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H\u00fcseyin \u015eahino\u011fullar\u0131, An\u0131l Ergin, Ender Onur, Mehmet Timu\u00e7in Ayd\u0131n, \u0130ksan Ta\u015fdelen and Fatih K\u0131l\u0131\u00e7 have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study protocol was reviewed and approved by the Clinical Research and Ethics Committee of Ba\u015fak\u015fehir \u00c7am and Sakura City Hospital (Approval No: 53, Date: 10\/07\/2024). All procedures were performed in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Written informed consent was obtained from all participants prior to enrollment after explaining the study objectives, surgical procedures, and possible risks and benefits. 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