Person:
TOSUN, MUHAMMED

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Kurumdan Ayrılmıştır
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MUHAMMED
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TOSUN
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Now showing 1 - 3 of 3
  • PublicationMetadata only
    Comparison of Anesthesia Methods in Treatment of Staghorn Kidney Stones with Percutaneous Nephrolithotomy
    (2016-01-01T00:00:00Z) Buldu, Ibrahim; Tepeler, Abdulkadir; KAYNAR, MEHMET; Karatag, Tuna; TOSUN, MUHAMMED; Umutoglu, Tarik; Tanriover, Hakan; Istanbulluoglu, Okan; TOSUN, MUHAMMED
    Purpose: To compare the efficacy and safety of percutaneous nephrolithotomy (PNL) in the treatment of staghorn calculi (SC) under spinal anesthesia (SA) versus general anesthesia (GA).
  • PublicationMetadata only
    Comparison of flexible ureterorenoscopy and micropercutaneous nephrolithotomy in the treatment for moderately size lower-pole stones
    (2015-11-01T00:00:00Z) Armagan, Abdullah; Karatag, Tuna; Buldu, Ibrahim; TOSUN, MUHAMMED; Basibuyuk, Ismail; Istanbulluoglu, Mustafa Okan; Tepeler, Abdulkadir; TOSUN, MUHAMMED
    To present a retrospective comparative clinical study of micropercutaneous nephrolithotomy (microperc) versus flexible ureterorenoscopy (F-URS) in treatment of moderate-size lower-pole stones (LPSs).
  • PublicationMetadata only
    Is micro-percutaneous nephrolithotomy surgery technically feasible and efficient under spinal anesthesia?
    (2015-06-01T00:00:00Z) Karatag, Tuna; Tepeler, Abdulkadir; Buldu, Ibrahim; AKÇAY, MUZAFFER; TOSUN, MUHAMMED; Istanbulluoglu, Mustafa Okan; Armagan, Abdullah; AKÇAY, MUZAFFER; TOSUN, MUHAMMED
    The objective of the study was to present the clinical and operative effects of two types of anesthesia on micro-percutaneous nephrolithotomy (-microperc-). We retrospectively reviewed 116 patients who underwent microperc between August 2011 and September 2013. Patients were sorted into one of the two groups according to the type of anesthesia received: general (Group 1, n:53) or spinal (Group 2, n:63). Perioperative variables (age, stone size, location) and outcomes (operation time, success, complication rate) were evaluated and compared. Although there was a statistically significant difference in the mean age of patients (30.3 +/- A 22.1 vs. 45.8 +/- A 14.6, respectively, p < 0.001), mean body mass indexes were similar (p = 0.689). There was no substantial difference in terms of sizes and localizations of stones in the two groups (p = 0.970 and p = 0.795). While a significant difference was found in comparison of operative times (59.62 +/- A 32.56 vs. 40.98 +/- A 26.45 min, p < 0.001), there was no statistically significant difference in mean fluoroscopy times (124.92 +/- A 84.2 vs. 105.2 +/- A 61.0 s, p = 0.441). Stone-free rates were similar (90.5 % vs. 93.6 %, p = 0.297). We found no statistical differences between the two groups with respect to mean hemoglobin drop and hospitalization time (p = 0.015 and p = 0.917, respectively). The complication rates and analog pain scores were also similar (p = 0.543 and p = 0.365). Our results show that microperc is a feasible surgical modality in the treatment of kidney stone disease under both spinal and general anesthesia. Spinal anesthesia may be considered for patients at a high risk for general anesthesia, and also may be an alternative for patients who are concerned about and/or fearful of general anesthesia.