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Turkish Journal of Surgery

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December 1, 2018: Turkish Journal of Surgery
Pankaj Garg
No abstract text is available yet for this article.
December 1, 2018: Turkish Journal of Surgery
Fatma Ceren Sarıoğlu, Yeliz Pekçevik, Hilal Şahin, Eyüp Kebapçı, Emel Ebru Pala
Hydatid disease is a parasitic infection caused by Echinococcus granulosus. Although the liver and lung are the most common sites of hydatid disease, it can also be seen in other organs due to migration via systemic circulation. Paraspinal lumbar hydatid disease without the involvement of other organs is extremely rare. We aimed to present the imaging and histopathological findings of a case with painful lumbar swelling that was later diagnosed as primary lumbar paraspinal hydatid disease. Hydatid disease should be considered as the differential diagnosis in patients with a lumbar paraspinal mass, particularly that containing multiple well-defined, round, small cysts, and in patients living in or traveling to endemic regions...
December 1, 2018: Turkish Journal of Surgery
Şener Balas, Kerim Bora Yılmaz, Seray Akçalar Yıldırım, Bilgihan Açıkgöz, İdil Güneş Tatar, Bahattin Bayar, Melih Akıncı, Oskay Kaya
Pyometra, the accumulation of purulent material in the uterine cavity, is a rare gynecological condition whose etiology is impaired drainage of the uterine cavity. It is uncommon in premenopausal age and occurs mainly in older and postmenopausal women. Clinical signs of pyometra are vaginal discharge, postmenopausal bleeding, and lower abdominal pain. An 87-year-old woman was admitted to our emergency department with abdominal pain, fever, and vomiting. The results of physical examination revealed rebound tenderness and muscular rigidity in the lower abdomen...
December 1, 2018: Turkish Journal of Surgery
Mehmet Tolga Kafadar, İsmail Bilgiç, Seyfi Kartal, Sefa Güliter
Colonoscopy is commonly performed for diagnostic and therapeutic purposes and has a relatively low morbidity rate. Nevertheless, it is necessary for operators to be aware of the rare complications of colonoscopy due to a large number of procedures performed in daily practice. Acute appendicitis is an unusually rare occurrence after colonoscopy, with no clear association being found between the colonoscopy and acute appendicitis. A rapid diagnosis of this complication is possible by widespread awareness in surgeons regarding this condition...
December 1, 2018: Turkish Journal of Surgery
Mehmet Tolga Kafadar, Aysun Yakut Cengiz, Tuğba Çaviş, İsmail Bilgiç, Işılay Nadir
Intestinal malrotation is a developmental anomaly characterized by a midgut fixation disorder and failure to complete its normal fetal rotation around the superior mesenteric artery inside the peritoneal cavity. Malrotation is a rare cause of mechanical intestinal obstruction in adults. It may manifest as an emergency condition or with chronic abdominal symptoms. Although its diagnosis remains difficult, early diagnosis and treatment usually yield favorable outcomes. Intestinal malrotation rarely has an asymptomatic course, in which the diagnosis is usually made incidentally...
December 1, 2018: Turkish Journal of Surgery
Enver Kunduz, Fatma Ümit Malya, Elnur Mehdi, Mustafa Hasbahçeci
Adult intussusception is a rare clinical condition. In majority of adult cases, there is an underlying cause such as polyps or colon cancers. In the present study, a 29-year-old woman with intermittent and colicky abdominal pain, constipation, and painful defecation, accompanied with distention and sense of rectal fullness, was evaluated with computed tomography. Ileo-colo-colic intussusception was determined. Subtotal colectomy with posterior rectopexy was performed. After the surgery, she was doing well at 13-month follow-up...
December 1, 2018: Turkish Journal of Surgery
Nidal İflazoğlu, Aslı Mengeloğlu, Nilay Şen Korkmaz, Bilgin Karaalioğlu, Murat Yülüklü
One of the causes of invagination in adults is primary small bowel lymphoma. Primary small bowel lymphomas are rare, present themselves with complications due to diagnostic difficulties, and are diagnosed only after surgical intervention. In case of invagination, one of the complications of these tumors, namely primary small bowel lymphoma, should also be considered as a cause in the diagnosis. In this paper, the diagnosis and therapy of a rare case of primary polypoid-type small intestinal lymphoma demonstrating findings of obstruction due to invagination have been presented and discussed in the light of the literature...
December 1, 2018: Turkish Journal of Surgery
Afag Aghayeva, Bilgi Baca, Deniz Atasoy, Sina Ferahman, Sezgin Uludağ, İsmail Ahmet Bilgin, Sonay Beyatlı, İsmail Mihmanlı, İsmail Hamzaoğlu
The most serious complication after major liver resection is liver failure. Depending on preoperative liver function, a future liver remnant of 25%-40% is considered sufficient to avoid postoperative liver failure. A new technique known as portal vein ligation combined with in situ splitting has been developed to obtain rapid liver hypertrophy. Herein, we present a case where we performed portal vein ligation combined with in situ splitting. A 37-year-old male patient with a diagnosis of sigmoid adenocarcinoma and liver metastasis underwent anterior resection because of an obstructing sigmoid tumor and received palliative chemotherapy...
December 1, 2018: Turkish Journal of Surgery
Mustafa Ümit Uğurlu, İpek Erbarut Seven, Funda Eren, Cumhur Yeğen, Bahadır Mahmut Güllüoğlu
Anaplastic thyroid carcinoma is a highly lethal malignancy. Previously, only five cases of a noninvasive form of anaplastic thyroid carcinoma with excellent prognosis were reported. We report a case of a 68-year-old man who presented with a 3.8 cm thyroid nodule diagnosed by fine needle aspiration biopsy as poorly differentiated spindled and epithelial malignant cells. Lobectomy and isthmusectomy were performed, and the final diagnosis was microinvasive anaplastic thyroid carcinoma arising in a poorly differentiated carcinoma...
December 1, 2018: Turkish Journal of Surgery
Fatma Vural, Buket Çelik, Zeynep Deveci, Kübra Yasak
OBJECTIVE: This study was conducted to determine the incidence of inadvertent hypothermia in operative patients and the risk factors that are involved in the development of hypothermia. MATERIAL AND METHODS: This prospective, descriptive, cross-sectional study was conducted from January 2016to August 2016 with 144 patients who over the age of 18 years, underwent general surgery, orthopedic surgery, urologic surgery, neurosurgery, and plastic and reconstructive surgery...
December 1, 2018: Turkish Journal of Surgery
Candaş Erçetin, Alper Şahbaz, Sami Acar, Fırat Tutal, Nihat Aksakal, Serkan Sarı, Yeşim Erbil
OBJECTIVE: Parathyroid glands and recurrent laryngeal nerves (RLNs) are at risk during thyroid surgery. However, the identification of the nerves reduced these risks. Intraoperative nerve monitoring (IONM) during thyroid surgery has gained widespread acceptance as an aid to the gold standard of visually identifying the RLN. The aim of the present study was to evaluate the effect of the identification of the RLN during thyroidectomy by using IONM. MATERIAL AND METHODS: Seven hundred forty-eight patients were included in our prospectively designed study...
November 20, 2018: Turkish Journal of Surgery
Cem Emir Güldoğan, Murat Kendirci, Emre Gündoğdu, Ahmet Çınar Yastı
OBJECTIVE: Major burn injury is a type of trauma that still has high morbidity and mortality rates at all age groups. There is no consensus on the provided guidelines regarding the prediction of the severity of the victims. It is sometimes not easy to have sophisticated clinical and blood monitoring for developing countries. It is still a challenge for them. The aim of the present study was to analyze the factors that have an effect on mortality and serve as a guide for burn treatment...
November 20, 2018: Turkish Journal of Surgery
Saket Kumar, Rugved Kulkarni, Nikhil Chopra, Abhijit Chandra
Hydatid disease is a parasitic zoonosis caused by the larval form of the Echinococcus worm. Hepatic hydatidosis is the most common form of disease in humans. Centrally located, large hydatid cysts have the tendency to rupture into the adjoining bile duct and form a fistulous communication. Suture closure of the cystobiliary communication detected during surgery is recommended to avoid postoperative complications related to bile leak. In the era of minimally invasive surgery, laparoscopic management of the cystobiliary communication can be challenging, and laparoscopic suturing may not always be feasible...
November 20, 2018: Turkish Journal of Surgery
Alireza Rastgoo Haghi, Amir Kasraianfard, Alireza Monsef, Amin Shoa Kazemi, Siavash Rahimi, Seyed Mohammad Reza Javadi
OBJECTIVE: Despite the recent use of computed tomography scan and diagnostic laparoscopy, acute appendicitis is still highly misdiagnosed. Timely diagnosis of acute appendicitis is more crucial in children and elderly patients because of vague symptoms and rapid progression to perforation in these age groups, which may result in high rates of morbidity and mortality. The aim of the present study was to find the diagnostic values of procalcitonin and interleukin 6 (IL-6) for diagnosing acute appendicitis in our center...
November 20, 2018: Turkish Journal of Surgery
Durmuş Ali Çetin, Ebubekir Gündeş, Hüseyin Çiyiltepe, Ulaş Aday, Orhan Uzun, Kamuran Cumhur Değer, Mustafa Duman
OBJECTIVE: Esophagojejunal anastomotic leakages, which occur in the reconstruction procedures performed after total or proximal gastrectomy, still account for one of the most significant causes of morbidity and mortality in spite of the developments seen in the perioperative management and surgical techniques in gastric cancer surgery. The aim of the presentstudy was to ascertain the risk factors for Esophagojejunal anastomotic leakages. MATERIALAND METHODS: A total of 80 patients with gastric cancer, who had total gastrectomy + D2 lymph node dissection and Esophagojejunal anastomotic between January 2013 and December 2016, were retrospectively evaluated...
November 20, 2018: Turkish journal of surgery
Kazım Şenol, Murat Ferhat Ferhatoğlu, Deniz Tihan
OBJECTIVE: Appendiceal tumors are rare and mostly present as acute appendicitis. Its estimated lifetime prevalence has been reported as 8%, and the annual incidence is approximately 0.1% in Western countries. The only treatment approach is still surgery, but surgical management still remains unclear in appendiceal malignancy. MATERIAL AND METHODS: Histopathological examination of 2840 specimens obtained from patients who underwent appendectomy between January 2012 and December 2015 was investigated...
November 20, 2018: Turkish Journal of Surgery
Servet Karagül, Cüneyt Kayaalp
OBJECTIVE: The aim of the present study was to contribute to the establishment of a standard method of small bowel measurement by comparing repeated small bowel length measurements with and without stretching in healthy individuals. MATERIAL AND METHODS: Small bowel measurement was randomly performed in 24 healthy liver donors. Three repetitive measurements were performed with complete stretching in 12 cases, whereas, 3 consecutive measurements were made without any stretching in the other 12 patients...
November 20, 2018: Turkish Journal of Surgery
Tonguç Utku Yılmaz, Halil İbrahim Taş, Ezgi Uçar, Cem Cerit, Altay Çelebi, Sertaç Ata Güler, Zafer Utkan
OBJECTIVES: Constipation is the most commonly seen defecation problem and related with several environmental factors. Learning defecation is learned in the childhood anal period in which anal characteristic features appear. Problems in the anal period of childhood may affect not only the characters but also the defecation function. We aimed to evaluate the relationship between constipation and anal characteristic features of participants with functional constipation. MATERIAL AND METHODS: Patients with functional constipation were included in the study according to the ROME III criteria...
September 21, 2018: Turkish Journal of Surgery
Ferzine Mohamed
Chylolymphatic mesenteric cysts of the abdomen is a rare differential for cystic tumors, more so in the pediatric age group, and they have various clinical presentations. There have been very few cases reported worldwide. To the best of our knowledge, a multicystic chylolymphatic cyst of the abdomen as demonstrated below is the first reported occurrence worldwide in the pediatric age group. We herein report the case of a 1-year-old who presented to us with gradual distension of the abdomen for 4 months with occasional episodes of vomiting and a lobulated cystic abdominal mass on palpation...
September 21, 2018: Turkish Journal of Surgery
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