Person: GÜNEREN, ETHEM
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Publication Open Access Recommendations for management of diabetic foot ulcers during COVID-19 outbreak.(2020-06-05T00:00:00Z) Kelahmetoglu, Osman; Camlı, Mf; Kirazoglu, A; Erbayat, Y; Guneren, E; Asgarzade, S; Durgun, U; Mehdizade, T; Yeniocak, A; Yildiz, K; Sonmez, Ergun; KELAHMETOĞLU, OSMAN; ERGÜN, SELMA; GÜNEREN, ETHEMCOVID-19 pandemia began in Wuhan, China, in December 2019. A total of 1 878 489 people were infected and 119 044 people were lost because of the disease and its complications by 15 April. Severe morbidity and mortality complications are mostly seen in elderly and patients having comorbidities. Diabetic foot ulcers (DFUs) are one of severe complications of diabetes mellitus and it may require urgent surgical interventions. In this paper, we aimed to create a management algorithm to prevent the unexpected complications that may occur in the patients and health care workers during the evaluation of COVID-19 in DFU patients who require urgent surgical intervention. We advise the use of thorax computerised tomography for preoperative screening in all DFU patients with severe signs of infection and especially those requiring urgent surgery for both the detection of the possible undiagnosed COVID-19 in the patient for the need for close follow-up and protection of the surgical and anaesthesiology team.Publication Open Access Double-Layer Reconstruction of the Achilles- Tendon Using a Modified Lindholm-s Technique and Vascularized Fascia Lata(2018-04-01T00:00:00Z) Kelahmetoglu, OSMAN; Gules, Mustafa Ekrem; Elmadag, Nuh Mehmet; Ergun, Selma Sonmez; Guneren, Ethem; KELAHMETOĞLU, OSMAN; GÜNEREN, ETHEM; ERGÜN, SELMALoss of the Achilles- tendon with overlying soft tissue and skin defects remains a complex reconstructive challenge. Herein we present our experience using a free composite anterolateral thigh (ALT) flap with vascularized fascia lata and a modified Lindholm-s technique to repair the Achilles- tendon. A 37-year-old man suffered from tertiary Achilles- tendon rupture. For reconstruction, the free composite ALT flap with vascularized fascia lata was used to wrap Achilles- tendon. A modified Lindholm-s technique was used to cover overlying soft tissue defects. The patient was followed up for 12 months. No wound healing problems were reported, and the patient was able to walk and return to his daily ambulating activities without any support after 5 months postoperatively. This technique may be useful to achieve satisfactory outcomes in patients with ruptured Achilles- tendons following tertiary repair.Publication Open Access A simple concept for covering pressure sores: wound edge-based propeller perforator flap.(2017-12-01T00:00:00Z) Kelahmetoglu, OSMAN; Guneren, E; Van, Landuyt; Yagmur, C; Sommeling, CE; Keles, MK; Tayfur, V; Simsek, T; Demirtas, Y; KELAHMETOĞLU, OSMAN; GÜNEREN, ETHEMPublication Open Access Embedding Exposed Subcutaneous Venous Ports in the Pectoral Muscle: A Practical and Stable Technique for Coverage(2017-04-01) Kelahmetoglu, OSMAN; Demir, Ahmet; Yagmur, Caglayan; DEMIRTAS, Yener; Guneren, ETHEM; KELAHMETOĞLU, OSMAN; GÜNEREN, ETHEMObjective: The aim of this study was to present our experience in embedding exposed subcutaneous venous ports in the pectoral muscle.Publication Open Access Boneless Maxillary Reconstruction(2020-01-01T00:00:00Z) Kelahmetoğlu, Osman; Güneren, Ethem; Kuzu, Ismail Melih; Yıldız, Kemalettin; KELAHMETOĞLU, OSMAN; GÜNEREN, ETHEM; YILDIZ, KEMALETTİNObjective: Although the midface is supported by maxillary bone, reconstruction of maxillary bony defects does not always require osseous reconstruction. A series of maxillary facial defects of moderate to severe sizes (Brown and Shaw 4-6) uniformly reconstructed with myocutaneous free flaps is presented. Methods: Retrospective analysis was done for consecutive 10 cases between 2013-18. Seven of the cases had defects caused by oncological resection and 3 defects caused by trauma. Free vertically oriented rectus abdominis (fVRAM) flap was used to reconstruct these defects. The mean age of patients was 42.9 years (range=20-71 years). All flaps survived and 2 flaps had small skin island problems. Rapid recovery, low morbidity, acceptable oral competency, and satisfactory cosmetic appearance were obtained with the reconstruction using fVRAM flaps. Conclusion: According to our limited experience, acceptable reconstruction of extensive maxillary defects can be done with using only soft tissue flap, which is versatile and safe.Publication Open Access Menopause Does Not Reduce Hematoma Risk After Reduction Mammoplasty Surgery: A Retrospective Analysis(2020-10-01T00:00:00Z) Kelahmetoglu, Osman; Yagmur, Caglayan; Firinciogullari, Remzi; Akman, Onur; GÜNEREN, Ethem; KELAHMETOĞLU, OSMAN; AKMAN, ONUR; GÜNEREN, ETHEMObjective: Hematoma is one of the early complications of breast reduction surgery. According to our literature review, this concomitance was not discussed in detail. The aim of this study is to show the relationship of postoperative hematoma with menopausal status in reduction mammoplasty patients. Methods: This study included 153 patients who underwent breast reduction surgery from 2014 to 2018, and had no comorbid disease and were questioned for menopause retrospectively. The patients were divided into two groups: Group 1 comprised premenopausal women, and Group 2 comprised postmenopausal women. Results: The mean age of the patients in Group 1 and Group 2 was 33.26 +/- 7.58 years and 52.96 +/- 4.34 years, respectively (p=0.00). The mean of total resected tissue weights in Groups 1 and 2 were 2.104 +/- 1.201 grammes and 2.492 +/- 1.098 grammes, respectively (p=0.119). Hematomas were seen in six (4.8%) patients in Group 1, and no hematoma was seen in Group 2 (p=0.593). Conclusion: Our findings showed that menopause does not reduce the risk for hematoma, but we recommend further clinical studies.