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Turkish Journal of Surgery

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https://www.readbyqxmd.com/read/29756117/endoscopic-repair-of-rectal-perforation-due-to-colonoscopy-with-a-clamp-method
#1
Osman Köneş, Cevher Akarsu, Tarık Acar, Halil Alış
Colon perforation during colonoscopy is a rare complication that usually requires surgical intervention. Traditionally, primary repair by laparoscopy, laparotomy, resection, and anastomosis is performed for such perforations. More recently developed minimally invasive endoscopic instruments have also been used in the repair of these perforations; this is becoming increasingly common. An endoscopic over-the-scope clip clamp was used in a 59-year-old male patient who suffered a rectum perforation in connection with a diagnostic colonoscopy...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756116/intraabdominal-gossypiboma-report-of-two-cases
#2
Ebru Oran, Gürkan Yetkin, Nurcihan Aygün, Fevzi Celayir, Mehmet Uludağ
Gossypiboma which cause medico-legal implications is a heritage of previous surgery. In this study, we present two cases of gossypiboma mimicking intraabdominal malignancy. Case 1: A 28-year-old woman presented with an epigastric mass measuring 10 cm in diameter and a history of open cholecystectomy performed three years ago. Radiological exams revealed a cystic mass at the lesser sac and suggested serous cystadenocarcinoma. Case 2: A 36-year-old female patient with a history of two caesarean sections had a mass in the left lower quadrant...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756115/severe-decrease-in-spo-2-and-methemoglobinemia-following-subareolar-isosulfan-blue-administration-and-clinical-relevance
#3
Esra Yüksel, Dilek Duman, Levent Yeniay, Sezgin Ulukaya
The level of axillary lymph node involvement in breast cancer is a critical decision factor for adjuvant therapy and the most important indicator of prognosis and survival. Sentinel lymph node biopsy is a minimally invasive technique with low morbidity in axillary staging of breast cancer. Radiocolloid substances (Technetium-99m) and/or blue dyes such as methylene blue or isosulfan blue are used during sentinel lymph node biopsy. Isosulfan blue stain is frequently used in sentinel lymph node biopsy and rarely causes complications...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756114/is-erythema-nodosum-coexisting-with-lesions-of-the-breast-a-suggestive-sign-for-idiopathic-granulomatous-mastitis
#4
Metehan Gümüş, Zeynep Meltem Akkurt, Hatice Gümüş
Coexistence of idiopathic granulomatous mastitis and erythema nodosum is very unusual. In this paper, we present a patient with idiopathic granulomatous mastitis accompanied by erythema nodosum to highlight the diagnostic importance of erythema nodosum and its relationship with treatment response of breast lesion. A 39-year-old female with a breast lesion and erythema nodosum was started on treatment with corticosteroids before the results of her histopathological evaluation were obtained. The response to treatment was very quick...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756113/primary-splenic-angiosarcoma-diagnosed-after-splenectomy-for-spontaneous-rupture
#5
Barış Özcan, Metin Çevener, Ayşegül Odabaşı Kargı, Hilmi Dikici, Akın Yıldız, Mustafa Özdoğan, Alihan Gürkan
Primary splenic angiosarcoma is a rare abnormality and has a bad prognosis. It has unknown pathogenesis. This abnormality is usually presented by splenic rupture. Surgery is the most promising treatm Surgery is the most accepted and accurate method for diagnosis and treatment. Surgery before rupture increases the life expectancy. A 65-year-old woman who presented to the emergency room with abdominal pain, abdominal distension, and anemia was found to have a splenic mass and massive ascites. After getting a hemorrhagic sample from the abdomen, the patient was operated with splenic rupture prediagnosis...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756112/idiopathic-weight-loss-due-to-an-entero-enteric-fistula-from-a-gossypiboma-retained-for-27-years
#6
Yusuf Tanrıkulu, Ceren Şen Tanrıkulu, Gökhan Yılmaz, Ercan Bıçakcı
Gossypiboma refers to a mass formed around surgical instruments or materials left in the body postoperatively. The occurrence of gossypibomas remains an important problem, despite improvements in surgical procedures and operating room facilities. The clinical presentation of gossypiboma can vary depending on the host response. This report describes a case of abdominal gossypiboma after splenectomy. A 48-year-old man who had undergone splenectomy 27 years ago was admitted to our clinic suffering from non-specific symptoms for 2 weeks...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756111/glomus-tumor-of-the-stomach
#7
Pelin Yıldız, Zuhal Gücin, Dilek Sema Arıcı, Fatma Ümit Malya, Birol Baysal
Glomus tumor is a rare benign mesenchymal neoplasm derived from the glomus body, an arteriovenous shunt mainly located in dermis and subcutis. The most common localization of this tumor is extremities, especially nailbed. Glomus tumor in the gastrointestinal system is a rare condition. Here we report a gastric glomus tumor to raise awareness of this tumor and show the difficulties in the diagnosis.
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756110/agenesis-of-the-isthmus-of-the-thyroid-gland
#8
Uğur Kesici, Sevgi Kesici
The thyroid is an endocrine gland composed of two lobes connected by the isthmus tissue. Thyroid isthmus agenesis is a rare condition, and only a few cases have been reported in the literature. Here, we discuss the case of a 56-year-old female patient in whom agenesis of the thyroid isthmus was discovered incidentally during surgery for a multinodular goitre. When agenesis of the isthmus is found, associated thyroid lobe agenesis and the presence of ectopic thyroid tissue must be considered. In addition, associated autoimmune thyroid nodule, thyroiditis, primary thyroid carcinoma, metastasis, and amyloidosis must be considered in the differential diagnosis...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756109/first-experience-with-a-new-technique-portable-gamma-camera-usage-for-sentinel-lymph-node-identification-in-a-patient-with-breast-cancer
#9
Zehra Pınar Koç, Pınar Pelin Özcan Kara, Mustafa Berkeşoğlu, Tamer Akça
The newest development in sentinel lymph node imaging is portable gamma probe imaging. In this case report, results of all SLN detection methods were analyzed. The patient was imaged using a large field-of-view gamma camera with additional blue dye administration and intraoperative localization of sentinel lymph node using both gamma probe and portable gamma camera was performed. In this case report, the value of additional portable gamma camera imaging was analyzed.
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756108/thoracoscopic-vagal-sparing-esophagectomy-and-colonic-interposition-for-caustic-stricture
#10
Deniz Tihan, Tuğba Matlım, Taylan Çelik, Fatih Altıntoprak, Oktar Asoğlu
Minimally invasive esophagectomy is an increasing trend in surgery. Thoracoscopic esophagectomy is applicable and an alternative procedure to conventional esophagectomy in patients especially with end-stage benign diseases like caustic stricture. A 33-year-old female patient was admitted to the department of general surgery with dysphagia. The patient was suffering from caustic stricture due to ingestion of hydrochloric acid. A totally thoracoscopic and laparoscopic vagal-sparing esophagectomy and colonic interposition was performed...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756107/analysis-of-89-patients-who-underwent-tube-thoracostomy-performed-by-general-surgeons
#11
Cihad Tatar, Ahmet Kocakuşak, Bahri Özer, Mehmet Celal Kızılkaya, Tamer Karşıdağ, Aziz Arı, Kenan Büyükaşık
Objective: Death due to thoracic trauma accounts for 20% of all trauma deaths. The aim of this study was to discuss the approach applied by general surgeons to thoracic trauma in our center. Material and Methods: A total of 89 patients (82 male, 7 female; mean age: 26.8 years; range: 7 to 77 years) with thoracic trauma who were admitted to the emergency department and underwent thoracostomy performed by general surgeons between January 2008 and December 2013 were retrospectively analyzed...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756106/a-new-surgical-approach-for-pilonidal-sinus-disease-de-epithelialization-technique
#12
Özgür Dandin, Deniz Tihan, Dursun Özgür Karakaş, Batuhan Hazer, Ahmet Ziya Balta, Oğuz Uğur Aydın
Objective: In the treatment of pilonidal sinus disease different approaches are used such as conservative treatment and fasciocutaneous rotation flap. The aim of this study was to evaluate the efficacy of "de-epithelialization technique" as a new approach in pilonidal sinus disease treatment. Material and Methods: Forty pilonidal sinus disease patients treated with de-epithelialization method were evaluated retrospectively. Patient age, gender, body mass index, wound healing time, visual analog scale scores, operation times, hospital stay duration, drain removal time, cosmetic satisfaction rates, complications, and recurrence rates were evaluated...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756105/non-operative-management-of-abdominal-gunshot-injuries-is-it-safe-in-all-cases
#13
Nidal İflazoğlu, Orhan Üreyen, Osman Zekai Öner, Ulvi Mehmet Meral, Murat Yülüklü
Objective: In line with advances in diagnostic methods and expectation of a decrease in the number of negative laparotomies, selective non-operative management of abdominal gunshot wounds has been increasingly used over the last three decades. We aim to detect the possibility of treatment without surgery and present our experience in selected cases referred from Syria to a hospital at the Turkish-Syrian border. Material and Methods: Between February 2012 and June 2014, patients admitted with abdominal gunshot wounds were analyzed...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756104/treatment-of-phytobezoars-tailoring-management-to-diverse-presentations
#14
Zeki Özsoy, İsmail Okan
Objective: A minimally invasive approach is feasible and successful for the treatment of phytobezoars. We would like to draw attention to the overconsumption of Sorbus domestica and discuss the management options of patients presenting with different symptoms due to phytobezoars. Material and Methods: Data from patients diagnosed with phytobezoars in the Department of General Surgery from 2010 to 2016 were prospectively collected and evaluated. Results: Twenty patients diagnosed with phytobezoars were included in the study...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756103/factors-affecting-successful-colonoscopy-procedures-single-center-experience
#15
Ramazan Kozan, Tonguç Utku Yılmaz, Uygar Baştuğral, Umut Kerimoğlu, Yücel Yavuz
Objective: Colonoscopy is a gold standard procedure for several colon pathologies. Successful colonoscopy means demonstration of the ileocecal valve and determination of colon polyps. Here we aimed to evaluate our colonoscopy success and results. Material and Methods: This retrospective descriptive study was performed in İstanbul Eren hospital endoscopy unit between 2012 and 2015. Colonoscopy results and patient demographics were obtained from the hospital database...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756102/management-of-iatrogenic-injuries-due-to-endoscopic-sphincterotomy-surgical-or-conservative-approaches
#16
Özgür Bostancı, Muharrem Battal, Pınar Yazıcı, Uygar Demir, Canan Alkım
Objective: The best therapeutic approach for endoscopic retrograde cholangiopancreatography-related perforations remains controversial; while some authors suggest routine conservative management, others advocate mandatory surgical exploration. We aimed to evaluate our clinical experience of perforations during endoscopic sphincterotomy. Material and Methods: A retrospective chart review from January 2010 to October 2015 identified 20 patients with endoscopic retrograde cholangiopancreatography-related perforations...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756101/a-short-term-analysis-of-surgical-management-of-umbilical-and-paraumbilical-hernia
#17
Varun Arunagiri, Ragumani Padmanabhan, Parimala Mayandi
Objective: Umbilical hernia and paraumbilical hernia are ventral herniae that occur in infants and adults. According to current evidence, mesh repair is the treatment of choice to avoid recurrence. The aim of this study is to analyze the surgical methods, the types of meshes used, and their benefits. Material and Methods: A retrospective analysis of patients diagnosed with umbilical hernia and paraumbilical hernia was performed. The patients' consent was obtained retrospectively...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756100/randomized-prospective-comparison-of-long-term-results-of-onlay-and-sublay-mesh-repair-techniques-for-incisional-hernia
#18
Barış Sevinç, Ahmet Okuş, Serden Ay, Nergis Aksoy, Ömer Karahan
Objective: Incisional hernia is a significant problem after laparotomy, and there is still no consensus on an ideal treatment method. The aim of this study was to compare the results of onlay and sublay mesh repair techniques. Material and Methods: In this randomized prospective trial, 100 patients were divided into two groups: onlay and sublay groups. Recurrences were evaluated by performing a physical examination. Results: The median follow-up was 37...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756099/can-volumetric-measurement-be-used-in-the-selection-of-treatment-for-inguinoscrotal-hernias
#19
Metin Ertem, Hakan Gök, Volkan Özben, Engin Hatipoğlu, Erdem Yıldız
Objective: Inguinoscrotal hernias are often qualified subjectively as big, giant, scrotal, etc. In order to classify this type of hernia, objective criteria are needed. For this purpose, we aimed to introduce a scrotal volume measurement-based classification system and propose a corresponding surgical plan (open or laparoscopic surgery, anterior or posterior repair) based on volumetric data. Material and Methods: Between October 2012 and October 2013, 30 consecutive male patients with a mean age of 59...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756098/objectively-structured-verbal-examination-to-assess-surgical-clerkship-education-an-evaluation-of-students-perception
#20
Şükrü Aydın Düzgün, Sezgin Zeren, Zülfü Bayhan
Objective: The objectivity and reliability of examining methods are controversial. We subjected fourth-year medical students to a specially designed verbal exam which we called objectively structured verbal examination. We aimed to evaluate feedback from students about objectively structured verbal examination as an assessment instrument for gauging their surgical knowledge. Material and Methods: Objectively structured verbal examination modules were developed according to the learning goals of the surgical clerkship...
2018: Turkish Journal of Surgery
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