Publications by authors named "Ali Ihsan Dokucu"

Mitochondrial neurogastrointestinal encephalopathy (MNGIE) is a well-known mitochondrial depletion syndrome. Since Van Goethem et al. described MNGIE syndrome with pathogenic POLG1 mutations in 2003, POLG1 gene became a target for MNGIE patients.

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  • Intussusception is a common cause of intestinal blockage in young children, often with no clear cause in most cases, and it can recur in 5-16% of patients, making treatment difficult.
  • The study analyzed 10 years of cases of recurrent intussusception where no lead point was found and introduced a new surgical technique for these patients.
  • Out of 33 children treated with a procedure called ultrasound-guided hydrostatic reduction (UGHR), 81.8% successfully responded to the procedure, while some required additional surgical interventions when UGHR was unsuccessful.
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Objectives: Percutaneous internal ring suturing (PIRS) method for inguinal hernia (IH) repair in girls is increasingly used in clinics especially experienced in minimal invasive surgery. We aimed to evaluate and compare our results of laparoscopic PIRS and the open procedure for IH repair in girls in our series.

Methods: We retrospectively evaluated female patients in our pediatric surgery clinic who underwent IH surgery between 2012 and 2017 and results were assessed statistically.

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  • Caudal and dorsal penile nerve blocks are popular anesthesia techniques used during hypospadias surgery, but some studies suggest they may lead to postoperative complications.
  • A recent study examined 49 patients with distal hypospadias, comparing outcomes between those receiving caudal blocks and those with ultrasound-guided dorsal nerve blocks.
  • The results showed a significant difference in postoperative complications; specifically, 16% of patients with caudal blocks developed fistulas, while none in the dorsal block group did, highlighting potential risks associated with the caudal technique.
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Background: Testicular torsion is still an urgent surgical condition and without any treatment it can cause infertility. The main pathophysiology of testicular torsion ischaemic injury however; the main sequalae of detorsion is reperfusion injury. Furthermore; treatments to prevent ischemic reperfusion injury due to decreased blood flow are important to preserve testicular function.

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  • The study analyzes the experience of laparoscopic pyloromyotomy in 15 patients with infantile hypertrophic pyloric stenosis (IHPS) from 2016 to 2019, focusing on skill development throughout the learning curve.
  • It reports a male-to-female ratio of 2.7:1 in patients, with common symptoms including non-bilious projectile vomiting and some cases of failure to thrive.
  • Overall, the study concludes that laparoscopic surgery offers good postoperative outcomes when performed by experienced surgeons in minimally invasive techniques, despite some complications and variations in surgical duration.
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Objectives: This study aims to evaluate patients who were diagnosed and treated due to Hirschsprung disease (HD) in our clinic.

Methods: We retrospectively evaluated the demographic and clinical findings of the patients with HD, who were operated in our clinic between January 2010 and December 2015.

Results: During study period, 28 patients (19 male 9 female) were found to be operated due to HD in our clinic.

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  • Household chemicals cause severe esophageal burns in developing countries, leading to strictures, and there’s currently no standardized treatment for these conditions; this study explores the use of intraluminal esophageal stents as a potential solution.
  • A retrospective evaluation of seven patients with strictures due to corrosive esophagitis revealed that they were treated with self-expandable nitinol alloy stents, but they faced complications such as pain, vomiting, and difficulty swallowing.
  • The study concluded that further research is necessary to optimize stent characteristics and treatment protocols, as all stents had to be removed within 38 days due to complications.
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Objectives: We retrospectively evaluated the patients with primer spontaneous pneumothorax (PSP) who were treated with thoracoscopic resection.

Methods: We retrospectively collected the data of the patients with a spontaneous pneumothorax who were operated with video-assisted thoracoscopic surgery (VATS) between 2010 and 2016.

Results: During the study period, 10 patients applied to our hospital with spontaneous pneumothorax.

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Objectives: Anesthetic applications may cause increased neuronal damage in infants and children. Commonly cognitive or learning disability tests were used to investigate the neurological progress in children. Visual Evoked Potential is a gross electrical signal generated by the occipital regions of the cerebral cortex in response to visual stimulation and an objective assessment of brain function.

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  • A 46-year-old wife is undergoing kidney transplantation as a donor for her 52-year-old husband, who is the recipient.
  • CT scans revealed complications like a double renal artery and a tortuous aorta, making the procedure more complex.
  • Laparoscopic surgery was not feasible due to anatomical challenges, leading to an open surgery instead, highlighting the need to consider open conversion for similar cases.
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Background: Approximately 6.3 million Syrian people migrated to other countries due to war since 2011. There are more than 3.

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Necrotizing enterocolitis (NEC) is a severe gastrointestinal inflammatory disease associated with high rates of morbidity and mortality. Its pathophysiology includes hypoxic-ischemic injury that may be related to oxygen-derived free radical formation. Sesamol is considered to be an antioxidant and free radical scavenger with anti-inflammatory effects.

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Background: Soluble urokinase plasminogen activator receptor (suPAR) is a new biomarker of inflammation level. The aim of the study was to evaluate whether suPAR levels could be useful to detect acute appendicitis and to differentiate uncomplicated appendicitis (UA) from complicated appendicitis (CA).

Methods: We prospectively studied 105 patients consisting of 40 UA cases, 40 CA cases, and 25 control patients.

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Background: The Supreme™ and ProSeal™ laryngeal mask airways (LMAs) are widely used in paediatric anaesthesia; however, LMA use in infants is limited because many anaesthesiologists prefer to use tracheal intubation in infants. In this study, we compared the Supreme and ProSeal LMAs in infants by measuring their performance characteristics, including insertion features, ventilation parameters, induced changes in haemodynamics and rates of postoperative complications.

Methods: Infants of ASA physical status I scheduled for elective, minor, lower abdominal surgery were divided into two groups: the Supreme LMA group and the ProSeal LMA group.

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Here, we report two patients with a traumatic intraperitoneal bladder dome rupture repaired by laparoscopic intracorporeal sutures. The first patient was a 3-year old boy was admitted with a history of road accident. He had a traumatic lesion on his lower abdomen and a pelvic fracture.

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Introduction: We sought to retrospectively assess the operative findings and clinical outcomes of 148 girls who underwent laparoscopic inguinal hernia repair with the percutaneous internal ring suturing (PIRS) technique.

Methods: Between 2010 and 2014, girls with inguinal hernia underwent surgery using the laparoscopic PIRS technique described by Patkowski. Demographic and perioperative findings, complications, and recurrences were evaluated.

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This study investigated the impact of working for public versus private ambulance services in Turkey and elaborated on predictors of mental, physical, and emotional well-being in emergency medical technicians (EMT-Bs). In this observational cross-sectional study, an 81-question self-report survey was used to gather data about employee demographics, socioeconomic status, educational background, working conditions, and occupational health and workplace safety (OHS), followed by the 12-item General Health Questionnaire (GHQ-12), the Work-Related Strain Inventory (WRSI), and the Maslach Burnout Inventory (MBI) with three subscales: Emotional Exhaustion (MBI-EE), Depersonalization (MBI-DP), and Diminished Personal Accomplishment (MBI-PA). In 2011, 1,038 EMT-Bs worked for publicly operated and 483 EMT-Bs worked for privately owned ambulance services in Istanbul, Turkey, of which 606 (58.

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Purpose: Presence of the vermiform appendix in an inguinal hernia sac is known as Amyand's hernia. This may present as a tender inguinal swelling and is often misdiagnosed as irreducible or strangulated hernia.

Methods: Between January 2003 and December 2013 we treated 4498 patients with inguinal hernias and performed 3267 appendectomies.

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The cystic appearance of both oesophageal duplications and pulmonary hydatid cysts can cause a misdiagnosis very easily due to rarity of cystic oesophageal duplications beside the higher incidence of hydatid cyst, especially in endemic areas. Here we report a 7-year-old girl with an oesophageal duplication cyst on the left side misdiagnosed as a hydatid cyst. The aim of the study is to report rare oesophageal duplications in the differential diagnosis of intrathoracic cysts.

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Background. The aim of our study is to compare the efficacy of laparoscopic splenectomy (LS) between enlarged spleens and normal sized spleens. Methods.

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Purpose: The study was undertaken to assess the efficacy of ultrasound-guided saline enema in reducing intussusception and to determine the role of age and duration of symptoms on this event.

Methods: The case records of patients who were treated for intussusception at our institutions over the past 10 years were retrospectively analyzed. A total of 419 patients were treated for intussusception and 375 of them were included into the study.

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