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Bülent Çomçalı,Barış Saylam,Buket Altun Özdemir 대한외과학회 2022 Annals of Surgical Treatment and Research(ASRT) Vol.102 No.2
Purpose: The aim of this study was to evaluate the effect of neuromonitoring on the number of lymph nodes (LNs) removed when applied during neck dissection. Methods: A total of 166 patients receiving neck dissection due to papillary thyroid cancer were separated into 2 groups (monitoring group, n = 76; non-monitoring group, n = 90). Results: The number of LNs dissected was observed to be statistically significantly higher in the monitoring group (P = 0.001), and the difference between the groups in the number of positive LNs was significant (P = 0.031). There was seen to be a negative relationship between the number of positive LNs dissected and recurrence (r = –0.404, P = 0.005). Conclusion: Intraoperative neuromonitoring during neck dissection makes a positive contribution to the prevention of the development of recurrence by increasing the number of LNs excised and the number of metastatic LNs.
Comparison of Coskun and Lichteinstein hernia repair methods for groin hernia
Tolga Dinc,Hayri Mukerrem Cete,Barı? Saylam,Mehmet Vasfi Ozer,Arife Polat Duzgun,Faruk Co?kun 대한외과학회 2015 Annals of Surgical Treatment and Research(ASRT) Vol.89 No.3
Purpose: Coskun hernia repair technique has been reported to be an effective new fascia transversalis repair with its short-term follow-up results. Our aim is to determine the results of Coskun hernia repair technique and to compare it with Lichtenstein technique. Methods: At this comparative retrospective study a total of 493 patients, who had groin hernia repair procedure using Coskun or Lichtenstein technique, between January 1999 and March 2010 were enrolled into the study. Patients were reached by telephone and invited to get a physical examination. Results: Out of 493 groin hernia repairs, 436 (88.5%) were carried out by residents and 57 (11.5%) by attending surgeons. Lichtenstein technique was the choice in 241 patients and 252 patients underwent Coskun hernia repair technique. Groin hernia recurrence was detected in 8 patients (3.1%) in Coskun hernia repair group and 7 patients (2.9%) in Lichtenstein group. Comparison of early complication rates in Coskun group (3.9%) and Lichtenstein group (4.5%) showed no significant difference. Late complication rates were significantly higher in Lichtenstein group (1.2% vs. 4.9%). The operation time was shorter in Coskun group (44 minutes) than in Lichtenstein group (60 minutes). Subgroup of patients, whose hernia repair operations were carried out by attending surgeons, had a recurrence rate of 0% and 3.8%, in Coskun group and Lichtenstein group, respectively. Conclusion: This study showed that Coskun hernia repair technique has a similar efficacy with Lichtenstein repair, on follow-up.
Effects of Rhinophototherapy on Quality of Life in Persistant Allergic Rhinitis
Emel Çadalli Tatar,Hakan Korkmaz,Ünzile Akpinar Sürenoğlu,Güleser Saylam,Ali Özdek 대한이비인후과학회 2013 Clinical and Experimental Otorhinolaryngology Vol.6 No.2
Objectives. To investigate the effect of rhinophototherapy with medical therapy on quality of life in persistent allergic rhinitis. Methods. A prospective, randomized study was being performed between December 2009 and March 2010. The study included65 patients with persistent allergic rhinitis. The diagnosis was confirmed with positive skin tests. All of the patientshad house dust mite allergies. We divided the patients into two groups. First group (n=33) was given topicalmometasone furoate 200 mcg/day and levocetirizine 5 mg/day for a month. Rhinophototherapy was applied withthe same medical therapy to the second group (n=32), twice a week for three weeks continuously. Rhinophototherapyincluded visible light, ultraviolet A and ultraviolet B. We evaluated patients before the treatment, at the first monthand at the third month after treatment with rhinoconjunctivitis quality of life questionnaire, nasal symptom scoresand visual analogue scale (VAS) scores. Results. Improvements of all variables of the quality of life questionnaire, nasal symptom scores and VAS were statisticallysignificant in the second group both on the first and the third months when compared with the first group. Conclusion. Allergic rhinitis is a social problem and impairs quality of life. Rhinophototherapy with medical therapy improvesthe quality of life in allergic rhinitis.