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3. Outcomes of Video-Assisted Thoracoscopic Decortication in Pleural Empyema in Children.

Author

ATEŞ, Ufuk, ERGÜN, Ergun, QURBANOV, Anar, KHALILOVA, Pari, SÖZDUYAR, Sümeyye, ÇİFTCİ, Ergin, ÖZDEMİR, Halil, ARGA, Gül, KONCA, Hatice Kübra, GÜN, Emrah, KENDİRLİ, Tanıl, BİNGOL KOLOĞLU, Meltem, YAĞMURLU, Aydın, ÇAKMAK, Murat, and GÖLLÜ, Gülnur

Subjects
*VIDEO-assisted thoracic surgery, *EMPYEMA, *POSTOPERATIVE period
Abstract

Objective: The aim of this study is to determine efficacy, safety, and feasibility of video-assisted thoracoscopic surgery (VATS) in childhood empyema with two port technique. Material and Methods: 34 patients under 17 years of age were included to the study. Demographic and clinical data of the patients were recorded retrospectively Results: 34 patients under 17 years of age were included in the study. The first time the complaints started was 12 days. VATS was performed on mean 12 (2-46) days after the complaints of the patients started. The empyemas were in right hemithorax in 21 children and left in 11. Two patients underwent bilateral decortication Mean of chest tube removal time was 9.70 (2-26) days. While the postoperative stay was 23.50 (4-120) days, the total hospital stay was 32.50 (7-142) days. Emphysema developed in 7 patients in the following period. Chest tube revision was performed in a patient. Emphysema spontaneously regressed at follow-up in 6 patients. Two children died from non-thoracoscopy reasons after respiratory arrest and liver transplantation. Conclusion: VATS is a feasible method with good results pleural empyema in children. The results are satisfactory in the early or late period of disease. [ABSTRACT FROM AUTHOR]

Published
2023
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4. Comparison of pre-PICU and per-PICU interventions, clinical features and neurologic outcomes of motor vehicle collision trauma and other mechanisms of trauma in children

Author

BOTAN, EDİN, KENDİRLİ, TANIL, ATEŞ, UFUK, ERGÜN, ERGUN, KAHILOĞULLARI, GÖKMEN, GÜN, EMRAH, AZAPAĞASI, EBRU, PERK, OKTAY, HAVAN, MERVE, AKYÜZLÜER GÜNEŞ, MERVE SETENAY, and ÖZCAN, SERHAN

Subjects
Motor Vehicles, Anesthesiology and Pain Medicine, Multiple Trauma, Accidents, Traffic, Emergency Medicine, Humans, Surgery, Child, Intensive Care Units, Pediatric, Retrospective Studies
Abstract

BACKGROUND: Motor vehicle collisions (MVCs) are the number one cause of death in the pediatric age group. The aim of this study was to determine the differences between MVCs and other trauma mechanisms (OTMs) in patients who were followed up at a pediatric intensive care unit (PICU). METHODS: Data were retrospectively collected for pediatric trauma patients hospitalized at a third level PICU between 2014 and 2018. Patients have been divided into two groups as MVC and OTM. Demographic data, pre-PICU interventions (cardiopulmonary resuscitation, intubation, injury severity scores, time period before intensive care), intensive care interventions (invasive mechanical ventilation, non-invasive mechanical ventilation, need for surgery, type of surgery, need for transfusion, and inotrope therapy) were compared between two groups. Outcomes were evaluated by survival, discharge from hospital, Pediatric Cerebral Performance Category (PCPC) at discharge, tracheotomy presence, and amputation performed. RESULTS: During the 5-year study period, 135 patients were hospitalized for trauma. The injured body regions were the head and neck (61.5%), abdomen and lumbar spine (39.4%), and extremities and pelvis (36.3%). Multiple trauma was mostly seen in the MVC trauma group (p=0.001). The need for invasive mechanical ventilation and inotrope therapy was greater in the MVC group (p=0.002, 0.001 respectively). One hundred and twenty-three patients (91.1%) survived. The mortality rate was higher in the MVC group (p=0.026). The PCPC results were better in the OTM group (p=0.017). CONCLUSION: MVCs lead to more multiple trauma cases than OTMs. Invasive mechanical ventilation, inotropes, and other intensive care interventions were necessary much more often in MVC victims than in OTM patients.

Published
2022

5. Effects of intraperitoneal bupivacaine injection in laparoscopic appendectomy in children on post-operative pain: A controlled randomized double-blinded study.

Author

Ergün, Ergun, Gurbanov, Anar, Göllü, Gülnur, Ateş, Ufuk, Koloğlu, Meltem Bingöl, Çakmak, Ahmet Murat, and Can, Özlem Selvi

Subjects
APPENDIX surgery, APPENDECTOMY, BUPIVACAINE, LAPAROSCOPIC surgery, POSTOPERATIVE care, RANDOMIZED controlled trials, PARENTERAL infusions, STATISTICAL sampling, LOCAL anesthetics
Abstract

Copyright of Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2022
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6. An indirect effect of COVID-19 pandemic: Increased pediatric perforated appendicitis rate due to delayed admission.

Author

Ergün, Ergun, Sözduyar, Sümeyye, Gurbanova, Aynur, Serttürk, Fırat, Çiftçi, Ergin, Özdemir, Halil, Arga, Gül, Konca, Hatice Kübra, Akdemir Kalkan, Güle Çınar3,İrem, İD, Ezgi Gülten3, Can, Özlem Selvi, Akova5 İD, Birsel Şen, Fitöz, Ömer Suat, Vatansever, Göksel, Tekin, Deniz, Göllü, Gülnur, Bingöl-Koloğlu, Meltem, Yağmurlu, Aydın, Çakmak, Murat, and Ateş, Ufuk

Subjects
*APPENDECTOMY, *APPENDICITIS, *COVID-19 pandemic, *MULTISYSTEM inflammatory syndrome
Published
2021
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8. Thoracoscopic Lobectomy and Segmentectomy in Children.

Author

Ateş, Ufuk, Taştekin, Nil Yaşam, Ergün, Ergun, Bahadır, Kutay, Göllü, Gülnur, Koloğlu, Meltem Bingöl, Aktuğ, Tanju, Dindar, Hüseyin, and Yağmurlu, Aydın

Subjects
LOBECTOMY (Lung surgery), THORACOSCOPY, CHEST endoscopic surgery, CHILDHOOD cancer, PEDIATRIC surgery
Abstract

Copyright of Journal of Ankara University Faculty of Medicine / Ankara Üniversitesi Tip Fakültesi Mecmuasi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2020
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