Yazar "Ulas, Ali Bilal" seçeneğine göre listele

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    Coexistence of right cervical rib and left rudimentary 1st thoracic rib
    (Springer, 2023) Tuncer, Kutsi; Ulas, Ali Bilal; Aydın, Yener; Ogul, Hayri; Eroğlu, Atilla
    Rib anomalies are rare congenital anomalies that do not usually cause additional symptoms, can be seen together with some other developmental defects, and whose frequency varies according to ethnicity and age in the society. Congenital anomalies of the ribs include short rib, pseudoarthrosis of the first rib, intrathoracic rib, pelvic rib, cervical rib, forked rib, rib fusion, and rib bridging. In this study, the coexistence of the right cervical rib and the left rudimentary 1st thoracic rib was presented in a 56-year-old female case.
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    Comparison of the postoperative analgesic efficacy of serratus anterior plane block with different types of blocks for video-assisted thoracoscopic surgery: A systematic review and meta-analysis of randomized controlled trials
    (Baycinar Medical Publishing, 2024) Dostbil, Aysenur; Kasali, Kamber; Aydin, Yener; Ince, Ilker; Ulas, Ali Bilal; Yilmaz, Mehmet Akif; Ceren, Muhammed; Eroğlu, Atilla; Ozgodek, Habip Burak; Ozkal, Mirac Selcen; Elsharkawy, Hesham
    Background: The study aimed to compare the analgesic efficacy of single-shot serratus anterior plane block (SAPB) for video-assisted thoracoscopic surgery (VATS) with other regional block techniques. Methods: In this meta-analysis, randomized controlled trials published in the PubMed, Scopus, Web of Science, ClinicalKey, and PROSPERO electronic databases between March 24, 2014 and March 24, 2024 comparing the analgesic efficacy of SABP with other regional blocks in adult patients undergoing VATS were reviewed. Results: Nine randomized controlled trials consisting of a total of 537 participants (287 males, 250 females; mean age: 55.2±13.1 years) were included in this meta-analysis. Serratus anterior plane block was compared with erector spinae plane block (ESPB), local infiltration anesthesia (LIA), and thoracic paravertebral block (TPVB). The postoperative 24-h cumulative opioid consumption was statistically significantly higher in SAPB than in ESPB (standardized mean difference [SMD]=1.98; 95% confidence interval [CI], 0.23 to 3.73; Z=2.22; p=0.03; I2=97%; random effects model) and TPVB (SMD=0.63; 95% CI, 0.31 to 0.96; Z=3.84; p<0.001; I2=0%; fixed effects model) and lower than in LIA (SMD=–1.77; 95% CI, –2.24 to –1.30; Z=7.41; p<0.001; I2=0%; fixed effects model). Active pain scores 2 h postoperatively were statistically significantly lower in SAPB than in LIA (SMD=–2.90; 95% CI, –5.29 to –0.50; Z=2.37; p=0.02; I2=93%; random-effects model). At 12 h postoperatively, both passive pain scores (SMD=0.37; 95% CI, 0.07 to 0.66; Z=2.41; p=0.02; I2=0%; fixed effects model) and active pain scores (SMD=0.55; 95% CI, 0.25 to 0.85; Z=3.60; p<0.001; I2=0%; fixed effects model) were statistically significantly lower in ESBP than in SAPB. There was no difference between SAPB and the other groups in terms of the incidence of postoperative nausea and vomiting. Conclusion:After a comprehensive evaluation of postoperative analgesic effects, it appears that ESBP and TPVB may be better than SABP, and SABP may be better than LIA for analgesia of patients undergoing VATS. Further studies are required to determine the optimal regional analgesia technique in VATS.