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Öğe Clınıcal Analysıs of Traumatıc Isolated Rectal Injuries(2023) Doğan, Serhat; Öndeş, Bahadır; Aksu, Ali; kurt, feyziIn this study, we aimed to evaluate the approach to patients who applied to our clinic due to isolated rectal injury. Patients treated for isolated rectal injury in our clinic between January 2017 and December-2021 were retrospectively reviewed. Ten patients were examined and 7 patients were included in the scope of the evaluation. The patients were evaluated under the headings such as age, gender, injury site and whether or not diversion was performed. All patients were male and the mean age was 26.5±9.46 years. There were middle rectal injuries in two patients, upper rectal injuries in one patient, and lower rectal injuries in four patients. Except for one patient with lower rectal injury and no rectal contamination, the other six patients underwent diversion. One patient who underwent transanal repair was followed up with tomography in the postoperative period. Rectal injuries are high-risk injuries due to their neighborhood in the pelvic region. Intestinal diversion is a serious option to prevent pelvic sepsis. It should not be forgotten that transanal primary repair can also be performed after the location of the injury is determined and the perirectal area is cleaned.Öğe Comparison of Surgical Treatment with Crystallized Phenol Treatment in Recurrent Pilonidal Sinuses(2022) Kutluer, Nizamettin; Doğan, Serhat; Öndeş, Bahadır; kurt, feyziAim: One of the most important complications of the treatment of pilonidal sinus disease (PSD) is recurrence. Despite all treatment modalities, there is still no method that promises zero recurrence rate. Additionally, there is no clear consensus about the treatment method in primary cases and uncertainty is even greater in the treatment of recurrent patients. The aim of this study was to compare the results of surgical treatment and crystallized phenol treatment in patients with recurrent PSD. Method: This study included patients with recurrent PSD who underwent re-surgery or crystallized phenol application as secondary treatment in a general surgery clinic. Both methods were compared in terms of patients’ gender, age, complaints and duration of complaints in the preoperative period and wound infection, length of hospital stay, recurrence and time to return to work in the postoperative period. Results: Of the total of 38 patients 31 (81.6%) were male. The mean age was 25.9±4.51 years (range: 19-36 years). The site of recurrence site was at the incision line in 29 (76.3%) and lateral in 9 (23.7%). Twenty-one (53.3%) underwent surgery and 17 (44.7%) were treated with crystallized phenol application. The mean treatment-recovery time was 40.7±28.45 days in the phenol group, while it was 20.33±24.05 days in the surgery group. Recurrence was observed in 3 (17.6%) patients in the phenol group and 1 (4.76%) patient in the surgery group. There was a statistically significant difference in these two parameters. Conclusion: While the surgical method was more effective in recurrent PSD, crystallized phenol is a less invasive method. It does not require hospitalization, can be applied under local anesthesia in outpatient settings, and can be repeated for a few sessions. Crystallized phenol is a preferred treatment method for recurrent PSD only in suitable cases.Öğe Evaluation of Skin Changes İn Patients Undergoing Obesity Surgery; A Retrospective Observational Study(2023) KANAT, ZEKİYE; Doğan, Serhat; Öndeş, Bahadır; Aksu, Ali; kurt, feyziNowadays, Obesity surgery performed with increasing frequency. Some problem s developed after these surgeries. Changes in the skin due to weight loss, vitamin, and element deficiencies are problems. In this study, we aimed to discuss how the skin changes that occur after the surgery affect the patients and their satisfaction. Questionnaire forms were prepared to evaluate the changes in the skin who underwent bariatric surgery in the General Surgery clinic, We were recorded by questioning one year before and one year after the surgery. Their satisfaction with the skin changes before and after the surgery was evaluated. A total of 51 patients, eight men (15.7%) and fourty three (84.3%) women, included in the study. The mean age of the patients was 32.8 years. The preoperative mean body weight of the patients was 119.7 kg. The mean fol low-up time was 15.4 months. During this follow-up period, the mean postoperative body weight of the patients was 82.8. While the rate of those who were satisfied with the changes in their skin during this period was 78.4 on average, the rate of those who were not satisfied was 21.6 on average. Most of the patients included in the study stated that they had skin problems related to obesity on their skin. Despite this, patients stated that the changes in their skin after bariatric surgery were better than be fore the surgery.Öğe Reasons for Admission of Patients to the Emergency Department after Laparoscopic Sleeve Gastrectomy(2023) Kutluer, Nizamettin; Doğan, Serhat; Öndeş, Bahadır; kurt, feyzi; kanat, burhan hakan; Aksu, Ali; Pepele, Mustafa SafaObjective: Obesity is defined as abnormal or excessive fat accumulation in the body to the extent that it impairs health in humans. It is a common health problem that is increasing in severity. Laparoscopic sleeve gastrectomy (LSG) is a preferred method because of satisfactory weight loss, resolution of comorbidities and performance safety. The increase in surgery has brought along the postoperative problems. New conditions related to bariatric surgery can be observed in all areas of life. Methods: After obtaining the necessary permission from the local clinical research ethics committee, patients who had bariatric surgery in our hospital between January 2018 and December 2021 were asked to respond by sending a mini-questionnaire about their application to the emergency department after surgery. Eighty patients who agreed to answer the questions were included in the study. Questions were asked and the results were evaluated. In addition, none of the patients who applied to the hospital were admitted to the hospital. Results: 53.38% of the patients who applied to the hospital came with stomach spasm and vomiting. Among the 80 patients, 18.8% were admitted to the hospital again after surgery. After the operation, 53.3% of the patients applied to the hospital within the first three months, 26.6% within the 4th and 6th months, and 20.1% after the 10th month. Conclusion: General practitioners and emergency specialists should master the management algorithm of these patients. If there is the slightest doubt, obese patients should be consulted, if possible, from a surgeon experienced in bariatrics or a general surgeon.
