This document discusses wide bladder neck anomalies and proximal hypospadias. It provides background on proximal hypospadias, which corresponds to 20% of total hypospadias cases and is usually associated with scrotal malformations. It discusses various classification systems and surgical techniques that have been developed to address proximal hypospadias dating back to the 1800s. The document also touches on urinary incontinence in children, expected bladder capacities, normal bladder control development, and organic vs functional causes of incontinence. It provides a case study of a 12-year-old male patient with a history of penoscrotal hypospadias correction and urinary incontinence.
Dr. William E. Ladd was a pioneering pediatric surgeon in the early 20th century who made significant contributions to advancing pediatric surgery and establishing it as a distinct surgical specialty. He helped develop new surgical techniques for various conditions in children including malrotation, intussusception, pyloric stenosis, and others. Ladd trained many future leaders in pediatric surgery and helped establish pediatric surgery programs and boards. He emphasized that children should not be treated merely as small adults and that their conditions require expertise specific to pediatric care. Ladd's work was instrumental in advancing and establishing pediatric surgery as a recognized specialty.
Venous access ports are implanted devices used to provide long-term vascular access for medication, fluids, or blood transfusions. They are safer and have fewer complications than other access methods like tunneled catheters. Ports are placed surgically under ultrasound or fluoroscopy guidance, with the port body implanted just under the skin and the catheter threaded into a large vein leading to the heart. Proper placement and care of ports can provide reliable access for years with minimal risks of infection, thrombosis, or other issues.
Vacuum assisted closure - Article - EN - 2017Oguz Kizilkaya
This document discusses the use of negative pressure wound therapy (NPWT) to treat abdominal wound dehiscence in patients with compromised healing. It describes a study of 21 patients treated with NPWT who had postoperative abdominal wound breakdown. NPWT resulted in decreased wound size and bowel edema in all patients. Definitive fascial closure was achieved in most patients. Complications occurred in 3 patients, including 2 enterocutaneous fistulas. The authors conclude that NPWT is an effective treatment for abdominal wound dehiscence and can be used for cases with exposed bowel.
1) Urinary catheters have been used for thousands of years to treat urinary retention, but Foley catheters introduced in the 1920s opened up new medical issues.
2) Indwelling catheters are used when clean intermittent catheterization is not possible, for reasons like neurological conditions, incontinence, surgery, or intensive care.
3) Long term catheter use can lead to complications like infection, bladder and kidney damage, stones, and trauma due to bacterial biofilm buildup. Future research aims to develop catheters that better mimic natural physiology and prevent these issues.
This document discusses wide bladder neck anomalies and proximal hypospadias. It provides background on proximal hypospadias, which corresponds to 20% of total hypospadias cases and is usually associated with scrotal malformations. It discusses various classification systems and surgical techniques that have been developed to address proximal hypospadias dating back to the 1800s. The document also touches on urinary incontinence in children, expected bladder capacities, normal bladder control development, and organic vs functional causes of incontinence. It provides a case study of a 12-year-old male patient with a history of penoscrotal hypospadias correction and urinary incontinence.
Dr. William E. Ladd was a pioneering pediatric surgeon in the early 20th century who made significant contributions to advancing pediatric surgery and establishing it as a distinct surgical specialty. He helped develop new surgical techniques for various conditions in children including malrotation, intussusception, pyloric stenosis, and others. Ladd trained many future leaders in pediatric surgery and helped establish pediatric surgery programs and boards. He emphasized that children should not be treated merely as small adults and that their conditions require expertise specific to pediatric care. Ladd's work was instrumental in advancing and establishing pediatric surgery as a recognized specialty.
Venous access ports are implanted devices used to provide long-term vascular access for medication, fluids, or blood transfusions. They are safer and have fewer complications than other access methods like tunneled catheters. Ports are placed surgically under ultrasound or fluoroscopy guidance, with the port body implanted just under the skin and the catheter threaded into a large vein leading to the heart. Proper placement and care of ports can provide reliable access for years with minimal risks of infection, thrombosis, or other issues.
Vacuum assisted closure - Article - EN - 2017Oguz Kizilkaya
This document discusses the use of negative pressure wound therapy (NPWT) to treat abdominal wound dehiscence in patients with compromised healing. It describes a study of 21 patients treated with NPWT who had postoperative abdominal wound breakdown. NPWT resulted in decreased wound size and bowel edema in all patients. Definitive fascial closure was achieved in most patients. Complications occurred in 3 patients, including 2 enterocutaneous fistulas. The authors conclude that NPWT is an effective treatment for abdominal wound dehiscence and can be used for cases with exposed bowel.
1) Urinary catheters have been used for thousands of years to treat urinary retention, but Foley catheters introduced in the 1920s opened up new medical issues.
2) Indwelling catheters are used when clean intermittent catheterization is not possible, for reasons like neurological conditions, incontinence, surgery, or intensive care.
3) Long term catheter use can lead to complications like infection, bladder and kidney damage, stones, and trauma due to bacterial biofilm buildup. Future research aims to develop catheters that better mimic natural physiology and prevent these issues.
Secondary signs of appendicitis - Article - EN - 2016Oguz Kizilkaya
This document discusses using secondary signs to improve the diagnostic accuracy of equivocal ultrasounds for suspected pediatric appendicitis. It finds that the presence of secondary signs like fluid collections, hyperemia, or an appendicolith with an equivocal ultrasound increases the likelihood of appendicitis. An equivocal ultrasound that includes one of these three secondary signs has a high specificity of 96% and accuracy of 88% for diagnosing appendicitis. The study concludes that patients with these signs under an equivocal ultrasound could undergo appendectomy without additional imaging.
Organ donation - Project presentation - EN - 2008Oguz Kizilkaya
This document outlines a training program on organ donation from the perspective of medical students in Turkey. The goal is to provide updated information on organ donation to medical students and discuss how to improve organ donation in Turkey. The program includes scientific lectures on topics related to organ donation as well as opportunities for students to discuss the future of organ donation and conduct outreach in malls to educate the public and identify potential donors. The outcomes will be published in a booklet summarizing the student contributions and recommendations for improving organ donation in Turkey.
Intrapleural alteplase - Article - EN - 2017Oguz Kizilkaya
This study compared the effects of intrapleural alteplase versus normal saline irrigation through a thoracostomy tube in children with parapneumonic effusion. Children with >20% pleural fluid volume or >2cm pleural thickness on imaging were randomized to receive alteplase or saline irrigation twice daily for two days, then crossed over to the other treatment. The main outcomes measured were daily thoracostomy tube output and change in pleural volume on CT scans. Alteplase was found to safely increase drainage and decrease pleural volume more than saline, with benefits lasting up to 72 hours with repeated doses.
Secondary signs of appendicitis - Article - EN - 2016Oguz Kizilkaya
This document discusses using secondary signs to improve the diagnostic accuracy of equivocal ultrasounds for suspected pediatric appendicitis. It finds that the presence of secondary signs like fluid collections, hyperemia, or an appendicolith with an equivocal ultrasound increases the likelihood of appendicitis. An equivocal ultrasound that includes one of these three secondary signs has a high specificity of 96% and accuracy of 88% for diagnosing appendicitis. The study concludes that patients with these signs under an equivocal ultrasound could undergo appendectomy without additional imaging.
Organ donation - Project presentation - EN - 2008Oguz Kizilkaya
This document outlines a training program on organ donation from the perspective of medical students in Turkey. The goal is to provide updated information on organ donation to medical students and discuss how to improve organ donation in Turkey. The program includes scientific lectures on topics related to organ donation as well as opportunities for students to discuss the future of organ donation and conduct outreach in malls to educate the public and identify potential donors. The outcomes will be published in a booklet summarizing the student contributions and recommendations for improving organ donation in Turkey.
Intrapleural alteplase - Article - EN - 2017Oguz Kizilkaya
This study compared the effects of intrapleural alteplase versus normal saline irrigation through a thoracostomy tube in children with parapneumonic effusion. Children with >20% pleural fluid volume or >2cm pleural thickness on imaging were randomized to receive alteplase or saline irrigation twice daily for two days, then crossed over to the other treatment. The main outcomes measured were daily thoracostomy tube output and change in pleural volume on CT scans. Alteplase was found to safely increase drainage and decrease pleural volume more than saline, with benefits lasting up to 72 hours with repeated doses.
2. - Organ Bağışı
-SCOPH Exchange
- Yerel Kurul içi toplantılara katılım
- Ulusal toplantılara katılım
- Uluslar arası toplantılara katılım
Başkent TurkMSIC Yerel Kurulu Halk Sağlığı Alt Komitesi
2008-2009 Dönemi Çalışmaları