SERDAR HAN - Academia.edu (original) (raw)
Papers by SERDAR HAN
Asian cardiovascular & thoracic annals, 2018
Background The aim of this study was to evaluate the results of R0 resection of thymoma to identi... more Background The aim of this study was to evaluate the results of R0 resection of thymoma to identify prognostic factors for long-term outcomes. Methods Data of 62 patients (28 male, 34 female) with a mean age of 47.26 ± 14.42 years, who underwent R0 resection for thymoma and were followed-up between February 2004 and March 2016, were analyzed retrospectively. Results Eight patients had a video-assisted thoracoscopic thymectomy and 54 had a transsternal extended thymectomy. During a mean follow-up of 128.67 ± 7.95 months, regional recurrence of thymoma was observed in 9 (14.5%) patients. Overall 5- and 10-year survival rates were 85.36% and 78.20%, respectively. The 5- and 10-year survival rates in patients aged < 50 years were significantly better than in those aged ≥ 50 years (92% and 72% vs. 88% and 39%, p < 0.0001). The 10-year overall survival of patients in Masaoka stage I and II was better than those in stage III (88.9%, 78.4%, 69.8%, respectively, log-rank p < 0.001)....
The Turkish Journal of Gastroenterology, 2011
Symptomatic treatment is still the most commonly preferred treatment modality for acute severe es... more Symptomatic treatment is still the most commonly preferred treatment modality for acute severe esophagitis and gastritis. Clinical results of this treatment range from pathologies like stricture formation to loss of life. In our study, we aimed to demonstrate the effect of immediate gastrostomy in preventing perforation due to corrosive trauma. We used 32 rats in two study groups. In Group I (n: 16 rats), 1 ml of corrosive agent (10% NaOH solution) was administered and immediate gastrostomies were performed within 2 hours. In Group II (n: 16 rats), 1 ml corrosive agent (10% NaOH solution) was administered and the rats were treated symptomatically; no operation was performed. Acute death was observed in 5 rats just after the corrosive agent was administered at the beginning of the study. Three rats from Group II died due to esophageal and gastric perforation within one week (25%). Necrosis was reported in 5 non-gastrostomized rats; however, no necrosis was observed in the gastrostomized group (p=0.037). Severe acute corrosive esophagitis and gastritis may be fatal. Furthermore, survivors may suffer from lifelong associated problems. From this study, we concluded that immediate gastrostomy in acute corrosive esophagitis and gastritis may play an important role in preventing necrosis and perforation risk.
Turkiye Klinikleri Archives of Lung, 2013
Lipomas of the bone usually occur in the diaphysis of long bones of the upper and lower limbs and... more Lipomas of the bone usually occur in the diaphysis of long bones of the upper and lower limbs and are seen in the fifth to seventh decade of life. Rib lipomas are rare and those having parosteal location are even rare. Parosteal lipomas of the ribs are benign tumors that are composed mainly of mature adipose tisssue, and developed from parosteal bone. Only a few cases have been previously reported in the English literature and they were all located extrathoracic above the ribs. Here we describe an exceedingly rare case of parosteal lipoma of the right fourth rib which developed in the thoracic cavity in a 60-year old woman with normal physical examination. To the best of our knowledge this is the first case of inthrathoracic located parosteal lipoma of the rib.
Toraks Cerrahisi Bulteni, 2016
Özet Tüm dünyada özofagus kanseri, kansere bağlı ölümlerin en sık altıncı nedenidir. Özofagus kan... more Özet Tüm dünyada özofagus kanseri, kansere bağlı ölümlerin en sık altıncı nedenidir. Özofagus kanseri için tedavinin temeli halen özofagus rezeksiyonudur. Özofajektomi sonrası operatif mortalite son yıllarda azalırken, postoperatif morbidite hala önemli bir sorundur. Günümüzde özofajektomiler laparoskopik ve/veya torakoskopik yöntemler ile daha sık yapılmaya başlanmıştır. Bu prosedürlerin amacı geleneksel açık teknikle yapılan özofagus rezeksiyonu sonrası yüksek olan genel morbiditeyi azaltmaktır. Açık özofajektomi tekniklerinin tümü başarılı bir şekilde minimal invaziv cerrahide yapılabilmektedir. Minimal invaziv özofajektomi açık cerrahi prosedürlere göre daha hızlı iyileşme sağlayıp, postoperatif ağrı ve solunum komplikasyonlarını azaltan ilgi cekici bir konsept haline gelmiştir. Minimal invaziv özofajektomi gerek solunum komplikasyonlarının azlığı, gerekse ameliyat süresinin kısalığı açısından tercih edilen bir teknik olup açık cerrahi serilerle karşılaştırılabilir sonuçları mevcuttur. Günümüzde özofagus kanserinin cerrahi tedavisinde torakoskopik ve laparoskopik girişimler gittikçe daha yaygın kullanılmaya başlanmış olup minimal invaziv cerrahinin açık cerrahiye olan üstünlüğünün büyük ölçekli randomize kontrollü çalışmalar ile desteklenmesi gerekmektedir.
Toraks Cerrahisi Bulteni, 2014
Thoracic outlet syndrome (TOS) represents a group of heterogeneous and potentially disabling uppe... more Thoracic outlet syndrome (TOS) represents a group of heterogeneous and potentially disabling upper-extremity illness that is caused by extrinsic compression of neurovascular structures in the thoraco-cervico-axillary region. Thoracic outlet syndrome can be classified as vascular (arterial and venous) and neurogenic-type. The diagnosis and treatment of TOS remains a challenge for both clinicians and surgeons and when unrecognized or inadequately treated, they can cause chronic pain syndromes, long term restrictions in use of the upper extremities, and limb-threatening complications. The purpose of this study is to briefly review transaxillary approach in the surgery for TOS.
TURKISH JOURNAL OF MEDICAL SCIENCES, 2015
Background/aim: The goal of this retrospective study was to evaluate the outcomes and complicatio... more Background/aim: The goal of this retrospective study was to evaluate the outcomes and complications of bilateral videothoracoscopic sympathicotomy without using single-lung ventilation in the treatment of primary hyperhidrosis and facial blushing. Materials and methods: We retrospectively reviewed 154 consecutive patients (70 females and 84 males) who underwent bilateral sympathicotomy for palmar, axillary, and facial/scalp hyperhidrosis or facial blushing from February 2005 to June 2013. The patients were intubated with single-lumen endotracheal tube, and then sympathicotomies were performed via videothoracoscopy during controlled apnea periods. Results: Sympathicotomies were performed at costal levels 2, 3, and 4. No perioperative mortality or conversion to open surgery was recorded. Mean operation time was 31.2 ± 2.4 min and mean hospital stay was 1.1 ± 0.6 days. One patient experienced a unilateral pneumothorax that required treatment. There were no abnormal hemodynamic parameters measured during the perioperative apnea periods. The long term follow-up period was 21.4 ± 5 months. Twenty-nine cases (18.8%) were complicated by compensatory sweating. No recurrence was observed during the follow-up period. Conclusion: Video-assisted thoracoscopic sympathicotomy without lung isolation provides effective cure of primary hyperhidrosis and facial blushing. This procedure can shorten the operative time without any aberrant hemodynamic shifts.
![Research paper thumbnail of [Cardiac and respiratory changes in the medium term after lung resection]](https://attachments.academia-assets.com/96829113/thumbnails/1.jpg)
](Türk Kardiyoloji Derneği arşivi : Türk Kardiyoloji Derneğinin yayın organıdır, 2015
The aim of this study was to assess the cardiac and respiratory functions at the 6th postoperativ... more The aim of this study was to assess the cardiac and respiratory functions at the 6th postoperative month, in lung cancer patients undergoing segmentectomy/lobectomy or pneumonectomy. Thirteen segmentectomy/lobectomy and 5 pneumonectomy patients with lung cancer were consecutively enrolled between April 2012 and February 2014. All patients underwent respiratory function tests and transthoracic echocardiography preoperatively and at 6 months postoperatively. Left ventricular functions were unchanged postoperatively. In the segmentectomy/lobectomy group, there were no changes in right ventricular fractional area change (RVFAC) or tricuspid annular plane systolic excursion (TAPSE). However, TAPSE decreased from 19 (17-21) to 15.5 (14-16) in pneumonectomy patients (p=0.04). RVFAC was 59.5 (58-61) preoperatively and 59 (58-61) at 6 months postoperatively (p=0.049). Neither group showed differences in pulmonary acceleration time or diastolic and systolic eccentricity indices after operatio...
Case Reports in Emergency Medicine, 2015
First rib fractures are scarce due to their well-protected anatomic locations. Bilateral first ri... more First rib fractures are scarce due to their well-protected anatomic locations. Bilateral first rib fractures accompanying bilateral scapular fractures are very rare, although they may be together with scapular and clavicular fractures. According to our knowledge, no case of bilateral first rib fractures accompanying bilateral scapular fractures has been reported, so we herein discussed the diagnosis, treatment, and complications of bone fractures due to thoracic trauma in bias of this rare entity.
Case Reports in Emergency Medicine, 2015
Traumatic asphyxia is a rare syndrome caused by blunt thoracoabdominal trauma and characterized b... more Traumatic asphyxia is a rare syndrome caused by blunt thoracoabdominal trauma and characterized by cyanosis, edema, and subconjunctival and petechial hemorrhage on the face, neck, upper extremities, and the upper parts of the thorax. Traumatic asphyxia is usually diagnosed by history and inspection; however, the patient should be monitored more closely due to probable complications of thoracoabdominal injuries. Treatment is conservative, but the prognosis depends on the severity of the associated injuries. Herein we present a traumatic asphyxia due to an elevator accident in a 32-year-old male patient and discuss the diagnosis, treatment, and prognosis by reviewing the relevant literature.
Tüberküloz ve toraks, 2010
An apical subpleural bleb is most common pathology of primary spontaneous pneumothorax however, c... more An apical subpleural bleb is most common pathology of primary spontaneous pneumothorax however, chronic obstructive pulmonary disease is most common cause of secondary spontaneous pneumothorax. The diagnosis is confirmed by physical examination, chest radiography and thoracoscopic examination. The typical person who present has an asthenic body, being taller and thinner than the average person. Spontaneous pneumothorax can seen in some special part of life such as; catamenial pneumothorax and during pregnancy. Therapeutic options of primary spontaneous pneumothorax is include the conservative, intermediate and invasive procedure. In conclusion we aimed the report pathophysiology, clinical evaluation and treatment options of spontaneous pneumothorax in the light of literatures with a review article.
Interactive cardiovascular and thoracic surgery, 2009
The Thoracic and Cardiovascular Surgeon, 2015
Objective Tietze syndrome (TS) is an inflammatory condition characterized by chest pain and swell... more Objective Tietze syndrome (TS) is an inflammatory condition characterized by chest pain and swelling of costochondral junction. Primary chest wall tumors may mimic TS. In this article, we report our experience of approximately 121 patients initially diagnosed as TS and determined chest wall tumor in some cases at the follow-up. Methods This is a retrospective review of patients diagnosed as TS by clinical examination, chest X-ray, electrocardiogram, routine laboratory tests, and computed tomography (CT) of chest: all treated and followed up between March 2001 and July 2012. There were 121 cases (41 males and 80 females; mean age, 39.6 ± 3.2 years) of TS. Results In 27 patients with initial normal radiological findings, the size of swellings had doubled during the follow-up period (mean, 8.51 ± 2.15 months). These patients were reevaluated with chest CT and bone scintigraphy and then early diagnostic biopsy was performed. Pathologic examination revealed primary chest wall tumor in 13 patients (5 malignant, 8 benign). CT had a sensitivity of 92.3% and a specificity of 64.2% in detection of tumors (kappa: 0.56, p = 0.002), whereas the sensitivity and the specificity of bone scan were 84.6 and 35.7%, respectively (kappa: 0.199, p = 0.385). Conclusion Primary chest wall tumors could mimic TS. Bone scintigraphy or CT is not specific enough to determine malignant and other benign disorders of costochondral junction. Therefore, clinicians should follow TS patients more closely, and in case of increasing size of swelling, early diagnostic biopsy should be considered.
The Annals of Thoracic Surgery, 2014
within the fibrous capsule, a part of the fibrous capsule was thought to have become calcified li... more within the fibrous capsule, a part of the fibrous capsule was thought to have become calcified like a ring (Fig 3).
Journal of Academic Emergency Medicine, 2012
Chest traumas constitute 10-15% of all traumas and are the cause of death in 25% of all fatalitie... more Chest traumas constitute 10-15% of all traumas and are the cause of death in 25% of all fatalities due to trauma (1, 2). Blunt chest trauma accounts for 81% of thoracic injuries in children and 78% in the elderly, and minor blunt chest trauma is the most common form of blunt chest trauma (3). Motor vehicle accidents is the most predominant reason for (4), and rib fracures are the most common (25%) injuries resulting from, blunt chest trauma (5). Minor blunt chest trauma comprises more than half of the rib fractures without any complications such as pneumothorax, hemothorax or pulmonary contusion, and is often treated on an outpatient basis (3). The findings in blunt chest trauma have a wide range, including multiple rib fractures with flail chest and associated underlying visceral injury (3). Rib fractures may cause severe pain with resultant limitation of deep breathing, atelectasis and pneumonitis, and unless detected and properly treated, it may become a life threatening lesion, especially in elderly patients (3). Thus, an appropriate radiological examination and diagnosis of a rib fracture is of clinical significance in chest trauma (3).
The Annals of Thoracic Surgery, 2014
Surgical stabilization of the rib fractures has been successfully performed for the management of... more Surgical stabilization of the rib fractures has been successfully performed for the management of pain in multiple rib fractures, fixation of chronically painful nonunion, reduction of overriding ribs, and flail chest cases. Herein we report a patient who was treated with titanium rib clips after a motor vehicle accident leading to pulmonary parenchymal laceration and multiple painful rib fractures. Three of the rib clips were broken 4 months after the operation. The patient underwent the second operation for restabilization of the broken ribs. We review the relevant literature, with particular emphasis on the management of this complication.
The American Journal of Surgery, 2009
BACKGROUND: We performed an analysis of giant hydatid cysts (GCHs) detected in the adult populati... more BACKGROUND: We performed an analysis of giant hydatid cysts (GCHs) detected in the adult population by comparison with the features of other simple hydatid cysts (CHs) in the light of the relevant literature. METHODS: The records of 74 adult patients who were operated on in our clinic for pulmonary CHs between 2001 and 2005 were retrospectively evaluated. Cysts that were 10 cm or larger in diameter on any plane were considered GCHs. The cysts were classified into 2 groups as GCHs (group A) and other (group B). The groups were then compared for age, sex, symptom, cyst location, preoperative complications, surgical procedure performed, operative morbidity, and mortality. RESULTS: Of 74 patients, 10 (13.5%) were in group A and 64 were in group B. No differences were detected between the clinical presentation, gender distribution, surgical procedure performed, and postoperative morbidity and mortality rates of GCHs and other cysts in adults. In both groups, there were no significant differences between the rates of involvement of 2 lungs (P ϭ .527). However, both groups had lower lobe involvement, more markedly in group A (81.8% and 45.5% respectively; P ϭ .023). Two patients in group A (20%) and 18 patients in group B (28.1%) had complicated cysts. CONCLUSIONS: The tendency of GCH to involve the lower lobe of the lung compared to smaller cysts suggests underlying mechanisms other than lung elasticity in the late onset of the symptoms parallel to cyst growth.
The Journal of Trauma: Injury, Infection, and Critical Care, 2003
Pseudoaneurysms of the popliteal and tibioperoneal arteries after gunshot injuries.
Heart, Lung and Circulation, 2005
The purpose of this study was to determine when patients are able to return to their normal work ... more The purpose of this study was to determine when patients are able to return to their normal work or home activities. Eighty cases, 35 females (44%) and 45 males (56%), presenting to our hospital between the years of 2003 and 2004 were prospectively evaluated. There were no hemopneumothorax or associated injury. The patients were randomized into two groups with respect to treatment modalities as the following: non-steroid anti-inflammatory (NSAIDs) and Tramadol treatment groups. In the follow-up, visual analog scale (VAS), and vital capacity were conducted on the days 0, 2, 7 and 30 and 6 months. The results were statistically analyzed. The mean age of the group receiving NSAIDs was 55.42 +/- 15.72, and for the group receiving tramadol treatment, it was 55.67 +/- 17.23. VAS result was 7.8 +/- 1.8 in those receiving NSAIDs treatment, while it was 8.2 +/- 1.6 in the other group. The vital capacity was 235.54 +/- 82 ml for the former group, and 232.43 +/- 89.44 for the latter. In their follow-up, particularly by the 7th day, significant improvement of VAS and vital capacity were observed (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.01). Maximum improvement was achieved on the 30th day (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). There was no change in the 6th month. Patients are able to return to their normal work or home activities after 7 days. Patients experienced steadily decreasing pain and improved vital capacity at each time point after injury. No difference in response was seen between the two medications. A significant improvement is observed by the 7th day after the trauma (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.01). Optimal improvement was achieved on the 30th day (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001).
Heart, Lung and Circulation, 2005
Hemangiopericytoma is a mesenchymal neoplasm originating from pericytes--a cell type that surroun... more Hemangiopericytoma is a mesenchymal neoplasm originating from pericytes--a cell type that surround capillaries. Its primary localization in the lung is extremely rare. A 41-year-old male patient was admitted to our hospital with an abnormal opacity on his chest X-ray. A primary tumor, located in the left upper lobe, was resected, and final diagnosis was hemangiopericytoma of pulmonary origin. The patient has been well for 2 years since the operation with no sign of recurrence or metastasis. A rare case of primary pulmonary tumor has been presented, and possibilities and difficulties in diagnosis as well as therapy are discussed.
Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2006
egener's granulomatosis (WG) is a multiorgan system disease of unknown etiology characterize... more egener's granulomatosis (WG) is a multiorgan system disease of unknown etiology characterized by granulomatous inflammation, tissue necrosis, and variable degrees of vasculitis in small-and medium-sized blood vessels. Although WG may affect virtually any ...
Asian cardiovascular & thoracic annals, 2018
Background The aim of this study was to evaluate the results of R0 resection of thymoma to identi... more Background The aim of this study was to evaluate the results of R0 resection of thymoma to identify prognostic factors for long-term outcomes. Methods Data of 62 patients (28 male, 34 female) with a mean age of 47.26 ± 14.42 years, who underwent R0 resection for thymoma and were followed-up between February 2004 and March 2016, were analyzed retrospectively. Results Eight patients had a video-assisted thoracoscopic thymectomy and 54 had a transsternal extended thymectomy. During a mean follow-up of 128.67 ± 7.95 months, regional recurrence of thymoma was observed in 9 (14.5%) patients. Overall 5- and 10-year survival rates were 85.36% and 78.20%, respectively. The 5- and 10-year survival rates in patients aged < 50 years were significantly better than in those aged ≥ 50 years (92% and 72% vs. 88% and 39%, p < 0.0001). The 10-year overall survival of patients in Masaoka stage I and II was better than those in stage III (88.9%, 78.4%, 69.8%, respectively, log-rank p < 0.001)....
The Turkish Journal of Gastroenterology, 2011
Symptomatic treatment is still the most commonly preferred treatment modality for acute severe es... more Symptomatic treatment is still the most commonly preferred treatment modality for acute severe esophagitis and gastritis. Clinical results of this treatment range from pathologies like stricture formation to loss of life. In our study, we aimed to demonstrate the effect of immediate gastrostomy in preventing perforation due to corrosive trauma. We used 32 rats in two study groups. In Group I (n: 16 rats), 1 ml of corrosive agent (10% NaOH solution) was administered and immediate gastrostomies were performed within 2 hours. In Group II (n: 16 rats), 1 ml corrosive agent (10% NaOH solution) was administered and the rats were treated symptomatically; no operation was performed. Acute death was observed in 5 rats just after the corrosive agent was administered at the beginning of the study. Three rats from Group II died due to esophageal and gastric perforation within one week (25%). Necrosis was reported in 5 non-gastrostomized rats; however, no necrosis was observed in the gastrostomized group (p=0.037). Severe acute corrosive esophagitis and gastritis may be fatal. Furthermore, survivors may suffer from lifelong associated problems. From this study, we concluded that immediate gastrostomy in acute corrosive esophagitis and gastritis may play an important role in preventing necrosis and perforation risk.
Turkiye Klinikleri Archives of Lung, 2013
Lipomas of the bone usually occur in the diaphysis of long bones of the upper and lower limbs and... more Lipomas of the bone usually occur in the diaphysis of long bones of the upper and lower limbs and are seen in the fifth to seventh decade of life. Rib lipomas are rare and those having parosteal location are even rare. Parosteal lipomas of the ribs are benign tumors that are composed mainly of mature adipose tisssue, and developed from parosteal bone. Only a few cases have been previously reported in the English literature and they were all located extrathoracic above the ribs. Here we describe an exceedingly rare case of parosteal lipoma of the right fourth rib which developed in the thoracic cavity in a 60-year old woman with normal physical examination. To the best of our knowledge this is the first case of inthrathoracic located parosteal lipoma of the rib.
Toraks Cerrahisi Bulteni, 2016
Özet Tüm dünyada özofagus kanseri, kansere bağlı ölümlerin en sık altıncı nedenidir. Özofagus kan... more Özet Tüm dünyada özofagus kanseri, kansere bağlı ölümlerin en sık altıncı nedenidir. Özofagus kanseri için tedavinin temeli halen özofagus rezeksiyonudur. Özofajektomi sonrası operatif mortalite son yıllarda azalırken, postoperatif morbidite hala önemli bir sorundur. Günümüzde özofajektomiler laparoskopik ve/veya torakoskopik yöntemler ile daha sık yapılmaya başlanmıştır. Bu prosedürlerin amacı geleneksel açık teknikle yapılan özofagus rezeksiyonu sonrası yüksek olan genel morbiditeyi azaltmaktır. Açık özofajektomi tekniklerinin tümü başarılı bir şekilde minimal invaziv cerrahide yapılabilmektedir. Minimal invaziv özofajektomi açık cerrahi prosedürlere göre daha hızlı iyileşme sağlayıp, postoperatif ağrı ve solunum komplikasyonlarını azaltan ilgi cekici bir konsept haline gelmiştir. Minimal invaziv özofajektomi gerek solunum komplikasyonlarının azlığı, gerekse ameliyat süresinin kısalığı açısından tercih edilen bir teknik olup açık cerrahi serilerle karşılaştırılabilir sonuçları mevcuttur. Günümüzde özofagus kanserinin cerrahi tedavisinde torakoskopik ve laparoskopik girişimler gittikçe daha yaygın kullanılmaya başlanmış olup minimal invaziv cerrahinin açık cerrahiye olan üstünlüğünün büyük ölçekli randomize kontrollü çalışmalar ile desteklenmesi gerekmektedir.
Toraks Cerrahisi Bulteni, 2014
Thoracic outlet syndrome (TOS) represents a group of heterogeneous and potentially disabling uppe... more Thoracic outlet syndrome (TOS) represents a group of heterogeneous and potentially disabling upper-extremity illness that is caused by extrinsic compression of neurovascular structures in the thoraco-cervico-axillary region. Thoracic outlet syndrome can be classified as vascular (arterial and venous) and neurogenic-type. The diagnosis and treatment of TOS remains a challenge for both clinicians and surgeons and when unrecognized or inadequately treated, they can cause chronic pain syndromes, long term restrictions in use of the upper extremities, and limb-threatening complications. The purpose of this study is to briefly review transaxillary approach in the surgery for TOS.
TURKISH JOURNAL OF MEDICAL SCIENCES, 2015
Background/aim: The goal of this retrospective study was to evaluate the outcomes and complicatio... more Background/aim: The goal of this retrospective study was to evaluate the outcomes and complications of bilateral videothoracoscopic sympathicotomy without using single-lung ventilation in the treatment of primary hyperhidrosis and facial blushing. Materials and methods: We retrospectively reviewed 154 consecutive patients (70 females and 84 males) who underwent bilateral sympathicotomy for palmar, axillary, and facial/scalp hyperhidrosis or facial blushing from February 2005 to June 2013. The patients were intubated with single-lumen endotracheal tube, and then sympathicotomies were performed via videothoracoscopy during controlled apnea periods. Results: Sympathicotomies were performed at costal levels 2, 3, and 4. No perioperative mortality or conversion to open surgery was recorded. Mean operation time was 31.2 ± 2.4 min and mean hospital stay was 1.1 ± 0.6 days. One patient experienced a unilateral pneumothorax that required treatment. There were no abnormal hemodynamic parameters measured during the perioperative apnea periods. The long term follow-up period was 21.4 ± 5 months. Twenty-nine cases (18.8%) were complicated by compensatory sweating. No recurrence was observed during the follow-up period. Conclusion: Video-assisted thoracoscopic sympathicotomy without lung isolation provides effective cure of primary hyperhidrosis and facial blushing. This procedure can shorten the operative time without any aberrant hemodynamic shifts.
Türk Kardiyoloji Derneği arşivi : Türk Kardiyoloji Derneğinin yayın organıdır, 2015
The aim of this study was to assess the cardiac and respiratory functions at the 6th postoperativ... more The aim of this study was to assess the cardiac and respiratory functions at the 6th postoperative month, in lung cancer patients undergoing segmentectomy/lobectomy or pneumonectomy. Thirteen segmentectomy/lobectomy and 5 pneumonectomy patients with lung cancer were consecutively enrolled between April 2012 and February 2014. All patients underwent respiratory function tests and transthoracic echocardiography preoperatively and at 6 months postoperatively. Left ventricular functions were unchanged postoperatively. In the segmentectomy/lobectomy group, there were no changes in right ventricular fractional area change (RVFAC) or tricuspid annular plane systolic excursion (TAPSE). However, TAPSE decreased from 19 (17-21) to 15.5 (14-16) in pneumonectomy patients (p=0.04). RVFAC was 59.5 (58-61) preoperatively and 59 (58-61) at 6 months postoperatively (p=0.049). Neither group showed differences in pulmonary acceleration time or diastolic and systolic eccentricity indices after operatio...
Case Reports in Emergency Medicine, 2015
First rib fractures are scarce due to their well-protected anatomic locations. Bilateral first ri... more First rib fractures are scarce due to their well-protected anatomic locations. Bilateral first rib fractures accompanying bilateral scapular fractures are very rare, although they may be together with scapular and clavicular fractures. According to our knowledge, no case of bilateral first rib fractures accompanying bilateral scapular fractures has been reported, so we herein discussed the diagnosis, treatment, and complications of bone fractures due to thoracic trauma in bias of this rare entity.
Case Reports in Emergency Medicine, 2015
Traumatic asphyxia is a rare syndrome caused by blunt thoracoabdominal trauma and characterized b... more Traumatic asphyxia is a rare syndrome caused by blunt thoracoabdominal trauma and characterized by cyanosis, edema, and subconjunctival and petechial hemorrhage on the face, neck, upper extremities, and the upper parts of the thorax. Traumatic asphyxia is usually diagnosed by history and inspection; however, the patient should be monitored more closely due to probable complications of thoracoabdominal injuries. Treatment is conservative, but the prognosis depends on the severity of the associated injuries. Herein we present a traumatic asphyxia due to an elevator accident in a 32-year-old male patient and discuss the diagnosis, treatment, and prognosis by reviewing the relevant literature.
Tüberküloz ve toraks, 2010
An apical subpleural bleb is most common pathology of primary spontaneous pneumothorax however, c... more An apical subpleural bleb is most common pathology of primary spontaneous pneumothorax however, chronic obstructive pulmonary disease is most common cause of secondary spontaneous pneumothorax. The diagnosis is confirmed by physical examination, chest radiography and thoracoscopic examination. The typical person who present has an asthenic body, being taller and thinner than the average person. Spontaneous pneumothorax can seen in some special part of life such as; catamenial pneumothorax and during pregnancy. Therapeutic options of primary spontaneous pneumothorax is include the conservative, intermediate and invasive procedure. In conclusion we aimed the report pathophysiology, clinical evaluation and treatment options of spontaneous pneumothorax in the light of literatures with a review article.
Interactive cardiovascular and thoracic surgery, 2009
The Thoracic and Cardiovascular Surgeon, 2015
Objective Tietze syndrome (TS) is an inflammatory condition characterized by chest pain and swell... more Objective Tietze syndrome (TS) is an inflammatory condition characterized by chest pain and swelling of costochondral junction. Primary chest wall tumors may mimic TS. In this article, we report our experience of approximately 121 patients initially diagnosed as TS and determined chest wall tumor in some cases at the follow-up. Methods This is a retrospective review of patients diagnosed as TS by clinical examination, chest X-ray, electrocardiogram, routine laboratory tests, and computed tomography (CT) of chest: all treated and followed up between March 2001 and July 2012. There were 121 cases (41 males and 80 females; mean age, 39.6 ± 3.2 years) of TS. Results In 27 patients with initial normal radiological findings, the size of swellings had doubled during the follow-up period (mean, 8.51 ± 2.15 months). These patients were reevaluated with chest CT and bone scintigraphy and then early diagnostic biopsy was performed. Pathologic examination revealed primary chest wall tumor in 13 patients (5 malignant, 8 benign). CT had a sensitivity of 92.3% and a specificity of 64.2% in detection of tumors (kappa: 0.56, p = 0.002), whereas the sensitivity and the specificity of bone scan were 84.6 and 35.7%, respectively (kappa: 0.199, p = 0.385). Conclusion Primary chest wall tumors could mimic TS. Bone scintigraphy or CT is not specific enough to determine malignant and other benign disorders of costochondral junction. Therefore, clinicians should follow TS patients more closely, and in case of increasing size of swelling, early diagnostic biopsy should be considered.
The Annals of Thoracic Surgery, 2014
within the fibrous capsule, a part of the fibrous capsule was thought to have become calcified li... more within the fibrous capsule, a part of the fibrous capsule was thought to have become calcified like a ring (Fig 3).
Journal of Academic Emergency Medicine, 2012
Chest traumas constitute 10-15% of all traumas and are the cause of death in 25% of all fatalitie... more Chest traumas constitute 10-15% of all traumas and are the cause of death in 25% of all fatalities due to trauma (1, 2). Blunt chest trauma accounts for 81% of thoracic injuries in children and 78% in the elderly, and minor blunt chest trauma is the most common form of blunt chest trauma (3). Motor vehicle accidents is the most predominant reason for (4), and rib fracures are the most common (25%) injuries resulting from, blunt chest trauma (5). Minor blunt chest trauma comprises more than half of the rib fractures without any complications such as pneumothorax, hemothorax or pulmonary contusion, and is often treated on an outpatient basis (3). The findings in blunt chest trauma have a wide range, including multiple rib fractures with flail chest and associated underlying visceral injury (3). Rib fractures may cause severe pain with resultant limitation of deep breathing, atelectasis and pneumonitis, and unless detected and properly treated, it may become a life threatening lesion, especially in elderly patients (3). Thus, an appropriate radiological examination and diagnosis of a rib fracture is of clinical significance in chest trauma (3).
The Annals of Thoracic Surgery, 2014
Surgical stabilization of the rib fractures has been successfully performed for the management of... more Surgical stabilization of the rib fractures has been successfully performed for the management of pain in multiple rib fractures, fixation of chronically painful nonunion, reduction of overriding ribs, and flail chest cases. Herein we report a patient who was treated with titanium rib clips after a motor vehicle accident leading to pulmonary parenchymal laceration and multiple painful rib fractures. Three of the rib clips were broken 4 months after the operation. The patient underwent the second operation for restabilization of the broken ribs. We review the relevant literature, with particular emphasis on the management of this complication.
The American Journal of Surgery, 2009
BACKGROUND: We performed an analysis of giant hydatid cysts (GCHs) detected in the adult populati... more BACKGROUND: We performed an analysis of giant hydatid cysts (GCHs) detected in the adult population by comparison with the features of other simple hydatid cysts (CHs) in the light of the relevant literature. METHODS: The records of 74 adult patients who were operated on in our clinic for pulmonary CHs between 2001 and 2005 were retrospectively evaluated. Cysts that were 10 cm or larger in diameter on any plane were considered GCHs. The cysts were classified into 2 groups as GCHs (group A) and other (group B). The groups were then compared for age, sex, symptom, cyst location, preoperative complications, surgical procedure performed, operative morbidity, and mortality. RESULTS: Of 74 patients, 10 (13.5%) were in group A and 64 were in group B. No differences were detected between the clinical presentation, gender distribution, surgical procedure performed, and postoperative morbidity and mortality rates of GCHs and other cysts in adults. In both groups, there were no significant differences between the rates of involvement of 2 lungs (P ϭ .527). However, both groups had lower lobe involvement, more markedly in group A (81.8% and 45.5% respectively; P ϭ .023). Two patients in group A (20%) and 18 patients in group B (28.1%) had complicated cysts. CONCLUSIONS: The tendency of GCH to involve the lower lobe of the lung compared to smaller cysts suggests underlying mechanisms other than lung elasticity in the late onset of the symptoms parallel to cyst growth.
The Journal of Trauma: Injury, Infection, and Critical Care, 2003
Pseudoaneurysms of the popliteal and tibioperoneal arteries after gunshot injuries.
Heart, Lung and Circulation, 2005
The purpose of this study was to determine when patients are able to return to their normal work ... more The purpose of this study was to determine when patients are able to return to their normal work or home activities. Eighty cases, 35 females (44%) and 45 males (56%), presenting to our hospital between the years of 2003 and 2004 were prospectively evaluated. There were no hemopneumothorax or associated injury. The patients were randomized into two groups with respect to treatment modalities as the following: non-steroid anti-inflammatory (NSAIDs) and Tramadol treatment groups. In the follow-up, visual analog scale (VAS), and vital capacity were conducted on the days 0, 2, 7 and 30 and 6 months. The results were statistically analyzed. The mean age of the group receiving NSAIDs was 55.42 +/- 15.72, and for the group receiving tramadol treatment, it was 55.67 +/- 17.23. VAS result was 7.8 +/- 1.8 in those receiving NSAIDs treatment, while it was 8.2 +/- 1.6 in the other group. The vital capacity was 235.54 +/- 82 ml for the former group, and 232.43 +/- 89.44 for the latter. In their follow-up, particularly by the 7th day, significant improvement of VAS and vital capacity were observed (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.01). Maximum improvement was achieved on the 30th day (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). There was no change in the 6th month. Patients are able to return to their normal work or home activities after 7 days. Patients experienced steadily decreasing pain and improved vital capacity at each time point after injury. No difference in response was seen between the two medications. A significant improvement is observed by the 7th day after the trauma (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.01). Optimal improvement was achieved on the 30th day (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001).
Heart, Lung and Circulation, 2005
Hemangiopericytoma is a mesenchymal neoplasm originating from pericytes--a cell type that surroun... more Hemangiopericytoma is a mesenchymal neoplasm originating from pericytes--a cell type that surround capillaries. Its primary localization in the lung is extremely rare. A 41-year-old male patient was admitted to our hospital with an abnormal opacity on his chest X-ray. A primary tumor, located in the left upper lobe, was resected, and final diagnosis was hemangiopericytoma of pulmonary origin. The patient has been well for 2 years since the operation with no sign of recurrence or metastasis. A rare case of primary pulmonary tumor has been presented, and possibilities and difficulties in diagnosis as well as therapy are discussed.
Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2006
egener's granulomatosis (WG) is a multiorgan system disease of unknown etiology characterize... more egener's granulomatosis (WG) is a multiorgan system disease of unknown etiology characterized by granulomatous inflammation, tissue necrosis, and variable degrees of vasculitis in small-and medium-sized blood vessels. Although WG may affect virtually any ...