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Öğe ENDOMETRIOMA LOCALIZED IN THE RECTUS ABDOMINIS MUSCLE: A CASE REPORT AND REVIEW OF LITERATURE(Colegio Brasileiro Cirurgia Digestiva-Cbcd, 2014) Ozkan, Omer F.; Cikman, Oztekin; Kidraz, Hasan Ali; Roach, Emir C.; Karacaer, Mehmet Ali; Karaayvaz, Muammer[Anstract Not Available]Öğe Endometrioma localized in the rectus abdominis muscle: a case report and review of literature(2014) Ozkan, Omer F.; Cikman, Oztekin; Kiraz, Hasan A.li; Roach, Emir C.; Karacaer, Mehmet A.li; Karaayvaz, Muammer[No abstract available]Öğe Fournier's gangrene current approaches(Wiley, 2016) Ozkan, Omer F.; Koksal, Neset; Altinli, Ediz; Celik, Atilla; Uzun, Mehmet A.; Cikman, Oztekin; Akbas, AlpaslanFournier's gangrene is a rare but highlymortal infectious disease characterised by fulminant necrotising fasciitis involving the genital and perineal regions. The objective of this study is to analyse the demographics, clinical feature and treatment approaches as well as outcomes of Fournier's gangrene. Data were collected retrospectively from medical records and operative notes. Patient data were analysed by demographics, aetiological factors, clinical features, treatment approaches and outcomes. Twelve patients (five female and seven male) were enrolled in this study. The most common aetiology was perianal abscess (41.6%). Wound cultures showed a mixture of microorganisms in six (50%) patients. For faecal diversion, while colostomywas performed in six cases (50%), Flexi-Seal was used in two cases (16.6%). In four patients (33.4%), no faecal diversion was performed. Negative pressure wound therapy (NPWT) system was effective in the last four patients (33.4%). The mean hospitalisation period in patients who used NPWT was 18 days, while it was 20 days in the others. NPWT in Fournier's gangrene is a safe dressing method. It promotes granulation formation. Flexi-Seal faecal management is an alternative method to colostomy and provides protection from its associated complications. The combination of two devices (Flexi-Seal and NPWT) is an effective and comfortable method in the management of Fournier's gangrene in appropriate patients.Öğe Fournier’s gangrene current approaches(John Wiley and Sons Inc, 2016) Ozkan, Omer F.; Koksal, Neset; Altinli, Ediz; Celik, Atilla; Uzun, Mehmet A.; Cıkman, Oztekin; Akbas, AlpaslanFournier’s gangrene is a rare but highly mortal infectious disease characterised by fulmi-nant necrotising fasciitis involving the genital and perineal regions. The objective of this study is to analyse the demographics, clinical feature and treatment approaches as well as outcomes of Fournier’s gangrene. Data were collected retrospectively from medical records and operative notes. Patient data were analysed by demographics, aetiologi-cal factors, clinical features, treatment approaches and outcomes. Twelve patients (five female and seven male) were enrolled in this study. The most common aetiology was perianal abscess (41?6%). Wound cultures showed a mixture of microorganisms in six (50%) patients. For faecal diversion, while colostomy was performed in six cases (50%), Flexi-Seal was used in two cases (16?6%). In four patients (33?4%), no faecal diversion was performed. Negative pressure wound therapy (NPWT) system was effective in the last four patients (33?4%). The mean hospitalisation period in patients who used NPWT was 18 days, while it was 20 days in the others. NPWT in Fournier’s gangrene is a safe dressing method. It promotes granulation formation. Flexi-Seal faecal management is an alternative method to colostomy and provides protection from its associated com-plications. The combination of two devices (Flexi-Seal and NPWT) is an effective and comfortable method in the management of Fournier’s gangrene in appropriate patients. © 2016, John Wiley and Sons Inc. All rights reserved.Öğe Relationship between serum fibronectin levels and carnitine administration: an experimental study in rats(Wiley, 2014) Ozkan, Omer F.; Komurcu, Erkam; Arik, Muhammet K.; Kemik, Ahu S.; Tas, Sukru; Nusran, GurdalWe aimed to investigate the relationship between dorsal flap viability and serum fibronectin levels in carnitine-administered rats. A total of 24 rats were equally divided into three groups and operated on. Group 1 (sham group n = 8): following surgery, no agent was given. Group 2 (control group, n = 8): following surgery, sterile saline solution at 09% with a dose of 100 mg/kg per day for 7 days was administered intraperitoneally. Group 3 (study group, n = 8): following surgery, carnitine with a dose of 100 mg/kg per day for 7 days was administered intraperitoneally. The flap model used was a 10 x 3 cm dorsal flap extending from the tip of the scapula to the hip joint. This was elevated, and then sutured back to its original site. At the end of postoperative day 8, the animals were anaesthetised and blood samples were collected from intracardiac space. Then, the animals were euthanised. Flap viability was then evaluated measuring the surviving area, using a transparent graph paper. Finally, excised tissue was examined histopathologically. The percentages of viable areas in groups 1, 2 and 3 were 6468 +/- 337%, 6735 +/- 582% and 7515 +/- 356%, respectively. The mean value of fibronectin levels in groups 1, 2 and 3 were 223 +/- 35, 231 +/- 35 and 31 +/- 68 mg/dl, respectively. The results of this study demonstrated that 100 mg/kg carnitine administration led to an increase in flap viability, and increased serum fibronectin levels might have a role in this process.
