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    A simple styrofoam frame designed to protect split-thickness skin graft donor site
    (2013) Askeroğlu, Ufuk; Barutça Asfuroğlu, Seda; Kayadibi, Turgut; Üsçetin, İlker; Akan, Mithat
    The most disturbing process and requirement of the early postoperative period of split-thickness skin graft procedure for the patient is keeping the donorsite open. Hence there are various kinds of donor site dressings and procedures have been described for this purpose, for the fast recovery of the donor site it should be kept open and must be protect from trauma at the same time. Donor site protection as one of the most important point after surgery, can be achieved with easy to design, hand-made and cost effective methods such as styrofoam frame with increasing patient life quality.
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    Atraumatic flexor tendon retrieval- a simple method
    (2013) Öztürk, Muhammed Beşir; Başat, Salih Onur; Kayadibi, Turgut; Karahangil, Mehmet; Akan, İsmail Mithat
    Background: Zone 2 flexor tendon injuries still represent a challenging problem to hand surgeons despite the well developed surgical techniques and suture materials. Meticulous surgical repair with atraumatic handling of the severed tendon stumps and minimal damage to the tendon sheath are particularly important to prevent postoperative adhesions and ruptures in this area.In zone 2 flexor tendon injuries proximal to the vinculas, the cut ends of the flexor tendons retract to the palm with muscle contraction. To retrieve the severed proximal flexor tendon under tendon sheath and pulley system is very difficult without damaging these structures. Many techniques are described in the literature for the delivery of the retracted proximal tendon stump to the repair site.Methods: In this report we would like to present a simple and relatively atraumatic technique that facilitates passing of the retracted flexor tendon through the pulleys in zone 2. We sutured the proximal tendon stump at the distal palmar crease with 3-0 polypropylene suture and used a 14 gauge plastic feeding tube, acting like a conduit for the passage of straightened needle to the finger.Results: We have used this technique 21 times without any complication in our clinic. We have not seen any suture breakage during the passage or needle breakage due to the bending of the needle.Conclusions: We have found this technique is very simple and very effective in retrieving the retracted tendon stump without causing undue damage to the tendon stump or tendon sheath.
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    Saphenous vein sparing superficial inguinal dissection in lower extremity melanoma
    (Hindawi Limited, 2014) Öztürk, Muhammed Beşir; Akan, Arzu Atalay; Özkaya, Özay; Egemen, Onur; Örero?lu, Ali Rıza; Kayadibi, Turgut; Akan, Mithat
    Aim. The classic inguinal lymph node dissection is the main step for the regional control of the lower extremity melanoma, but this surgical procedure is associated with significant postoperative morbidity. The permanent lymphedema is the most devastating long-term complication leading to a significant decrease in the patient's quality of life. In this study we present our experience with modified, saphenous vein sparing, inguinal lymph node dissections for patients with melanoma of the lower extremity. Methods. Twenty one patients (10 women, 11 men) who underwent saphenous vein sparing superficial inguinal lymph node dissection for the melanoma of lower extremity were included in this study. The effects of saphenous vein sparing on postoperative complications were evaluated. Results. We have observed the decreased rate of long-term lymphedema in patients undergoing inguinal lymphadenectomy for the lower extremity melanoma. Conclusion. The inguinal lymphadenectomy with saphenous vein preservation in lower extremity melanoma patients seems to be an oncologically safe procedure and it may offer reduced long-term morbidity.