ISSN 2415-1297 (Online)   ISSN 2415-1300 (Print)
Volume : 30 Issue : 1 Year : 2023
Med J Islamic World Acad Sci: 30 (1)
Volume: 30  Issue: 1 - 2023
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1.Comparison of the efficacy of spinal and general anesthesia in retrograde intrarenal surgery
Mehmet Özgür Yücel, Ali Çift, Can Benlioğlu, Bedreddin Kalyenci, Sait Sever, Ferhat Çoban, Hasan Sulhan, Mehmet Duran
doi: 10.5505/ias.2023.40316  Pages 1 - 6
This study aimed to compare spinal anesthesia (SA) and general anesthesia (GA) in terms of success rate, efficacy, reliability, and cost among patients diagnosed with renal stones and undergoing retrograde intrarenal surgery (RIRS).
Between January 2018 and June 2021, 76 patients diagnosed with kidney stones and undergoing RIRS in our clinic were retrospectively evaluated. The groups were compared in terms of operative time, stone fragmentation time, intraoperative double-J stent requirement, length of hospital stay, requirement of additional procedures, stone-free rate, incidence of complications, and cost of anesthesia.
When the groups were compared, the mean age and American Society of Anesthesiologists stage of the patients were statistically higher in the SA group than in the GA group (P = 0.009, P = 0.024). No statistically significant difference was found between the groups in terms of operative time, stone fragmentation time, intraoperative double-J stent requirement, length of hospital stay, requirement of additional procedures, and stone-free rate (P > 0.05). The cost of anesthesia was significantly lower in the SA group (P < 0.001). No statistically significant difference was observed between the groups in terms of the incidence of complications (P > 0.05).
RIRS coupled with SA is a viable and effective option for treating renal stones. The success, stone-free, and complication rates are comparable to those observed in GA-administered RIRS. We prefer SA in patients with comorbidities and consider that it can be performed safely and successfully with both lower morbidity rates and much lower cost than GA.

2.Comparison of cannulated screw and kirschner wire in the chevron osteotomy of hallux valgus
Eyüp Şenocak, Nasuhi Altay, Mehmet Demir, Ümit Aygun
doi: 10.5505/ias.2023.89083  Pages 7 - 11
This study aimed to compare the outcomes of Chevron osteotomy for hallux valgus fixation using a cannulated screw versus a Kirschner wire.
This study included 20 feet of 23 patients with hallux valgus fixed with a cannulated screw (Group A) and 22 feet of 18 patients with hallux valgus fixed with a Kirschner wire (Group B) between 2015 and 2020. We excluded one patient who was infected and three patients who could not be contacted. We evaluated our patients retrospectively.
No significant difference was found between the postoperative early- and late-stage hallux valgus angles in both groups (P > 0.05). Likewise, no significant intergroup difference was not found between the postoperative early- and late-stage intermetatarsal angle values (P > 0.05). Patients in Group B were followed up for an average of 18.2 months, whereas patients in Group A were followed up for an average of 17.4 months. No significant difference was observed between the two implants in terms of the union time of the osteotomy line (P > 0.05). The time to union was significantly longer in the male patient group than in the female patient group, regardless of the type of implant used.

3.Endoscopic microdiscectomy and open discectomy for lumbar disk herniation: experience of 898 patients
Bülent Bozyiğit, Aydın Sinan Apaydın
doi: 10.5505/ias.2023.90187  Pages 12 - 16
Low back pain is one of the most common problems in society. Although it has many causes, degenerative back pathologies may be a key contributor. Low back pain may be a common symptom in patients with lumbar disk herniation, affecting the quality of life of most patients. Lower back and leg pain that do not respond to medical treatment and continue for a long time, accompanied by weakness in the legs, are surgical causes in herniated disk pathologies.
Microendoscopic microdiscectomy and open surgery are the two different surgical treatment methods. The surgical approach is determined by the surgeon’s experience, current technical capacity, and patient-related factors. The most preferred surgical method for many years has been the open surgery method. However, microendoscopic microdiscectomy is also becoming widespread due to recent research and the increasing experience of surgeons.
This study compared the aforementioned surgical methods and found that they yielded similar results. The complication rates of microendoscopic discectomy may decrease with increasing surgical experience when widely used. The advantages of microendoscopic discectomy are as follows: a short operation time, a clear view of the operating field using a 30° telescope, shorter length of stay, earlier mobilization and return to work, and lower infection rates.

4.COVID-19: Patrimony of medieval-age physicians
Shabistan Fatma Taiyabi, Md Khursid Alam Ansari, Mohd Azhar
doi: 10.5505/ias.2023.86461  Pages 17 - 20
In the present scenario, the entire world is facing a crisis due to COVID-19 (Coronavirus disease of 2019) pandemic. It has affected severely and changed the normal course of development of almost every country in the world. The available health infrastructure of even developed countries has become inadequate to manage and control the pandemic. The knowledge of the tools and techniques applied to control and prevent the pandemic worldwide has been obtained from past experiences; almost all the adopted recommendations are based on the teaching of Greek–Arab physicians. It is the need of time to explore the bequest of medieval-age physicians. In this study, the authors reviewed the recommendations of a few famous medieval-age physicians to compile their application at the time of COVID-19.

5.Orthogeriatric trauma units and orthogeriatric care improve patient outcomes in geriatric fractures
Recep Öztürk, Mahmut Nedim Aytekin
doi: 10.5505/ias.2023.68442  Pages 21 - 22
Recent studies and meta-analyses have shown that orthogeriatric trauma units and orthogeriatric care improve patient outcomes in geriatric fractures. Orthogeriatric patients require a more complex treatment approach in trauma units than younger patients. Cognitive disorders, fragility, comorbidities, inadequacies in self-care, and mobility inadequacies are some of the main factors showing that these patients have complex approach needs. Orthogeriatric care should include orthopedic surgeons, geriatricians, physiotherapists, occupational therapists, and social assistants. This study aimed to review the effects of orthogeriatric trauma units and orthogeriatric care on patient outcomes in geriatric fractures.

6.Bilateral isolated traumatic patella fracture: A case report
Recep Öztürk
doi: 10.5505/ias.2023.09821  Pages 23 - 25
This study aimed to describe the isolated bilateral patella fracture and treatment management of a 27-year-old male patient brought to the emergency department of our hospital with pain and swelling in both knees after a motor vehicle accident. During the accident, the patient’s both knees hit the dashboard. Radiographs revealed comminuted displaced patella fractures in both knees. On the same day, open reduction and internal fixation were performed for both patella fractures in the same session. On the first postoperative day, the patient was made to walk with the support of crutches and under the control of angle-adjustable knee braces, with full weight given to both sides. The complete union was observed in the postoperative sixth week. The patient had a painless full range of motion of the knee joint in the postoperative 18th month and was satisfied with his life.

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