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    THE EFFECTS OF PEROPERATIF APPLICATION OF INFILTRATION WITH VASOCONSTRUCTIVE AGENTS ON BLOOD LOSS IN BREAST REDUCTION
    (Medknow Publications & Media Pvt Ltd, 2013) Karabekmez, Furkan Erol; Selimoglu, Muhammed Nebil; Gokkaya, Ali; Karamese, Mehtap; Gorgu, Metin
    Introduction: Breast reduction is a common operation in the field of the Plastic Surgery. Bleeding is one of the most common complications during the surgical procedure and infiltration with diluted epinephrine has been used to decrease blood loss. The aim of this study is evaluating the efficacy of infiltration with diluted epinephrine regarding to the blood hemoglobin level and other clinical parameters in the breast reduction surgery. Material and Methods: The study was planned a retrospective manner and patients' charts are reviewed for cases had breast reduction surgery. 80 patients fit with the criterion were included to the study. 46 patients have not applied infiltration during the surgery named as Group 1, and 34 patients have applied infiltration named as Group 2. Results: Group 1 patients mean hemoglobin levels are 13.5 (+/- 1.2) and 10.4 (+/- 1.3) before and after the surgery respectively, and Group 2 patients mean hemoglobin levels are 13.4 (+/- 1.0) and 11.4 (+/- 1.2) before and after the surgery respectively. Mean decrease on the hemoglobin levels with surgery (postoperative hemoglobin - preoperative hemoglobin) were 3.1 (+/- 1.0) and 2.0 (+/- 1.0) for group 1 and 2 respectively, and the difference between groups were statistically significant (p<0.0001). Conclusions: Infiltration with dilute adrenaline solution before reduction mammoplasty procedure will help surgeon to have confortable and bloodless area during the surgery, and will reduce the decrease in the patient's hemoglobin levels. Infiltration with diluted adrenaline solution should be kept in mind as a routine part of the surgery in the breast reduction procedure.
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    AN IMPULSE CONTROL DISORDER THAT MAY CAUSE TISSUE DEFECTS
    (Medknow Publications & Media Pvt Ltd, 2013) Akdag, Osman; Sutcu, Mustafa; Karamese, Mehtap; Karabekmez, Furkan; Tosun, Zekeriya
    Many factors experience with tissue defects in plastic surgery, which is an impulse control disorder, trichotillomania and skin picking are rare causes. Trichotillomania is a chronic impulse control disorder characterized by people to pull out the hair from their scalp, eyelashes, eyebrows, or other parts of the body. This conscious or subconscious habit is most commonly performed by young children, adolescents and women. To cause tissue defects is extremely rare. Factors that plastic surgery is a rare skin defects, two cases have been presented in this psychiatric disorder.
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    A RARE ETIOLOGY FOR FROSTBITE: DRY ICE
    (Medknow Publications & Media Pvt Ltd, 2013) Akdag, Osman; Sutcu, Mustafa; Karabekmez, Furkan; Karamese, Mehtap; Tosun, Zekeriya