Tamer Sekmenli | Selcuk University (Selçuk Üniversitesi) (original) (raw)

Papers by Tamer Sekmenli

Annals of Saudi Medicine

BACKGROUND: Abdominal pain is a common and non-specific symptom in children. It is important to b... more BACKGROUND: Abdominal pain is a common and non-specific symptom in children. It is important to be able to distinguish the source of abdominal pain before surgery. OBJECTIVES: Assess importance of the systemic immune inflammation index (SII), systemic inflammation response index (SIRI), and other systemic inflammatory response blood cell indices in predicting the diagnosis and prognosis of acute appendicitis in children. DESIGN: Retrospective cohort SETTING: Single center in Turkey PATIENTS AND METHODS: The files of patients with abdominal pain aged 0–18 years who underwent surgery for appendicitis in our clinic between January 2011 and January 2022 were reviewed. According to the pathology results, patients were divided into two groups, those with pathologic findings of appendicitis (positive for appendicitis) and those without appendicitis. Systemic inflammation markers were statistically compared between the groups. MAIN OUTCOME MEASURES: Systemic inflammation markers. SAMPLE SIZ...

Archivos Argentinos de Pediatria, 2018

RESUMEN Introducción. El objetivo del estudio fue investigar la relación entre reflujo vesicouret... more RESUMEN Introducción. El objetivo del estudio fue investigar la relación entre reflujo vesicoureteral (RVU) y daño renal en pacientes con infección urinaria (IU) sin fiebre, primera IU febril e IU recurrente. El objetivo secundario, determinar si la proteína C-reactiva (PCR) actuaría como predictor de nefroesclerosis en las IU febriles. Población y métodos. Estudio prospectivo; pacientes pediátricos con IU sin fiebre, primera IU febril e IU recurrente. Los análisis de laboratorio de rutina incluyeron hemograma completo, urea, creatinina, análisis de orina completamente automatizado, urocultivo y PCR. Se realizó ecografía urológica luego del diagnóstico de IU, cistouretrografía miccional tras seis semanas y gammagrafía renal estática con ácido dimercaptosuccínico marcado con 99mTc tras seis meses a todos los participantes. Resultados. Participaron 47 niños con IU sin fiebre, 48 con primera IU febril y 61 con IU recurrente. Hubo una diferencia estadísticamente significativa entre los grupos respecto de RVU y nefroesclerosis (p= 0,001 y p= 0,011, respectivamente). También hubo una diferencia estadísticamente significativa respecto de nefroesclerosis entre los pacientes con y sin RVU (p= 0,001). Además, se estableció una diferencia estadísticamente significativa respecto de nefroesclerosis (p < 0,05) en los pacientes con PCR cinco veces mayor o menor que el valor de corte aceptado (5 mg/dl). Conclusión. La proporción de nefroesclerosis fue paralela a la frecuencia de RVU. Cuanto mayor era el grado de RVU, mayor era el daño renal. Se determinó una correlación positiva entre PCR elevada y nefroesclerosis, lo que señala esclerosis durante el diagnóstico de pielonefritis.

Urologia Internationalis, 2017

Pediatric practice and research, Apr 30, 2020

Gastrointestinal kanamalar çocukluk çağında sık karşılaşılan morbidite ve mortalite nedenleriden ... more Gastrointestinal kanamalar çocukluk çağında sık karşılaşılan morbidite ve mortalite nedenleriden biridir. Gastrointestinal kanalda Treitz ligamanının proksimalinden olan kanamalar üst gastrointestinal sistem kanamaları olarak adlandırılır. Aksine Treitz ligamanının distalinden olan kanamalar ise alt gastrointestinal sistem kanamaları olarak adlandırılmaktadır. Bu yazıda kanlı dışkılama nedeni ile başvuran çocuğa tanısal yaklaşım gözden geçirilmektedir.

Gülhane tıp dergisi, 2008

OLGU SUNUMU ÖZET Nuck kanal kisti, kız çocuklarında prosesus vaginalisin kapanma defekti sonucu o... more OLGU SUNUMU ÖZET Nuck kanal kisti, kız çocuklarında prosesus vaginalisin kapanma defekti sonucu oluşan inguinal bölgenin kistik bir patolojisidir. Sağ kasık bölgesinde şişlik nedeniyle getirilen 5 ve 3 yaşlarında iki kız olgunun yapılan fizik muayenelerinde sırası ile 3x3 cm ve 3x2 cm boyutlarında kistik kitleler tespit edildi ve olgular "sliding" herni ön tanısıyla opere edildi. Her iki olguya ait kistik kitlelerin histopatolojik inceleme sonucu Nuck kanal kisti olarak rapor edildi. Nuck kanal kisti saptanan bu iki olgu sunularak literatür bilgisi gözden geçirilmiştir.

Konuralp Tip Dergisi, Aug 1, 2012

Ağrı, 2022

Inguinal hernia repair is one of the most common daily surgeries performed in pediatrics. This pr... more Inguinal hernia repair is one of the most common daily surgeries performed in pediatrics. This prospective randomized clinical trial aims to compare ultrasound (USG)-guided ilioinguinal/iliohypogastric (IL/IH) nerve block and pre-incisional wound infiltration (PWI) in terms of post-operative analgesia on pediatric unilateral inguinal hernia repair. Methods: After receiving ethics committee approval, 65 children aged 1-6 years who had unilateral inguinal hernia repair were allocated to USG-guided IL/IH nerve block (group IL/IH, n=32) and (group PWI, n=33). In both groups, 0.5 mg/kg 0.25% bupivacaine+2% prilocaine mixture was used by calculating the volume as 0.5 mL/kg for the block and infiltration. The primary outcome was to compare both groups' post-operative Face, Legs, Activity, Cry and Consolability (FLACC) scores. The secondary outcomes included the time to first analgesic request and the total acetaminophen consumption. Results: The FLACC pain scores at the 1 st , 3 rd , 6 th , and 12 th h were statistically significantly lower in group IL/IH than in group PWI (p=0.013, p<0.001, p<0.001, and p=0.037, respectively) (p<0.001). There was no difference between the groups at the 10 th and 30 th min and at 24 h (p=0.472, p=0.586, and p=0.419, respectively) (p>0.05). Conclusion: USG-guided IL/IH nerve block in pediatric patients with inguinal hernia repair was found to be superior to PWI in terms of lower pain scores, less additional analgesia requirement, and longer first analgesia requirement.

Journal of contemporary medicine, Sep 30, 2020

Konuralp Tip Dergisi, Dec 1, 2010

Konjenital diyafragma hernisi, her 5000 canlý ve her 2000 ölü doðumda bir görülür. Vakalar genell... more Konjenital diyafragma hernisi, her 5000 canlý ve her 2000 ölü doðumda bir görülür. Vakalar genellikle term yenidoðanlardýr. Genellikle aðýr solunum sýkýntýsýyla bulgu verir. Eºlik eden diðer organ anomalileri bulunabilir. Mortalitesi %40-50 kadardýr. Biz burada, tekrar eden pnömoni tanýlarýyla yanlýºlýkla medikal olarak tedavi edilmeye çalýºýlan ve gecikmiº olarak konjenital diyafragma hernisi (Bochdalek hernisi) tanýsý alan 2.5 yaºýndaki bir kýz olguyu sunduk. Anahtar kelimeler: Konjenital diyafragma hernisi, bochdalek hernisi, pnömoni A rare cause of recurrent pneumonia: A delayed diagnosis of Bochdalek hernia ABSTRACT The incidence of congenital diaphragmatic hernia is 1/5000 in livebirths and 1/2000 in stillbirths. Cases are usually term newborns. Most prominent symptom is respiratory distress. Other organ malformations may accompany. Mortality rate is about 40-50%. Here, we presented a girl 2.5 years-old admitted with reccurent pulmonary infections and treated with medications but diagnosis of congenital diaphragmatic hernia (Bochdalek hernia) was delayed.

Electronic journal of general medicine, Jan 10, 2012

Epidemiologic studies show that sleep apnea increases risks for cardiovascular disease independen... more Epidemiologic studies show that sleep apnea increases risks for cardiovascular disease independently of individuals' demographic characteristics or risk markers i.e., smoking, alcohol, obesity, diabetes, dyslipidemia, atrial fibrillation, and hypertension. Individuals with severe sleep apnea are at increased risk for pulmonary arterial hypertension. The underlying mechanisms explaining associations between obstructive sleep apnea and pulmonary arterial hypertension are not entirely delineated. Several intermediary mechanisms might be involved including sustained sympathetic activation, intrathoracic pressure changes, and oxidative stress. Other abnormalities such as disorders in coagulation factors, endothelial damage, platelet activation, and increased inflammatory mediators might also play a role in the pathogenesis of pulmonary hypertension and cardiovascular disease. Linkage between obstructive sleep apnea and pulmonary arterial hypertension is corroborated by evidence that treatment of sleep apnea with continuous positive airway pressure reduces systolic blood pressure, improves left ventricular systolic function, and diminishes platelet activation. Several systematic studies are necessary to explicate complex associations between sleep apnea and pulmonary hypertension.

Annals of Clinical and Analytical Medicine

Aim: In the present study, the aim is to determine the approaches of patients to healthcare servi... more Aim: In the present study, the aim is to determine the approaches of patients to healthcare services before and during the pandemic by comparing the rates of outpatient admissions and hospitalizations to Selçuk University Medical Faculty Hospital throughout the present study. Material and Methods: The present study is a retrospective, descriptive study. Patients diagnosed with COVID were admitted to Selçuk University Medical Faculty Hospital on March 5, 2020. During the pandemic, no patients diagnosed with COVID were admitted to the adult cardiology, neurology, internal medicine, psychiatry, emergency, general surgery and pediatric emergency, pediatric psychiatry, pediatrics and pediatric surgery polyclinics and services. Hence, these clinics were included in the study. In the study, patients' data who applied to the relevant clinics of Selçuk University Medical Faculty Hospital or were hospitalized in the relevant clinics, including the years 2019, 2020 and 2021, were examined as pre-pandemic (2019) and pandemic period (2020, 2021) quarterly. The parameters of the present study were the pre-pandemic and pandemic period. The data obtained in the study were evaluated with descriptive statistics (as frequency and percentage). Results: In the first year of the pandemic, it was determined that both the number of outpatient clinic referrals and hospitalizations to the relevant clinics decreased significantly. Although the impact of epidemic diseases, emerging throughout human history has decreased, the risk they carry is systematically exaggerated, and the fears of the public fueled constantly by the media. Discussion: Unfortunately, this fear in society was also reflected in hospital admissions. Therefore, to manage medical services correctly during pandemics, planned and organized psychosocial support services are needed to preserve the mental health of the community as well as to enable appropriate medical interventions.

Medicine Science | International Medical Journal, 2021

A 3, 5-years-old girl was being followed for prenatal intraventricular hemorrhage and hydrocephal... more A 3, 5-years-old girl was being followed for prenatal intraventricular hemorrhage and hydrocephalus. A ventriculoperitoneal shunt had been placed to treat progressive hydrocephalus 1 year after cesarean delivery. The shunt was revised 2 years later due to shunt dysfunction. Six months later, wound revision was performed at our hospital due to the presence of discharge from the cranial tip wound. The patient wasplaced on antibiotic therapy. One week later she was admitted with intermittent vomiting. Physicalexamination revealed right lower quadrant tenderness. Standing abdominal x-ray and abdominal ultrasound showed free fluid in the abdomen and intestinal wall thickening. Preliminary diagnosis was ileus and the patient underwent emergency surgery by a pediatric surgeon. During surgery, the catheter was observed to revolve around the jejunal segment like a cuff, disrupting intestinal nutrition and causing necrosis. The necrotic intestine was resected and end-to-end anastomosis was performed. Recovery was uneventful and she began oral feeding 5 days postoperatively. Abdominal complications of a ventriculoperitoneal shunt should be considered in the differential diagnosis in a child with a VPS who presents to the hospital with abdominal pathology.

Pediatric practice and research, Dec 31, 2019

Accidental knotting of urethral catheters and enteric feeding tubes in the bladder is a rare comp... more Accidental knotting of urethral catheters and enteric feeding tubes in the bladder is a rare complication in pediatric patients. If the catheters, which are thin and flexible, are advanced too far into the bladder, the catheter may be knotted in the bladder. In such cases, it may be impossible to remove the catheter without surgery. Traumatic urethral injuries may also be encountered in some of those who were removed without surgery. We present two cases of knotted catheters in the bladder. The first case was a 2-month-old male patient who was catheterized with a 5fr feeding tube. In this case, the catheter was removed after slight traction. The catheter was seen knotting twice. There was no complication except mild urethral bleeding. The other case was a 6-month-old male patient who was catheterized with a 6 fr feeding tube. In this case, the catheter could only be removed by traction after general anesthesia. The catheter was seen to be a knot once. Doctors dealing with pediatric patients should be careful. In particular, catheters that are 6 fr and thinner are bendable and have a high risk of folding and knotting in the bladder. Therefore, these catheters should not be advanced too far into the bladder.

Ultrasound Quarterly, Dec 1, 2018

We aimed to determine the difference in tissue stiffness, which might reflect histologic damage, ... more We aimed to determine the difference in tissue stiffness, which might reflect histologic damage, by comparing the potential of the shear wave elastography (SWE) values of operated undescended testes (OUT) with those of undescended testes (UT) and normal testes. A total of 120 patients (235 testes) were enrolled in the current study. Quantitative SWE values were measured by manually drawing contours of the entire testis structure with a free region of interest. A group of 66 OUT were classified as group A. Operation age and the period passed over the operation time and SWE values were compared among the testes assigned to group A. The 50 testes having inguinal canal placement were classified as group B, and the 119 testes whose sonography findings were normal were classified as group C. These 3 groups were compared in terms of the SWE values and volume. The SWE values of group A were significantly higher than those of groups B and C (P < 0.001). The SWE values of group B were significantly higher than those of group C (P < 0.001). The SWE values of OUT were significantly higher than those of the contralateral normal testes and UT (P < 0.001). There were no significant differences among operation age and period passed over the operation time and SWE values in the OUT (P > 0.05). There was no significant correlation between SWE values and testes' volume (P > 0.05). The SWE technique can be used effectively as a new parameter to assess stiffness of the OUT and UT to predict interstitial fibrosis and the severity of histologic damage.

Electronic journal of general medicine, Apr 11, 2011

A two days-old newborn female patient with Down Syndrome was admitted to our hospital with compla... more A two days-old newborn female patient with Down Syndrome was admitted to our hospital with complaint of vomiting. Physical examination was unremarkable except for the typical physical appearance of Down Syndrome. An abdominal radiography showed the double-bubble sign, characteristic for duodenal obstruction, and the patient was operated with prediagnosis of duodenal atresia. However, during the operation, Hirschsprung's disease was suspected and the diagnosis was confirmed by rectal biopsy. In this study, we described the case of duodenal atresia together with Hirschsprung's disease in a patient with Down Syndrome. Radiologists and pediatric surgeons should consider this issue for a correct diagnosis and treatment.

Autopsy and Case Reports, 2018

Simultaneous calcified fibrous pseudotumor (CFT) and Castleman disease (CD) is an extremely rare ... more Simultaneous calcified fibrous pseudotumor (CFT) and Castleman disease (CD) is an extremely rare association. CD is an uncommon lymphoproliferative disease that can arise in various sites of the body, while CFT is a rare type of benign fibrous lesion that frequently affects children and young adults, occurring as solitary or multiple lesions throughout the human body. Both entities are rare and exhibit typical and diverse histomorphological features. We report the case of a 15-year-old female patient, who, at the age of 13 had a biopsy performed at an external medical center; however, after 4 months the lesion had regrown. This lesion was removed with a surgical operation; however, it regrew 2 years later and was removed a third time. The results of the latter two biopsies were the same: CFT accompanying CD. The histologic examination of the excised lymph node and the surrounding tissue showed hyalinized fibrous tissue containing dystrophic and psammomatous calcification. In this case, the hyaline vascular type of CD was found to be intertwined with a CFT, which hampered the differentiation of whether both entities emerged within the lymph node or if the CFT developed from the soft tissue and then involved the lymph node. Future studies involving larger case series will provide a more precise insight, which should serve to resolve the current uncertainty.

Pediatric emergency care, Nov 1, 2017

This report is related to the unusual case of an 11-year-old boy presenting with acute gastric di... more This report is related to the unusual case of an 11-year-old boy presenting with acute gastric dilatation after the intake of excessive food and carbonated beverages after a 12-hour fasting who died of complications of acute reperfusion syndrome after decompression of the stomach with gastrotomy. An enormously distended stomach was encountered without volvulus and obstruction in the operation. Autopsy and histological findings revealed a severely distended stomach, the walls of which were notably thin and displayed transmural necrosis. The reported case demonstrated that enormous food and beverage intake may cause acute gastric dilatation and gastric necrosis, and subsequently, sudden death may develop in children. The subject reported here is the youngest child in literature dying from acute gastric dilatation and necrosis without any underlying disorders and exposed to autopsy.

The Eurasian Journal of Medicine, Oct 1, 2015

Kocatepe tıp dergisi, Jan 16, 2018

edilen toplam 22 retroperitoneal tümörlü hastanın kayıtları retrospektif olarak değerlendirildi. ... more edilen toplam 22 retroperitoneal tümörlü hastanın kayıtları retrospektif olarak değerlendirildi. GEREÇ VE YÖNTEM: Retroperitoneal tümör nedeniyle 2011-2013 arasında cerrahi girişim yapılan olgular geriye dönük olarak incelendi. Primer retroperitoneal tümörü kontrol altına alınan, başka uzak organ metastazı olmayan cerrahi tedavi uygulanan olgular çalışmaya dahil edildi. Yaş, cinsiyet, primer tanı anında tümör evresi, cerrahi tedavi yöntemi, patolojik tanı ve takip açısından olguların dosyaları retrospektif olarak değerlendirildi. BULGULAR: Olgularımızın 9'u (%40) erkek, 13'ü (%60) kadındı. Ortalama yaş erkeklerde 71 ay (3-132), kadınlarda 37 ay (6-204) idi. Histopatolojik olarak olguların 15 (%68)'i nöroblastom, 4'ü (%18.5) Wilms tümörü, 1'i (%4.5) embriyonal rabdomyosarkom, 1'i (%4.5) berrak hücreli sarkom, 1'i (%4.5) malign sinir kılıfı tümörü olarak değerlendirildi. Tanı anında olguların 8'i (%36) evre I, 7'si (%32) Evre III, 7'si (%32) evre IV safhasındaydı. SONUÇ: Olgularımızın %68'i nöroblastom olup, tanı anında hastaların %64'ü evre III ve evre IV idi. Anatomik lokalizasyonları nedeniyle ileri evrelere kadar sessiz tümörler olan retroperitoneal tümörlerin çoğu nöroblastomdur ve genellikle ileri evrelerde tanı alırlar.

Research Square (Research Square), Aug 17, 2022

INTRODUCTION: Lymphatic malformations (LM) are rare congenital anomalies. The traditional treatme... more INTRODUCTION: Lymphatic malformations (LM) are rare congenital anomalies. The traditional treatment is surgical excision, but intralesional sclerosing agent injection is now preferred because of frequent recurrences after surgery, poor cosmetic results, and a high complication rate. We aimed to evaluate the e cacy of sclerosing agent injection used in the treatment of LMs in children. MATERIALS AND METHODS: We retrospectively analyzed the age, gender, admission symptoms, physical examination ndings, radiological imaging results, treatment methods, complications, length of hospital stay, and outcomes of children treated for LM between January 2011 and January 2022. The lesion sizes of the patients who underwent sclerosant (Bleomycin) injection under general anesthesia were recorded before and after the treatment, and the difference between them was evaluated statistically. RESULTS: Fifteen patients were retrospectively analyzed. The mean age was 45.2+-14.1 months (min:3median:17-max:210). Of these, 10 (66.6%) were male and 5 (33.3%) were female (F/M=1/2). The mean age of male patients was 55 +-20.1 months (min :3-max:210 months); The mean age of the female patients was 25.8 +-11.2 (min 3-max: 66 months). Seven patients had a single dose, two had twice and six had three and more. Three patients had LM in different localisations simultaneously. After the sclerosant injection, surgery was performed on 2 patients, and the tissue that became a mass was removed. The average lesion size before the treatment was 55.2+-28.4 mm; after treatment: 23.8+-18.2mm. With the statistical analysis, it was seen that there was a statistically signi cant difference between the dimensions before and after the treatment (p<0.05) and the sclerosant injection had a great effect on the treatment (R:0.89). CONCLUSION: Intralesional injection of bleomycin is less effective for microcystic or mixed type LMs, but provides effective reduction for a safe surgical procedure. It is an effective treatment for macrocystic lesions.