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Fıtık Laparoskopi

Indian Journal of Surgery volume 81, pages317–319 (2019)

Abstract

We aimed to put forward the feasibility and clinically safety of non-operative management (NOM) of right side thoracoabdominal (RST) penetrating injuries for appropriate patient groups. Medical records of 55 patients with RST penetrating injuries who were admitted to Istanbul School of Medicine, Trauma and Emergency Surgery Department between March 2011 and August 2016 were examined. We have done the follow-up of RST penetrating injured patients who were hemodynamically stable by NOM. Most of the patients had liver and lung injuries confirmed by CT scans. The evaluations were done accordingly by taking patients’ past medical history, plain radiograph, and computed tomography (CT). Exclusion criteria were bilateral thoracoabdominal injuries, hemodynamic instability, and signs of peritonitis. Fifty-four of the patients were male and one patient was female (female/male = 1/54). Since 12 of the patients had undergone operations due to various causes, they were excluded from the study. A total of 43 patients were included into the study. The average age of the patients was calculated as 26.6 years (range 13–53 years). Average length of hospital stay was 6 days. Median follow-up time of the patients who were managed non-operatively was 2.6 years (range 5–72 months). Thirteen of the patients were gunshot injured, though they were followed up by conservative approach also. The liver is present on the right side of upper abdomen and therefore, its presence acts as an anatomical barrier for trauma towards the right hemi-diaphragm. It also helps the right-sided diaphragm injuries to heal spontaneously over time mostly without secondary hernia. Because of that, NOM of RST penetrating injuries is safe and feasible for selected patient groups. Also, it can reduce morbidity and mortality rates by preventing unnecessary interventions.

Prof.Dr. Hakan Yanar 1971 yılında Denizli’ de doğdu. İlk, orta ve lise öğrenimini Denizli’ de tamamlamasını takiben 1988’de İstanbul Tıp Fakültesini kazandı. Cerrahi intörnlüğünü University of Colorado Health Science Center, Denver Colorado’ da tamamladı. Mecburi hizmetini 1995-1996 yılları arasında Isparta’da, askerlik hizmetini Nisan 2000’de Tunceli’ de yerine getirdi. 1996 yılında İstanbul Tıp Fakültesi Genel Cerrahi Anabilim Dalı’nda başladığı Genel Cerrahi ihtisasını “Kolon anastomozlarında skar dokusu oluşumu ve latirojen ilaçların etkisi” isimli tez ile Haziran 2001’ de tamamladı. Şubat 2006-Şubat 2007 arasında University of Southern California Medical Center, Department of General Surgery, Los Angeles, ABD’ de çalıştı. Primer cerrahi ilgi alanı gastrointestinal hastalıklar, mide, kolon ve rektum kanseri başta olmak onkolojik cerrahi olguların laparoskopik tedavisi üzerine odaklanmıştır. “Robotik Cerrahi” ve “Cytoreductive surgery (CRS) and Hypertermic intraperitoneal chemotherapy (HIPEC) in Peritoneal Surface Malignancy” sertifikalarına sahiptir. Türk Cerrahi Derneği, Hepato-Pankreato-Bilier Cerrahi Derneği, İstanbul Tabib Odası üyesi, Ulusal Travma ve Acil Cerrahi Derneği ile Ulusal Endoskopik Laparoskopik Cerrahi Derneği yönetim kurulu üyesidir. Ulusal Travma ve Acil Cerrahi Dergisi’nde yardımcı editörlük, European Society of Trauma and Emergency Surgery (ESTES) Emergency Section’ da Chairman ve Türkiye delegeliği görevlerini yerine getirmektedir. Elli uluslararası, 20 ulusal çalışmasıhakemli dergilerde yayınlanmıştır. İki uluslararası, on ulusal kitap bölümü bulunmaktadır. Çok sayıda sözlü ve poster sunumu, yurt içi ve yurt dışı panel ve sempozyum konuşmaları gerçekleştirmiştir. İki uluslararası, çok sayıda ulusal kitap bölümü yazımı ve çevirisi bulunmaktadır. Ekim 2008’ de Doçent, Mart 2014′te profesör ünvanını alan Prof.Dr. Hakan Yanar İngilizce bilmektedir. Evli, bir kız ve bir erkek çocuk babasıdır.

25 Kas, 2021

P034 Strangulated Diaphragmatic Hernia: Ten Cases Reports

A diaphragmatic hernia (DH) is a protrusion of abdominal contents into the thoracic cavity as a result of a defect within diaphragm. It is most common as a congenital phenomenon; however, there have also been cases where it can be acquired. DH can be life-threatening, resulting in incarceration and strangulation.

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