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Turkish Journal of Surgery

Cengiz Tavusbay, Turan Acar, Haldun Kar, Kemal Atahan, Erdinç Kamer
Peutz-Jeghers syndrome is an autosomal dominant disorder characterized by mucocutaneous hyperpigmentation, and intestinal and extraintestinal multiple hamartomatous polyps. Development of gastrointestinal and extragastrointestinal cancer risk is markedly increased in patients with Peutz-Jeghers syndrome. We analyzed five patients from two families diagnosed with Peutz-Jeghers syndrome between 1999 and 2012. This study confirms the actual malignancy potency of PJS. Therefore, we suggest a close follow-up of patients with Peutz-Jeghers syndrome for the risk of malignancy...
2018: Turkish Journal of Surgery
Turan Acar, Volkan Çakır, Nihan Acar, Kemal Atahan, Mehmet Hacıyanlı
Chronic visceral ischemia is described as postprandial abdominal pain caused by intestinal hypoperfusion. Chronic visceral ischemia arising from the stenosis of major mesenteric arteries can cause death. Chronic abdominal pain, weight loss, and sitophobia are the major symptoms. The main cause of chronic visceral ischemia is atherosclerosis; Doppler ultrasonography, tomographic angiography, and magnetic resonance angiography can be used for diagnosis. The gold standard method is mesenteric catheterized angiography...
2018: Turkish Journal of Surgery
Alberto Pagan, Alessandro Bianchi, José Antonio Martínez, Marina Jiménez, Francisco Javier Gonzalez
In cancer patients with tumors of the upper gastrointestinal tract, dysphagia and cachexia require gastrostomy or jejunostomy as the only options for enteral access for long-term feeding. In this article, the authors describe a modified placement of laparoscopic feeding jejunostomy applied during laparoscopic oncology layering technique. After performing an exploratory laparoscopy, a feeding jejunostomy is performed using a Foley silicon catheter, through an eyelet in the mesentery of the descending colon. After completing the introduction of the jejunal probe according to the Witzel technique, the intestinal segment of jejunum is attached to the internal sheath of the mesocolon using sutures polysorb 2/0, with the aim of removing the possible internal hernia and a jejunal torque that could cause an intestinal obstruction...
2018: Turkish Journal of Surgery
Nesrin Uğraş, Pınar Sarkut, Ömer Yerci, Ersin Öztürk
The coexistence of signet-ring cell carcinoma and neuroendocrine tumors is very rare. We report a 57-year-old man who presented with a history of weight loss and nausea. Gastric mucosal biopsies obtained during gastrointestinal endoscopy revealed a gastric signet-ring cell carcinoma. The patient underwent a total gastrectomy with a standard D2 lymph node dissection. Ten individual tumors were detected in the resected specimen. Based on the histopathological and immunohistochemical findings, the final diagnosis was co-existing signet-ring cell carcinoma and neuroendocrine tumor...
2018: Turkish Journal of Surgery
Sefa Ergün, Ozan Akıncı, Tülin Öztürk, Adem Karataş
Hyalinizing trabecular tumor was first described by Carney et al. (1) in 1987 and is a rare benign tumor of the thyroid gland that shares some of the microscopic features of medullary and papillary thyroid carcinoma. Hyalinizing trabecular tumor derives from follicular cells, and it is characterized by an apparent trabecular pattern and intratrabecular hyalinization. In this study, we present the case of a 40-year-old female patient with thyroid gland nodules, whose ultrasound results, clinical behavior, and fine-needle aspiration biopsy results were suspicious; the pathology after thyroidectomy indicated hyalinizing trabecular tumor...
2018: Turkish Journal of Surgery
Gülden Cancan, Serkan Teksöz, Süleyman Demiryas, Murat Özcan, Yusuf Bükey
Adrenal angiosarcoma is an uncommon neoplasm that derives from the vascular endothelium; due to its biological behavior, it should be distinguished from other adrenal tumors. We herein report a case of a 57-year-old woman with diagnosis of an adrenal tumor that was suspected to be malignant. The specimen was histopathologically proved to be an angiosarcoma. The patient was suffering from right upper quadrant pain; after laboratory and radiological workup, a non-functioning right adrenal mass, 14 cm in size, was recognized...
2018: Turkish Journal of Surgery
Fatih Başak, Mustafa Hasbahçeci, Tolga Canbak, Metin Yücel, Aylin Acar, Abdullah Şişik, Gürhan Baş, Murat Hakan Karabulut, Gözde Kır
Preperitoneal lipomas are rare in clinical practice. Here we report an unexpected diagnosis of a giant preperitoneal fibrolipoma detected intraoperatively during laparoscopic cholecystectomy in a 56-year-old woman. The mass was excised and a histopathological examination confirmed fibrolipoma. No recurrence was found on follow-up. In the literature, there have been many cases with unexpected diagnoses during laparoscopy. Here, we present an incidental giant preperitoneal fibrolipoma, which was overlooked by ultrasound and physical examination, but was detected during laparoscopic cholecystectomy...
2018: Turkish Journal of Surgery
Abdullah Durhan, Gamze Durhan, Aydan Eroğlu
The neutrophil-to-lymphocyte ratio is clinically accepted as a marker of systemic inflammatory response. In breast cancer patients, neutrophil-to-lymphocyte ratio can be used as an important prognostic indicator of survival. In routine laboratory tests, the platelet-to-lymphocyte ratio can also be examined in addition to neutrophil-to-lymphocyte ratio. Although the effects on breast cancer survival of platelet-to-lymphocyte ratio, which is accepted as the twin of neutrophil-to-lymphocyte ratio, are not as widely accepted as those of neutrophil-to-lymphocyte ratio, platelet activation is known to be a feature of cancer...
2018: Turkish Journal of Surgery
Sangar M Faroq Abdulrahman, Serkan Teksöz, Sina Ferahman, Süleyman Demiryas, Yusuf Bükey, Ateş Özyiğin
Missed gland is an extremely rare condition. It is a mediastinal thyroid mass found after total thyroidectomy. We report a case of missed gland. The patient underwent total thyroidectomy due to multinodular goiter and thyroid stimulating hormone levels did not increase after surgery. Pathological tests revealed a micropapillary carcinoma. Thyroid ultrasonography and scintigraphy scan revealed mediastinal thyroid mass. The patient underwent redo surgery without sternotomy and there was no morbidity after the second surgical procedure...
2018: Turkish Journal of Surgery
Yelda Dere, Sümeyye Ekmekçi, Serkan Çelik, Özgür İlhan Çelik, Özcan Dere, Volkan Karakuş
Objective: In cases presenting with lymphadenopathies (LAP) without a primary focus detected by simple radiological methods, the primary tumor can be diagnosed by a histopathological evaluation of the metastatic lymph nodes. We aimed to discuss the nonhematological malignancies presenting with lymphadenopathies and the histopathological results for primary tumors. Material and Methods: In this retrospective study, cases diagnosed with metastasis in excisional lymph nodes between January 2013 and June 2016 were assessed for a histopathological diagnostic approach...
2018: Turkish Journal of Surgery
Adam Uslu, Baha Zengel, Enver İlhan, Ahmet Aykas, Cenk Şimşek, Orhan Üreyen, Ali Duran, Gökalp Okut
Objective: D2 lymphadenectomy (D2-LND) with curative resection (R0) is the cornerstone of gastric cancer treatment. In this study, we compared survival outcomes of D2-LDN with D1-LDN in patients who had undergone curative resection for Stages II and III primary gastric adenocarcinoma. Material and Methods: Between April 1996 and March 2014, 153 consecutive patients with adenocarcinoma of the stomach underwent total gastrectomy with D1-LND or D2-LND. Among those, 118 patients (38 D1 vs...
2018: Turkish Journal of Surgery
Cemal Kaya, Emre Bozkurt, Pınar Yazıcı, Ufuk Oğuz İdiz, Mert Tanal, Mehmet Mihmanlı
Objective: To evaluate the diagnostic and treatment approaches for patients diagnosed with mesenteric panniculitis. Material and Methods: We retrospectively reviewed all patients diagnosed with mesenteric panniculitis between January 2010 and March 2016. We recorded the demographic features, clinical symptoms, laboratory values, radiological methods, treatment approach, and outcomes of the patients. Results: We evaluated 22 patients (17 male and five female) with a mean age of 45...
2018: Turkish Journal of Surgery
Osman Akdağ, Gökçe Yıldıran, Mehtap Karameşe
Objective: Foreign-body and penetration injuries of the hand are common emergencies. Metallic foreign bodies are common among all foreign masses; however, the examination of huge bodies differs from that of other metallic masses. The purpose of this study was to clarify an algorithm for the management of the huge metallic masses via our therapeutic approaches for metal-penetrating injuries. Material and Methods: Seven patients who had a huge, metallic object-penetration injury to their upper extremity were included in our study...
2018: Turkish Journal of Surgery
Tamer Şimşek, Ömer Faik Ersoy, Zeki Özsoy, Erdinç Yenidoğan, Hüseyin Ayhan Kayaoğlu, Namık Özkan, Mustafa Şahin
Objective: We aimed to investigate the effect of 10 mg/kg sildenafil on the structure and function of the liver in a rat model of obstructive jaundice. Material and Methods: Sixty-two male Wistar albino rats were distributed into six different groups. Obstructive jaundice was performed by legating the common bile duct. 10 mg/kg sildenafil citrate in drinking water was delivered orally after the operation before sacrificing them. Rats were sacrificed either after 10 or 28 days according to the study design...
2018: Turkish Journal of Surgery
Ahmet Korkut Belli, Önder Özcan, Funda Dinç Elibol, Cenk Yazkan, Cem Dönmez, Ethem Acar, Okay Nazlı
Objective: The spleen is the most vulnerable organ in blunt abdominal trauma. Spleen-preserving treatments are non-operative management with or without splenic angioembolization, partial splenectomy, and splenorrhaphy. The aim of the present study was to determine the rate of SPTs and to evaluate the usefulness of Injury Severity Score after traumatic splenic injury. Material and Methods: We searched our institution's database between May 2012 and December 2015...
2018: Turkish Journal of Surgery
Arif Emre, Mehmet Sertkaya, Sami Akbulut, Ozan Erbil, Nursel Yurttutan, İlhami Taner Kale, Ertan Bülbüloğlu
Objective: The aim of the present study was to share our experiences of the use of self-expandable metallic stent for the upper gastrointestinal tract disease. Material and Methods: We retrospectively reviewed the medical records of 18 patients who underwent self-expandable metallic stent implantation procedure for anastomosis stricture, anastomosis leak, or spontaneous fistula of the upper gastrointestinal tract at two different surgery clinics. Self-expandable metallic stent implantation procedures were performed while keeping the patient under sedation and the correct stent localization was verified using fluoroscopy...
2018: Turkish Journal of Surgery
Erdinç Kamer, Ali Rıza Tümer, Turan Acar, Burak Uyar, Gülden Ballı, Fevzi Cengiz, Mesut Özoğul, Mehmet Hacıyanlı
Objective: Informed consent is a term based on the idea that every individual has the right to know every medical intervention that is going to be performed on their own body and to learn the issues that she/he may encounter in case of refusal of intervention, and it also defines the protection of personal rights under the guarantee of law. Material and Methods: The website of Turkish Surgical Association and 25 different websites of surgical associations were evaluated according to general surgery association guide, which was published by the Turkish Surgical Association in 2011...
2018: Turkish Journal of Surgery
Banu Karapolat, Üzer Küçüktülü
Objective: During colonoscopy, cecal intubation time is prolonged with increase in difficulty of the procedure. Cecal intubation time may be affected by age, gender, and body structure. We investigated the relationship between body mass index and cecal intubation time in women. Material and Methods: This prospective study included 61 women who underwent colonoscopy in the endoscopy unit of the General Surgery Clinic in Trabzon Kanuni Training and Research Hospital between January 2016 and September 2016...
2018: Turkish Journal of Surgery
Özer Makay, Murat Özdemir, Yasemin Giles Şenyürek, Fatih Tunca, Mete Düren, Mehmet Uludağ, Mehmet Hacıyanlı, Gökhan Içöz, Adnan Işgör, Serdar Özbaş, Zehra Özcan, Serdar Tezelman
Objectives: The incidence of papillary microcarcinomas, which are defined as thyroid cancers of <10mm in size, has been increasing in the last decade. Herein, we present internet-based questionnaire results performed by the Turkish Association of Endocrine Surgery with the aim to evaluate the perspective of the management of papillary microcarcinomas in Turkey. Material and Methods: The user-friendly questionnaire consisted of 13 questions in total. These questions mainly addressed the surgical management of nodules and cancer of <1 cm in size...
2018: Turkish Journal of Surgery
Hakan Kulaçoğlu
Guidelines are meant to evaluate the options available in the current circumstances and suggest the proper solutions for particular problems. The duty of a guideline is to present a basis for decision-making. Surgical options for the treatment of groin hernias are numerous. Recently, a joint guideline called " International Guidelines for Groin Hernia Management " was developed by five continental hernia societies, the International Endo hernia Society, and the European Association for Endoscopic Surgery...
2018: Turkish Journal of Surgery
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