1
|
Özmeriç A, Bahadır Alemdaroğlu K, Fırat A, Şahin Ö. Morphometric measurements for potential dangers of anterior intra-pelvic approach in women: A cadaveric study. Acta Orthop Traumatol Turc 2023; 57:183-188. [PMID: 37670452 PMCID: PMC10544412 DOI: 10.5152/j.aott.2023.23013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 06/02/2023] [Indexed: 09/07/2023]
Abstract
OBJECTIVE This study aimed to improve the surgical anatomical knowledge of pelvic/acetabular trauma surgeons by providing detailed morphometric data on some of the most vulnerable arteries and nerves due to constant bony landmarks during anterior intra-pelvic approach fixation of acetabular fractures in women. METHODS Ten hemipelvis were dissected from 5 female cadavers. The following measurements relative to the symphysis were performed: (1) the distance of the corona mortis anastomosis and (2) the bisection of the external iliac vein with the pubic ramus. In addition, dis- tance to the pelvic brim at the level of pectineal convexity of the following structures was measured: (3) depth of obturatory neurovascu- lar bundle, (4) superior vesical artery, and (5) vaginal artery. Also, the clock position of the (6) gluteal superior and inferior vessels due to sciatic notch in the supine position. Due to antero-superior corner of sacroiliac joint (7) location of the common iliac artery bifurcation, (8) location of the bifurcation of internal iliac vessels to truncuses, (9) bifurcation of superior gluteal artery and lateral sacral artery, and (10) L5 nerve were measured. The descriptive statistics were given as medians and ranges as this is a descriptive anatomical study without comparisons. RESULTS The median distance of corona mortis to symphysis pubis was 59.5 mm (range = 58-61). The external iliac vein bisected the pubic arm 68.5 mm (range=65-70) lateral to the symphysis pubis. At the level of pectineal convexity (about the middle of the pelvic brim), obturatory neurovascular bundle, superior vesical artery, and vaginal artery were 15 mm (range=13-16), 24 mm (range=23-25), and 36 mm (range=34-38) inferior to the pelvic brim, respectively. The superior gluteal vessels leave the sciatic notch at 12 o'clock position in supine position. Inferior gluteal vessels leave the sciatic notch at 31⁄2 o'clock position (given for left side). Common iliac artery bifurcation bisects the SI joint 5 mm (4-7) superior to antero-superior corner of the Sacro-iliac (SI) joint. The internal iliac artery gives its posterior trunk 18 mm (range=15-20) straightly anterior to antero-superior corner of the SI joint. Bifurcation of superior gluteal artery and lateral sacral artery was 11 mm (range = 10-12) away from the beginning of the posterior truncus. L5 root's medial margin was 9 mm (range = 7-10) medial to this landmark, where its lateral margin was on the SI joint (2 mm medial to 2 mm lateral). CONCLUSION The majority of the bleeding complications of the major branches of the internal and external iliac arteries and neurologic palsies due to obturatory nerve and L5 nerve root damage within the operative field of the anterior intra-pelvic approach can be avoided or managed by utilizing morphometric data provided from this study. LEVEL OF EVIDENCE N/A.
Collapse
Affiliation(s)
- Ahmet Özmeriç
- University of Health Science, Ankara Training Hospital Orthopaedic and Traumatology, Ankara, Turkey
| | | | - Ayşegül Fırat
- Department of Anatomy, Hacettepe University, Ankara, Turkey
| | - Özgür Şahin
- University of Health Science, Ankara Training Hospital Orthopaedic and Traumatology, Ankara, Turkey
| |
Collapse
|
2
|
Mısırlıoğlu M, Bingöl İ, Genç C, Akbulut A, Ocak M, Diker NY, Özmeriç A, Koca G, Bahçecitapar M, Şenes M, Fırat A, Kaymaz FF, Çelik HH, Çankaya İİ, Korkmaz M. Investigation of taurine and aqueous garlic extract diet supplementation effect on the healing of rat osteoporotic fractures. Turk J Med Sci 2023; 53:29-39. [PMID: 36945935 PMCID: PMC10388079 DOI: 10.55730/1300-0144.5555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Accepted: 02/02/2023] [Indexed: 02/26/2023] Open
Abstract
BACKGROUND We have evaluated the effects of taurine and aqueous garlic extract (AGE) as a dietary supplement on osteoporotic fracture (OPF) healing in the ovariectomized rat femur fracture model. METHODS In this experimental animal study,twenty-four osteoporosis-remodeled female Wistar albino rats were randomly divided into 3 groups (n: 8) according to their supplemented diet; control, taurine, and AGE groups. Unilateral femur middiaphysis mini-open osteotomy was stabilized with Kirschner wires. Six weeks after osteotomy, the rats were sacrificed before the femurs were harvested and OPF healing was evaluated with biochemical, histologic, microcomputed-tomography, and scintigraphic methods. RESULTS As an indicator of the antiosteoporotic effect, the calcium levels of the taurine group were significantly lower than the AGE and control groups in biochemical analyzes (p < 0.01). In histological studies, the new bone diameter and new bone volume values of the taurine group were significantly higher than the control group (p = 0.002 and p = 0.032, respectively), while higher trabecular-compact callus was observed in the taurine and AGE groups, respectively, compared to the control group. In morphological analyses, taurine and AGE groups had significantly higher bone volume/tissue volume, trabecular number, bone surface density, and lower trabecular separation than the control group (p < 0.05). The scintigraphic imaging showed a significant increase in osteoblastic activity of the taurine group compared to the control group (p = 0.005). DISCUSSION Taurine and AGE have positive anabolic effects, respectively, on the healing of OPFs, demonstrated by biochemical, histological, morphological, and scintigraphic methods.
Collapse
Affiliation(s)
- Mesut Mısırlıoğlu
- Department of Orthopedics and Traumatology, University of Health Sciences Ankara Oncology Education and Training Hospital, Ankara, Turkey
| | - İzzet Bingöl
- Department of Orthopedics and Traumatology, University of Health Sciences Ankara Oncology Education and Training Hospital, Ankara, Turkey
| | - Coşkun Genç
- Department of Orthopedics and Traumatology, University of Health Sciences Ankara Oncology Education and Training Hospital, Ankara, Turkey
| | - Aylin Akbulut
- Department of Nuclear Medicine, University of Health Sciences Ankara Training and Research Hospital, Ankara, Turkey
| | - Mert Ocak
- Department of Anatomy, Faculty of Dentistry, Ankara University, Ankara, Turkey
| | - Neziha Yağmur Diker
- Department of Pharmaceutical Botany, Faculty of Pharmacy, Hacettepe University, Ankara, Turkey
| | - Ahmet Özmeriç
- Department of Orthopedics and Traumatology, University of Health Sciences Ankara Training and Research Hospital, Ankara, Turkey
| | - Gökhan Koca
- Department of Nuclear Medicine, University of Health Sciences Ankara Training and Research Hospital, Ankara, Turkey
| | - Melike Bahçecitapar
- Department of Statistics, Faculty of Science, Hacettepe University, Ankara, Turkey
| | - Mehmet Şenes
- Department of Medical Biochemistry, University of Health Sciences Ankara Training and Research Hospital, Ankara, Turkey
| | - Ayşegül Fırat
- Department of Anatomy, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Fevziye Figen Kaymaz
- Department of Histology and Embryology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Hakan Hamdi Çelik
- Department of Anatomy, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - İffet İrem Çankaya
- Department of Pharmaceutical Botany, Faculty of Pharmacy, Hacettepe University, Ankara, Turkey
| | - Meliha Korkmaz
- Department of Nuclear Medicine, University of Health Sciences Ankara Training and Research Hospital, Ankara, Turkey
| |
Collapse
|
3
|
Arıcan G, Özmeriç A, Fırat A, Kaymaz F, Ocak M, Çelik HH, Alemdaroğlu KB. Micro-ct findings of concentrated growth factors (cgf) on bone healing in masquelet's technique-an experimental study in rabbits. Arch Orthop Trauma Surg 2022; 142:83-90. [PMID: 32945957 DOI: 10.1007/s00402-020-03596-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Accepted: 09/09/2020] [Indexed: 11/30/2022]
Abstract
INTRODUCTION A recent histopathological and immunohistochemical study has proved that the addition of concentrated growth factors (CGF) to the Masquelet's technique contributes to the quality of the membrane formed, in respect of inducing inflammation and proliferation, maintaining vascularization on large diaphyseal bone defects, and increasing the number of stem cells. The aim of the study is comparison of radiological results of this combination treatment by micro-CT. MATERIALS AND METHODS The study was planned on a critical bone defect model in rabbit radius. Group I and Group III were the control groups to which only the Masquelet's technique is applied. Group II and Group IV were CGF groups in addition to the Masquelet's technique. CGF was prepared by centrifugation of rabbit's own blood. For early phase, Groups I and II were evaluated in the 8th week, while for late phase, Group III and Group IV were evaluated in the 12th week. Groups were compared in terms of bony union radiologically by micro-CT(μCT) (New Bone Volume (NBV), Total Bone Volume (TBV) and NBV/TBV) and histopathologically. RESULTS The structural parameters, including NBV, TBV, NBV/TBV were higher in the early- (8th week) and late-phase (12th week) CGF group. There was no statistically significant difference between CGF and control groups in early phase, (p = 0.153), while in late phase, CGF group was significantly higher of new bone volume than the control group, 246.3 mm3 (196.1-258) and 169.6 mm3 (154.3-235.9), respectively (p = 0.028). For early phase, control group was significantly lower than late-phase control group, 121.8 mm3 (88.8-144.4) and 169.6 mm3 (154.3-235.9), respectively (p = 0.006). The ratio of New Bone Volume to Total Bone Volume (NBV/TBV ratio) in CGF groups was significantly higher compared to the control groups 27.3% (24.7-29.6), 35.3% (32.1-38.6) (p = 0.032) and 39.7% (36.7-41.6), 55.3% (52-57.5) (p = 0.002), respectively. Histopathologically, Microscopic New Bone Formation had no statistically significant difference between control and CGF groups in early phase (8th week) (p = 0.153), while in late phase (12th week), CGF group had significantly higher amount of new bone formation than the control group, 0.29 µm2 (0.27-0.36), 0.51 µm2 (0.42-0.59), respectively (p = 0.008). CONCLUSION The addition of CGF to the Masquelet's technique is an important method for supporting new bone formation in large diaphyseal bone defects. LEVEL EVIDENCE Level III, therapeutic/care management.
Collapse
Affiliation(s)
- Gökhun Arıcan
- Department of Orthopaedics, Ankara Training and Research Hospital, Ankara, 06340, Turkey.
| | - Ahmet Özmeriç
- Department of Orthopaedics, Ankara Training and Research Hospital, Ankara, 06340, Turkey
| | - Ayşegül Fırat
- Department of Anatomy, Hacettepe Univesity Faculty of Medicine, Ankara, 06100, Turkey
| | - Figen Kaymaz
- Department of Histology and Embryology, Hacettepe Univesity Faculty of Medicine, Ankara, 06100, Turkey
| | - Mert Ocak
- Vocational School of Health, Ankara University, Ankara, 06100, Turkey
| | - H Hamdi Çelik
- Department of Anatomy, Hacettepe Univesity Faculty of Medicine, Ankara, 06100, Turkey
| | - Kadir Bahadır Alemdaroğlu
- Department of Orthopaedics, University of Health Sciences Ankara Training and Research Hospital, Ankara, 06340, Turkey
| |
Collapse
|
4
|
Şengün DN, Karaca İR, Saraç N, Uğur A, Fırat A, Kaymaz FF, Öztürk HS. Evaluation of the chemopreventive effects of Hypericum perforatum L on DMBA-applied rat oral mucosa. Arch Oral Biol 2021; 127:105139. [PMID: 33964648 DOI: 10.1016/j.archoralbio.2021.105139] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Revised: 04/18/2021] [Accepted: 04/26/2021] [Indexed: 12/11/2022]
Abstract
OBJECTIVE Hypericum perforatum L also known as St. John's wort is known to have many beneficial properties for the organism including its antioxidant and anticancer activities. It is also known to have shown antiproliferative and cytotoxic effects against various cancer cell lines. The purpose of this study was to investigate the effects of Hypericum perforatum L on 7,12-dimethylbenz(a)anthracene-induced rat oral squamous cell carcinoma model. DESIGN The in vitro antioxidant properties of Hypericum perforatum L was determined and an extract was prepared. Thirty Wistar male rats were divided randomly into 4 groups (Control group, DMBA group, HP + DMBA group, HP group). The antioxidant defense mechanisms in tissue and blood samples were evaluated biochemically and immunohistochemically, the carcinomatous changes in connective tissue were investigated immunohistochemically and epithelial changes in the tissue samples were evaluated histopathologically. RESULTS The extract revealed inhibitory effects on some antioxidant enzymes (catalase, glutathione peroxidase). Immunohistochemical evaluations revealed no invasive changes in the connective tissue. Hypericum perforatum L demonstrated chemopreventive effects although it did not prevent carcinomatous changes altogether. CONCLUSIONS Hypericum perforatum L is a promising chemopreventive agent and further studies are needed in order to evaluate the full potential of this plant.
Collapse
Affiliation(s)
- Dilara Nur Şengün
- Gazi University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Ankara, Turkey.
| | - İnci Rana Karaca
- Gazi University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Ankara, Turkey.
| | - Nurdan Saraç
- Mugla Sitki Kocman University, Faculty of Science, Department of Biology, Mugla, Turkey.
| | - Aysel Uğur
- Gazi University, Faculty of Dentistry, Department of Basic Sciences, Section of Medical Microbiology, Ankara, Turkey.
| | - Ayşegül Fırat
- Hacettepe University, Faculty of Medicine, Department of Anatomy, Ankara, Turkey.
| | - Fevziye Figen Kaymaz
- Hacettepe University, Faculty of Medicine, Department of Histology and Embryology, Ankara, Turkey.
| | - Hasan Serdar Öztürk
- Ankara University, Faculty of Medicine, Department of Medical Biochemistry, Ankara, Turkey
| |
Collapse
|
5
|
Koç O, Tüz HH, Ocak M, Bilecenoğlu B, Fırat A, Kaymaz FF. Can the Combination of Simvastatin and Melatonin Create a Synergistic Effect on Bone Regeneration? J Oral Maxillofac Surg 2021; 79:1672-1682. [PMID: 33524327 DOI: 10.1016/j.joms.2020.12.044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2020] [Revised: 12/27/2020] [Accepted: 12/28/2020] [Indexed: 11/30/2022]
Abstract
PURPOSE The present study evaluated the potential bone regeneration capacity of combining melatonin and simvastatin, with a goal of producing more osteogenic bone substitutes. MATERIALS AND METHODS A total of 48 male Wistar rats were randomly divided into 4 groups. The following were administered into critical-sized calvarial defects of the rats: Group I-human allograft; Group II-human allograft + 10 mg melatonin; Group III-human allograft + 0.1 mg simvastatin; and Group IV-human allograft + 10 mg melatonin + 0.1 mg simvastatin. Histopathologic, histomorphometric, and microcomputed tomographic evaluations were performed postprocedurally at 4 and 8 weeks. A P value < .05 was considered significant for all evaluations. RESULTS Groups II and III had significantly superior regeneration compared to Group I at weeks 4 and 8. Group III had significantly superior regeneration compared to Group II, particularly in week 4. Group IV had significantly superior regeneration compared to all groups at week 8. CONCLUSIONS The local administration of melatonin and simvastatin resulted in increased new bone mass and quality of bone microstructure than was seen in the control group. Simvastatin shortened the defect regeneration time more effectively than melatonin did. The combined use of melatonin and simvastatin provided a synergic effect on bone regeneration, particularly in the late phase of healing.
Collapse
Affiliation(s)
- Onur Koç
- Doctor, Department of Oral and Maxillofacial Surgery, Hacettepe University, Faculty of Dentistry, Ankara, Turkey.
| | - Hıfzı Hakan Tüz
- Professor, Department of Oral and Maxillofacial Surgery, Hacettepe University, Faculty of Dentistry, Ankara, Turkey
| | - Mert Ocak
- Assistant Professor, Department of Anatomy, Ankara University, Faculty of Dentistry, Ankara, Turkey
| | - Burak Bilecenoğlu
- Professor of Anatomy, Department of Anatomy, Ankara Medipol University, Faculty of Medicine, Ankara, Turkey
| | - Ayşegül Fırat
- Associate Professor, Department of Anatomy, Hacettepe University, Faculty of Medicine, Ankara, Turkey
| | - Figen Fevziye Kaymaz
- Professor, Department of Histology and Embryology, Hacettepe University, Faculty of Medicine, Ankara, Turkey
| |
Collapse
|
6
|
Özmeriç A, Tanoğlu O, Ocak M, Çelik HH, Fırat A, Kaymaz FF, Koca G, Şenes M, Alemdaroğlu KB, İltar S, Hacaloğlu T, Kaftanoğlu B. Intramedullary implants coated with cubic boron nitride enhance bone fracture healing in a rat model. J Trace Elem Med Biol 2020; 62:126599. [PMID: 32629303 DOI: 10.1016/j.jtemb.2020.126599] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 06/18/2020] [Accepted: 06/22/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Boron nitride is a biocompatible and an osteo-inductive material for orthopedic applications. The aim of this study was to evaluate the effects of two different allotrope boron nitride coated implants, cubic boron nitride and hexagonal boron nitride, on fracture healing. METHODS In this experimental study, a total of 24 rats were divided into three groups. Group A was the control group with Kirschner wire without coating, while the wires were coated dominantly by cubic boron nitride in Group B and hexagonal boron nitride in Group C. Then a mid-third femoral fracture was created. The fracture healing was examined in terms of new bone formation with micro-CT analysis and histopathological examination, quantitative measurement of bone turnover metabolites and scintigraphic examination of osteoblastic activity on 28th day post fracture. RESULTS Micro-CT measurement results revealed a statistically significant increase in bone volume/tissue volume ratio and bone surface values in group B compared to group A. Cortex diameter and osteoblast counts were statistically higher in group B compared to group A. Inflammatory response was increased in group C compared to groups A and B. Biochemical test results showed significantly increased alkaline phosphatase levels and decreased osteocalcin levels in group B compared to group A. The increase in serum phosphorus and decrease in serum calcium levels was statistically significant in group C compared to Group A. CONCLUSION Both types of boron nitride coating had superior fracture healing features compared to control group. Therefore, c-BN coating can accelerate the fracture healing and could lead to shorten of union time.
Collapse
Affiliation(s)
- Ahmet Özmeriç
- SBU Ankara Training and Research Hospital, Department of Orthopedics and Traumatology, Ankara, Turkey.
| | - Oğuzhan Tanoğlu
- Erzincan Binali Yıldırım University, Faculty of Medicine, Department of Orthopedics and Traumatology, Erzincan, Turkey.
| | - Mert Ocak
- Ankara University, Vocational School of Health, Ankara, Turkey.
| | - Hakan Hamdi Çelik
- Hacettepe University, Faculty of Medicine, Department of Anatomy, Ankara, Turkey.
| | - Ayşegül Fırat
- Hacettepe University, Faculty of Medicine, Department of Anatomy, Ankara, Turkey.
| | - Fevziye Figen Kaymaz
- Hacettepe University, Faculty of Medicine, Department of Histology and Embryology, Ankara, Turkey.
| | - Gökhan Koca
- SBU Ankara Training and Research Hospital, Department of Nuclear Medicine, Ankara, Turkey.
| | - Mehmet Şenes
- SBU Ankara Training and Research Hospital, Department of Medical Biochemistry, Ankara, Turkey.
| | - Kadir Bahadır Alemdaroğlu
- SBU Ankara Training and Research Hospital, Department of Orthopedics and Traumatology, Ankara, Turkey.
| | - Serkan İltar
- SBU Ankara Training and Research Hospital, Department of Orthopedics and Traumatology, Ankara, Turkey.
| | - Tuğçe Hacaloğlu
- Atılım University, Department of Manufacturing Engineering, Ankara, Turkey.
| | - Bilgin Kaftanoğlu
- Atılım University, Department of Manufacturing Engineering, Ankara, Turkey.
| |
Collapse
|
7
|
Polat HK, Bozdağ Pehlivan S, Özkul C, Çalamak S, Öztürk N, Aytekin E, Fırat A, Ulubayram K, Kocabeyoğlu S, İrkeç M, Çalış S. Development of besifloxacin HCl loaded nanofibrous ocular inserts for the treatment of bacterial keratitis: In vitro, ex vivo and in vivo evaluation. Int J Pharm 2020; 585:119552. [DOI: 10.1016/j.ijpharm.2020.119552] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 06/12/2020] [Accepted: 06/13/2020] [Indexed: 11/29/2022]
|
8
|
Affiliation(s)
- İlker Selçuk
- Department of Gynecologic Oncology, University of Health Sciences, Zekai Tahir Burak Woman’s Health, Health Practice and Research Center, Ankara, Turkey
| | - İlkan Tatar
- Department of Anatomy, Hacettepe University School of Medicine, Ankara, Turkey
| | - Ayşegül Fırat
- Department of Anatomy, Hacettepe University School of Medicine, Ankara, Turkey
| | - Emre Huri
- Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey
| | - Tayfun Güngör
- Department of Gynecologic Oncology, University of Health Sciences, Zekai Tahir Burak Woman’s Health, Health Practice and Research Center, Ankara, Turkey
| |
Collapse
|
9
|
Kanat NB, Tuncel M, Aksoy T, Fırat A, Demirkazık F, Onat D, Çağlar Tuncalı M, Caner BE. Comparison of wire-guided localization and radio-guided occult lesionlocalization in preoperative localization of nonpalpable breast lesions. Turk J Med Sci 2016; 46:1829-1837. [PMID: 28081335 DOI: 10.3906/sag-1507-162] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2015] [Accepted: 03/26/2016] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND/AIM Breast lesions that are not palpable on physical examination but considered suspicious for malignancy on mammography or ultrasonography should be marked before surgery. Wire-guided localization (WGL) is the most frequently used method for preoperative marking of nonpalpable breast lesions (NPBLs). An alternative is marking by a radioactive agent (radio-guided occult lesion localization; ROLL). The present study aimed to compare WGL and ROLL for preoperative marking. MATERIALS AND METHODS The study included 25 patients marked by ROLL and 11 patients marked by WGL. The groups were compared in terms of patient and lesion characteristics, method-related characteristics, hospital stay duration, complications, cosmetic outcomes, and rate of correct marking. RESULTS Suspicious lesions were marked with a success rate of 95.6% by ROLL and 100% by WGL. Complications and pain sensation rates were found significantly lower in the ROLL group compared to WGL. Although ROLL was considered more advantageous in terms of hospital stay duration, positive surgical margins, cosmetic outcomes, and excision duration, the differences between the groups were not statistically significant. CONCLUSION ROLL, which is a simple, comfortable, and reliable method, could be used as an alternative to the WGL in preoperative marking of NPBLs.
Collapse
Affiliation(s)
- Nazım Barış Kanat
- Department of Nuclear Medicine, Mersin State Hospital, Mersin, Turkey
| | - Murat Tuncel
- Department of Nuclear Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Tamer Aksoy
- Department of Nuclear Medicine, Faculty of Medicine, Acıbadem University, İstanbul, Turkey
| | - Ayşegül Fırat
- Department of Anatomy, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Figen Demirkazık
- Department of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Demirali Onat
- Department of General Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Meltem Çağlar Tuncalı
- Department of Nuclear Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Biray Emine Caner
- Department of Nuclear Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| |
Collapse
|