Bi̇r Üni̇versi̇te Hastanesi̇ Kli̇ni̇ği̇nde Yapilan İlk 200 Açik Kalp Ameli̇yati Sonuçlari: Kirikkale Üni̇versi̇tesi̇, Tip Fakültesi̇, Kalp-Damar Cerrahi̇si̇

Gültekin, Yıldırım; Bolat, Ali

doi:10.24938/kutfd.793704

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…It is known that cardiac surgery, which has been performed for many years in the world, is a risky and difficult discipline in mortality and morbidity compared to other surgical disciplines (16). Diabetes mellitus is accepted as an independent risk factor especially for coronary atherosclerosis, which concerns a wide age group (17).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of early postoperative period results of patients with type 2 diabetes taking oral anti-diabetics or insulin medications, with microalbuminuria and normal creatinine levels after coronary artery bypass.

Gemalmaz¹,

Yücel²

2021

Preprint

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Introduction: In this study, we aimed to compare the early postoperative period results of type 2 diabetes patients taking oral antidiabetics or insulin medications, with microalbuminuria and normal creatinine levels after coronary artery bypass. Materials and methods: Eighty patients with type 2 diabetes and taking oral antidiabetics or receiving insulin medication all with normal creatinine levels with microalbuminuria were included in this study. Preoperative creatinine values of the patients, albumin levels in spot urine, creatinine levels on the postoperative 3rd day, duration of ventilation, amount of drainage, length of stay in the intensive care unit, length of stay in the hospital, mediastinitis and mortality rates were recorded. Results: A statistically significant increase in creatinine was found in both taking oral antidiabetics type 2 diabetes and insulin medication patient groups with microalbuminuria. When the two groups were compared with each other, increase in creatinine levels of the patients using insulin was higher than the patients taking oral antidiabetics, and was statistically significant. Conclusion: According to the result of our study it can be suggested that postoperative creatinine elevation is observed in patients with type 2 diabetes mellitus with microalbuminuria and with normal creatinine levels, either having insulin medication or not. The elevation is higher in patients having insulin medication while other results are similar, except for impaired renal function. Keywords: Type 2 diabetes mellitus, insulin, microalbuminuria, coronary artery bypass.

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Section: Discussionmentioning

confidence: 99%

Evaluation of early postoperative period results of patients with type 2 diabetes taking oral anti-diabetics or insulin medications, with microalbuminuria and normal creatinine levels after coronary artery bypass.

Gemalmaz¹,

Yücel²

2021

Preprint

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“…One of the most feared complications in open heart surgery is sternum infection. Sternal detachment, superficial surgical site infection and deep surgical site infections were evaluated in patients who underwent standard sternotomy and were found to be 1%, 3.4%, and 2.5%, respectively (27). The risk of sternal dehiscence, sternal infection and mediastinitis is protected with right infra-axillary thoracotomy.…”

Section: Discussionmentioning

confidence: 99%

Our results of cardiac surgery performed with a right infra axillary mini thoracotomy

Gemalmaz

Gültekin

2021

Journal of Health Sciences and Medicine

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The aim of the study is to share the technique and results of heart surgery performed with right infra-axillary mini thoracotomy. Materyal and Method: Between March 2013 and July 2014, 16 heart operations were performed with right infra-axillary mini thoracotomy incision. Patient data were analyzed retrospectively. These are 6 mitral valve replacement (MVR), 3 aortic valve replacement (AVR), 2 AVR+MVR, 2 atrial septal defect (ASD) repair, 1 myxoma excision. One of them is AVR+tricuspid ring annuloplasty operation and MVR performed due to reoperation. Radiofrequency (RF) ablation was also applied to 1 patient who underwent MVR due to atrial fibrillation. In these operations, thoracotomy was performed through the right anterior infra-axillary line. A parabolic incision of 6-8 cm was made at the 3rd intercostal space (ICA) for aortic valve interventions and at the 4th ICA level for other valve interventions. No special surgical instruments were used in the operations except standard surgical instruments. All cannulation procedures were carried out through the existing thoracotomy incision. Results: No mortality or morbidity was observed as a result of the operations. The mean extracorporeal circulation (ECC) time was 95±11 minutes, and the mean cross clamp (CC) time was 61±9 minutes. There was an average of 380±35 cc drainage. Extubation time was 7±2.3 hours on average. All patients were taken to the service after 1±0.5 day of intensive care treatment. They were discharged from the hospital in an average of 6±1.5 days. Incision site infection was not observed in any patient. No patients were revised due to bleeding. One patient who was ablated for atrial fibrillation (AF) developed postoperative AF again. He was discharged with medical treatment and speed control. Conclusion:In this study, we think that heart surgeries with right infra-axillary mini thoracotomy incision may be a good alternative to standard sternotomy and other minimally invasive methods in heart surgery. With standard surgical instruments and cannulation through a single incision, not only the mitral valve but also the aortic valve, tricuspid valve and other cardiac pathologies can be easily intervened. However, very good results are obtained in patients cosmetically.

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“…Coronary artery bypass surgery (CABG) is widely used in coronary artery disease (CAD) [1]. Autogenous grafts are generally used for bypass during surgery, mostly including the vena saphenous magna (VSM), internal mammary artery (IMA) and radial arteries [2].…”

Section: Introductionmentioning

confidence: 99%

Learning process and results in endoscopic saphenous vein harvesting technique

Erden¹,

Gültekin²

2021

Journal of Surgery and Medicine

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Bi̇r Üni̇versi̇te Hastanesi̇ Kli̇ni̇ği̇nde Yapilan İlk 200 Açik Kalp Ameli̇yati Sonuçlari: Kirikkale Üni̇versi̇tesi̇, Tip Fakültesi̇, Kalp-Damar Cerrahi̇si̇

Cited by 4 publications

References 19 publications

Evaluation of early postoperative period results of patients with type 2 diabetes taking oral anti-diabetics or insulin medications, with microalbuminuria and normal creatinine levels after coronary artery bypass.

Evaluation of early postoperative period results of patients with type 2 diabetes taking oral anti-diabetics or insulin medications, with microalbuminuria and normal creatinine levels after coronary artery bypass.

Our results of cardiac surgery performed with a right infra axillary mini thoracotomy

Learning process and results in endoscopic saphenous vein harvesting technique

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