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    Gossypiboma: A lesson to learn: Case report
    (2010) Ilter E.; Manukyan, Manuk Norayık; Haliloglu B.; Çelik A.; Özden S.
    The term "gossypiboma" denotes foreign bodies retained after surgery. The most common gossypiboma is the iatrogenic surgical sponge. Usually, hysterectomy, appendectomy and cholecystectomy operations are associated with these retained sponges. They may be misdiagnosed as incisional endometriosis. We present a patient who had a caesarean section operation eleven years ago with a mass at the abdominal wall between the umbilicus and the caesarean section scar on the left paramedian region approximately 5 x 2 cm in diameter. We must keep in mind that prevention is more important for cure. As we knew that most reported cases occur in the presence of a normal pack count, we think that the surgical team must be very careful in the operation room.
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    Postmenopausal homocysteine, Vitamin B12, folate levels and bone metabolism: A focus on fractures
    (Humana Press Inc., 2013) Haliloglu B.; Peker H.
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    Stepwise rising CO2 insufflation as an ischemic preconditioning method
    (2007) Sahin D.A.; Haliloglu B.; Ahin F.K.; Akbulut G.; Fidan H.; Koken G.; Buyukbas S.; Aktepe F.; Arikan Y.; Dilek O.N.
    Background: The pneumoperitoneum (Pp) is associated with ischemia and reperfusion (I/R) injury and oxidative stress. Various ischemic-preconditioning (IP) methods were used to reduce ischemic injury in intra-abdominal organs. In this experimental, randomized, controlled trial with a blind assessment of the outcome, we evaluated the effects of a new IP method, stepwise rising CO 2 insufflation, on oxidative stress and inflammatory cytokine response. Methods: Twenty-one rats were divided into three groups. Rats in the control group were subjected to general anesthesia for only 60 minutes. The stepwise group was subjected to 5 mm Hg for 10 minutes, 10 mm Hg for 10 minutes, and 15 mm Hg of CO2 insufflation for 60 minutes without deflation. In the Pp15 group, the pressure of CO2 insufflation was fixed at 15 mm Hg for 60 minutes without deflation. Liver and blood samples were examined to determine malondialdehyde (MDA), the antioxidant, superoxide dismutase (SOD), and inflammatory cytokine (tumor necrosis factor-alpha [TNF-?], interleukin-6 [IL-6]) levels. Histopathologic scores of liver tissue were examined in all groups. Results: The highest plasma and liver MDA, TNF-?, and IL-6 values were in the Pp15 group, followed by the stepwise and control groups. However, plasma and liver SOD levels determined in the control group were significantly higher, compared to stepwise and Pp15 groups. The lowest plasma and liver levels of SOD were in the Pp15 group, followed by the stepwise and control groups. Significantly higher histopathologic scores were found in the Pp15 group, followed by the stepwise and control groups, as well as MDA and inflammatory cytokine (TNF-?, IL-6) levels. Conclusions: We concluded that the stepwise rising CO2 insufflation method may be an alternative IP method that may lead to a reduction in I/R injury. © 2007 Mary Ann Liebert, Inc.