Yazar "Hafiz, Gunes" seçeneğine göre listele

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    Anatomical Insights and Clinical Outcomes of the Interpectoral Pocket Technique for Exposed Cardiac Pacemaker Revision
    (Wolters Kluwer Medknow Publications, 2024) Akyurek, Mustafa; Cakir, Bahadir; Hafiz, Gunes
    Objective: The objective of this study was to evaluate the effectiveness and safety of the interpectoral pocket technique in the management of exposed cardiac pacemakers, a complication increasingly observed with the rising use of cardiac implantable electronic devices (CIEDs). Materials and Methods: We conducted a retrospective study of 20 patients who underwent revision surgeries for exposed cardiac pacemakers using the interpectoral pocket technique. Data were collected regarding patient demographics, comorbidities, etiology of exposure, preoperative management, surgical procedure, postoperative care, and follow-up results. Results: The overall success rate of the interpectoral pocket technique was 95%. Out of the 20 patients, 3 patients (15%) experienced minor complications, while 1 patient (5%) required additional revision surgeries. No major complications or mortality were reported during the follow-up period. Conclusions: Our study indicates that the interpectoral pocket technique for exposed cardiac pacemaker management is effective and safe. It has the potential in reducing CIED-related complications, improving therapeutic strategies, and lessening the economic burden. However, larger prospective studies are needed to validate these findings.
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    Öğe
    Horizontal pillar technique: A single pedicle septum-based approach in reduction mammaplasty with a twist
    (Elsevier Sci Ltd, 2023) Akyurek, Mustafa; Hafiz, Gunes
    Breast reduction surgery has proven to be a successful treatment for various conditions such as postural disorders, anxiety, dermatological problems, and body image disorders, and is tailored to accommodate each patient's needs and anatomical variations. The author presents a modified approach for reduction mammaplasty using a septum-based superomedial pedicled nipple-areola complex (NAC) flap combined with horizontal dermoglandular pillars. This adjustment enhances desired breast projection, potentially eliminating the need for alternative pedicles in most cases. The limitations and disadvantages of this new technique are discussed. Between July 2015 and July 2021, 85 patients underwent surgery using the horizontal pillar reduction mammaplasty. Clinical data obtained during follow-up visits were recorded. Patients were asked to answer the local version of the Breast-Q, version 2.0, reduction module postoperative scale questionnaire to evaluate breast shape contentment and patient satisfaction at the 1-year follow-up. Necrosis of the NAC was not observed in any patient. The most common complaints in the early postoperative period were pain along the inframammary fold and swelling that extended into the axillary region. The mean values and standard deviations of the postoperative Breast-Q scores were calculated. The postoperative satisfaction with breasts scale mean value was 84.11 +/- 12.86, and the postoperative satisfaction with outcomes scale mean value was 81.08 +/- 9.97. The horizontal pillar reduction mammaplasty technique is safe, reliable, and easy to perform in breast reduction. Although the initial findings are encouraging, future anatomical and clinical studies are necessary to fully explore this modified technique's functional limitations and long-term outcomes. (c) 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.