Yazar "Atasoy, Deniz" seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • Küçük Resim Yok
    Öğe
    Endoloop versus intracorporeal knotting: Comparison of two appendiceal ligation methods during laparoscopic appendectomy
    (2019) Karaca, Fatih Can; Atasoy, Deniz
    Introduction: The laparoscopic approach to appendectomy surgery led to various appendiceal ligation methods; however, the ideal technique for appendiceal stump closure has yet to be determined. This study is a comparison of intracorporeal knotting (IK) and Endoloop (Ethicon, Inc., Somerville, NJ, USA) (EL) techniques for appendiceal stump closure during laparoscopic appendectomy (LA) surgery.Materials and Methods: All of the LAs included in the study were performed by only 2 surgeons between June 2013 and June 2018 and the results were retrieved retrospectively. The patients were divided into an IK group and an EL group. Early postoperative complications (<30 days) were evaluated. All of the LAs wereperformed using 3 trocars. In the IK group, the appendiceal base was ligated with a manually constructed single intracorporeal knot. In the EL group, the appendiceal base was ligated with a single Endoloop tie (Vicryl ligature; Ethicon, Inc., Somerville, NJ, USA). A LigaSure device (Medtronic, Inc., Minneapolis, MN, USA) was utilized in both techniques for transection of the appendix. The specimen was extracted through theumbilical port within an Endobag (Medtronic, Inc., Minneapolis, MN, USA). A normal diet was administered within 6 hours postoperatively and the patients were discharged the day after the operation.Results: The IK group consisted of 54 patients and the EL group comprised 75 patients. The groups were similar regarding gender, age, body mass index, and American Society of Anesthesiologists score. Although the operation time tended to be longer in the IK group, the difference was not statistically signifiant (48.46±23.85 vs. 45.36±22.28 minutes; p=0.459). In the EL group, the drain was retained in 1 patient for 2weeks due to liver cirrhosis and 1 patient had an intraabdominal abscess. The latter patient was treated with percutaneous drainage and antibiotherapy.Conclusion: The IK technique and the EL technique had similar results. Due to its lower cost and wider availability, IK might be suggested over the EL technique. Eliminating the dependence on commercial products and providing the means for the development of advanced laparoscopic skills are additional benefis of the IK technique.
  • Küçük Resim Yok
    Öğe
    The effect of tack number and balloon trocar use on acute post-operative pain scores of patients who underwent TEP repair of inguinal hernia
    (Fatih BAŞAK, 2020) Karaca, Fatih Can; Atasoy, Deniz
    Aim: As the novel technology on surgical procedures evolve, the management and amelioration strategies for postoperative pain gains importance for surgeons to improve patients’ life quality and postoperative outcomes. In this study, we aimed to compare the number of tacks placed during surgery and the use of intra-operative balloon trocars during TEP repair of inguinal hernias with respect to post-operative early pain scores.Methods: A total of 83 patients were included in this prospective cohort study, 59 being in the 0-1 tack group and 24 in the 2 tacks group. Balloon trocar was used in 32 patients. All patients underwent laparoscopic TEP inguinal hernia repair. Groups were compared with respect to pain scores on 3rd, 12th and 24th postoperative hours. Results: Pain score was better in no balloon trocar+2 tacks group when compared to balloon trocar+2 tacks and no balloon trocar+0-1 tack group at the 24th postoperative hour (P=0.02 and P=0.007, respectively), and in the balloon trocar+0-1 tack group than that of the no balloon trocar+0-1 tack group (P=0.004). There was no statistically significant difference between these four groups in terms of pain score on the 3rd and 12th hours of surgery (P=0.46 and P=0.24, respectively). Patients in the 0-1 tack group reported less pain on the 24th postoperative hour (3.1 (6.3) vs 14.1 (21.8); P=0.32).Conclusion: Using less number of tacks and avoiding using balloon trocar result in lower pain scores following laparoscopic TEP repair of inguinal hernias.