Yazar "Ece, Ilhan" seçeneğine göre listele

Listeleniyor 1 - 5 / 5
  • Küçük Resim
    Öğe
    Bariatrik cerrahi sonrasında morbid obez ve süper obezlerdeki pulmoner fonksiyonların karşılaştırılması
    (2018) Yormaz, Burcu; Ece, Ilhan; Çolak, Bayram; Yormaz, Serdar; Demirkıran, Hilmi
    Objective: Nowadays, The increase in incidence of morbidobesity is one of the most common health problems in theworld. Bariatric surgery has performed as a curative procedurefor morbid obesity. It has give rise to lose excess weight, healcomorbidities and to improve pulmonary functions in obeses..Our aim was to compare postoperative respiratory outcomesin morbidly obese patients who have underwent Laparoscopicsleeve gastrectomy.Material and Methods: Consecutive 124 morbid obesepatients who were underwent Laparoscopic sleevegastrectomy was followed up 6 months between the years ofmarch 2014 to july 2016 retrospectively. Patients were dividedinto two groups A and B. Group A patients who have BMIbetween 40-45kg/m2 and group B patients who have BMIbetween 45-50kg/m2. FEV1, FVC, FEV1/FVC, MSV,DV/VO2, DV/VCO2, VO2peak results, body mass index,postoperative oxygen saturation and comorbidites, werecompared between both groups. Student's t test,chi-squaretest was used for the variables and homogeneity in the patientgroup. Preoperative and postoperative values between thegroups were compared with the ANOVA test.Results: The mean age values, respiratory function values inboth groups were similar in preoperatively. In ourpostoperative results, there was a significant difference in theFEV1, FVC, FEV1/FVC, MSV, DV/VO2, DV/VCO2, VO2peak ratios and also identified significant difference inresolution and improvement of comorbidities.Conclusions: The results of the patients who underwentbariatric surgery and whose body mass index (BMI) was 40-45kg / m2 were statistically significant compared to thosewith body mass index between 45-50kg / m2. Theimprovement in pulmonary functions and the effect ofcorrection of comorbidities are higher in the morbidly obesegroup with laparoscopic sleeve gastrectomy.
  • Küçük Resim Yok
    Öğe
    The Increase of Intra-Abdominal Pressure Can Affect Intraocular Pressure
    (HINDAWI LTD, 2015) Ece, Ilhan; Vatansev, Celalettin; Kucukkartallar, Tevfik; Tekin, Ahmet; Kartal, Adil; Okka, Andmehmet
    Objective. This study aims to explore the usage of intraocular pressure measurements as the early indicator of the increase in intra-abdominal pressure. Methods. In this prospective study, 40 patients undergoing elective surgery were included. Patients were divided into four groups of 10 patients. The control group (Group C) was not subjected to laparoscopic intervention. Laparoscopic surgery was, respectively, performed with an intra-abdominal pressure of 9, 12, and 15 mmHg in Groups L (low), M (medium), and H (high pressure). Intraocular pressure was measured binocularly in each patient at three different times (before, during, and end of surgery) using a contact tonometer. Results. Patients' gender, age, body mass index (BMI), American Society of Anesthesiology (ASA) class, and operative times were not different among the groups. No complications occurred with either the surgery or measurement of intraocular pressure. Intubation was associated with a severe rise in IOP (P < 0.05). An increase in intraocular pressure was seen in groups M and H (P < 0.05). Conclusion. Intraocular pressure was increased in the groups with an intra-abdominal pressure of 12 mmHg or more. Measuring the intraocular pressure might be a useful method to estimate the intra-abdominal pressure.
  • Küçük Resim Yok
    Öğe
    Laparoscopic Ileal Interposition with Diverted Sleeve Gastrectomy Versus Laparoscopic Transit Bipartition with Sleeve Gastrectomy for Better Glycemic Outcomes in T2DM Patients
    (SPRINGER, 2018) Yormaz, Serdar; Yılmaz, Hüseyin; Ece, Ilhan; Şahin, Mustafa
    Metabolic procedures provide better outcomes for obese patients with type 2 diabetes mellitus. Our aim was to compare the glycemic regulation in patients that have undergone the laparoscopic ileal interposition with diverted sleeve gastrectomy (II-DSG), laparoscopic transit bipartition with sleeve gastrectomy (TB-SG), and laparoscopic sleeve gastrectomy (LSG) throughout a 12-month follow-up period retrospectively. This study considered patients with T2DM who underwent metabolic procedures. The postoperative changes in the glucose, C-peptide, HbA1c, HOMA-IR, insulin, cholesterol, body mass index, and total weight loss (TWL) were compared retrospectively. The intended outcome was to reach a long lasting fasting blood glucose (FBG) < 126 mg/dl. A multivariate regression analysis was applied to define the predictive markers in glucose regulation. Present study consisted of 83 patients with a mean age of 47.25 +/- 6.58 years, mean preoperative BMI of 37.36 +/- 2.71 kg/m(2), and mean outcomes in the HbA1C and FBG of 9.05 +/- 1.33% and 237 +/- 15 mg/dl, respectively. There were similar correlations in BMI and total weight loss (TWL). At 12-month follow up period, compared to LSG group, TB-SG and II-DSG groups have higher remission proportions (35.3, 67.9, 54.7, respectively, p < 0.05) with similar TWL% (22.35, 27.14, 23.16%) outcomes. The II-DSG and TB-SG results drew closer together toward the end of this study interval unlike the LSG group. Our results showed that II-DSG and TB-SG ensured significant regression rates during the follow-up period. Since the TB-SG achieved these outcomes by finite anastomoses and intervening segments, it was considered to be a superior procedure compared to II-DSG and LSG procedures.
  • Küçük Resim Yok
    Öğe
    Nadir Bir Akut Karın Nedeni: Çekal Volvulus
    (2016) Çolak, Bayram; Yormaz, Serdar; Ece, Ilhan; Kafalı, Mehmet Ertuğrul; Acar, Fahrettin; Durucan, Sefer; Şahin, Mustafa
    Çekal volvulus, nadir görülen ve birçok hastalık ile karışabilen acil bir durumdur. Tanıda ve tedavide gecikildiği takdirde mortal seyredebilen bir hastalıktır. Genel durumu iyi olmayan, iskemi gelişmiş hastalarda rezeksiyon tek tedavi yöntemidir. Barsak obstrüksiyonu nedeniyle değerlendirilen hastalarda mutlaka akılda bulundurulması gerekmektedir. Kusma şikayeti ile acil servise başvuran yaşlı hastanın fizik muayenesinde karın ağrısı ve distansiyon tespit ettik. Görüntüleme tetkiklerinde çekal volvulusu düşünülen hastaya sağ hemikolektomi yaptık ve ileostomi açtık. Çalışmada, nadir görülen bir intestinal obstrüksiyon nedeni olan çekal volvulus olgusunu sunmayı amaçladık.
  • Küçük Resim
    Öğe
    An overlooked complication of the inguinal hernia repair: dysejaculation
    (AVES, 2018) Ece, Ilhan; Yilmaz, Huseyin
    The objective of this study was to investigate the rate of post-herniorrhaphy dysejaculation in the current literature. A comprehensive search of PubMed, Medline, Google Scholar, and Google databases was performed using the keywords "groin hernia and chronic pain," "inguinal hernia and chronic pain," "dysejaculation," and " ejaculatory pain." The eligible studies were evaluated in terms of ejaculatory pain and surgical technique used. Ten studies with 122 patients were eligible for the analysis. The rate of ejaculatory pain for a total of 5521 patients was found to be 2.2%. The incidence of postoperative ejaculatory pain was found to be 2.1% following laparoscopic techniques and 1.1 % following open repair. Open techniques were not related to the increased frequency of dysejaculation. Sufficient data could not be obtained from the studies for the ejaculatory pain, and thus, no statistical evaluation was performed. Dysejaculation is a common cause of postoperative morbidity after inguinal hernia repair. Attention to technical details of the primary operation may reduce the incidence of dysejaculation.