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BOSTANCI, KORKUT

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BOSTANCI

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2013 - 20163
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Subject: pectus excavatum ×

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Now showing 1 - 3 of 3
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    Resolution of pericardial effusion after minimally invasive surgical repair of pectus excavatum
    (BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2014) BOSTANCI, KORKUT; Bostanci, Korkut; Ozyurtkan, Mehmet Oguzhan; Yuksel, Mustafa
    Pectus excavatum may cause the compression of the heart, thereby, disturbing the pericardial fluid turnover which results in pericardial effusion. In this article, we report a 32-year-old female case with pectus excavatum and chronic recurrent pericardial effusion. After the minimally invasive repair of pectus excavatum and pericardiocentesis, no recurrence was observed during one-year follow-up. By elevating the sternum and relieving the cardiac compression, minimally invasive repair of pectus excavatum may be helpful in restoring the pericardial fluid production and re-absorption mechanism.
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    Perioperative Anesthetic and Surgical Complications of the Nuss Procedure
    (W B SAUNDERS CO-ELSEVIER INC, 2013) BOSTANCI, KORKUT; Umuroglu, Tumay; Bostanci, Korkut; Thomas, David Terence; Yuksel, Mustafa; Gogus, F. Yilmaz
    Objective: The Nuss procedure is a chest wall remodeling surgery performed in patients with pectus excavatum. This study was performed to analyze perioperative surgical and anesthetic complications with the Nuss procedures. Design: A retrospective analysis. Setting: An academic hospital. Participants: Two hundred fourteen patients (children, adolescents, and adults) undergoing the Nuss procedure over 6 years. Interventions: Patient age and sex, premorbid diseases, indications for surgery, patient position during the procedure, the length of surgery, time to hospital discharge, postoperative analgesia method, and the presence of perioperative complications were recorded. Measurements: No mortality was observed. The overall complication rate was 18.7%, but the overall event rate was 42.6% (91 events in 40 patients). Intraoperative hypotension, tachycardia, and hypercapnia were the most common complications (4.7%), followed by postoperative ileus (3.2%), pneumothorax (right, left, or bilateral; 4.2%), lung parenchymal laceration (2.3%), and postoperative nausea and vomiting (2.3%). Two patients had an ulnar nerve palsy and 1 patient had a brachial nerve palsy as a result of surgical position. Conclusion: Although the Nuss procedure is reported to be minimally invasive, some serious complications concerning both surgery and anesthesia should not be overlooked. (C) 2013 Elsevier Inc. All rights reserved.
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    Previously Complicated Nuss Procedure Does Not Preclude Blind Removal of the Bar
    (GEORG THIEME VERLAG KG, 2016) BOSTANCI, KORKUT; Bilgi, Zeynep; Ermerak, Nezih Onur; Lacin, Tunc; Bostanci, Korkut; Yuksel, Mustafa
    Background Nuss procedure has become the procedure of choice for well-selected patients with pectus excavatum. Perioperative complications may pose difficulty during the subsequent bar removal due to adhesions and tissue plane disruptions during the initial surgery and repair. This report describes bar removal experience in patients whose Nuss procedures were complicated by cardiac injury, pericardial breach, and lung parenchyma/diaphragm injury during the initial procedure. Methods A total of 529 patients who underwent Nuss procedure between 2007 and 2014 were recorded in a prospective database. Twenty patients with complications (cardiac injury [n = 1], pericardial breach [n = 3], and lung parenchyma/diaphragm injury [n = 16]) were identified. All bars were removed via subcutaneous tissue dissection, without intrathoracic visualization. Results Average duration of bars was 36 months (+/- 16 months). All bar removal procedures were completed without any need for extra interventions with negligible blood loss. Eighteen patients were able to be discharged within 2 postoperative days. Conclusion Blind bar removal in patients with previously complicated Nuss procedure seems safe and no other interventions (videothoracoscopy, subxiphoid incision, etc.) during bar removal seem to be necessary.