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Öğe Arterial and venous reconstruction for free tissue transfer in diabetic ischemic foot ulcers(W B Saunders Co Ltd, 2004) Sunar, H; Aygit, CA; Afsar, Y; Halici, U; Duran, EObjective. To review our experience with temporary arteriovenous (AV) fistula followed by free tissue transfer in the treatment of diabetic foot ulcers associated with peripheral arterial occlusion. Patients and method. From July 1997 to July 2002,15 lower extremities were operated in 14 patients. An AV loop with its apex below the medial malleolus was created between popliteal artery and saphenous system. Three weeks later, the loop was divided to provide an artery and a vein end. Foot defect was covered with latissimus dorsi muscle flap followed by split thickness skin grafting. Results. Fistulas were patent in 12 extremities. Free tissue transfer was performed in 13 extremities. Two free flaps failed. After patent temporary arteriovenous fistula, free tissue transfer was successful in 11 of 12 extremities. One patient was amputated below knee due to ongoing infection despite successful free tissue transfer. Early mortality rate was 7%. Limb salvage was achieved in 11 of 13 extremities that staged operation was performed. Overall extremity loss was four of 15 lower extremities in 14 patients. Overall mortality was 21% for mean 20 follow-up period. Conclusion. Temporary AV fistula and free flap may provide stable wound coverage and high rate of limb salvage in treatment of diabetic foot ulcers with large tissue loss.Öğe Atherosclerosis and peripheral neurological problems(Int Heart Journal Assoc, 2004) Canbaz, S; Turgut, N; Halici, U; Ege, T; Duran, E[Abstract Not Available]Öğe Brachial plexus injury during open heart surgery - Controlled prospective study(Georg Thieme Verlag Kg, 2005) Canbaz, S; Turgut, N; Halici, U; Sunar, H; Balci, K; Duran, EBackground: Postoperative brachial plexus injury is often reported because the brachial plexus is stretched by sternotomy and the use of sternal retractors during open heart surgery. In many studies, brachial plexus injuries have been demonstrated by postoperative electrophysiological studies in susceptible patients. In this study, we estimated the incidence, severity, and type of brachial plexus injuries by routine preoperative and postoperative electrophysiological studies of patients undergoing open heart surgery. Methods: Patients undergoing coronary artery bypass grafting (CABG) surgery (Group 1), heart valve surgery (Group 2), or peripheral vascular surgery (Group 3) were included in the investigation. Electrophysiological studies of both upper extremities were performed five days before and three weeks after the operation. Results: Peripheral nerve problems were found preoperatively in 23 of the 112 patients (21 %). These problems persisted, but similar findings were obtained postoperatively from the left upper extremities of six of the 42 CABG (14%) and two of the 24 heart valve (8%) patients who had had normal preoperative evaluations. The patients with injured nerves were older and had undergone longer operation times. There were no differences between the patients with injured nerves and the others with respect to mammary artery harvesting or other operative variables. Conclusions: There are no reports in the literature of routine preoperative and postoperative electrophysiological studies in large patient groups to evaluate brachial plexus injury during open heart surgery. It is known that heart surgery sometimes causes partial brachial plexus injury, especially in the lower trunk. However, these peripheral nerve problems are usually not considered clinically important and are not investigated. Patients undergoing open heart surgery must be closely followed up for peripheral nerve injury during the postoperative period.Öğe Diagnosis of phrenic nerve injury after cardiac surgery(Elsevier Science Inc, 2004) Canbaz, S; Turgut, N; Halici, U; Duran, E[Abstract Not Available]Öğe Effect of obesity on risks after coronary artery bypass grafting(Mosby-Elsevier, 2004) Canbaz, S; Ege, T; Halici, U; Duran, E[Abstract Not Available]Öğe Klippel-Trenaunay syndrome associated with polydactyly(Wiley-Liss, 2006) Sunar, H; Halici, U; Duran, EKlippel-Trenaunay syndrome (KTS) manifests cutaneous vascular nevus, superficial venous varicosities, and hypertrophy of the affected limb. KTS may be associated with other developmental anomalies such as polydactyly, syndactyly, and macrocephaly. We present a case with KTS associated with polydactyly.Öğe Regarding Patency and limb salvage rates after distal revascularization to unclampable calcified outflow arteries(Mosby, Inc, 2005) Halici, U; Sunar, H; Ketenciler, S; Duran, E[Abstract Not Available]
