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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

  • Annals of Medical Research



    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research


    Annals of Medical Research indexed in TÜBİTAK/ULAKBİM Tıp Veri Tabanı

  • Annals of Medical Research


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  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear readers,

Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 25 years. It was first published as the name of Inonu University Medical Journal and later as Journal of Turgut Ozal Medical Center. During its publication period, the journal accepted Turkish or English articles for publication.

Abstracting in an international index is just a paramount objective in the 25th year of the journal. Because of this goal, it was necessary to make a decision both in terms of journal name and publication language. It was important in this respect that the name of a general medical journal should be related to medicine again and it should be in English. For these reasons, the name of the journal was switched to Annals of Medical Research and its publication language is changed to in English. The logo of the journal was chosen as an apricot, which is the symbol of our city Malatya, the world capital of apricot. I hope the journal succeeds with its new name. Annals of Medical Research is published monthly.

Editor-in-Chief

 

The exposition of generators and electrodes belonging to the pacemaker in pacemaker dependent patients: A new management method (p.3081-5)

The exposition of generators and electrodes belonging to the pacemaker in pacemaker dependent patients: A new management method (p.3081-5)

Rana Kapukaya1, Percin Karakol2
1Department of Plastic, Reconstructive and Aesthetic Surgery, Health Science University Adana Health Practice and Research Center, Adana, Turkey
2Department of Plastic, Reconstructive and Aesthetic Surgery, Health Science University Bagcilar Education and Training Hospital, Istanbul, Turkey
Copyright@Author(s) - Available online at www.annalsmedres.org
Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Abstract

Aim: In patients with pacemakers, their exposure is often mortal, as there are already patients whose general condition is impaired. In our study, by focusing on our different recommendations and exposition formation mechanisms in case of a need for re-operation when exposition and necrosis in the skin flap is observed in 8 patients who were fitted with cardiac pacemakers due to being dependent on batteries, we shared what could be done in order to prevent it from happening from the beginning.
Materials and Methods: Exposed batteries and connections of 8 patients who had admitted due to pacemaker exposition between January 2015- March 2017 were carefully dissected and removed. The generator and leads were replaced with new ones and carried by opening a new subpectoral pocket on the opposite side by creating a subcutaneaus tunnel on the sternum. The area on the left side where the skin flap with development of necrosis was located was debrided. It was reconstructed with fasciocutaneous flap.
Results: All patients were successfully treated. No complications were observed during the follow-up period.
Conclusion: In cases where large necrosis develops at the pacemaker exposition and on the skin island, it is an effective treatment method to replace the battery with all its connections due to the biofilm layer formed on it with extracardiac lead and to place it in a new subpectoral pocket opened on the other side by tunnelizing. Since exposition is seen mostly in patients with thin subcutaneous fat tissue, pressure can be mechanically prevented by also involving muscle from the beginning or by placing in deeper tissue. Technically, the greatest advantage of the method that we recommend is that it can be done under local anesthesia.

Keywords: Exposition; pacemaker; reconstruction

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doi:10.5455/annalsmedres.2020.07.754

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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