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Combined application of Robicsek procedure and thermoreactive nitinol clips for treating a patient with sternal dehiscence

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World Journal of Cardiovascular Diseases 2013年第6期3卷 412-413页

作者： Habib Cakir Yüksel Besir Ismail Yurekli Koksal Donmez ersin celik Mert Kestelli Ufuk Yetkin Ali Gurbuz Department of Cardiovascular Surgery Katip Celebi University Izmir Ataturk Training and Research Hospital Izmir Turkey

Postopereative sternal dehiscence is one of the most important complications of median sternotomy which may cause pulmonary dysfunction and mediastinitis. We are reporting a patient with sternal dehiscence after coronary artery bypass surgery that underwent application of thermoreactive nitinol clips in addition to Robicsek procedure. Using thermoreactive nitinol clips method together with Robicsek procedure may be a valuable technique for preventing recurrent sternal dehiscence for patients who are candidates of noninfective recurrent sternal dehiscence.

关键词： Sternal Dehiscence Robicsek Procedure Thermoreactive Nitinol Clips

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The Effects of Clamp and Shunt Usage on Vascular Endothelium in Coronary Artery Bypass Grafting Surgery

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World Journal of Cardiovascular Surgery 2013年第7期3卷 225-226页

作者： Habib Cakir Ismail Yürekli Koksal Donmez Yuksel Besir Mert Kestelli ersin celik Banu Bahriye Akdag Lafci Ufuk Yetkin Ali Gürbüz Cardiovascular Surgery Katip Celebi Universitesi Ataturk Education and Training Hospital Izmir Turkey Department of Cardiovascular Surgery Izmir Atatürk Education and Research Hospital Izmir Turkey

In this review we aimed to present the effects of clamp and shunt usage on vascular endothelium in coronary artery surgery under the light of current literature data. Each surgical team or even each surgeon uses different methods in order to create bloodless surgical site during beating heart surgical procedures. Every method has its own advantages and disadvantages. There is no formed consensus regarding this issue. Surgeons still want to operate on bloodless surgical fields. But, they have concerns about continuity of blood flow and vascular endothelial injury during off-pump coronary surgery. In order to achieve a consensus statement about this issue, multicentric larger studies are needed.

关键词： Coronary Artery Bypass Surgery Shunt Endothelial Injury Clamp

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Antenatal Acute Toxoplasmosis Diagnosis in First Trimester Pregnancy

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Journal of Health Science 2017年第6期5卷 307-309页

作者： ersin Cintesun Mete Bertizlioglu Ugur Arslan Cetin celik Department of Obstetrics and Gynecology Selcuk University Konya 42030 Turkey Department of Medical Microbiology Selcuk University Konya 42030 Turkey

Objectives： Toxoplasmosis is a widely-distributed zoonosis that is caused by Toxoplasma gondii protozoa. Toxoplasmosis is a high prevalence of unapparent infections, and when infected for the first time during pregnancy, can present a temporary parasitemy with focal lesions generated within the placenta, thereby infecting the fetus. Our aim in this study is to evaluate the patients who have been diagnosed with new toxoplasm in our hospital for six months. Methods： In our study, the toxoplasma results of the first trimester pregnant patients who applied to our polyclinic in the second half of 2016 were evaluated. A total of 391 cases were included in the study. Patients whose laboratory results were not available or under-investigated were excluded from the study. In our policlinic, toxoplasmosis IgM is primarily required in first trimester pregnancies. If positive, IgG and avidity are desired. Further investigation is carried out according to the avidity result. SPSS 22 and Microsoft Excel 2007 program were used in the analysis of our work. Results： A total of 8 （2%） patients had positive toxoplasmosis IgM, 4 （1%） patients had high avidity, 1 （0.2%） patients had moderate avidity, and 3 （0.7%） patients had low avidity. Conclusions： There is no consensus on the screening of all pregnancies. Screening of all pregnancies is recommended in places where the general view seroprevalence is high.

关键词： Acute toxoplamosis pregnancy infection

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