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Bilgin IA, Tanal M, Ramoglu N, Ozben V, Sahin I, Aghayeva A, Sahar AA, Saylik O, Baca B, Hamzaoglu I, Karahasanoglu T. Short- and mid-term results of diode laser treatment in pilonidal sinus disease and the role of endoscopic camera use on outcomes. Tech Coloproctol 2023; 27:921-928. [PMID: 37356014 DOI: 10.1007/s10151-023-02831-0] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 06/01/2023] [Indexed: 06/27/2023]
Abstract
PURPOSE Nowadays, surgical treatment of pilonidal sinus disease (PSD) with novel techniques is a topic of interest since conventional methods are associated with longer return to daily life and higher complication and recurrence rates. Recently, use of laser as a minimally invasive approach has become popular in the surgical treatment of PSD. In this study, we analyze the short- and mid-term results after laser treatment and the effect of endoscopic camera use on outcomes. METHODS A total of 106 patients with PSD who underwent laser treatment between November 2017 and September 2021 were included in this study. All patients were treated with a 1470-nm diode laser. Endoscopic camera was used in 73 patients and results of these were compared with those in whom camera was not used. Follow-up period was determined as a minimum of 1 year. Data were analyzed retrospectively. RESULTS There were 80 (75%) male and 26 female patients. The median age was 26 (range 13-50) years. On the first postoperative day, 26 (26.5%) patients did not have any pain and 42(42.8%) patients reported low-grade pain. The mean time to return to daily life was 4.5 ± 5.5 (median 2, range 1-30) days. The complication rate was 10.4%. Eighty-six (87.8%) patients completely recovered and the mean complete recovery time was 27.4 ± 15.9 days. The patient satisfaction rate was 99.0%. The recurrence rate was 11.0%. Neither history of previous surgery nor abscess was associated with recurrence. Use of an endoscopic camera had no effect on postoperative pain, complete recovery, complications, patient satisfaction, and recurrence (p < 0.05). CONCLUSION Laser treatment for PSD is a promising approach with the advantages of less postoperative pain, early return to daily life, high patient satisfaction, and acceptable complication and recurrence rates. Nevertheless, further studies are needed to investigate the role of endoscopic camera use in this procedure since its possible advantages could not be clarified.
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Affiliation(s)
- I A Bilgin
- Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
| | - M Tanal
- Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
| | - N Ramoglu
- Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
| | - V Ozben
- Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
| | - I Sahin
- Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
| | - A Aghayeva
- Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
| | - A A Sahar
- Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
| | - O Saylik
- Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
| | - B Baca
- Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
| | - I Hamzaoglu
- Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
| | - T Karahasanoglu
- Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
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2
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Benlice C, Aghayeva A, Yavuz E, Baca B, Hamzaoglu I, Karahasanoglu T. Robotic left colectomy with complete mesocolic excision and intracorporeal side-to-side anastomosis for splenic flexure cancer with the da Vinci Xi robotic platform - a video vignette. Colorectal Dis 2019; 21:1454. [PMID: 31390679 DOI: 10.1111/codi.14813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Accepted: 07/24/2019] [Indexed: 02/08/2023]
Affiliation(s)
- C Benlice
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - A Aghayeva
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - E Yavuz
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - B Baca
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - I Hamzaoglu
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - T Karahasanoglu
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
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3
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Bilgin IA, Yozgatli TK, Aytac E, Ozben V, Baca B, Hamzaoglu I, Karahasanoglu T. Standardized totally robotic complete mesocolic excision for right-sided colon cancer - a video vignette. Colorectal Dis 2019; 21:1335. [PMID: 31370101 DOI: 10.1111/codi.14800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Accepted: 07/23/2019] [Indexed: 02/08/2023]
Affiliation(s)
- I A Bilgin
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - T K Yozgatli
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - E Aytac
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - V Ozben
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - B Baca
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - I Hamzaoglu
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - T Karahasanoglu
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
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4
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Benlice C, Aytac E, Baca B, Hamzaoglu I, Karahasanoglu T. Robotic sigmoidectomy for giant diverticula with the da Vinci Xi - a video vignette. Colorectal Dis 2019; 21:977-978. [PMID: 31055864 DOI: 10.1111/codi.14664] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2019] [Accepted: 04/08/2019] [Indexed: 02/08/2023]
Affiliation(s)
- C Benlice
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - E Aytac
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - B Baca
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - I Hamzaoglu
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - T Karahasanoglu
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
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5
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Yozgatli TK, Bilgin IA, Bengur FB, Bas M, Ozben V, Aytac E, Baca B, Hamzaoglu I, Karahasanoglu T. Simultaneous laparoscopic totally extraperitoneal and transabdominal preperitoneal repair for bilateral inguinal hernia in a patient with a history of robotic prostatectomy - a video vignette. Colorectal Dis 2018; 20:1052-1053. [PMID: 30216630 DOI: 10.1111/codi.14421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2018] [Accepted: 08/28/2018] [Indexed: 02/08/2023]
Affiliation(s)
- T K Yozgatli
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - I A Bilgin
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - F B Bengur
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - M Bas
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey.,Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - V Ozben
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - E Aytac
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - B Baca
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - I Hamzaoglu
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - T Karahasanoglu
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
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6
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Bengur FB, Bas M, Aktas A, Yozgatli TK, Bilgin IA, Ozben V, Aytac E, Baca B, Hamzaoglu I, Karahasanoglu T. Laparoscopic management of bowel obstruction due to multiple congenital adhesion bands in pregnancy - a video vignette. Colorectal Dis 2018; 20:1051-1052. [PMID: 30194901 DOI: 10.1111/codi.14407] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2018] [Accepted: 08/13/2018] [Indexed: 12/26/2022]
Affiliation(s)
- F B Bengur
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - M Bas
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey.,Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - A Aktas
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey.,Turgut Ozal Medical Center, Inonu University School of Medicine, Malatya, Turkey
| | - T K Yozgatli
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - I A Bilgin
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - V Ozben
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - E Aytac
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - B Baca
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - I Hamzaoglu
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
| | - T Karahasanoglu
- Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey
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7
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Hamzaoglu I, Ozben V, Sapci I, Aytac E, Aghayeva A, Bilgin IA, Bayraktar IE, Baca B, Karahasanoglu T. "Top down no-touch" technique in robotic complete mesocolic excision for extended right hemicolectomy with intracorporeal anastomosis. Tech Coloproctol 2018; 22:607-611. [PMID: 30083781 DOI: 10.1007/s10151-018-1831-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2017] [Accepted: 07/31/2018] [Indexed: 12/25/2022]
Abstract
BACKGROUND Proper identification of the mesocolic vessels is essential for achieving complete mesocolic excision (CME) in cases of colon cancer requiring an extended right hemicolectomy. In robotic procedures, we employed a "top down technique" to allow early identification of the gastrocolic trunk and middle colic vessels. The aim of our study was to illustrate the details of this technique in a series of 12 patients. METHODS The top down technique consists of two steps. First, the omental bursa was entered to identify the right gastroepiploic vein. Tracing down this vein as a landmark, the gastrocolic trunk was exposed, branches of this trunk and the middle colic vessels were divided. Second, dissection was directed to the ileocolic region and proceeded in an inferior-to-superior direction along the superior mesenteric vein to divide the ileocolic and right colic vessels consecutively. The ileotranverse anastomosis was created intracorporeally. RESULTS There were 8 males and 4 females with a mean age of 64.8 ± 16.9 years and a mean body mass index of 25.6 ± 3.7 kg/m2. All the procedures were completed successfully. No conversions occurred. The mean operative time and blood loss were 312.1 ± 93.9 min and 110.0 ± 89.9 ml, respectively. The mean number of harvested lymph nodes was 45.2 ± 11.1. The mean length of hospital stay was 7.6 ± 4.7 days. Two patients had intraoperative complications and two had postoperative complications. There was no disease recurrence at a mean follow-up period of 10.4 ± 7.1 months. CONCLUSIONS The top down technique appears to be useful in robotic CME for an extended right hemicolectomy. Early identification of the gastrocolic trunk and middle colic vessels via this technique may prevent inadvertent vascular injury at the mesenteric root of the transverse colon.
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Affiliation(s)
- I Hamzaoglu
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul, Turkey.
| | - V Ozben
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul, Turkey
| | - I Sapci
- Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul, Turkey
| | - E Aytac
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul, Turkey
| | - A Aghayeva
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul, Turkey
| | - I A Bilgin
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul, Turkey
| | - I E Bayraktar
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul, Turkey
| | - B Baca
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul, Turkey
| | - T Karahasanoglu
- Department of General Surgery, Acibadem Mehmet Ali Aydinlar University, School of Medicine, Istanbul, Turkey
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8
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Aghayeva A, Atasoy D, Bayraktar O, Cengiz TB, Baghaki S, Baca B, Hamzaoglu I, Karahasanoglu T. V-Y advancement flap reconstruction for anal stricture - a video vignette. Colorectal Dis 2018; 20:78-79. [PMID: 29053211 DOI: 10.1111/codi.13931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2017] [Accepted: 08/14/2017] [Indexed: 02/08/2023]
Affiliation(s)
- A Aghayeva
- Özel Acıbadem Atakent Hastanesi, Istanbul, Turkey
- Department of Surgery, Acibadem University School of Medicine, Atakent Hospital, Istanbul, Turkey
| | - D Atasoy
- Özel Acıbadem Atakent Hastanesi, Istanbul, Turkey
- Department of Surgery, Acibadem University School of Medicine, Atakent Hospital, Istanbul, Turkey
| | - O Bayraktar
- Özel Acıbadem Atakent Hastanesi, Istanbul, Turkey
- Department of Surgery, Acibadem University School of Medicine, Atakent Hospital, Istanbul, Turkey
| | - T B Cengiz
- Acibadem University School of Medicine, Istanbul, Turkey
| | - S Baghaki
- Department of Plastic and Reconstructive Surgery, Istanbul University Cerrahpasa Faculty of Medicine, Istanbul, Turkey
| | - B Baca
- Özel Acıbadem Atakent Hastanesi, Istanbul, Turkey
- Department of Surgery, Acibadem University School of Medicine, Atakent Hospital, Istanbul, Turkey
| | - I Hamzaoglu
- Department of Surgery, Acibadem University School of Medicine, Maslak Hospital, Istanbul, Turkey
| | - T Karahasanoglu
- Department of Surgery, Acibadem University School of Medicine, Maslak Hospital, Istanbul, Turkey
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9
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Erenler I, Aytac E, Esen E, Bilgin IA, Baca B, Hamzaoglu I, Karahasanoglu T. Totally robotic total mesorectal excision with high vascular tie for rectal cancer - a video vignette. Colorectal Dis 2017; 19:1121-1122. [PMID: 28941067 DOI: 10.1111/codi.13897] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2017] [Accepted: 08/21/2017] [Indexed: 02/08/2023]
Affiliation(s)
- I Erenler
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - E Aytac
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - E Esen
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - I A Bilgin
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - B Baca
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - I Hamzaoglu
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - T Karahasanoglu
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
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10
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Atasoy D, Aghayeva A, Bayraktar O, Pirinc N, Aytac E, Baca B, Karahasanoglu T, Hamzaoglu I. Robotic ventral mesh rectopexy technique for rectal intussusception with rectocele - a video vignette. Colorectal Dis 2017; 19:947. [PMID: 28816010 DOI: 10.1111/codi.13847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2017] [Accepted: 08/01/2017] [Indexed: 02/08/2023]
Affiliation(s)
- D Atasoy
- Department of Surgery, School of Medicine, Acibadem University, Özel Acıbadem Atakent Hastanesi, Istanbul, Turkey
| | - A Aghayeva
- Department of Surgery, School of Medicine, Acibadem University, Özel Acıbadem Atakent Hastanesi, Istanbul, Turkey
| | - O Bayraktar
- Department of Surgery, School of Medicine, Acibadem University, Özel Acıbadem Atakent Hastanesi, Istanbul, Turkey
| | - N Pirinc
- Department of Surgery, School of Medicine, Acibadem University, Özel Acıbadem Atakent Hastanesi, Istanbul, Turkey
| | - E Aytac
- Department of Surgery, School of Medicine, Acibadem University, Özel Acıbadem Atakent Hastanesi, Istanbul, Turkey
| | - B Baca
- Department of Surgery, School of Medicine, Acibadem University, Özel Acıbadem Atakent Hastanesi, Istanbul, Turkey
| | - T Karahasanoglu
- Department of Surgery, School of Medicine, Acibadem University, Özel Acıbadem Atakent Hastanesi, Istanbul, Turkey
| | - I Hamzaoglu
- Department of Surgery, School of Medicine, Acibadem University, Özel Acıbadem Atakent Hastanesi, Istanbul, Turkey
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Bilgin IA, Aytac E, Erenler I, Atasoy D, Ozben V, Akpunarli B, Baca B, Hamzaoglu I, Karahasanoglu T. Robotic mesocolic excision with a 'top to down no-touch' technique for right colon cancer - a video vignette. Colorectal Dis 2017; 19:866-867. [PMID: 28710846 DOI: 10.1111/codi.13819] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2017] [Accepted: 05/24/2017] [Indexed: 02/08/2023]
Affiliation(s)
- I A Bilgin
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - E Aytac
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - I Erenler
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - D Atasoy
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - V Ozben
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - B Akpunarli
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - B Baca
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - I Hamzaoglu
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - T Karahasanoglu
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
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12
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Bilgin IA, Aytac E, Erenler I, Baca B, Hamzaoglu I, Karahasanoglu T. Combined laparoscopic-robotic approach in complex re-operative colorectal surgery - a video vignette. Colorectal Dis 2017; 19:598-599. [PMID: 28419688 DOI: 10.1111/codi.13687] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2017] [Accepted: 01/23/2017] [Indexed: 02/08/2023]
Affiliation(s)
- I A Bilgin
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - E Aytac
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - I Erenler
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - B Baca
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - I Hamzaoglu
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
| | - T Karahasanoglu
- Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey
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13
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Erenler I, Aytac E, Bilgin IA, Baca B, Hamzaoglu I, Karahasanoglu T. Robotic transanal minimally invasive surgery (R-TAMIS) with the da Vinci Xi System - a video vignette. Colorectal Dis 2017; 19:401. [PMID: 28235160 DOI: 10.1111/codi.13638] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2016] [Accepted: 12/22/2016] [Indexed: 02/08/2023]
Affiliation(s)
- I Erenler
- Department of General Surgery, Maslak Acibadem Hospital, Acibadem University School of Medicine, Buyukdere, Caddesi, Sariyer, Istanbul, Turkey
| | - E Aytac
- Department of General Surgery, Maslak Acibadem Hospital, Acibadem University School of Medicine, Buyukdere, Caddesi, Sariyer, Istanbul, Turkey
| | - I A Bilgin
- Department of General Surgery, Maslak Acibadem Hospital, Acibadem University School of Medicine, Buyukdere, Caddesi, Sariyer, Istanbul, Turkey
| | - B Baca
- Department of General Surgery, Maslak Acibadem Hospital, Acibadem University School of Medicine, Buyukdere, Caddesi, Sariyer, Istanbul, Turkey
| | - I Hamzaoglu
- Department of General Surgery, Maslak Acibadem Hospital, Acibadem University School of Medicine, Buyukdere, Caddesi, Sariyer, Istanbul, Turkey
| | - T Karahasanoglu
- Department of General Surgery, Maslak Acibadem Hospital, Acibadem University School of Medicine, Buyukdere, Caddesi, Sariyer, Istanbul, Turkey
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14
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Atasoy D, Baca B, Ozben V, Bayraktar O, Aghayeva A, Aytac E, Karahasanoglu T, Hamzaoglu I. Vascular high ligation and embryological plane dissection in laparoscopic restorative proctocolectomy for ulcerative colitis - a video vignette. Colorectal Dis 2016; 18:218-9. [PMID: 26558884 DOI: 10.1111/codi.13213] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2015] [Accepted: 10/02/2015] [Indexed: 02/08/2023]
Affiliation(s)
- D Atasoy
- Department of General Surgery, Acibadem University, Atakent Hospital, Istanbul, Turkey
| | - B Baca
- Department of General Surgery, Acibadem University, Atakent Hospital, Istanbul, Turkey
| | - V Ozben
- Department of General Surgery, Acibadem University, Atakent Hospital, Istanbul, Turkey.
| | - O Bayraktar
- Department of General Surgery, Acibadem University, Atakent Hospital, Istanbul, Turkey
| | - A Aghayeva
- Department of General Surgery, Acibadem University, Atakent Hospital, Istanbul, Turkey
| | - E Aytac
- Department of General Surgery, Acibadem University, Maslak Hospital, Istanbul, Turkey
| | - T Karahasanoglu
- Department of General Surgery, Acibadem University, Maslak Hospital, Istanbul, Turkey
| | - I Hamzaoglu
- Department of General Surgery, Acibadem University, Maslak Hospital, Istanbul, Turkey
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15
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Baca B, Aghayeva A, Ozben V, Bayraktar O, Atasoy D, Erguner I, Karahasanoglu T, Hamzaoglu I. Robotic total proctocolectomy for ulcerative colitis - a video vignette. Colorectal Dis 2015; 17:736. [PMID: 26047017 DOI: 10.1111/codi.13019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2015] [Accepted: 05/06/2015] [Indexed: 02/08/2023]
Affiliation(s)
- B Baca
- Department of General Surgery, Acibadem University, Atakent Hospital, Istanbul, Turkey
| | - A Aghayeva
- General Surgery Division, Acibadem University, Atakent Hospital, Istanbul, Turkey
| | - V Ozben
- General Surgery Division, Acibadem University, Atakent Hospital, Istanbul, Turkey.
| | - O Bayraktar
- Department of General Surgery, Acibadem University, Atakent Hospital, Istanbul, Turkey
| | - D Atasoy
- Department of General Surgery, Acibadem University, Atakent Hospital, Istanbul, Turkey
| | - I Erguner
- Department of General Surgery, Acibadem University, Maslak Hospital, Istanbul, Turkey
| | - T Karahasanoglu
- General Surgery Division, Acibadem University, Maslak Hospital, Istanbul, Turkey
| | - I Hamzaoglu
- General Surgery Division, Acibadem University, Maslak Hospital, Istanbul, Turkey
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Ukas C, Yigitbasi R, Erturk S, Hamzaoglu I, Sayman H. Restorative caecogastroplasty reconstruction after pylorus-preserving near-total gastrectomy: A preliminary study. Br J Surg 2005. [DOI: 10.1046/j.1365-2168.1997.02465.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Kaya S, Hatemi I, Hamzaoglu I, Uzunismail H. Massive haemorrhage induced by low molecular weight heparin in a patient with steroid refractory ulcerative colitis. Scand J Gastroenterol 2004; 39:613. [PMID: 15223691 DOI: 10.1080/00365520410004622] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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18
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Karahasanoglu T, Altinli E, Hamzaoglu I, Aydogan F, Dobrucali A. Is intraluminal clip application an appropriate treatment for iatrogenic gastric perforation? Eur Surg Res 2003; 35:383-7. [PMID: 12802101 DOI: 10.1159/000070611] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2002] [Accepted: 10/15/2002] [Indexed: 11/19/2022]
Abstract
BACKGROUND The standard treatment of iatrogenic perforation has been an urgent operation. Recently, endoscopic clip application was recommended particularly for iatrogenic perforations. This study was designed to investigate the usage of surgical clips for gastric perforations. METHOD Forty male rats were allocated to four groups. Following a midline laparotomy, a 5-mm gastrotomy was made at the fundic part of the stomach and through this ostomy a pre-pyloric perforation was created in all groups. In group I, the perforation site was closed with polypropylene sutures. In group II, the perforation site was closed extraluminally by vascular surgical clips. In group III, the perforation site was closed intraluminally by the same number of clips. In group IV, control group, the perforation site was left open. The animals were sacrificed on the 4th postoperative day. The healing of the perforation site was evaluated by the bursting pressure and the hydroxyproline content of the suture line. RESULTS Measurements revealed no differences in bursting pressure and hydroxyproline levels between the intraluminal clip application group (group III) and the group in which the perforation site was left open (group IV) (p > 0.05). Higher bursting pressures and hydroxyproline levels were observed in groups I and II compared to control group (p < 0.05). CONCLUSIONS These results suggest that gastric perforations are not strengthened by intraluminal clip application. Further detailed clinical studies are necessary in order to conclude that intraluminal clip application is an appropriate treatment for iatrogenic perforation.
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Affiliation(s)
- T Karahasanoglu
- Department of General Surgery, Istanbul University Cerrahpasa Medical School, Istanbul, Turkey.
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Salihoglu Z, Dikmen Y, Demiroluk S, Hamzaoglu I, Paksoy M. Oral aphthous ulcers after difficult intubation in a patient with Behcet's disease. Anaesthesia 2002; 57:620-1. [PMID: 12071170 DOI: 10.1046/j.1365-2044.2002.265821.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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20
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Paksoy M, Hamzaoglu I, Cubukçu A, Uzun H, Agca B, Polat E, Aydin S, Gümüstas K. The influence of omentectomy on the inflammatory phase of anastomotic healing. Hepatogastroenterology 2001; 48:1359-63. [PMID: 11677964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Abstract
BACKGROUND/AIMS Proper wound healing of the alimentary tract is essential for the prevention of the significant mortality and morbidity associated with complications. The effects of omentectomy on the inflammatory phase of anastomotic healing in rats were examined. METHODOLOGY Sixty male Wistar-Albino rats that weighed about 200-220 g were used in this study. Animals were divided into three groups as colon anastomosis, colon anastomosis + partial omentectomy and colon anastomosis + total omentectomy. On the third postoperative day, all animals were sacrificed under anesthesia. Bursting pressure of anastomosis amounts and types of cells in the anastomosis, and nitric oxide, malondialdehyde, superoxide dismutase levels in the anastomosis and serum was examined. RESULTS Bursting pressure values were 102.60 +/- 13.41 mm Hg, 105 +/- 10.80 mm Hg and 102.50 +/- 11.12 mm Hg in the colon anastomosis, colon anastomosis + partial omentectomy and colon anastomosis + total omentectomy groups, respectively (P > 0.05). A significant increase in macrophage count was found in the colon anastomosis + total omentectomy group when compared with the colon anastomosis group (P = 0.02). According to the comparisons with percentages, there was a significant difference in lymphocyte counts between colon anastomosis and colon anastomosis + total omentectomy groups (P = 0.04). The blood level of superoxide dismutase was higher in the colon anastomosis + total omentectomy group than the other two groups, and in the colon anastomosis + partial omentectomy group than the colon anastomoses group (P = 0.0001). There was a significant increase in the blood level of nitric oxide when comparing the colon anastomosis + total omentectomy group with colon anastomosis group (P = 0.02). The tissue level of malondialdehyde was higher in the colon anastomosis + total omentectomy group than the other two groups (P < 0.0001). CONCLUSIONS Omentectomy may influence the outcome of the inflammatory phase of wound healing in rats. But systemic compensatory regulation of body can tolerate these detrimental effects and wound healing continues in its regular manner.
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Affiliation(s)
- M Paksoy
- Department of Surgery, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey
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21
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Hamzaoglu I, Saribeyoglu K, Durak H, Karahasanoglu T, Bayrak I, Altug T, Sirin F, Sariyar M. Protective covering of surgical wounds with honey impedes tumor implantation. Arch Surg 2000; 135:1414-7. [PMID: 11115344 DOI: 10.1001/archsurg.135.12.1414] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
HYPOTHESIS Tumor implantation (TI) development at the surgical wound following cancer surgery is still an unresolved concern. Trocar site recurrence, which is likely a form of TI, has become one of the most controversial topics and, with the widespread acceptance of laparoscopic surgery, has caused renewed interest in questions about TI. Honey has positive effects on wound healing. Physiological and chemical properties of honey might prevent TI when applied locally. DESIGN, INTERVENTIONS, AND MAIN OUTCOME MEASURES Sixty BALB/c strain mice, divided into 2 groups, were wounded in the posterior neck area. Group 1 mice formed the control group, and group 2 mice had wounds coated with honey before and after tumor inoculation. All wounds were inoculated with transplantable Ehrlich ascites tumor. The presence of TI was confirmed in the wounded area by histopathological examination on the 10th day. RESULTS Tumor implantation was achieved in all group 1 animals and verified by palpable mass and histopathological examination. In group 2 mice, although TI could not be detected macroscopically, it was revealed by pathological examination in 8 cases. Tumor implantation was less likely in group 2 mice (8 of 30 vs 30 of 30; P<.001). CONCLUSIONS Tumor implantation was markedly decreased by the application of honey pre- and postoperatively. It is possible that the physiological and chemical properties of honey protected wounds against TI. Honey could be used as a wound barrier against TI during pneumoperitoneum in laparoscopic oncological surgery and in other fields of oncological surgery.
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Affiliation(s)
- I Hamzaoglu
- Department of Surgery, Cerrahpaşa Medical School, Istanbul University, E-2/3 A-9 34750, 5. Kisim Ataköy, Istanbul, Turkey.
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22
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Tahan V, Dobrucali A, Canbakan B, Hamzaoglu I, Ozaras R, Biyikli M, Dogusoy G, Mert A, Furth EE. Cytomegalovirus infection of gastrointestinal tract with multiple ulcers and strictures, causing obstruction in a patient with common variable immunodeficiency syndrome. Dig Dis Sci 2000; 45:1781-5. [PMID: 11052320 DOI: 10.1023/a:1005532800770] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/09/2022]
Affiliation(s)
- V Tahan
- Internal Medicine Department, Cerrahpasa Medical Faculty, University of Istanbul
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Ulualp KM, Hamzaoglu I, Ulgen SK, Sahin DA, Saribas S, Ozturk R, Cebeci H. Is it possible to resterilize disposable laparoscopy trocars in a hospital setting? Surg Laparosc Endosc Percutan Tech 2000; 10:59-62; discussion 62-5. [PMID: 10789574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
Nosocomial infections associated with interventional procedures have been attributed to improper decontamination of instruments. Disinfection of solid laparoscopic instruments, such as telescopes, by 2% glutaraldehyde and ethylene oxide was shown to be effective in preventing infection transmission. However, instrument design in more complex surgical instruments may hamper the quality of disinfection. The aim of this study is to investigate the safety of hospital disinfection of disposable laparoscopic instruments with a relatively more complex design. A total of 40 laparoscopic trocars were divided into two equal groups: group 1 was contaminated with bacteria and yeast, and group 2 was contaminated with the hepatitis B virus. Each group was then divided to two equal subgroups. After disinfecting subgroup A with 2% glutaraldehyde and B with ethylene oxide, samples were obtained for bacterial cultures and for virus detection using polymerase chain reaction (PCR). Bacterial and yeast cultures were positive in three instruments in group 1A and in two instruments in group 1B. Tests results for the hepatitis B virus were negative in group 2A, but positive in group 2B. Results of this study indicate that disinfection for multiple use of disposable laparoscopic instruments with a relatively complex structure is not effective and may result in nosocomial disease transmission by bacteria, fungi, and viruses.
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Affiliation(s)
- K M Ulualp
- Istanbul University Cerrahpasa Medical School, Turkey
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Karahasanoglu T, Altinli E, Hamzaoglu I, Paksoy M, Yeşildere T, Alemdaroglu K. Effect of growth hormone treatment on the healing of left colonic anastomoses in protein-malnourished rats. Br J Surg 1998; 85:931-3. [PMID: 9692566 DOI: 10.1046/j.1365-2168.1998.00696.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
BACKGROUND Malnutrition is known to affect wound healing but it is not known with certainty whether or not postoperative hyperalimentation can reverse this defect. The present study was designed to examine the effects of recombinant human growth hormone (hGH) on left colonic anastomoses in malnourished rats. METHODS Experimental animals were allocated randomly into four groups. In groups 1 and 2 animals were fed with normal diet for 10 days before surgery. In groups 3 and 4 animals were fed with a low-protein diet. Left colonic anastomoses were performed in all animals. Following surgery, rats in groups 1 and 3 received hGH whereas rats in groups 2 and 4 were injected with saline as control. Bursting pressure and hydroxyproline levels on day 4 after operation were used to determine anastomotic healing. RESULTS Bursting pressure was lower in the malnourished rats than those fed with normal diet (P< 0.05). Bursting pressure was higher in normally fed rats which were given hGH. No significant differences could be noted between malnourished control rats and those receiving hGH. CONCLUSION These results suggest that hGH strengthened the left colonic anastomoses in rats fed a normal diet, but could not reverse the negative effects of malnutrition on colonic anastomoses.
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Affiliation(s)
- T Karahasanoglu
- Department of Surgery, Istanbul University Cerrahpasa Medical School, Istanbul University Veterinary Faculty, Turkey
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Ukas C, Yigitbasi R, Erturk S, Hamzaoglu I, Sayman H. Restorative caecogastroplasty reconstruction after pylorus-preserving near-total gastrectomy: A preliminary study. Br J Surg 1997. [DOI: 10.1002/bjs.1800840344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Uras C, Yigitbasi R, Erturk S, Hamzaoglu I, Sayman H. Restorative caecogastroplasty reconstruction after pylorus-preserving near-total gastrectomy: a preliminary study. Br J Surg 1997; 84:406-9. [PMID: 9117325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND A wide range of inevitable adverse effects may emerge after total gastrectomy, mainly due to loss of reservoir organ and exclusion of the duodenal route. None of the available reconstructive methods has achieved a satisfactory functional result. A new method has been tried to overcome postgastrectomy problems. METHODS In this preliminary clinical study, a reconstruction technique involving interposition of the ileocaecal segment as a gastric substitute after pylorus-preserving near-total gastrectomy (restorative caecogastroplasty) was applied in six selected patients with proximal gastric carcinoma. RESULTS Postoperative radiological and scintigraphic studies revealed adequate reservoir capacity, satisfactory neogastric emptying and a well functioning pyloric mechanism. During mean follow-up of 15 (range 3-36) months, dumping syndrome, reflux oesophagitis and weight loss were not observed. CONCLUSION It is suggested that restorative caecogastroplasty combines the advantages of intact sphincter mechanisms and maintaining the duodenal route as well as sufficient reservoir volume. This method can be used safely as an alternative to other methods of reconstruction.
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Affiliation(s)
- C Uras
- Department of General Surgery, Cerrahpasa Medical Faculty, University of Istanbul, Turkey
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