ali isler - Academia.edu (original) (raw)

Papers by ali isler

Research paper thumbnail of Comparison of the Protective Effects of Calendula officinalis Extract and Hyaluronic Acid Anti-adhesion Barrier against Postoperative Intestinal Adhesion Formation in Rats

Turkish journal of colorectal disease, Jun 14, 2018

Research paper thumbnail of Repair with Gonadal Vein Patch in the Unexpected Left Renal Vein Injury During Donor Nephrectomy

Transplantation Case Reports, Jun 29, 2020

The objective of this presentation is to share our experiences with an unusual repair of a defect... more The objective of this presentation is to share our experiences with an unusual repair of a defective graft renal vein using an own gonadal vein, which occurred iatrogenically during a laparoscopic donor nephrectomy. Case Report: A 35-year-old man with situs inversus totalis was referred to our clinic for a living-related renal transplant with a diagnosis of end-stage renal disease. The donor was 66-year-old mother of the patient. Laparoscopic left donor nephrectomy was planned for his mother. At the end of laparascopic disection renal vein tear occurred during the renal extraction. Without any intervention renal extraction was performed to maintain the patency of renal allograft and to stabilize the donor. Partial hemorrhage from renal vein was brought under control. Donor nephrectomy was completed with a defective remaining segment of renal vein. We decided to repair with gonadal vein patch ın the unexpected renal vein injury. Patch from tearing part of renal vein with short gonadal vein repairment was performed. After repairment of graft renal vein, anastomosis to external iliac vein was performed. The transplant procedure was completed successfully. The kidney functioned immediately. Doppler ultrasound revealed that perfusion of the kidney was normal. The postoperative creatinine levels of recipient were in the normal ranges. Daily urine output was normal. Conclusion: Repairment of a defective graft renal vein by using own gonadal vein seems to be a simple, safe, and reliable method. This technique provides an alternative approach for the reconstruction of vessels in living-donor kidney transplants.

Research paper thumbnail of Evaluation of the findings affecting the treatment decision in cases of adhesive intestinal obstruction

Medicine Science | International Medical Journal

To establish a standard approach in patient management by determining the parameters that affect ... more To establish a standard approach in patient management by determining the parameters that affect the decision of surgical or conservative treatment in adhesive small bowel obstructions. 94 patients who were admitted to the emergency department with symptoms of ileus and were diagnosed with adhesive intestinal obstruction according to clinical, examination and imaging findings were grouped as patients who were followed up with conservative methods (Group 1) and patients who underwent surgery (Group 2). All patients' laboratory values (hemoglobin, white blood cell (WBC), C- reactive protein (CRP), Blodd urea nitrogen (BUN)/creatinin, sodium, potassium, Lactate dehydrogenase (LDH), lactate and amylase) and imaging findings (air-fluid level in direct abdominal X-ray, increase in small intestine diameter (≥3.95 cm) in computerized tomography), wall thickness increase (>3mm), transition zone, fecal sign, and presence of contrast in the colon) were evaluated, and criteria for early ...

Research paper thumbnail of A Rare Cause of Acute Abdomen: Diagnosis and Management of Adult Colonic Intussusception

Euroasian Journal of Hepato-Gastroenterology, 2016

Intussusception in adults is very rarely seen, and this cause acute abdomen. A computed tomograph... more Intussusception in adults is very rarely seen, and this cause acute abdomen. A computed tomography (CT) scan, clinical suspicion, history, and a physical examination are important for the diagnosis. We present two cases of colonic intussusceptions induced by lipoma. The cases had similar locations, diagnoses, and management. Both lipomas were located close to the cecum in the ascending colon, and a right segmental colon resection was performed in both cases. The follow-up of both cases was uneventful. Although benign lesions can cause colonic intussusception, the high incidence of malignancy in colonic lesions should always be considered. Therefore, oncologic surgical procedures should be applied. The definitive diagnosis can be made by histopathology.

Research paper thumbnail of An unusual cause of hypercalcemic crisis: Water-clear cell double parathyroid adenoma

Turkish Journal of Surgery, 2017

INTRODUCTION Primary hyperparathyroidism is one of the most encountered endocrine pathologies, wi... more INTRODUCTION Primary hyperparathyroidism is one of the most encountered endocrine pathologies, with an incidence of 21.6/100,000. In the etiology, the leading cause is solitary adenoma (87%-91%), generally originating from chief cells (1). Adenoma originating from more than one gland is a rarer event and comprises 2%-15% of all adenomas (2). The rare form (1%) of water-clear cell hyperplasia (WCCH) of hyperparathyroidism was first described by Albright et al. (3) in 1934. As adenoma in the etiology is even more uncommon, only 19 cases have been reported since 1994, and of those cases, adenoma was in both parathyroid glands in only one case (1, 2, 4-20). Hypercalcemic crisis, which was first described by Hannas in 1939, is a severe and life-threatening condition of severe hypercalcemia progressing to associated failure of various systems (21). Of the known cases, the case reported here is the first of hypercalcemic crisis caused by water-cell clear adenoma (WCCA). In previous reports related to WCCA, the histopathological features of the disease have generally been the focus. The aim of this study was to present the preoperative and postoperative periods of the disease and to evaluate the clinical characteristics. Defining the clinical characteristics of these kinds of rare cases can be considered useful for clinicians. In this case report, we present a patient who was successfully treated for double WCCA, and the case is discussed in comparison with the 19 cases reported in literature. MATERIAL AND METHODS A new case of WCCA with hyperparathyroidism is presented in this study and it was aimed to evaluate the preoperative clinical features and postoperative follow-up period in a comparison with other reports in literature of patients operated on for WCCA. Therefore, between January 2016 and March 2016, two of the authors scanned the PubMed and Google Scholar databases for publications between January 1, 1990 and March 21 2016 using the key words (Parathyroid tissue* OR Parathyroid gland* OR Parathyroid cells*) AND (Parathyroid adenoma* OR Adenoma*) AND (Water-clear-cell* OR water clear cell*) (Field: All Fields) (Figure 1). A total of 17 publications were determined, containing 19 patients with the demographic and technical data such as year of publication, patient age, gender, radiological and operative findings, and

Research paper thumbnail of Comparison of the Protective Effects of Calendula officinalis Extract and Hyaluronic Acid Anti-adhesion Barrier against Postoperative Intestinal Adhesion Formation in Rats

Turkish journal of colorectal disease, Jun 14, 2018

Research paper thumbnail of Repair with Gonadal Vein Patch in the Unexpected Left Renal Vein Injury During Donor Nephrectomy

Transplantation Case Reports, Jun 29, 2020

The objective of this presentation is to share our experiences with an unusual repair of a defect... more The objective of this presentation is to share our experiences with an unusual repair of a defective graft renal vein using an own gonadal vein, which occurred iatrogenically during a laparoscopic donor nephrectomy. Case Report: A 35-year-old man with situs inversus totalis was referred to our clinic for a living-related renal transplant with a diagnosis of end-stage renal disease. The donor was 66-year-old mother of the patient. Laparoscopic left donor nephrectomy was planned for his mother. At the end of laparascopic disection renal vein tear occurred during the renal extraction. Without any intervention renal extraction was performed to maintain the patency of renal allograft and to stabilize the donor. Partial hemorrhage from renal vein was brought under control. Donor nephrectomy was completed with a defective remaining segment of renal vein. We decided to repair with gonadal vein patch ın the unexpected renal vein injury. Patch from tearing part of renal vein with short gonadal vein repairment was performed. After repairment of graft renal vein, anastomosis to external iliac vein was performed. The transplant procedure was completed successfully. The kidney functioned immediately. Doppler ultrasound revealed that perfusion of the kidney was normal. The postoperative creatinine levels of recipient were in the normal ranges. Daily urine output was normal. Conclusion: Repairment of a defective graft renal vein by using own gonadal vein seems to be a simple, safe, and reliable method. This technique provides an alternative approach for the reconstruction of vessels in living-donor kidney transplants.

Research paper thumbnail of Evaluation of the findings affecting the treatment decision in cases of adhesive intestinal obstruction

Medicine Science | International Medical Journal

To establish a standard approach in patient management by determining the parameters that affect ... more To establish a standard approach in patient management by determining the parameters that affect the decision of surgical or conservative treatment in adhesive small bowel obstructions. 94 patients who were admitted to the emergency department with symptoms of ileus and were diagnosed with adhesive intestinal obstruction according to clinical, examination and imaging findings were grouped as patients who were followed up with conservative methods (Group 1) and patients who underwent surgery (Group 2). All patients' laboratory values (hemoglobin, white blood cell (WBC), C- reactive protein (CRP), Blodd urea nitrogen (BUN)/creatinin, sodium, potassium, Lactate dehydrogenase (LDH), lactate and amylase) and imaging findings (air-fluid level in direct abdominal X-ray, increase in small intestine diameter (≥3.95 cm) in computerized tomography), wall thickness increase (>3mm), transition zone, fecal sign, and presence of contrast in the colon) were evaluated, and criteria for early ...

Research paper thumbnail of A Rare Cause of Acute Abdomen: Diagnosis and Management of Adult Colonic Intussusception

Euroasian Journal of Hepato-Gastroenterology, 2016

Intussusception in adults is very rarely seen, and this cause acute abdomen. A computed tomograph... more Intussusception in adults is very rarely seen, and this cause acute abdomen. A computed tomography (CT) scan, clinical suspicion, history, and a physical examination are important for the diagnosis. We present two cases of colonic intussusceptions induced by lipoma. The cases had similar locations, diagnoses, and management. Both lipomas were located close to the cecum in the ascending colon, and a right segmental colon resection was performed in both cases. The follow-up of both cases was uneventful. Although benign lesions can cause colonic intussusception, the high incidence of malignancy in colonic lesions should always be considered. Therefore, oncologic surgical procedures should be applied. The definitive diagnosis can be made by histopathology.

Research paper thumbnail of An unusual cause of hypercalcemic crisis: Water-clear cell double parathyroid adenoma

Turkish Journal of Surgery, 2017

INTRODUCTION Primary hyperparathyroidism is one of the most encountered endocrine pathologies, wi... more INTRODUCTION Primary hyperparathyroidism is one of the most encountered endocrine pathologies, with an incidence of 21.6/100,000. In the etiology, the leading cause is solitary adenoma (87%-91%), generally originating from chief cells (1). Adenoma originating from more than one gland is a rarer event and comprises 2%-15% of all adenomas (2). The rare form (1%) of water-clear cell hyperplasia (WCCH) of hyperparathyroidism was first described by Albright et al. (3) in 1934. As adenoma in the etiology is even more uncommon, only 19 cases have been reported since 1994, and of those cases, adenoma was in both parathyroid glands in only one case (1, 2, 4-20). Hypercalcemic crisis, which was first described by Hannas in 1939, is a severe and life-threatening condition of severe hypercalcemia progressing to associated failure of various systems (21). Of the known cases, the case reported here is the first of hypercalcemic crisis caused by water-cell clear adenoma (WCCA). In previous reports related to WCCA, the histopathological features of the disease have generally been the focus. The aim of this study was to present the preoperative and postoperative periods of the disease and to evaluate the clinical characteristics. Defining the clinical characteristics of these kinds of rare cases can be considered useful for clinicians. In this case report, we present a patient who was successfully treated for double WCCA, and the case is discussed in comparison with the 19 cases reported in literature. MATERIAL AND METHODS A new case of WCCA with hyperparathyroidism is presented in this study and it was aimed to evaluate the preoperative clinical features and postoperative follow-up period in a comparison with other reports in literature of patients operated on for WCCA. Therefore, between January 2016 and March 2016, two of the authors scanned the PubMed and Google Scholar databases for publications between January 1, 1990 and March 21 2016 using the key words (Parathyroid tissue* OR Parathyroid gland* OR Parathyroid cells*) AND (Parathyroid adenoma* OR Adenoma*) AND (Water-clear-cell* OR water clear cell*) (Field: All Fields) (Figure 1). A total of 17 publications were determined, containing 19 patients with the demographic and technical data such as year of publication, patient age, gender, radiological and operative findings, and