Publications by authors named "Kale Ahmet"

Article Synopsis
  • The study investigates the effects of two anaesthetic agents, sevoflurane and desflurane, on the endothelial glycocalyx during laparoscopic hysterectomy by measuring levels of syndecan-1 and heparan sulfate.
  • Results show no significant difference in glycocalyx markers between the two anaesthetics at any time point, but there was a notable change in heparan sulfate levels within the desflurane group.
  • The conclusion indicates that both anaesthetics can mitigate surgical stress on the endothelial glycocalyx, with desflurane offering a more substantial protective effect than sevoflurane.
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  • Ovarian torsion is when the ovaries twist, cutting off blood supply, which can hurt the tissue.
  • A study looked at if a medicine called tocilizumab could help protect rats from damage caused by this twisting.
  • The results showed that rats given tocilizumab had less injury and better healing compared to those that didn't get the medicine.
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  • The study evaluated abdominal CT findings in COVID-19 patients and their relationship with demographic, clinical, and lab data.
  • Ischemic findings were present in 20.3% and non-ischemic in 27.7% of the 1,181 reviewed cases, with bowel wall thickening being the most common ischemic finding.
  • Patients with CT findings had longer hospital stays and higher mortality rates, indicating that abdominal symptoms in COVID-19 are significant and often linked to adverse outcomes.
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There are many studies in the literature on thymoquinone (TQ)-related cancer cells and models, and there is no relevant study investigating the efficacy of the oxime derivative of TQ (TQ-Ox). This study synthesized TQ-Ox and examined its cytotoxic, genotoxic and apoptotic properties in ovarian cancer cells. The structure TQ-Ox was confirmed with NMR.

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Objective: To compare conventional fluid management (CFM) with pleth variability index (PVI) guided goal-directed fluid management (GDFM) during elective total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH+BSO) operations.

Study Design: Randomised controlled trial.

Place And Duration Of Study: Department of Anaesthesiology and Reanimation, Faculty of Medicine, Health Sciences University, Kartal Dr.

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  • The review compares sciatic and sacral nerve root endometriosis in terms of anatomy, symptoms, diagnostics, treatments, and outcomes, revealing key differences.
  • A total of 362 patients were analyzed, finding that the sciatic group exhibited significantly more motor and sensory symptoms, while the sacral group was more likely to suffer from pudendal neuralgia.
  • The study concludes that both types of endometriosis are predominantly right-sided, with laparoscopic surgery being the preferred treatment and MRI and myelography being valuable diagnostic tools.
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Purpose: Pudendal neuralgia (PN) is an extremely painful neuropathy of the pudendal nerve resulting in a negative impact on a patient's quality of life. The aim of this study is to evaluate the 2-year outcomes of repetitive doses of the transvaginal pudendal nerve injections (PNI), and to compare the success of the PNI concerning anatomical levels (endopelvic and extrapelvic portion) of the pudendal nerve pathology.

Methods: This retrospective longitudinal cohort study consists of patients with PN diagnosed with the first four essential Nantes criteria.

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This study was conducted to investigate the effectiveness of vaginal natural orifice transluminal endoscopic surgery (vNOTES) gynecologic scarless surgery in benign and malignant class 2 and class 3 obese patients. The class 2 and class 3 obese women undergoing vNOTES scarless surgery for benign and malign indications at a tertiary referral medical center between January 2019 and April 2021 were retrospectively analyzed and surgical outcomes were measured. In this study, 81 class 2 and class 3 obese patients underwent gynecological procedures using vNOTES scarless surgery.

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Objective: Congenital infections can cause newborn hearing loss. Although vertical transmission of coronavirus disease 2019 (COVID-19) infection is theoretically possible, this has not been proven yet. To our knowledge, there is no previous report on whether COVID-19 infection during pregnancy can cause congenital hearing loss.

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Article Synopsis
  • * Out of 765 patients, three tested positive for COVID-19 shortly after surgery, but none required intensive care or further treatment, suggesting low risk under safety measures.
  • * The findings indicate that with careful patient selection and proper precautions, elective gynaecologic surgeries can be performed safely during pandemic conditions.
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Objective: This review aimed to categorize thoracic endometriosis syndrome (TES) according to whether the presenting symptoms were catamenial and to evaluate whether such a categorization enables a better management strategy.

Data Sources: An electronic search was conducted using the PubMed/Medline database.

Methods Of Study Selection: The following keywords were used in combination with the Boolean operators AND OR: "thoracic endometriosis syndrome," "thoracic endometriosis," "diaphragm endometriosis," and "catamenial pneumothorax.

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Aim: The study objective was to compare intraoperative and early postoperative outcomes among patients who underwent hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (and single-port lararoscopy for presumed benign gynecologic disorders).

Methods: We retrospectively reviewed 40 patients who underwent single-port laparoscopic hysterectomy and 20 patients who underwent hysterectomy via natural orifice transluminal endoscopic surgery. Patients' age, body mass index, history of previous delivery and surgery, total operation time (from skin incision to closure), intraoperative and postoperative complications conversion to another surgical procedure, drop of hemoglobin level, postoperative pain at 1 and 18 h, average hospital stay, and clinical outcomes were analyzed.

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It has been stated that the effectiveness of pectopexy method for the treatment of pelvic organ prolapse (POP) is similar to sacrocolpopexy. We aimed to search the effects of pectopexy method to the quality of life, sexual function and urinary incontinence. Thirty-one patients who were operated for POP with the technique of laparoscopic pectouteropexy/pectocolpopexy between January 2016 and November 2017 were included the study.

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Entrapment neuropathy of the sciatic nerve and pudendal nerve are painful syndromes that are often overlooked by physicians. Laparoscopic surgical interventions for nerve entrapment syndromes of the posterior pelvis focus on removing the compression lesion with the purpose of eliminating the suspected cause of sciatica, as well as pudendal neuralgia. Herein, the authors report the rare event of sciatic and pudendal nerve entrapment, which was caused by aberrant vessels and a variant piriformis muscle bundle, as a seldom-diagnosed cause of sciatica and pelvic pain, for both neurosurgeons and neuropelveologists.

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The aim of the present study was to determine the incidence of unexpected gynaecological malignancies in patients undergoing hysterectomy for benign indications and to evaluate their clinical characteristics. Data from 6448 cases who had undergone hysterectomy for benign indications between the dates of 01.01.

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Aim: To evaluate the efficacy and reliability of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) technique in making the diagnosis of ascites with unknown cause.

Methods: Seven patients with ascites with unknown cause and diagnosed with vNOTES between November 2018 and May 2019 were analyzed retrospectively. The following data were collected retrospectively: body mass index, age, parity, previous abdominal or pelvic surgery, total operating time, perioperative complications and visual analog scale scores for evaluation of postoperative pain.

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Aim: The purpose of this study was to assess the feasibility and efficacy of transvaginal natural orifice transluminal endoscopic surgery (v-NOTES) staging surgery for extreme obese patients with early-stage type-1 endometrial cancer.

Methods: Study included cases of extreme obese patients with early-stage endometrial cancer who underwent v-NOTES between January 2019 and June 2019 at a tertiary referral medical center. The following parameters were noted: patient age, body mass index (BMI), operating time, conversion to conventional laparoscopy or laparotomy, any intraoperative or postoperative complications, estimated blood loss, pre- and postoperative hemoglobin levels, postoperative pain scores of the patients using visual analogue scale (VAS) at 6th, 12th and 24th h, length of hospital stay and final pathology report.

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Objectives: Laparoscopic surgery has numerous advantages over open surgery in view of postoperative pain. In this context, to elevate its benefits and patient satisfaction, different pain management interventions have been used so far. This study aimed to evaluate the effect of bupivacaine injection to trocar sites following laparoscopic hysterectomy for the management of postoperative pain.

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Article Synopsis
  • Pudendal neuralgia (PN) is a painful condition that affects quality of life, and different techniques for treating it, such as pudendal nerve infiltrations, are important for diagnosis and management.
  • This study compared two methods of pudendal nerve infiltration: finger-guided transvaginal (TV-PNI) and ultrasound-guided transgluteal (TG-PNI), evaluating their effectiveness on 40 patients.
  • Results showed that both techniques had high success rates for reducing pain, but there was no significant difference between their effectiveness, suggesting that the finger-guided method is a viable alternative to ultrasound guidance for treating PN.
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We aimed to investigate the effects of chewing gum on bowel activity and postoperative pain in patients undergoing laparoscopic hysterectomy. Patients were randomised into two groups ( = 58, study;  = 51, control). In the study group, patients started chewing sugarless gum every 2 h for 15 min, beginning at the second postoperative hour.

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With increasing cesarean section rates all around the world, postoperative pain management is an important issue for all women. Good postoperative pain management helps to shorten the recovery period of the mother, improve the mother's feeling of well-being, enable good breastfeeding, and provide optimum maternal-neonatal bonding. To evaluate the efficacy of intraoperative superior hypogastric plexus block (SHPB) during cesarean section and describe the technique.

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Objective: To evaluate the efficacy of intraoperative superior hypogastric plexus (SHP) blocks on postoperative pain management in abdominal hysterectomies.

Materials And Methods: A total of 78 female American Society of Anesthesiologists grade I or II patients who underwent elective total abdominal hysterectomy for benign reasons were assessed for eligibility. After exclusion of patients who did not fulfill the inclusion criteria, 60 patients were evaluated in 2 groups: patients who had intraoperative SHP block (SHP; n=30), and patients who did not have intraoperative SHP block (No-SHP; n=30).

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Objective: To compare the intermediate-term follow-up results of laparoscopic pectopexy and vaginal sacrospinous fi xation procedures.

Materials And Methods: Forty-three women who had vaginal sacrospinous fixations (SSF) using Dr. Aksakal's Desta suture carrier and 36 women who had laparoscopic pectopexies were re-examined 7 to 43 months after surgery.

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The aim of this case report is to demonstrate the robot-assisted laparoscopic decompression approach to treat the aberrant vessels entrapping the sacral nerves causing pelvic pain. A 34-year-old female patient had been complaining about pelvic pain on the left perineal region which was radiating to the sacral 1-2 nerves dermatome for 3 years. Decompression of sacral nerve roots and sciatic nerve was performed via robot-assisted and a four-arm Da Vinci Si Surgical System laparoscopic approach.

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