Publications by authors named "Leventoglu S"
Background: This study aimed to investigate the causes of failure after the ileal pouch-anal anastomosis (IPAA) procedure for ulcerative colitis (UC) and to determine the independent risk factors affecting their quality of life.
Methods: This multi-center cohort study included all UC patients who underwent IPAA at nine referral centers in Türkiye from 2010 to 2018. Centers were categorized as high-volume (≥10 cases/year) or low-volume (<10 cases/year).
Article Synopsis
- Appendicitis is a common surgical emergency, but there's ongoing concern about the rate of unnecessary surgeries and uncertainty in diagnosis, prompting this study to evaluate existing risk prediction models for appendicitis.
- The research involved 3,358 adult patients with right iliac fossa pain from 84 centers, focusing on data like clinical findings, diagnostic tests, and rates of unnecessary surgeries, using various risk scoring systems to analyze effectiveness.
- Results showed that while the Adult Appendicitis Score performed best overall, the RIPASA score was more effective in men; both scoring systems demonstrated strong diagnostic capabilities, but female patients had higher rates of negative appendicectomy and lower surgery rates compared to males.
Objective: To identify the effect of stoma site marking on stoma-related complications.
Methods: The study sample included 639 individuals with stomas who were followed up in a stomatherapy unit in Turkey between January 1, 2017, and June 20, 2021. Researchers collected patient data from nursing records.
Purpose: This study aims to adapt and validate the Cleveland Clinic Colorectal Cancer Quality of Life Questionnaire (CCF-CaQL) in Turkish, addressing the significant need for reliable, language-specific QoL measures for colorectal cancer (CRC) in Turkiye. This effort fills a critical gap in CRC patient care, enhancing both patient-provider communication and disease-specific QoL assessment.
Methods: The CCF-CaQL was translated into Turkish, verified for accuracy, and reviewed for clarity and relevance.
Aim: The primary aim of the European Society of Coloproctology (ESCP) Guideline Development Group (GDG) was to produce high-quality, evidence-based guidelines for the management of cryptoglandular anal fistula with input from a multidisciplinary group and using transparent, reproducible methodology.
Methods: Previously published methodology in guideline development by the ESCP has been replicated in this project. The guideline development process followed the requirements of the AGREE-S tool kit.
Purpose: Obstructed defecation syndrome represents 50-60% of patients with symptoms of constipation. We aimed to compare the two frequently performed surgical methods, laparoscopic ventral mesh rectopexy and transperineal mesh repair, for this condition in terms of functional and surgical outcomes.
Methods: This study is a retrospective review of 131 female patients who were diagnosed with obstructed defecation syndrome, attributed to rectocele with or without rectal intussusception, enterocele, hysterocele or cystocele, and who underwent either laparoscopic ventral mesh rectopexy or transperineal mesh repair.
Introduction: Hemorrhage is a challenging complication of pelvic surgery. This study aimed to analyze the causes, management, and factors associated with morbidity in patients experiencing major pelvic hemorrhage during complex abdominopelvic surgery.
Methods: Patients who had major intraoperative pelvic hemorrhage during complex abdominopelvic surgery at 11 tertiary referral centers between 1997 and 2017 were included.
Background: Available guidelines describing the procedural treatment of thrombosed external hemorrhoids (TEH) rely solely on expert opinion. We aimed to compare local excision (LE) and thrombectomy (incision) in terms of treatment success, factors affecting success, and outcomes.
Methods: This was a multicenter, prospective, observational study conducted in eight centers from September 2020 to September 2021.
Aim: Data regarding the operative management of presacral tumours present various dilemmas due to their rarity and heterogeneous nature. The aim of this study was to evaluate the management strategy, factors associated with operative morbidity and long-term postoperative outcomes in a large group of patients undergoing surgery for presacral tumours.
Method: This study was designed as a multicentre retrospective cohort study.
A horseshoe fistula is a complex fistula that needs to be appropriately recognized to decrease recurrence rates usually resulting from insufficient treatment. The video presents a modified Hanley procedure for horseshoe fistula.
View Article and Find Full Text PDFObjective: Individuals with a stoma and their spouses experience various changes with regard to their new life situation. The authors aimed to determine the changes caused by stoma creation in the lives of individuals with a stoma and their spouses.
Methods: This study was carried out with individuals with a stoma (n = 15) and their spouses (n = 15) in a stoma therapy unit.
Article Synopsis
- Anal stenosis is a common complication following aggressive hemorrhoid surgeries, significantly impacting patients' quality of life, mainly due to the use of advanced surgical technologies.
- While mild anal stenosis can be managed non-surgically, more severe cases require surgical reconstruction due to complications like severe pain and difficulty in defecating.
- Traditional treatments like lateral internal sphincterotomy often fail for anal stenosis because chronic fibrosis prevents skin stretching; therefore, surgical solutions typically involve using various flap techniques to restore anal function.
Retrorectal or presacral tumors are rare lesions located in the presacral area and considered as being derived from multiple embryological remnants. These tumors are classified as congenital, neurogenic, osseous, inflammatory, or miscellaneous. The most common among these are congenital benign lesions that present with non-specific symptoms, such as lower back pain and change in bowel habit.
View Article and Find Full Text PDFArticle Synopsis
- The study focuses on the challenges of treating perianal Buschke-Löwenstein tumor (BLT), which presents as a large cauliflower-like growth that can infiltrate surrounding tissues and has a high chance of coming back after treatment.
- A total of 11 patients underwent wide local excision and V-Y flap reconstruction without using any additional treatment methods, with an average follow-up of over 50 months.
- Results showed that while some patients experienced minor issues like wound dehiscence, there were no serious complications, indicating that this surgical approach is effective for BLT.
Background: Selective versus routine histopathological examination after cholecystectomy is still in debate. This study aims to investigate the effect of histopathology results on treatment modality and surgery strategy. The validity of the selective histopathology approach was questioned.
View Article and Find Full Text PDFBackground: This article aims to give practical information and concrete suggestions on what should be considered in emergency, semi-urgent and elective settings for common anorectal diseases in the hectic period of the COVID-19 pandemic, based on early results of a series of anorectal interventions.
Methods: Referring to other related guidelines, general considerations specific to the diagnosis and treatment of highly prevalent anorectal diseases were developed to target the correct patients, evaluate and orientate by telemedicine, adapt the Proctology Unit to the new pandemic, and control contamination and infection. Specific considerations for common anorectal diseases were cited, and our initial results were retrospectively documented.
Article Synopsis
- Proctology was significantly impacted during the COVID-19 pandemic, leading to a study aimed at assessing the current status of proctologic practice across three regions in Italy - North, Centre, and South.
- A survey involving 299 specialists highlighted demographics, with a predominance of men and consultants, and showed that those in the South faced a higher risk of infection.
- The findings indicate that surgical practice was more likely to continue in areas not solely focused on COVID-19 care, emphasizing the need for targeted management strategies moving forward.
Introduction: This pilot study aimed to document our results of treating anorectal abscesses with drainage plus loose seton for possible coexisting high fistulas or drainage plus fistulotomy for low tracts at the same operation.
Methods: Drainage plus fistulotomy were performed only in cases with subcutaneous mucosa, intersphincteric, or apparently low transsphincteric fistula tracts. For all other cases with high transsphincteric fistula or those with questionable sphincter involvement, a loose seton was placed through the tract.
Aim: To evaluate volumetric contrast-enhanced three-dimensional T1-weighted (CE 3D T1) turbo spin-echo (TSE) with variable flip angle (SPACE), CE 3D T1 volumetric interpolated breath-hold examination (VIBE) sequences with conventional CE-two-dimensional (2D)-T1 and 2D-T2-weighted imaging (WI) sequences in assessing perianal fistulas.
Methods And Materials: Twenty-three patients with perianal fistula were included in this prospective study and underwent pelvic magnetic resonance imaging (MRI) at 3 T including fat-supressed CE 3D T1 SPACE, CE 3D T1 VIBE, axial and coronal 2D-T1WI together with 2D-T2WI sequences in the axial and coronal planes. Acquisition times were recorded.