{"title":"Pectoserratus+interpectoral plane block is safe in patients receiving anticoagulant therapy?","authors":"Caner Genc, Burhan Dost","doi":"10.14744/agri.2024.03708","DOIUrl":"https://doi.org/10.14744/agri.2024.03708","url":null,"abstract":"","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 4","pages":"249-250"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yavuz Gürkan, Cemil Cihad Gedik, Mete Manici, Seval Tanrıkulu, Emel Gönen
{"title":"Erector spinae plane block for Sprengel deformity correction surgery: A case report.","authors":"Yavuz Gürkan, Cemil Cihad Gedik, Mete Manici, Seval Tanrıkulu, Emel Gönen","doi":"10.14744/agri.2022.55631","DOIUrl":"https://doi.org/10.14744/agri.2022.55631","url":null,"abstract":"<p><p>Congenital high scapula, also referred to as Sprengel deformity, is a rare malformation that results in a superiorly positioned scapula. The corrective surgery involves extensive soft tissue manipulation and is a successful technique for correcting this deformity. The Erector Spinae Plane (ESP) block is a novel, recently described technique for providing analgesia in the thoracic region. In this report, we describe the successful use of the ESP block for a patient with Sprengel deformity undergoing the Modified Green procedure.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"185-186"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yücel Olgun, Ömer Faruk Tarhan, Rekib Saçaklıdır, Serdar Kokar, Savaş Şencan, Osman Hakan Gündüz
{"title":"The validity and reliability of the turkish version of the constipation risk assessment scale in cancers.","authors":"Yücel Olgun, Ömer Faruk Tarhan, Rekib Saçaklıdır, Serdar Kokar, Savaş Şencan, Osman Hakan Gündüz","doi":"10.14744/agri.2025.45656","DOIUrl":"https://doi.org/10.14744/agri.2025.45656","url":null,"abstract":"<p><strong>Objectives: </strong>Cancer increases the incidence of constipation. The best way to prevent constipation is to detect it before it develops. Therefore, it is very important to use valid and reliable scales that assess the risk of constipation in order to prevent its occurrence in cancer patients. This study aims to assess the validity and reliability of the Constipation Risk Assessment Scale (CRAS) when applied to the Turkish population with cancer.</p><p><strong>Methods: </strong>A total of 102 outpatients with cancer were included in the study. According to the Rome IV criteria, participants were divided into two groups: constipated and non-constipated. All patients were evaluated using the CRAS. A subset of patients was randomly selected for retesting with the CRAS.</p><p><strong>Results: </strong>In the evaluation of the test-retest reliability of the CRAS, Cronbach's alpha coefficient and intraclass correlation coefficient (ICC) values were found to be 0.97 (0.93-0.99) for the total CRAS score and between 0.83 (0.64-0.94) and 0.96 (0.92-0.97) for the subscales. The retest reliability was found to be high (p<0.001). Significant correlations were observed between the total CRAS score and all subscales with the Rome IV criteria, as well as between the CRAS medication subscale and the Rome IV criteria.</p><p><strong>Conclusion: </strong>The present study showed that the Turkish version of the CRAS is a valid and reliable tool for use with outpatients with cancer. The CRAS can be effectively utilized to identify individuals at risk of constipation and to develop targeted prevention programs. Healthcare professionals can use the Turkish version of the CRAS as a reliable tool to assess constipation risk among cancer patients.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"149-155"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transforaminal epidural steroid injection versus high-volume lumbar erector spinae block in patients with low backache and radicular pain - a randomized clinical trial.","authors":"Rigved Arsh Singhrol, Dr Reena, Amrita Rath, Anil Kumar Paswan, Shashi Prakash, Nimisha Verma, Ashutosh Vikram","doi":"10.14744/agri.2024.57983","DOIUrl":"10.14744/agri.2024.57983","url":null,"abstract":"<p><strong>Objectives: </strong>Transforaminal lumbar epidural steroid injection (TFESI) has been used to treat lumbar radiculopathies. Erector spinae plane block (ESPB) has been employed to provide postoperative analgesia following spine and back surgeries. We aimed to compare TFESI with high-volume lumbar ESPB in patients with low backache and radicular pain.</p><p><strong>Methods: </strong>This was a prospective, randomized, single-centre interventional study. After obtaining institutional ethical committee clearance and written informed consent, 60 patients aged 18 to 50 years with unilateral low backache were randomly allocated into two groups of 30 each-Group T and Group E. Group E received ultrasound-guided lumbar ESPB with 30 mL of 0.25% bupivacaine and 20 mg triamcinolone, whereas Group T received fluoroscopy-guided TFESI with 2 mL of 0.25% bupivacaine and 20 mg triamcinolone. The primary outcome was pain relief as assessed by the numeric rating scale (NRS) at 3 months. Secondary outcomes included NRS at 1 hour and 1 month, the Modified Oswestry Disability Index (MODI), the number of patients requiring rescue analgesia, and procedure-related complications.</p><p><strong>Results: </strong>The mean post-procedure NRS scores at 1 hour, 1 month, and 3 months were significantly lower in Group T compared to Group E (p=0.001, 0.013, and 0.007, respectively). MODI scores were significantly lower in both groups after treatment (p<0.001). In Group T, 6.9% of patients experienced a vasovagal attack and 3.4% had flushing, both of which resolved spontaneously. In contrast, no complications were observed in Group E.</p><p><strong>Conclusion: </strong>ESPB is effective for providing analgesia in patients with chronic low back pain and radiculopathy; however, TFESI showed superior pain relief as reflected in more favourable NRS scores. Nevertheless, TFESI requires greater precision and expertise and carries a higher risk of serious complications. ESPB may be a safer alternative when TFESI is difficult to perform or contraindicated.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"142-148"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"HaNDL syndrome presenting with neuropsychological symptoms and severe papilledema: A case report.","authors":"Beria Nur Ertuğrul, Fatma Yılmaz Can","doi":"10.14744/agri.2023.84666","DOIUrl":"https://doi.org/10.14744/agri.2023.84666","url":null,"abstract":"<p><p>HaNDL is abbreviated from the definition of 'The syndrome of transient Headache and Neurologic Deficits with cerebrospinal fluid Lymphocytosis.' The syndrome consists of symptoms and signs characterized by headache, transient neurological deficits, and lymphocytic pleocytosis in the cerebrospinal fluid (CSF). The clinical presentation may resemble some serious neurological disorders, including stroke and viral encephalitis, and may mimic a migraine attack with aura. In this article, a case of a 21-year-old female patient who presented to the emergency department with complaints of dysphasia, somnolence, and agitation following a migraine attack is presented. Grade 4 papilledema was detected on fundus examination; lymphocytic pleocytosis and protein elevation were found in the CSF examination, and the diagnosis was defined as HaNDL syndrome.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"181-184"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hüseyin Berk Benek, Hakan Yılmaz, Alper Tabanlı, Emrah Akçay, Alaattin Yurt
{"title":"Trigeminal neuralgia secondary to compression of giant quadrigeminal cistern arachnoid cyst in an adult: Case report and review of the literature.","authors":"Hüseyin Berk Benek, Hakan Yılmaz, Alper Tabanlı, Emrah Akçay, Alaattin Yurt","doi":"10.14744/agri.2023.70845","DOIUrl":"https://doi.org/10.14744/agri.2023.70845","url":null,"abstract":"<p><p>A quadrigeminal cistern arachnoid cyst is an extremely rare cause of trigeminal neuralgia in adulthood. This report presents the fourth case in the literature of trigeminal neuralgia caused by a giant quadrigeminal cistern arachnoid cyst. A 52-year-old woman presented with a 3-month history of cerebellar ataxia and vertigo. She had a 2-year history of trigeminal neuralgia that was unresponsive to medical therapy. Neuroimaging studies revealed a cystic lesion in the quadrigeminal cistern associated with hydrocephalic enlargement. Using an infratentorial supracerebellar approach, neuroendoscope-assisted decompression and fenestration of the cyst were performed. Postoperatively, the patient was pain-free and able to walk unaided without symptoms of ataxia.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"175-178"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Postoperative analgesic efficacy of preemptive and postoperative lornoxicam in femoropopliteal bypass surgery.","authors":"Demet Sergin, Cengiz Şahutoğlu, Aslıhan Esra Yüksel, Seden Kocabaş, Fatma Zekiye Aşkar","doi":"10.14744/agri.2025.62444","DOIUrl":"https://doi.org/10.14744/agri.2025.62444","url":null,"abstract":"<p><strong>Objectives: </strong>In this study, we analyzed the effect of the application time of intravenous (IV) lornoxicam in preventing postoperative pain.</p><p><strong>Methods: </strong>This placebo-controlled study was conducted on 72 patients undergoing elective femoropopliteal bypass surgery. The patients were randomly divided into three groups. Group I (n=25) was administered IV 8 mg lornoxicam 20 minutes before incision and IV 2 mL saline at the end of the surgery; Group II (n=24) was administered IV 2 mL saline 20 minutes before incision and IV 8 mg lornoxicam at the end of the surgery; Group III (n=23) was administered IV 2 mL saline 20 minutes before incision and IV 2 mL saline at the end of the surgery. All patients used IV morphine via a patient-controlled analgesia device. Postoperative pain was measured using the visual analog scale (VAS), and patients with a VAS score >3 were administered intramuscular 75 mg naproxen sodium.</p><p><strong>Results: </strong>The VAS scores were significantly higher in Group III compared with Group I at the 0th, 1st, 2nd, and 3rd hours and with Group II at the 1st, 2nd, and 3rd hours (p<0.05). As far as 24-hour morphine and naproxen sodium consumption were concerned, there was a significant statistical difference between the three groups (p<0.05); comparing Group I and II, there was no difference (p>0.05).</p><p><strong>Conclusion: </strong>Regardless of the time it is applied, lornoxicam reduces postoperative pain and consumption of opioids within the initial 3 hours.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"162-167"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Çağatay Küçükbingöz, Ayşe Bahşi, Tamer Bayram, Fidan Marufoğlu, Sinan Pektaş, Hayri Tevfik Özbek
{"title":"Efficacy of cervical epidural steroid injection with or without local anesthetic on pain and disability.","authors":"Çağatay Küçükbingöz, Ayşe Bahşi, Tamer Bayram, Fidan Marufoğlu, Sinan Pektaş, Hayri Tevfik Özbek","doi":"10.14744/agri.2025.76376","DOIUrl":"https://doi.org/10.14744/agri.2025.76376","url":null,"abstract":"<p><strong>Objectives: </strong>Cervical epidural injections are frequently applied in the treatment of radicular pain caused by cervical disc herniation. This study aimed to investigate and compare the effectiveness of cervical epidural steroid injection and cervical epidural steroid + bupivacaine injection using Neck Disability Index (NDI) and Visual Analog Scale (VAS) scores.</p><p><strong>Methods: </strong>A total of 91 patients were included in the study. Patients who received cervical epidural steroid and cervical epidural steroid + bupivacaine were classified as Group I and Group II, respectively. Demographic characteristics, pain duration, and baseline VAS (VAS0) and NDI (NDI0) scores were recorded. Patients were also evaluated at the first and sixth months, and VAS1, NDI1, VAS6, and NDI6 scores were assessed.</p><p><strong>Results: </strong>Demographic characteristics and mean pain durations of the groups were similar, and VAS and NDI scores did not differ significantly at baseline, the first, and sixth months. Within each group, the VAS6 score was significantly lower than VAS0 (p=0.01) and VAS1 (p=0.01) scores, while the NDI6 score was also significantly lower than NDI0 (p=0.01) and NDI1 (p=0.01) scores in Group I. Similarly, the VAS3 score was significantly lower than VAS0 (p=0.01) and VAS1 (p=0.01) scores, and the NDI3 score was significantly lower than NDI0 (p=0.01) and NDI1 (p=0.01) scores in Group II.</p><p><strong>Conclusion: </strong>Our findings showed that the combination of epidural steroid + bupivacaine in cervical interlaminar epidural injections yields similar clinical effects to those of steroid alone, providing comparable improvement in functional status.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"168-174"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Remziye Sıvacı, Bilal Atilla Bezen, Elif Doğan Bakı, Gürhan Öz
{"title":"Comparison of the analgesic effects of the erector spinae plane block and thoracic paravertebral block in patients undergoing video-assisted thoracoscopic surgery.","authors":"Remziye Sıvacı, Bilal Atilla Bezen, Elif Doğan Bakı, Gürhan Öz","doi":"10.14744/agri.2025.15689","DOIUrl":"https://doi.org/10.14744/agri.2025.15689","url":null,"abstract":"<p><strong>Objectives: </strong>To compare the effects of paravertebral block (PVB) and erector spinae plane block (ESPB) on intraoperative and postoperative analgesia and pulmonary function in patients undergoing video-assisted thoracoscopic surgery (VATS).</p><p><strong>Methods: </strong>A total of 49 patients aged 18-70 years with ASA scores of 2-3 who underwent elective VATS were included in the study. Patients were randomized into two groups using a web-based system. Those who received thoracic PVB were assigned to Group I, and those who received ESPB to Group II. Patients were monitored using the surgical plethysmographic index and bispectral index during the intraoperative period. Preoperative, intraoperative, and postoperative blood gas samples were analyzed to assess the impact on pulmonary function. Block application time, intraoperative and postoperative analgesic consumption, the presence of block-related complications, and length of hospital stay were recorded.</p><p><strong>Results: </strong>There was no significant difference between the groups in terms of intraoperative and postoperative analgesic consumption, operation time, or length of hospital stay (p>0.05). Postoperative VAS scores were similar, and there was no significant difference in preoperative, intraoperative, or postoperative arterial blood gas values between the two groups (p>0.05).</p><p><strong>Conclusion: </strong>ESPB is as effective as PVB in controlling acute postoperative pain and is easier to perform.</p>","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"135-141"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mustafa Turgut Yıldızgören, Burak Ekici, Fatih Bağcıer
{"title":"A new treatment for pain physicians to add to their repertoire of treatments: Glucopuncture.","authors":"Mustafa Turgut Yıldızgören, Burak Ekici, Fatih Bağcıer","doi":"10.14744/agri.2023.42708","DOIUrl":"https://doi.org/10.14744/agri.2023.42708","url":null,"abstract":"","PeriodicalId":101341,"journal":{"name":"Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology","volume":"37 3","pages":"187-188"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}