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COŞKUN, HALIL

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Kurumdan Ayrılmıştır.
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HALIL
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COŞKUN
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    PublicationOpen Access
    Remission of ulcerated necrobiosis lipoidica diabeticorum after bariatric surgery.
    (2013-01-01) BOZKURT, SÜLEYMAN; COSKUN, HALİL; Kadioglu, HÜSEYİN; MEMMI, NAİM; CIPE, G; ERSOY, YELİZ EMİNE; LEBE, B; MUSLUMANOGLU, M; BOZKURT, SÜLEYMAN; COŞKUN, HALIL; KADIOĞLU, HÜSEYİN; MEMMİ, NAİM; ERSOY, YELIZ EMINE
    A 32-year-old woman with type 2 diabetes mellitus suffering from morbid obesity with BMI 45,14 kg/m2 was operated on. Not only the type 2DM but also one of its complication known as necrobiosis lipoidica diabeticorum remitted postoperatively. Obesity should no longer be regarded simply as a cosmetic problem affecting certain individuals but an epidemic that threatens global well-being. It causes or exacerbates many health problems, and in particular, it is associated with the type 2 diabetes. Necrobiosis lipoidica is a granulomatous skin disease of unknown etiology, associated mainly with diabetes mellitus. We presented in this paper a morbid obese case of necrobiosis lipoidica diabeticorum with dramatic good response to bariatric surgery.
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    PublicationOpen Access
    Single Incision Laparoscopic Cholecystectomy in situs Inversus Totalis.
    (2012-07-01T00:00:00Z) BOZKURT, SÜLEYMAN; COSKUN, HALİL; ATAK, T; Kadioglu, HÜSEYİN; BOZKURT, SÜLEYMAN; COŞKUN, HALIL; KADIOĞLU, HÜSEYİN
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    PublicationOpen Access
    Effect of the -Recruitment- Maneuver on Respiratory Mechanics in Laparoscopic Sleeve Gastrectomy Surgery
    (2020-03-23T04:00:00Z) SÜMER, İSMAİL; Topuz, Ufuk; Alver, Selcuk; Umutoglu, Tarik; Bakan, Mefkur; ZENGİN, SENİYYE ÜLGEN; COŞKUN, Halil; SALİHOĞLU, Ziya; SÜMER, İSMAİL; COŞKUN, HALIL
    Purpose LSG surgery is used for surgical treatment of morbid obesity. Obesity, anesthesia, and pneumoperitoneum cause reduced pulmoner functions and a tendency for atelectasis. The alveolar -recruitment- maneuver (RM) keeps airway pressure high, opening alveoli, and increasing arterial oxygenation. The aim of our study is to research the effect on respiratory mechanics and arterial blood gases of performing the RM in LSG surgery. Materials and Methods Sixty patients undergoing LSG surgery were divided into two groups (n = 30) Patients in group R had the RM performed 5 min after desufflation with 100% oxygen, 40 cmH(2)O pressure for 40 s. Group C had standard mechanical ventilation. Assessments of respiratory mechanics and arterial blood gases were made in the 10th min after induction (T1), 10th min after insufflation (T2), 5th min after desufflation (T3), and 15th min after desufflation (T4). Arterial blood gases were assessed in the 30th min (T5) in the postoperative recovery unit. Results In group R, values at T5, PaO2 were significantly high, while PaCO2 were significantly low compared with group C. Compliance in both groups reduced with pneumoperitoneum. At T4, the compliance in the recruitment group was higher. In both groups, there was an increase in PIP with pneumoperitoneum and after desufflation this was identified to reduce to levels before pneumoperitoneum. Conclusion Adding the RM to PEEP administration for morbidly obese patients undergoing LSG surgery is considered to be effective in improving respiratory mechanics and arterial blood gas values and can be used safely.
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    PublicationOpen Access
    Endoscopic Management of Penetrated Adjustable Gastric Band with Its Connecting Tube: Report of a Case
    (2011-06-01T00:00:00Z) COSKUN, HALİL; Bozkurt, SÜLEYMAN; ATAK, Tuba; Kadioglu, HÜSEYİN; COŞKUN, HALIL; BOZKURT, SÜLEYMAN; KADIOĞLU, HÜSEYİN
    Aim: Laparoscopic adjustable gastric banding (LAGB) is a widely performed surgical procedure for the treatment of morbid obesity. Late complications mainly originate from either the injection port or the gastric band. Complications from the tube and band together are also described. Case Report: We here report a case of adjustable gastric band migrated subserosally into the stomach with its whole connecting tube, which was removed endoscopically using a band cutter. Conclusion: In selected patients endoscopic techniques in combination with minimally invasive procedures can safely be used in the treatment of complete gastric band migration.