa; Oruc, Cem; Yildiz, Ihsan; Koca, Yavuz Savas; Daban, UgrasPerineal wounds caused by high-kinetic-energy shotgun blasts have a high mortality risk because they are often accompanied by injuries of the anus, rectum, genitourinary system, and extremities. Mortality often results from hemorrhage in the early stage and from multiple organ failure caused by sepsis in the late stage. The primary step in the treatment of patients presenting with perineal wound and hemodynamic instability caused by severe hemorrhage is to control hemorrhage and contamination using damage control surgery. After achieving hemodynamic stability, vacuum-assisted closure can be used to reduce the risks of infection and sepsis. In this report, we present a case who had a perineal wound caused by a mine blast and was successfully treated by damage control surgery and vacuum-assisted closure.Öğe Single Port Laparoscopic Cholecystectomy Versus Multiple Port Laparoscopic Cholecystectomy(Derman Medical Publ, 2015) Koca, Yavuz Savap; Ugur, Mustafa; Yildiz, IhsanAim: This study aims to determine the advantages and the disadvantages of single-incision laparoscopic surgery (SILS) and standard laparoscopic cholecystectomy by comparing the cases of these two techniques. Material and Method: Between September 2010 and June 2013, the datas of 80 patients with laparoscopic cholecystectomy were studied retrospectively. Operations were seperated into 2 groups that were SILS and standard laparoscopic surgery. Each group consisted of 40 randomly chosen patients. The age, sex, weight, height, body mass index, American Society of Anesthesiologists score (ASA), duration of operation, postoperative duration of hospital stay, need for surgical drain, infection injury, and postoperative need for analgesic of the patients were recorded. SPSS 21 was used analyzing these datas. Results: Operation period was signaficiantly short in SLK technic (p=0,001). Duration of staying hospital was statisticaly short in SLK technic (p=0,001). There was no complication except for wound infection and intraoperative bleeding. Complications were seen more in TILC group but they had not have statistically significiant (p=0,238). Although first cholecystectomy with TILC technic last 144 minute latest operation finished in just 48 minute. Discussion: Operation period and staying hospital in the single incision laparoscopic cholecystectomy' group has been founded statistically high. Operation period has been reduced thanks to experiences. There has no significant difference about complications. Demonstrating effectiveness and safety, and determinig low complication rises will provide development of technic.Öğe Splenosis Causing ITP Relapse: Case Report(Derman Medical Publ, 2014) Koca, Yavuz Savas; Yildiz, Ihsan; Gozel, Sedat; Ugur, Mustafa; Sabtincuoglu, Mehmet ZaferITP (idiopathic trombocitopenic purpura) is defined as isolated thrombocytopenia which occurs even in normal bone marrow structure without any reason. Splenectomy is an efficient and permanent treatment in treatment-resistant ITP cases. Accesory spleen and splenosis, also known as auto-implantation of spleen, are rare clinical cases that need to be considered in ITP relapses. In this study, a 49 year old woman patient who had splenectomy because of ITP and had ITP relapse stemming from splenosis in postoperative 5th year is presented with literature.Öğe The V-Y flap technique in complicated and recurrent pilonidal sinus disease(Edizioni Luigi Pozzi, 2018) Koca, Yavuz Savas; Yildiz, Ihsan; Ugur, Mustafa; Barut, IbrahimOBJECTVES: This study presents early and long term (5 years) outcome of 61 complicated pilonidal sinus disease cases undergoing V-Y advancement flap method together with the literature data. METHOD: Data of 336 patients undergoing surgery for pilonidal sinus disease between 2008 and 2012 were retrospectively analyzed. Patients with defect size >= 10 cm, and more than one subcutaneous sinus tunnels were assumed to have complicated pilonidal sinus disease. A total of 61 patients were included in the study. Age, gender, type of surgery, duration of hospitalization, time of drain removal, pre-operative complications, and relapse rates at post-operative 5th year were analyzed. RESULTS: Of the 66 patients, 51 underwent unilateral V-Y advancement and 10 patients had bilateral V-Y plasty. Mean duration of operations was 6687 +/- 18.37 minutes for total, 61.02 +/- 12.30 minutes for unilateral V-Y plasty, and 9670 +/--15.04 minutes for bilateral V-Y plasty. Hemovac drains were removed at 5.59 +/- 1.91 days averagely, 5.16 +/- 1.37 in unilateral group, and 7.80 +/- 2.74 in bilateral V-Y plasty group. Of the 4 patients who developed wound site infection, 2 had unilateral and 2 had bilateral V-Y flap advancement. Postoperative hematomas developed in 2 patients with unilateral flap and one patient with bilateral flapss. Seroma occurred in 2 patients with unilateral flap and one patient with bilateral flaps. Dehiscence developed two patients, one patient from each group. The mean duration of hosptalization was 5.98 +/- 2.21 days; 5.49 +/- 1.52 in unilateral group, and 8.50 +/- 3.34 in bilateral group. Early or late relapse was not seen in any groups. CONCLUSON: V-Y advancement flap technique can be applied as an efficient method in the treatment of complicated pilonidal sinus disease due to low relapse and complication rates.
