Researcher:
Mısırlıoğlu, Selim

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Doctor

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Selim

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Mısırlıoğlu

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Mısırlıoğlu, Selim

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Now showing 1 - 10 of 35
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    Publication
    The clinical utility of a pulsed bipolar system and its electrosurgical device during total laparoscopic hysterectomy
    (Mary Ann Liebert, Inc., 2017) N/A; N/A; Mısırlıoğlu, Selim; Türkgeldi, Engin; Boza, Ayşen; Öktem, Özgür; Ata, Mustafa Barış; Urman, Cumhur Bülent; Taşkıran, Çağatay; Doctor; Faculty Member; Doctor; Faculty Member; Faculty Member; Faculty Member; Faculty Member; N/A; School of Medicine; N/A; School of Medicine; School of Medicine; School of Medicine; School of Medicine; Koç University Hospital; N/A; Koç University Hospital; N/A; N/A; N/A; N/A; N/A; 329649; N/A; 102627; 232576; 12147; 134190
    Objective: The aim of this research was to evaluate the efficacy and safety of the PlasmaKinetic (PK) PKS OMNI (R) (Gyrus ACMI, Maple Grove, MN) sealing device in laparoscopic hysterectomy. Materials and Methods: For this retrospective observational study, 60 patients who underwent multiport total laparoscopic hysterectomy between January 2014 and January 2015 in a tertiary-care university-based teaching hospital and an academically affiliated hospital were included in this study. The PKS OMNI is a bipolar electrosurgical device that takes energy from a PK generator workstation G400. This pulsed wave system has two different modes; cutting (High Cut 1,2,3) and coagulation (Vaporization 1,2,3). Results: Records of 60 patients were analyzed. The median age was 50 (range: ages 40-84), median body mass index was 26kg/m(2) (range: 22-32kg/m(2)), and median parity was 2 (range: 1-8). The median total operation time was 100 minutes (range: 70-240 minutes), estimated blood loss was 80mL (range: 30-250mL), and uterine weight was 207g (range: 50-900g). Degree of Surgical Difficulty and postoperative pain scores at rest were evaluated with a visual analogue scale system, from 0 to 10, and the medians of these scores were 5 (range: 3-7) and 4 (range: 2-6), respectively. The median recovery time of bowel movement was 16 hours (range: 8-26 hours), median spontaneous urination time was 7 hours (range: 4-29 hours), and median postoperative mobilization time was 8 hours (range: 6-10 hours). Conversion to laparotomy was needed in 1 patient due to severe pelvic adhesions. The median duration of hospital stay was 2 days (range: 2-4 days). Vaginal cuff dehiscence was detected in 1 (1.7%) patient who engaged in sexual intercourse on the 122nd day after surgery. Cuff cellulitis in 1 (1.7%) patient and unexplained fever in 1 (1.7%) patient were the other recorded complications. The median follow-up time was 12 months (range: 6-17 months). Conclusions: The PKS OMNI is a novel, underused energy modality that promotes quick recovery and acceptable operation time with minimal blood loss.
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    Utilization of the Bologna criteria: a promise unfulfilled? A review of published and unpublished/ongoing trials
    (Elsevier, 2018) Boza, Ayşen; N/A; Yıldız, Şule; Mısırlıoğlu, Selim; Yakın, Kayhan; Urman, Cumhur Bülent; Faculty Member; Doctor; Faculty Member; Faculty Member; School of Medicine; N/A; School of Medicine; School of Medicine; N/A; Koç University Hospital; N/A; N/A; 134205; N/A; 106822; 12147
    Objective: To study the use of the Bologna criteria (BC) for the definition of poor ovarian responders (POR) in clinical practice and research. Design: Systematic review of published and unpublished/ongoing trials between January 2012 and August 2017 on POR. Setting: Not applicable. Patient(s): Not applicable. Intervention(s): The databases were searched using the relevant medical subject headings including all subheadings. The search was limited to humans and English language. The references of the included studies were cross-searched for possibly missed articles. Only clinical trials providing an evidence level >= III were included. Case reports, review, letters, and hypothetical articles were excluded. Main Outcome Measure(s): Extracted studies were divided into two groups: studies in which the BC were used or not. Result(s): One hundred nine published clinical studies analyzing a total of 30,540 women and 112 unpublished/ongoing trials were identified. The BC were used to define POR in 56 (51%) of the published and 44 (39%) of the unpublished trials. The use of the BC gradually increased from 29% to 53% from 2012 to 2017. Asian researchers were more likely to use the BC compared with European and North American researchers (65%, 49%, and 23%, respectively). Neither the design of the study nor the impact factor of the publishing journal was correlated with the use of the BC. Conclusion(s): There is still reluctance to use the BC for the definition of POR, which makes it difficult to combine data from small studies and reach a meaningful conclusion. (C) 2017 by American Society for Reproductive Medicine.
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    Laparoscopic removal of bladder from the uterine niche with retrograde dissection
    (Elsevier, 2015) N/A; N/A; Mısırlıoğlu, Selim; Türkgeldi, Engin; Taşkıran, Çağatay; Urman, Cumhur Bülent; Doctor; Faculty Member; Faculty Member; Faculty Member; N/A; School of Medicine; School of Medicine; School of Medicine; Koç University Hospital; N/A; N/A; N/A; N/A; 329649; 134190; 12147
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    Laparoscopic myomectomy and myoma retrieval without power morcellation
    (Elsevier, 2015) Aksu, Sertan; Ayhan, Cem; N/A; Mısırlıoğlu, Selim; Ata, Mustafa Barış; Urman, Cumhur Bülent; Taşkıran, Çağatay; Doctor; Faculty Member; Faculty Member; Faculty Member; N/A; School of Medicine; School of Medicine; School of Medicine; School of Medicine; School of Medicine; Koç University Hospital; N/A; N/A; N/A; N/A; 232576; 12147; 134190
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    Robotic approach for the primary tubal carcinoma metastized in the para-aortic lymph nodes and management of its metastatic disease by robotic mediastinal lymphadenectomy
    (Lippincott Williams & Wilkins, 2016) Gucer, F.; Ceydeli, N.; Kir, A.; Mısırlıoğlu, Selim; Doctor; N/A; Koç University Hospital; N/A
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    Utility of pks omni(®) electrosurgical device in laparoscopic hysterectomy
    (Elsevier, 2015) N/A; Urman, Cumhur Bülent; Mısırlıoğlu, Selim; Bengisu, Hale; Türkgeldi, Engin; Ata, Mustafa Barış; Öktem, Özgür; Taşkıran, Çağatay; Faculty Member; Doctor; Doctor; Faculty Member; Faculty Member; Faculty Member; Faculty Member; Doctor; School of Medicine; N/A; N/A; School of Medicine; School of Medicine; School of Medicine; School of Medicine; N/A; Koç University Hospital; 12147; N/A; N/A; 329649; 182910; 102627; 134190; N/A
    Study Objective: The aim of this study is to evaluate the efficacy and safety of PKS Omni ® sealing device in laparoscopic hysterectomy. Design: Retrospective, non-randomized observational cohort. Setting: University hospital and academic affiliated private hospital. Patients: Patients with benign diseases undergoing multi-port laparoscopic hysterectomy between 2014 and 2015. Intervention: PKS Omni ® (Gyrus ACMI Inc..,USA) is bipolar electrosurgical device takes the energy from Plasmakinetic generator workstation G400, and this pulsed wave system involves two different modes; cutting (HC 1,2,3) and coagulation (VP1,2,3). We choosed VP3-power level 110 for coagulation and for cutting HC2-power level 50 according to tissue empedance. All the cases in this study were performed with a plasma kinetic energy system, and its electosurgical device PKS Omni ® The surgical operations were carried out by two surgeons who are experienced in gynecologic oncology and advance endoscopic surgery. Measurements and Main Results: Fifty-nine patients were evaluated, and all of the operations were completed by laparoscopy, but one is needed conversion to laparotomy because of severe adhesions between bowel and pelvic viscera. The median operating time was 100 minutes (60-185 min), and estimated blood loss was 20 ml (10-50 ml). Transfusion was not required. Recovery of gastrointestinal activity is occurred at post-operative 16 hour (12-24 houtr). Urinary catheter was not placed pre-or post operative, and spontaneous urinary activity started at 6 hour after operation (4-8 hour). Post-operative abdominal pain at rest was noted due to VAS (visual analog scale) score 0 to 10; 0 referring to no pain and 10 to unbearable pain. VAS score was 2 (0-6), and signified mild pain. Conclusion PKS Omni is a novel, underused energy modality that promotes quick recovery and acceptable operation time with minimal blood loss and excellent post-operative pain scores.
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    How can optimal cytoreduction rates increased over ninety percent with a minimal usage of neoadjuvant chemotherapy ?
    (Lippincott Williams and Wilkins (LWW), 2016) Onan, Anıl; Karataş, Funda; Bostancı, Esra; Kerem, Mustafa; Arvas, Macit; Güner, Haldun; Taşkıran, Çağatay; Mısırlıoğlu, Selim; Yıldız, Şule; Balık, Emre; Alper, Aydın; Faculty Member; Faculty Member; Faculty Member; Faculty Member; Faculty Member; School of Medicine; School of Medicine; School of Medicine; School of Medicine; School of Medicine; 134190; N/A; 134205; 18758; 119809
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    Luteal phase ovarian stimulation protocol for gynecological cancer patients with time constraints
    (Lippincott Williams & Wilkins, 2015) Arvas, M; N/A; N/A; N/A; N/A; N/A; Taşkıran, Çağatay; Mısırlıoğlu, Selim; Bildik, Gamze; Akın, Nazlı; Öktem, Özgür; Faculty Member; Doctor / Faculty Member; Teaching Faculty; Master Student; Faculty Member; School of Medicine; School of Medicine; School of Medicine; Graduate School of Health Sciences; School of Medicine; 134190; N/A; N/A; N/A; 102627
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    The role of protective ileostomy and the validity of bowel resection as a part of cytoreductive surgery for advanced stage epithelial ovarian cancer
    (Lippincott Williams and Wilkins (LWW), 2016) Onan, Anıl; Karataş, Funda; Güler, İsmail; Bostancı, Esra; Bedirli, Abdülkadir; Kerem, Mustafa; Arvas, Macit; Güner, Haldun; N/A; Mısırlıoğlu, Selim; Taşkıran, Çağatay; Yıldız, Şule; Balık, Emre; Doctor; Faculty Member; Faculty Member; Faculty Member; N/A; School of Medicine; School of Medicine; School of Medicine; Koç University Hospital; N/A; N/A; N/A; N/A; 134190; 134205; 18758
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    Clermont-Ferrand versus vectec uterine manipulator for total laparoscopic hysterectomy
    (Taylor & Francis Ltd, 2019) Boza, Aysen; N/A; Mısırlıoğlu, Selim; Taşkıran, Çağatay; Urman, Cumhur Bülent; Doctor; Faculty Member; Faculty Member; N/A; School of Medicine; School of Medicine; Koç University Hospital; N/A; N/A; N/A; 134190; 12147
    Objective: To compare the operation time and performance of two uterine manipulators used for total laparoscopic hysterectomy (TLH). Material and methods: Design: Retrospective cohort analysis. Design classification: Canadian Task Force Classification II-2. Setting: Tertiary-care university-based teaching hospital and academic affiliated private hospital. Patients: All consecutive patients who underwent for TLH between January 2014 and June 2017. All operations were performed by two expert endoscopic surgeons using one of the following uterine manipulators depending on surgeon preferences: Clermont-Ferrand (CF) or Vectec (VT) MAUT60. Patients were excluded if additional surgeries such as urogynecological procedures were performed, TLH was converted to laparotomy prior to colpotomy, and when their operation records could not be obtained. A total of 169 patients were added to final analysis. Operation time, colpotomy time and the subjective performance of manipulators such as movement of the uterus, visualization of the vaginal fornices, and maintenance of pneumoperitoneum were evaluated by watching un-edited operation videos. Results: A total of 169 patients (83 patients in CF group; 86 patients in VT group) were included in the final analysis. Patients' baseline characteristics were comparable between groups. Operation time and time required for colpotomy were significantly shorter in the VT group. Lateral movements of the manipulators and elevation of the uterus were better with VT compared to CF (p = .001 for both). Compared to the CF, VT was superior for visualization of the vaginal fornices (p = .004) and maintenance of pneumoperitoneum (p < .001). Both surgeons had perfect agreement on the performance grading of manipulators (p < .001, Kappa values were between 0.86-0.92). There was no difference between groups in estimated blood loss and duration of hospital stay. Reinsertion or the need to change the manipulator was not required in either group. No pelvic or vaginal abscess, cuff cellulitis, dehiscence, or hematoma formations were noted. Conclusion: Laparoscopic hysterectomy assisted with the VT uterine manipulator is associated with shorter operation and colpotomy time. Furthermore, the movements of uterus, visualization of the vaginal fornices, and maintenance of pneumoperitoneum were significantly better with VT compared to the CF manipulator.