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A. D. Bozdağ - One of the best experts on this subject based on the ideXlab platform.

  • Comparison of a modified Anoscope and the purse-string Anoscope in stapled haemorrhoidopexy
    World journal of gastroenterology, 2009
    Co-Authors: A. D. Bozdağ, İsmail Yaman, Hayrullah Derici, Tugrul Tansug, Vedat Deniz
    Abstract:

    AIM: To compare the results of the Anoscope of the PPH kit and a modified Anoscope during stapled haemorrhoidopexy. METHODS: The hospital records of 37 patients who underwent stapled haemorrhoidopexy between 2001 and 2006 were reviewed. The purse-string suture Anoscope in the PPH kit was used on 15 patients (Group 1), and the modified Anoscope was used on 22 patients (Group 2). Demographic characteristics of the patients, operation time, surgeon’s performance, analgesic requirement, and complications were compared. RESULTS: Operation time was significantly longer in Group 1 (42.0 ± 8.4 min vs 27.7 ± 8.0 min, P = 0.039). The surgeons reported their operative performance as significantly better in Group 2 (the results of the assessments were poor in ten, medium in four and good in one in Group 1, while good in all patients in Group 2, P < 0.001). The need for haemostatic sutures was significantly higher in Group 1 (six cases) and was needed in two cases in Group 2 (P = 0.034). CONCLUSION: Operation time decreased and the surgeon’s satisfaction increased with use of the modified Anoscope, and fewer haemostatic sutures were required if the surgeon waited longer before and after firing the stapler.

  • ORIGINAL ARTICLES BRIEF ARTICLE Comparison of a modified Anoscope and the purse-string
    2009
    Co-Authors: A. D. Bozdağ, İsmail Yaman, Hayrullah Derici, Tugrul Tansug, Vedat Deniz, Yaman I Contributed
    Abstract:

    Anoscope in stapled haemorrhoidopex

  • Special Anoscope for Easy Purse-string Suture Application in Stapled Hemorrhoidopexy
    World journal of surgery, 2007
    Co-Authors: A. D. Bozdağ, Hayrullah Derici, Tugrul Tansug, Okay Nazli, Vedat Deniz
    Abstract:

    Background Internal hemorrhoids and loose rectal mucosa may block exposure during the purse-string suturing in stapled hemorrhoidopexy, and this may lead to complications.

  • A modified Anoscope to facilitate the purse-string suture for stapled hemorrhoidopexy.
    Techniques in coloproctology, 2005
    Co-Authors: A. D. Bozdağ
    Abstract:

    Stapled hemorrhoidopexy is an alternative method to conventional surgical procedures for third-degree hemorrhoids. It has many advantages such as less pain, faster recovery and earlier return to work. Nevertheless, many reports mentioned the persistence of postoperative pain, hemorrhage, recurrence, sphincter injury, and pelvic sepsis. The complications mostly arose during the purse-string phase of the procedure. The internal hemorrhoids and loose rectal mucosa can fill the inside of the Anoscope, obstruct the operation field and restrict the maneuverability of the needle holder. To overcome this difficulty, a specially designed Anoscope may be used. The purse-string Anoscope of the PPH 01 kit (Ethicon Endo-Surgery, Cincinnati, USA) was modified to overcome the obstruction of the staple line by internal hemorrhoids and rectal mucosal prolapse. Stapled mucosectomy with this modified Anoscope was performed in 9 patients. The surgical procedure lasted approximately 25 min and the patients healed uneventfully, even though 4 of them had been operated on by surgeons in their first attempts with stapled hemorrhoidopexy. By using a modified Anoscope, ideal purse-string suturing may become easier, intraoperative time may be shortened, and the learning curve may be reduced.

Vedat Deniz - One of the best experts on this subject based on the ideXlab platform.

  • Comparison of a modified Anoscope and the purse-string Anoscope in stapled haemorrhoidopexy
    World journal of gastroenterology, 2009
    Co-Authors: A. D. Bozdağ, İsmail Yaman, Hayrullah Derici, Tugrul Tansug, Vedat Deniz
    Abstract:

    AIM: To compare the results of the Anoscope of the PPH kit and a modified Anoscope during stapled haemorrhoidopexy. METHODS: The hospital records of 37 patients who underwent stapled haemorrhoidopexy between 2001 and 2006 were reviewed. The purse-string suture Anoscope in the PPH kit was used on 15 patients (Group 1), and the modified Anoscope was used on 22 patients (Group 2). Demographic characteristics of the patients, operation time, surgeon’s performance, analgesic requirement, and complications were compared. RESULTS: Operation time was significantly longer in Group 1 (42.0 ± 8.4 min vs 27.7 ± 8.0 min, P = 0.039). The surgeons reported their operative performance as significantly better in Group 2 (the results of the assessments were poor in ten, medium in four and good in one in Group 1, while good in all patients in Group 2, P < 0.001). The need for haemostatic sutures was significantly higher in Group 1 (six cases) and was needed in two cases in Group 2 (P = 0.034). CONCLUSION: Operation time decreased and the surgeon’s satisfaction increased with use of the modified Anoscope, and fewer haemostatic sutures were required if the surgeon waited longer before and after firing the stapler.

  • ORIGINAL ARTICLES BRIEF ARTICLE Comparison of a modified Anoscope and the purse-string
    2009
    Co-Authors: A. D. Bozdağ, İsmail Yaman, Hayrullah Derici, Tugrul Tansug, Vedat Deniz, Yaman I Contributed
    Abstract:

    Anoscope in stapled haemorrhoidopex

  • Special Anoscope for Easy Purse-string Suture Application in Stapled Hemorrhoidopexy
    World journal of surgery, 2007
    Co-Authors: A. D. Bozdağ, Hayrullah Derici, Tugrul Tansug, Okay Nazli, Vedat Deniz
    Abstract:

    Background Internal hemorrhoids and loose rectal mucosa may block exposure during the purse-string suturing in stapled hemorrhoidopexy, and this may lead to complications.

Gabrio Bassotti - One of the best experts on this subject based on the ideXlab platform.

  • A simplified method for anal ultrasonography: preliminary report.
    Journal of clinical gastroenterology, 2009
    Co-Authors: Danilo Castellani, Elisabetta Antonelli, Giuseppe Sabatino, Antonio Morelli, Olivia Morelli, Monia Baldoni, Carlo Alfredo Clerici, Gabrio Bassotti
    Abstract:

    Background: Anal endosonography (AES) is able to reliably visualize and identify anal sphincter abnormalities. However, dedicated probes are quite expensive. Aim: We describe a simple and less costly method to perform AES in a unit that already has echoendoscopes available by inserting the endoscope through a disposable Anoscope filled with standard ultrasound gel. Patients: Subjects without anal abnormalities and patients with anal disease (abscesses, fistulas) were evaluated. Results: Good-quality images were obtained in both controls and patients, with optimal visualization of the anatomic structures and pathologic features. The latter (abscesses, fistulas) were always confirmed by magnetic resonance imaging. Conclusions: This simple and less costly method allows to perform good-quality AES in units having echoendoscopes availability, without the need of a more expensive dedicated probe.

  • A simplified method for anal ultrasonography: assessment of patient satisfaction and the simplicity of the procedure
    Techniques in coloproctology, 2008
    Co-Authors: Danilo Castellani, Elisabetta Antonelli, Giuseppe Sabatino, Vittorio Giuliano, Antonio Morelli, Gabrio Bassotti
    Abstract:

    Background Anal endosonography reliably visualizes and identifies anal sphincter abnormalities. However, dedicated probes are quite expensive. We evaluated a simple and less-costly procedure for anal endosonography involving the insertion of the endoscope through a disposable Anoscope filled with standard ultrasound gel in terms of patient satisfaction and the simplicity of the procedure in comparison with the standard technique in a unit that already had echoendoscopes available.

  • A simplified method for anal ultrasonography: assessment of patient satisfaction and the simplicity of the procedure
    Techniques in Coloproctology, 2008
    Co-Authors: Danilo Castellani, Elisabetta Antonelli, Giuseppe Sabatino, Vittorio Giuliano, Antonio Morelli, Gabrio Bassotti
    Abstract:

    Background Anal endosonography reliably visualizes and identifies anal sphincter abnormalities. However, dedicated probes are quite expensive. We evaluated a simple and less-costly procedure for anal endosonography involving the insertion of the endoscope through a disposable Anoscope filled with standard ultrasound gel in terms of patient satisfaction and the simplicity of the procedure in comparison with the standard technique in a unit that already had echoendoscopes available. Methods The two techniques were used in 35 subjects without anal abnormalities and data on the simplicity of the procedures, patient discomfort, the quality of images, and the time needed to perform the procedures were compared. Results All the variables under investigation scored significantly better with the modified technique compared to the standard one. No differences in thickness of either the internal or the external anal sphincter were found between the two methods. Conclusions This simple and less-costly adaptation of anal ultrasonography allows good quality examinations to be performed with better patient comfort in units with echoendoscopes already available, avoiding the need for a more expensive dedicated probe.

Hayrullah Derici - One of the best experts on this subject based on the ideXlab platform.

  • Comparison of a modified Anoscope and the purse-string Anoscope in stapled haemorrhoidopexy
    World journal of gastroenterology, 2009
    Co-Authors: A. D. Bozdağ, İsmail Yaman, Hayrullah Derici, Tugrul Tansug, Vedat Deniz
    Abstract:

    AIM: To compare the results of the Anoscope of the PPH kit and a modified Anoscope during stapled haemorrhoidopexy. METHODS: The hospital records of 37 patients who underwent stapled haemorrhoidopexy between 2001 and 2006 were reviewed. The purse-string suture Anoscope in the PPH kit was used on 15 patients (Group 1), and the modified Anoscope was used on 22 patients (Group 2). Demographic characteristics of the patients, operation time, surgeon’s performance, analgesic requirement, and complications were compared. RESULTS: Operation time was significantly longer in Group 1 (42.0 ± 8.4 min vs 27.7 ± 8.0 min, P = 0.039). The surgeons reported their operative performance as significantly better in Group 2 (the results of the assessments were poor in ten, medium in four and good in one in Group 1, while good in all patients in Group 2, P < 0.001). The need for haemostatic sutures was significantly higher in Group 1 (six cases) and was needed in two cases in Group 2 (P = 0.034). CONCLUSION: Operation time decreased and the surgeon’s satisfaction increased with use of the modified Anoscope, and fewer haemostatic sutures were required if the surgeon waited longer before and after firing the stapler.

  • ORIGINAL ARTICLES BRIEF ARTICLE Comparison of a modified Anoscope and the purse-string
    2009
    Co-Authors: A. D. Bozdağ, İsmail Yaman, Hayrullah Derici, Tugrul Tansug, Vedat Deniz, Yaman I Contributed
    Abstract:

    Anoscope in stapled haemorrhoidopex

  • Special Anoscope for Easy Purse-string Suture Application in Stapled Hemorrhoidopexy
    World journal of surgery, 2007
    Co-Authors: A. D. Bozdağ, Hayrullah Derici, Tugrul Tansug, Okay Nazli, Vedat Deniz
    Abstract:

    Background Internal hemorrhoids and loose rectal mucosa may block exposure during the purse-string suturing in stapled hemorrhoidopexy, and this may lead to complications.

Tugrul Tansug - One of the best experts on this subject based on the ideXlab platform.

  • Comparison of a modified Anoscope and the purse-string Anoscope in stapled haemorrhoidopexy
    World journal of gastroenterology, 2009
    Co-Authors: A. D. Bozdağ, İsmail Yaman, Hayrullah Derici, Tugrul Tansug, Vedat Deniz
    Abstract:

    AIM: To compare the results of the Anoscope of the PPH kit and a modified Anoscope during stapled haemorrhoidopexy. METHODS: The hospital records of 37 patients who underwent stapled haemorrhoidopexy between 2001 and 2006 were reviewed. The purse-string suture Anoscope in the PPH kit was used on 15 patients (Group 1), and the modified Anoscope was used on 22 patients (Group 2). Demographic characteristics of the patients, operation time, surgeon’s performance, analgesic requirement, and complications were compared. RESULTS: Operation time was significantly longer in Group 1 (42.0 ± 8.4 min vs 27.7 ± 8.0 min, P = 0.039). The surgeons reported their operative performance as significantly better in Group 2 (the results of the assessments were poor in ten, medium in four and good in one in Group 1, while good in all patients in Group 2, P < 0.001). The need for haemostatic sutures was significantly higher in Group 1 (six cases) and was needed in two cases in Group 2 (P = 0.034). CONCLUSION: Operation time decreased and the surgeon’s satisfaction increased with use of the modified Anoscope, and fewer haemostatic sutures were required if the surgeon waited longer before and after firing the stapler.

  • ORIGINAL ARTICLES BRIEF ARTICLE Comparison of a modified Anoscope and the purse-string
    2009
    Co-Authors: A. D. Bozdağ, İsmail Yaman, Hayrullah Derici, Tugrul Tansug, Vedat Deniz, Yaman I Contributed
    Abstract:

    Anoscope in stapled haemorrhoidopex

  • Special Anoscope for Easy Purse-string Suture Application in Stapled Hemorrhoidopexy
    World journal of surgery, 2007
    Co-Authors: A. D. Bozdağ, Hayrullah Derici, Tugrul Tansug, Okay Nazli, Vedat Deniz
    Abstract:

    Background Internal hemorrhoids and loose rectal mucosa may block exposure during the purse-string suturing in stapled hemorrhoidopexy, and this may lead to complications.