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21 results on '"Seher, Nusret"'

15. Comparison of Preoperative and Postoperative Testicular Elasticity and Vascularity in Pediatric Patients With Inguinal Hernia.

Author

Seher, Nusret, Nayman, Alaaddin, Koplay, Mustafa, and Çiftci, İlhan

Subjects
INGUINAL hernia, CHILD patients, SHEAR waves, ELASTICITY, TESTIS
Abstract

Objectives: Testicular complications after inguinal hernia (IH) operations can be overlooked because they are difficult to diagnose, but usually have a long‐term effect. This study evaluates the effects of IH on preoperative and postoperative testicular elasticity and vascularity in children with unilateral hernias, examined using the superb microvascular imaging (SMI) and shear wave elastography (SWE) modalities. Methods: Forty‐four male children with unilateral indirect IHs were included. Quantitative SMI and SWE examinations of the testicles were performed on the herniated and intact sides, both preoperatively and at 1, 3, and 6 months postoperatively. The SMI and SWE values of the testicles were compared between the herniated and intact sides, as well as with the opposite testicle. Results: Preoperative vascular index (VI) values were lower on the herniated side than on the intact side. Furthermore, preoperative kPa and m/s values were higher on the herniated side than on the intact side. In follow‐up examinations performed at 6 months postoperatively, there was no equalization of kPa or m/s values, although VI values were equalized on both sides. Conclusions: Testicular vascularization secondary to mechanical compression in testicles on the herniated side increased significantly in the postoperative period, and reached a level similar to that of the contralateral side. Mean SWE values decreased in testicles on the herniated side, but were not equal with those of contralateral testicles. Preoperative and postoperative evaluation of testicles using SMI and SWE is important for detecting possible advanced testicular complications in children with IH. [ABSTRACT FROM AUTHOR]

Published
2022
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21. Tip B Kesintili Arkus Aorta: Olgu Sunumu

Author

Betül Sevindik, Nusret Seher, Zeliha Fazliogullari, Ahmet Kağan Karabulut, Nadire Unver Dogan, Selçuk Üniversitesi, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Fazlıoğulları, Zeliha, Doğan, Nadire Ünver, Sevindik, Betül, Seher, Nusret, and Karabulut, Ahmet Kağan

Subjects
type B, BT anjiyografi, varyasyon, tip B, Interrupted aortic arch, Kesintili arkus aorta, variation, Genel ve Dahili Tıp, BT angiography
Abstract

Kesintili arkus aorta nadir rastlanan, fatal seyirli konjenital kardiyak bir anomali olup, aorta ascendens ile aorta descendens arasındaki bir segmentte atrezinin olması şeklinde tanımlanır ve %98 oranında diğer kardiovasküler anomalilerle birlikte bulunur. Üç tipi mevcuttur. Tip A’ da kesinti, a. subclavia sinistra’nın distalindedir. Tip B’de, a. carotis communis sinistra ile a. subclavia sinistra, tip C’de, a. carotis communis sinistra ile a. carotis communis dextra arasındadır. Selçuk Üniversitesi pediatrik kardiyoloji kliniğine başvuran postnatal 5. gününde bir erkek bebeğin çekilen ekokardiyografisinde; truncus brachiocephalicus’un distalinden itibaren tip B kesintili arkus aorta, ventriküler septal defekt, biküspit aorta, patent ductus arteriosus, atrial septal defekt, annulus aorticus hipoplazisi tespit edildi. Bilgisayarlı tomografi anjiyografisinde ise, a. carotis communis sinistra ile a. subclavia sinistra arasında bağlantı olmadığı görüldü. Bu vakada, arcus aorta anomalisi ve eşlik eden diğer kardiovasküler anomalilerin erken tanı ve tedavisinde radyolojik görüntüleme yöntemlerinin önemi vurgulanmaktadır., Interrupted aortic arch is a rare, fatal, congenital cardiac anomaly characterized by the presence of a segmental atresia between the descending and ascending aorta. In type A, the interruption is distal to left subclavian artery. In type B, between left common carotid artery and left subclavian artery; in type C, between left and right common carotid artery. Interrupted aortic arch is present to 98% with other cardiovascular anomalies. Echocardiography of a male baby at the 5th postnatal day referring to Selçuk University pediatric cardiology clinic revealed; type B interrupted aortic arch starting from distal truncus brachiocephalicus, ventricular septal defect, bicuspid aorta, patent ductus arteriosus, atrial septal defect and aortic annulus hipoplasia. The computer tomograpy angiography revealed interruption between left common carotid artery and left subclavian artery. This study highlights the importance of radiologic imaging methods in the early diagnosis and treatment of aortic arch anomaly and accompanying other cardiovascular anomalies.

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