Yazar "Serinsöz, Serdar" seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • Küçük Resim Yok
    Öğe
    Effective treatment and good cosmetic results in the treatment of pilonidal sinus disease; Comparison of four surgical methods
    (2020) Serinsöz, Serdar; Aktürk, Remzi
    Aim: In the treatment of pilonidal sinus disease (PSD), the patient wishes to be able to get rid of the disease quickly and effectivelywith the ideal treatment, which not only improves the patient's satisfaction with the best cosmetic result but also has a low recurrencerate. The aim of this study is to demonstrate that the gluteal sliding transposition (GST) method is more advantageous and preferredby patients in terms of better cosmetic results and lower loss with lower recurrence and complication rates.Materials and Methods: Between 2008 and 2017, patients who were operated for PSD were retrospectively reviewed usinghospital digital records. Four groups of patients were included in the study: those who underwent excision and secondary healing(ESH), excision and primary repair (EPR), GST, and Limberg flap transposition (LFT). The groups were compared based on time ofhospitalization, time of healing, time of labor loss, infection, hematoma, seroma and wound dehiscence, flap necrosis, paresthesia,recurrence and aesthetic satisfaction.Results: Between 2008 and 2017, 1526 patients underwent PSD surgery in the hospital. Of the patients, 276 were female and 1250were male, and their median age was 21.3 (16-45) years. The mean follow-up was 24 months (6-120 months). The longest meanoperation time (46.04 ± 9.1 min) was found in LFT patients. The longest time of healing was in the ESH group (49.62 ± 12.7 days)(p<0.05). Although there was no significant difference between GST and LFT in terms of healing time, the time of healing was shorterin GST than in ESH and EPR methods (18.72 ± 7.72 days) (p<0.05). The shortest loss of labor was observed in EPR (13.53 ± 2.02days) (p<0.05). The hematoma, seroma and the wound opening were more significant with the EPR method than other methods(p<0.05). While the aesthetic satisfaction was expected to be greater for the reconstructive procedure of LFT, the results showed thataesthetic satisfaction was found to be better with the GST method (p<0.05). In terms of recurrence, GST was also found to be themost advantageous method (4.4%) (p<0.05).Conclusion: The GST method provides lower hospitalization and complication rates, similar to the ESH, and quicker wound healingwith lower recurrences, as in LFT. In addition, GST has better aesthetic satisfaction than LFT.
  • Küçük Resim Yok
    Öğe
    Which method for the laparoscopic repair of inguinal hernia?; TAPP versus TEP
    (2020) Serinsöz, Serdar; Aktürk, Remzi
    Aim: The aim of this study is to prove that the total extraperitoneal patch plasty (TEP) method can be accepted as a standard methodin elective and appropriate cases.Materials and Methods: Six hundred sixty-five (665/678) patients with an uncomplicated primary inguinal hernia who consentedto participate in the study were randomized into two groups: Group I transabdominal preperitoneal patch plasty (TAPP) repair andGroup II TEP repair. Perioperative and postoperative complications and recurrence were detected with the help of radiology unit ofour hospital and recorded. The patients were followed up for 1, 6, 12, 24 and 48 weeks.Results: The difference between the number of Tackers and return to work was significant (p<0.05). While complications related tobleeding and anaesthesia were more common in TAPP (p<0.05), no difference was found between the two methods in terms of organinjury and conversion (p>0.05). A significant difference was found between the two methods in terms of all complications exceptfor chronic pain, seroma of inguinal area, subcutaneous emphysema and testicular ischemia (p <0.05). No significant differencewas found between obese patients and other groups when BMI groups were evaluated in terms of perioperative and postoperativecomplications (p>0.05).Conclusion: It is indisputable that the TEP method is less invasive than TAPP. TAPP should still remain method used in thelaparoscopic hernia learning curve for the pushing forward of laparoscopic anatomy vision and used for very complicated inguinalhernias such as the undescended testis and giant inguinal hernias.