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K Ozişik

Publications and source records attributed to K Ozişik.

4 recordsLinked to original sources

The importance of the time interval between diagnosis and operation in myasthenia gravis patients.

AIM: Complete remission rates in patients with myasthenia gravis (MG) using anticholine esterases, immunosuppressive drugs, and medical therapy methods like plasmapheresis are low. Because high levels of complete remission and advantages are reported after thymectomy this surgical method is widely used in patients with MG. METHODS: The preoperative status and the responses to thymectomy have been studied in 15 patients who had been diagnosed as MG and underwent thymectomy in Ankara Numune Education and Research Hospital. RESULTS: Patients who underwent thymectomy have shown a high proportion of clinical improvement (73%). We could not establish a direct relationship between the results and the patients' age, sex features and the pathological characteristics of the excisional biopsy specimens. The benefit rates for patients who had a short period of time between diagnosis and operation (87.5%) were higher (91%). CONCLUSIONS: Thymectomy because of its high benefit rate is an advantageous therapeutic tool. The chance of benefiting from thymectomy increases when the history of MG is short and the stage of the disease is early.

Adolescent↗

Multiple coronary artery aneurysms combined with abdominal aortic aneurysm.

Coronary artery aneurysm (CAA) is defined as coronary dilatation which exceeds the diameter of a normal adjacent segment or the diameter of the patients's largest coronary vessel by as much as 1.5 times. It is an uncommon pathology with a frequency of 1-4% in routine autopsies or coronary angiographies. Atherosclerosis plays an important role in the development of CAA, and it may be a predominant cause in the majority of patients. However, the timing of surgical intervention and the treatment options for CAA are still controversial. In this report, we present a patient who had multiple CAAs of all main coronary arteries and abdominal aortic aneurysm. Different treatment modalities and indications are also discussed.

Aortic Aneurysm, Abdominal↗

Management of military vascular injuries.

BACKGROUND: Vascular injuries caused by high-velocity military missiles during war present large and extensive defects of tissues and bones, are often associated with other injuries. In this study we will discuss the surgical strategy and results of military vascular injuries. METHODS: A retrospective review of records of 63 patients treated between January 1995 and December 1999 was undertaken. RESULTS: The mean age of the wounded was 22.3 years (range, 20 to 37 years). The mean time for evacuation from the place of injury to the hospital was 2.3 hours (range, 15 min to 10 hrs). There were 58 (76.3%) arterial and 18 (23.7) venous injuries. Vascular injuries concomitant with 28 (36.9%) bone fractures, six (7.9%) nerve injuries, nine (11.8%) hemopneumothorax and one (1.3%) abdominal injuries. The treatment of the injured arteries were 39 (51.3%) saphenous vein interposition grafting, 13 (17.1%) end to end anastomosis, 12 (15.7%) primary suture, seven (9.2%) synthetic graft replacement. Three patients (3.9%) died because of hypovolemic shock. Five patients underwent amputation (6.6%) and fasciotomy was performed after vascular repair in 11 cases (14.5%). CONCLUSIONS: At the military vascular injuries, the right timing, and also prompt treatment save the life of the patients and give better qualified living to the patient.

Adult↗