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Now showing 1 - 10 of 22
  • PublicationMetadata only
    Multifokal sekonder ekstrakranial meningioma: Olgu sunumu
    (2022-11-02) Ergün S.; ERGÜN, SELMA
  • PublicationOpen 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, ETHEM
    COVID-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.
  • PublicationOpen Access
    Familial amyloid polyneuropathy due to p.ALA140 ser mutation
  • PublicationMetadata only
  • PublicationOpen Access
    Merkel Cell Carcinoma
    (2023-01-01) Sönmez Ergün, Selma ; Kirazoğlu, Ahmet; Akdemir, Osman Cemil; Su Küçük, Özlem; Altınok, Pelin; Yıldız, Pelin; ERGÜN, SELMA; AKDEMİR, OSMAN CEMİL; KİRAZOĞLU, AHMET; YILDIZ, PELİN; SU KÜÇÜK, ÖZLEM; ALTINOK SÜT, PELİN
    Merkel cell carcinoma (MCC) is a rare tumor that arises from mechanoreceptor Merkel cells. Ultraviolet exposure, immunosuppression and Merkel cell polyoma virus play a significant role in tumor pathogenesis. Although it typically presents as an initially indolent growing, painless solitary lesion, the course of MCC may be aggressive due to the nodal invasion, distant metastasis and high recurrence rates. We presented a case of MCC with a background history of rheumatoid arthritis treated with immunosuppressive therapy for many years who had necrotizing granulomatous lymphadenitis.
  • PublicationOpen 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, SELMA
    Loss 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.
  • PublicationMetadata only
  • PublicationOpen Access
    Correction of brassiere strap grooves with fat injections
    The size and weight of hypertrophied breast can cause both physical and psychological problems. Although the majority of these problems can be solved with breast reduction surgery, the particular problem of development of brassiere strap grooves on the shoulders due to the weight of the breasts cannot be corrected with this method. Breast reduction surgery focuses only on the increased dimensions of breasts: fullness of the thoracic wall lateral to the breasts, as well as the appearance of brassiere strap grooves, need to be taken into consideration to obtain a better upper body image. Therefore, we present a series of 10 female patients who were treated with fat injections for the correction of brassiere strap grooves. Reduction mammaplasty and fat injections into the brassiere strap grooves were performed during the same session. Dramatic changes are obtained with judicious placement of fat into the bra strap grooves. A more aesthetic and harmonious look can be obtained with using these combined aesthetic procedures in appropriately selected patients.
  • PublicationOpen Access
    Repair of a postappendectomy massive ventral hernia using tissue expanders
    Reconstruction of large abdominal wall defects is a challenging problem. Various reconstructive techniques have been described in the surgical literature each with its advantages and disadvantages. In this report we describe our experience in treating a patient with large abdominal wall defect by staged abdominal wall reconstruction utilizing prosthetic mesh in conjunction with tissue expanders. A 41-year-old male presented with abdominal pain. Exploratory laparotomy showed perforated appendicitis with intraabdominal abscess of 1,500 mL. Postoperatively, he developed intraperitoneal sepsis. To prevent abdominal compartment syndrome, he was reoperated and left with "open abdomen". After several open abdomen lavages, his abdominal wall defect was allowed to granulate. After epithelization of the defect, the abdominal wall was reconstructed using prosthetic mesh and tissue expanders. The tissue expansion process was well tolerated. We suggest that the use of tissue expanders provides reliable and well-vascularized soft-tissue coverage in abdominal wall reconstruction.