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Öğe Aksaray ilinde bebek ve çocuklarda inguinal herni tecrübemiz(Aksaray Üniversitesi, 2021) Tuşat, MustafaAKSARAY İLİNDE BEBEK VE ÇOCUKLARDA İNGUİNAL HERNİ TECRÜBEMİZ ÖZET Amaç:Günümüzde inguinal herni onarımı çocuk cerrahisi pratiğinde en sık yapılan operasyonlardan biridir. İnguinal herni kendiliğinden düzelmez ve yüksek komplikasyon riski nedeniyle cerrahi olarak onarılması gerekir. Bu çalışmamızda son bir yıldaki bebek ve çocuklardaki inguinal herni ile ilgili deneyimlerimizi, oluşan komlikasyon ve nüks oranlarını gözden geçirmeyi amaç edindik. Yöntemler: Ocak 2020– Aralık 2020 tarihleri arasında kliniğimizde inguinal herni tanısı ile opere edilen 138 olgu hastane kayıtlarından ameliyat notları dahil geriye doğru değerlendirmeye alındı. Bulgular:138 olguya inguinal herni onarımı yapıldı. Primer tek taraflı inguinal hernisi olan hasta sayısı 118 ve bilateral olan hastaların sayısı 20 olarak belirlendi. Olguların 101’i (%73.2) erkek, 37’si (%26.8) kızdı. Operasyon yaşı 2 ay ile 13 yaş arasında değişmekteydi. Postoperatif dönemde 2 olguda (%1,4) yara yeri enfeksiyonu, 2 olguda (%1,4) skrotal ödem, 3 olguda (%2,2) skrotal hematom ve 1 olguda (%0.7) herni nüksü saptandı. Sonuç:Çocuklarda kasık fıtığı onarımı kolay ve rutin bir işlem gibi görülmesine rağmen kötü sonuçlar doğuran komplikasyonlara yol açabilir. Çocuklarda inguinal herni onarımı deneyimli çocuk cerrahları tarafından yapıldığında potansiyel morbidite, operatif komplikasyon ve nüks oranları azalacaktır. Bu vaka serisinde inguinal herni onarımına bağlı minimal komplikasyonlar gözlenirken, bir olguda nüks gözlenmiştir. Anahtar sözcükler: İnguinal herni; komplikasyon; çocuk OUR INGUINAL HERNIA EXPERIENCE IN INFANTS AND CHILDREN IN AKSARAY PROVINCE Purpose:Today, inguinal hernia repair is one of the most common operations in pediatric surgery practice. Inguinal hernia does not resolve spontaneously and must be surgically repaired due to the high risk of complications. In this study, we aimed to review ourexperience with inguinal hernia in infants and children in the last year, and the rates of complications and recurrence. Methods: 138 patients who were operated with the diagnosis of inguinal hernia in our clinic between January 2020 and December 2020 were retrospectively evaluated from hospital records, including surgery reports. Findings:Inguinal hernia repair was performed in 138 cases. The number of patients with primary unilateral inguinal hernia was 118, and the number of patients with bilateral was 20. 101 (73.2%) of the cases were male and 37 (26.8%) were female. The operation age ranged from 2 months to 13 years. Postoperative wound infection in 2 cases (1.4%), scrotal edema in 2 cases (1.4%), scrotal hematoma in 3 cases (2.2%), and recurrence of hernia in 1 case (0.7%). Results:Although inguinal hernia repair seems to be an easy and routine procedure in children, it may lead to complications with poor results. Potential morbidity, operative complications and recurrence rates will decrease when inguinal hernia repair is performed by experienced pediatric surgeons in children. In this case series, minimal complications were observed due to inguinal hernia repair, and recurrence was observed in one case. Key words: Inguinal hernia; complication ; childÖğe Assessment of the educational value of undescended testicle operation videos on YouTube(İnönü Üniversitesi Tıp Fakültesi, 2024) Tuşat, Mustafa; Çalapoğlu, Ahmet Salih; Demirtaş, Mehmet SemihToday, Youtube, which is also used as a source of health information, is one of the most visited social platforms. The aim of this study was to evaluate the content and reliability of videos on undescended testicular operations for surgeons and parents. Materials and Methods: On 25/9/2023, the keywords "undescended testicle operation," "orchiopexy," and "children" were searched on the YouTube search engine. The selected videos were divided into two groups: useful and misleading. In addition to the descriptive characteristics of the videos, the reliability, quality and content of the videos were analysed using the global quality score (GQS), modified DISCERN (mDISCERN), and video power index (VPI) score. Results: Of the 62 videos evaluated in our study, 69.4% (n=43) were of high quality, 14.5% (n=9) were of medium quality and 16.1% (n=4) were of low quality. GQS and mDISCERN scores were higher in the useful group (p=0.002, p=0.001, respectively). While 91.1% (n=51) of the videos in the useful group were addressed to healthcare professionals (p=0.024), 78.6% (n=44) of these videos were uploaded by physicians. A positive correlation was observed between GQS and mDISCERN scores (p<0.001). Conclusion: Videos uploaded by academicians, surgeons and addressed to health professionals were found to be reliable and of high quality. Undescended testicular operations videos uploaded to social platforms should be prepared by a committee with health professionals and checked for compliance with scientific standards.Öğe Evaluation of prognosis in refugee children with high kinetic energy penetrating thoracic gunshot wounds(Bayrakol MP, 2025) Tuşat, Mustafa; Özmen, İsmail; Demirtaş, Mehmet Semih; Yarbil, Aziz; Calapoğlu, Ahmet Salih; Memiş, SebahattinCivil wars cause the death of many innocent children, and penetrating thoracic firearm injury (PTFI) is a leading cause of morbidity and mortality in children in war environments. The aim of this study was to evaluate child casualties admitted to the emergency department with PTFI that occurred on the battlefield. Material and Methods: Our study was conducted by reviewing the files of pediatric patients with PTFI under the age of 18 who were transferred from Syria to the first response hospital on the Syrian border of Turkey due to the Syrian civil war between January 2016 and December 2019. Results: Our study included 28 (84.4%) boys and 5 (15.2%) girls. The cause of injury was a bullet in 5 cases, shrapnel in 28 cases and hemothorax (33.3%) was the most common thoracic injury. It was found that a longer time from injury to presentation to the emergency department (p=0.012, p<0.001), injury with a bullet (p=0.013, p=0.017), the presence of shock at the time of presentation (p<0.001, p=0.001) and an increase in the amount of erythrocyte suspensions given (p<0.001) significantly increased the development of complications and mortality. It was also found that mortality and morbidity were significantly higher in PTFI child casualties with low pediatric trauma score (PTS) (p<0.001). Discussion: Penetrating thoracic injuries in children are still associated with high mortality and morbidity. Rapid transfer of these patients to the hospital, and effective, multidisciplinary resuscitation and aggressive thoracotomy interventions when necessary will reduce mortality in these patients.Öğe Extra virgin olive oil mitigates lung injury in necrotizing enterocolitis: Effects on TGFβ1, Caspase-3, and MDA in a neonatal rat model(Public Library of Science, 2025) Tuşat, Mustafa; Eröz, Recep; Bölükbaş, Ferhan; Özkan, Erkan; Demirtaş, Mehmet Semih; Erdal, Hüseyin; Özocak, Osman OkanNecrotizing enterocolitis (NE), which is common in premature babies, has been associated with lung damage. Our aim is to explore the effect of enterally administered extra virgin olive oil (EO) with rich polyphenol content on clinical parameters, histopathological score, Transforming growt factor beta-1 (TGFβ1), Caspase 3 and Malondialdehyde (MDA) levels in NE-related lung injury of neonatal rats. Methods Three groups (control, NE, NE+EO) were created, with 8 neonatal rats in each group. NE was induced by hypoxia-hyperoxia-hypothermia and formula feeding. EO was given to the treatment group by orogastric probe for 3 days. Intestinal and lung tissue were excised for analysis. Results TGFβ1 expression levels, TGFβ1 and MDA concentration levels were higher in the NE compared to NE + EO and control groups (p < 0.001), and their levels decreased after EO treatment compared to the NE group (p < 0.001). It was determined that EO treatment significantly reduced the histopathological damage and the caspase-3 (CASP3) expression level in the lung (p < 0.001). Conclusion Our findings emphasize that TGFß1 has an crucial function in NE-related lung injury and that EO has therapeutic potential in NE-related lung injury.Öğe Management of a rare case: transverse testicular ectopia associated with persistent mullerian duct syndrome(Ankara Üniversitesi, 2021) Demirtaş, Mehmet Semih; Tuşat, MustafaTransverse testicular ectopia (TTE) is a rare congenital anomaly in boys, which is characterized by the migrate of both testicles towards the same hemiscrotum or inguinal region. TTE cases are accompanied by the characterized persistent mullerian duct syndrome, which is phenotypically male, with the presence of mullerian duct structures. Persistent Müllerian duct syndrome is caused either by the genetic defect of the anti-mullerian hormone or its receptor. In this case, we reported a TTE associated with persis-tent mullerian duct syndrome in a 12-year-old boy who presented with swelling in the right groin and non-palpable left testis. The patient was treated with high ligation of the hernia sac, excision of mullerian structures and transseptal orchiopexy. In the surgical approach of the cases, we think that removing the mullerian structures as much as possible and making the testicles palpable without damaging the testicles and other adjacent structures are important.Öğe Post-traumatic perforated mesenteric cystic lymphangioma(Çukurova Üniversitesi, 2020) Tuşat, Mustafa; Demirtaş, Mehmet SemihTo the Editor, Abdominal lymphangiomas are a rare congenital cysts of the mesenteric and/or retroperitoneal lymphatics. They may occur mainly in childhood as a result of proliferation and enlargement of lymphatic vessels due to a obstruction of the lymphatic system1. Although abdominal lymphangiomas are located most commonly in the small-bowel mesentery, they have been reported as less than 1% of all lymphangiomas2. The clinical presentation of the cases is variable, which ranges from asymptomatic abdominal mass to acute abdomen3,4. Although they can be identified by imaging methods such as abdomen ultrasonography, tomography or magnetic resonance imaging, the definitive diagnosis is made by histopathological examination4,5. In this report, a case of mesenteric cystic lymphangioma which was ruptured due to trauma and caused an acute abdomen, is presented as a rare clinical presentation of MCL.Öğe Risk factors for mortality and morbidity in Syrian refugee children with penetrating abdominal firearm injuries: an 1-year experience(Turkish Association of Trauma and Emergency Surgery, 2023) Tuşat, Mustafa; Özmen, İsmail; Demirtaş, Mehmet Semih; Ateş, Can; Öztürk, Ayşe Betül; Author profile preview; Başar, DilekDespite improvements in technology and surgical techniques, abdominal injuries caused by firearms in children are traumatic with high complication rates and mortality. In this study, factors affecting mortality and complications in penetrating abdominal firearm injuries caused by high-velocity bullets and shrapnel in children as a result of the civil war in Syria were evaluated. METHODS: This study was conducted as a case series with 53 patients admitted to Kilis State Hospital with penetrating abdominal firearm injuries between January 2016 and February 2017. Patients aged between 6 months and 17 years who suffered penetrating abdominal firearm injuries (PAFI) as a result of the civil war in Syria in the state hospital in Kilis Türkiye border province with Syria and were transferred to our hospital and operated on were included in the evaluation. Patients’ sociodemographic information, time to surgery, number of abdominal organs injured, type of firearm causing injury, presence of large vessel injury and extremity injury, presence of thoracic injury requiring thoracotomy in addition to laparotomy, colostomy, penetrating abdominal trauma index, pediatric trauma score (PTS), and shock status were evaluated. RESULTS: In our study, it was found that a high penetrating abdominal trauma index significantly increased complication rates and mortality (P<0.001 and P=0.002, respectively). In addition, it was found that lower PTSs significantly increased the development of complications and mortality (P=0.001 and P[removed]8, whereas mortality was observed in 27.3% of patients with a PTS?8, and this result was statistically significant (P=0.003). Shock significantly increased mortality, and no patient who was not in shock died (P<0.001). In our study, it was determined that the increase in the number of injured intra-abdominal organs had a significant effect on both complications and mortality (P[removed]Öğe Yedi yaş altı çocuklarda yanık yaralanmalarının değerlendirilmesi(Mersin Üniversitesi Sağlık Bilimleri Enstitüsü, 2024) Tuşat, Mustafa; Demirtaş, Mehmet SemihEbeveyn/bakıcı güvenlik ihmalinden kaynaklanan çocukluk çağı yanıkları, çocukluk çağı morbidite ve mortalitesinde rol oynayan önemli bir halk sağlığı sorunudur. Bu çalışmada, güvenlik ihmali sonucu oluşan yanık yaralanması nedeniyle acil servise başvuran çocukların tanımlayıcı özelliklerini araştırmayı amaçladık. Yöntem: Çalışmamız 01.01.2020 ile 31.12.2023 tarihleri arasında Aksaray Eğitim ve Araştırma Hastanesi Çocuk Acil Servisine başvuran yedi yaş altı toplam 122 yanık hastası ile yürütüldü. Sosyodemografik özellikler ve yanıkla ilgili bilgiler anket uygulamasıyla ve hasta dosyalarının geriye dönük taranmasıyla elde edildi. Bulgular: Yanıkların %84.4'ü (n=103) ev içinde, %15.6'sı (n=19) ev dışında meydana gelmiş idi. Evdeki yanıkların %45.1'i (n=55) oturma odasında/salonda ve %29.5'i (n=36) mutfakta meydana gelmiş idi. Su, çorba gibi sıcak sıvı dökülmesine bağlı yanıklar %49.2 (n=60); soba veya ütü temasına bağlı yanıklar %12.3 (n=15); çay ve kahve içimi sırasında dökülme sonucu yanıklar %20.5 (n=25) sıklıkta saptandı. Çocukların %72.1’inde (n=88) yanığın 12.00-21.50 saatleri arasında gerçekleştiği görüldü. Üç yaş altı çocuklarda en sık görülen yanık nedeni üzerlerine sıcak sıvı dökülmesi sonucu oluşan haşlanma yanıkları iken, beş yaş üstü çocuklarda en sık ateşle oynama ve elektrik çarpması sonucu oluşan yanıklar tespit edildi (p=0.005). Sonuç: Ebeveynler üç yaş altı çocuklarda haşlanma yanıkları konusunda daha dikkatli olmalıdır. Anneler, evde daha aktif ve yoğun çalıştıkları saatlerde gözetim ihmali durumuna dikkat etmelidir. Yanıkların görülme sıklığını azaltmak için ebeveyn eğitimi ve farkındalığı sağlanmalıdır.
