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Turkish Journal of Surgery

Erdal Uysal, Mehmet Dokur, Türkay Kırdak, Akif Kurt, Mehmet Karadağ
OBJECTIVES: The goal was to examine the efficiency of local implementation of adipose-derived mesenchymal stem cells, which have an anti-inflammatory effect, in preventing the intra-abdominal adhesions in rats. MATERIAL AND METHODS: Twenty-one Wistar albino rats were randomly divided into 3 groups, 7 rats in each: Group 1 was defined as the control group, Group 2 as the sham group, and Group 3 as the adipose-derived mesenchymal stem cell group. A 6 cm mid-abdomen incision in the all the rats was performed...
August 31, 2018: Turkish Journal of Surgery
Mehmet Fatih Can, Mustafa Kerem, Kürşat Dikmen
No abstract text is available yet for this article.
August 31, 2018: Turkish Journal of Surgery
Hikmet Erhan Güven, Sedat Bilge, Ali Attila Aydın, Mehmet Eryılmaz
OBJECTIVES: We aimed to conduct a cross-sectional data analysis involving 60 patients wounded during a low-intensity conflict on urban terrain. MATERIAL AND METHODS: Data of the 60 patients wounded during a low-intensity conflict on urban terrain between September 1st , 2016, and January 15th, 2017, and transferred to our hospital after the initial medical interventions conducted in the regional hospitals were probed retrospectively. Group A consisted of 25 (41...
August 31, 2018: Turkish Journal of Surgery
Deniz Atasoy, Afag Aghayeva, Erman Aytaç, İlknur Erenler, Aykut Ferhat Çelik, Bilgi Baca, Tayfun Karahasanoğlu, İsmail Hamzaoğlu
OBJECTIVES: Crohn's disease is a chronic inflammatory bowel disease that requires lifelong multidisciplinary management. Seventy percent of patients affected by Crohn's disease will require at least one surgical procedure over their lifetime. The aim of this retrospective study was to present our series of patients suffering from Crohn's disease who were scheduled for surgery by a multidisciplinary team. MATERIAL AND METHODS: The data were retrieved from a review of 950 patients with Crohn's disease treated at our institution between March 2000 and March 2016...
August 31, 2018: Turkish Journal of Surgery
Nese Ekinci, Eylül Gün, Arzu Avcı, Ahmet Er
Neoplasms of the appendix are very rare. They usually show glandular or neuroendocrine differentiation, and when they both occur in the same area, it is called a "collision tumor." Low-grade mucinous neoplasms associated with appendiceal diverticula are also uncommon. The appendectomy specimen of a 60-year-old man contained dense and mucoid luminal content on the distal tip, and similarly a solid, yellow, lumen-obscuring tumor with a diameter of 1.5 cm at the base of the appendix was detected. Microscopically, there were three diverticula that comprised herniation of the mucosal layer through the appendiceal wall...
August 31, 2018: Turkish Journal of Surgery
Veysi Hakan Yardımcı, Aytül Hande Yardımcı
Isolated appendiceal actinomycosis is a rare chronic progressive suppurative infection. Its causative agent in humans is a Gram-positive saprophytic anaerobic bacteria, Actinomyces israelii. We present a case of an acute appendicitis that developed in a 54-year-old woman due to isolated appendiceal actinomycosis. Diagnosis of appendiceal actinomycosis causing acute appendicitis is generally performed postoperatively histopathologically, and appendectomy alone is not sufficient for treatment. It is an important factor that should be considered by clinicians that definitive treatment of the infection is possible by appropriate antibiotic use...
August 28, 2018: Turkish Journal of Surgery
Ender Anılır, Filiz Özen, İbrahim Ali Özemir, İbrahim Halil Yıldırım, Çağrı Bilgiç, Orhan Alimoğlu
OBJECTIVES: There has been coverage of Toll-like receptor 4 and Toll-like receptor 2 gene polymorphisms in inflammatory episodes in a number of studies. In view of the inflammatory nature of acute pancreatitis, we aimed to determine the predictive value of mutations in Asp299Gly and Thr399Ile of the Toll-like receptor 4 gene, and the intron 2 microsatellite polymorphism of the Toll-like receptor 2 gene on the occurrence of acute biliary pancreatitis. MATERIALS AND METHODS: The study included 86 patients for the Toll-like receptor 4 Thr399Ile polymorphism, 100 patients for the Toll-like receptor 4 Asp299Gly polymorphism with acute biliary pancreatitis, and 101 healthy volunteers...
August 28, 2018: Turkish Journal of Surgery
Mehmet Giray Sönmez, Betül Kozanhan, Mehmet Serkan Özkent, Gökhan Ecer, Mehmet Salih Boğa, Erhan Demirelli, Ahmet Öztürk
OBJECTIVES: The aim of this study is to evaluate the readability levels of informed consent forms used in Turkey before urological surgery and to compare the readability levels of open, endoscopic, and laparoscopic surgical informed consent forms. MATERIAL AND METHODS: A total of 529 informed consent forms used for urological open, endoscopic, and laparoscopic surgical procedures were collected from different hospitals in Turkey. Evaluating informed consent forms that have exactly the same text only once, a total of 69 consent forms were evaluated...
August 28, 2018: Turkish Journal of Surgery
Mehmet Baki Şentürk, Ozan Doğan, Mesut Polat, Çetin Kılıçcı, Çiğdem Pulatoğlu, Ahter Tanay Tayyar
OBJECTIVE: The aim of the present study was to determine which of the umbilical entry routes for intraperitoneal access has a better cosmetic result. MATERIAL AND METHODS: This was a prospective study (Canadian Task Force classification II-1). In total, 105 patients who underwent laparoscopic surgery were included. A vertical or transverse umbilical incision is appropriately made for the trocar to be inserted, and an infraumbilical, supraumbilical, or transumbilical route was preferred for initial intraperitoneal access...
August 28, 2018: Turkish Journal of Surgery
Eyüp Murat Yılmaz, Erdem Barış Cartı, Altay Kandemir
Gallstone ileus is a relatively rare pathology, most commonly obstructing the terminal ileum. Bouveret syndrome is a syndrome found particularly in elderly patients, which develops as the result of a cholecystoenteric fistula. It leads to the gastric outlet obstruction and has an incidence of less than 1%. In this report, we presented a 95-year-old patient diagnosed with Bouveret syndrome.
August 28, 2018: Turkish Journal of Surgery
Süleyman Atalay, Belkıs Soylu, Aslı Aykaç, Ayliz Velioğlu Öğünç, Şule Çetinel, Naziye Özkan, Can Erzik, Ahmet Özer Şehirli
OBJECTIVES: The purpose of this study was to investigate possible protective effects of St. John's wort in the hepatic ischemia/reperfusion injury. MATERIAL AND METHODS: The hepatic artery, portal vein, and bile duct were all clamped for 45 minutes to induce ischemia in rats, and after that reperfusion for 1 hour. SJW was administrated orally, once a day for 3 days before ischemia/reperfusion. The aspartate aminotransferase, alanine aminotransferase, tumor necrosis factor, and interleukin levels were measured in the serum samples...
August 28, 2018: Turkish Journal of Surgery
İsmail Zihni, Volkan Soysal, Adam Uslu, Baha Zengel, Gökalp Okut, Ahmet Aykas, Ali Duran, Erhan Tatar
OBJECTIVES: The literature about the frequency of metabolic syndrome in patients with multinodular goitre and a new onset of metabolic syndrome after total thyroidectomy is limited. The aim of this study was to investigate the effects of total thyroidectomy and thyroid hormones on a new onset of metabolic syndrome in patients who underwent total thyroidectomy and have received thyroid hormone replacement. MATERIAL AND METHODS: Fifty-nine patients who underwent total thyroidectomy for multinodular goitre were included in this prospective study...
August 28, 2018: Turkish Journal of Surgery
Gunjan Desai, Rajvilas Narkhede, Prasad Pande, Paresh Varty, Hitesh Mehta, Dattaprasanna Kulkarni
OBJECTIVE: This article aims to identify the patient selection criteria and approach in treating persistent external pancreatic fistulas surgically with Roux-en-Y fistulojejunostomy, and it evaluates the outcomes of Roux-en-Y fistulojejunostomy with a review of the relevant literature. MATERIAL AND METHODS: A retrospective data analysis from January 2010 to May 2017 revealed 6 patients who were managed with Roux-en-Y fistulojejunostomy for persistent external pancreatic fistulas, and their details were entered in a proforma...
August 28, 2018: Turkish Journal of Surgery
Serkan Zenger, Çağrı Bilgiç, Dursun Buğra
Appendix intussusception (AI) is a difficult disease to diagnose. Various features of the disease have been analyzed in a 35-year-old female patient who was admitted with abdominal pain and diagnosed with AI. The diagnosis was made with colonoscopy and abdominal computed tomography. Laparoscopic partial cecum resection was performed. The pathology examination revealed foci of endometriosis externa, which infiltrated the muscular layer of the appendix. AI should be kept in mind in the differential diagnosis of recurrent abdominal pain...
August 28, 2018: Turkish Journal of Surgery
Mehmet Tolga Kafadar, Ekrem Özyuvalı, Abdullayev Mirsaleh Miryaguboğlu, Tuğba Çaviş, Aydın İnan
Surrenal masses can be encountered with many different clinical manifestations and a diverse spectrum of etiologies in clinical practice. Recent advances in imaging and laboratory studies as well as their increasingly widespread use and easy accessibility have currently made it possible to diagnose a greater number of surrenal masses than ever. The basic approach principles vary for incidentally detected masses, benign/malignant masses, and hormonoactive masses. Lymphangiomas are benign congenital malformations of lymphatic channels that primarily affect the neck and head region...
August 28, 2018: Turkish Journal of Surgery
Ela Ekmekcigil, Ömer Ünalp, Alper Uğuz, Ruslan Hasanov, Halil Bozkaya, Timur Köse, Mustafa Parıldar, Ömer Özütemiz, Ahmet Çoker
OBJECTIVE: Iatrogenic bile duct injuries remain a challenge for the surgeons to overcome. The predictive factors affecting morbidity and mortality are important for determining the best management modality. MATERIALS AND METHODS: The patients who referred to Ege University Faculty of Medicine after laparoscopy associated iatrogenic bile duct injury are grouped according to Strasberg-Bismuth classification system. The type and number of prior attempts, concomitant complications, and treatment modalities are analyzed using the SPSS version 18 (IBM, Chicago, IL, USA)...
August 28, 2018: Turkish journal of surgery
Sertaç Ata Güler, Tonguç Utku Yılmaz, Turgay Şimşek, Oktay Yirmibeşoğlu, Sertaç Kırnaz, Nihat Zafer Utkan, Nuh Zafer Cantürk
OBJECTIVES: An increase in the prevelance of obesity is a worldwide problem. It many serious health problems, especially cardiovascular diseases and type-2 diabetes mellitus. Conservative therapies such as diet modification and exercise are the most preferable obesity treatments. Bariatric surgery is the most appropriate treatment in suitable patients. Several studies showed that a very low number of patients prefer bariatric surgery even though it would be appropriate. This study aimed to assess and raise awareness about the obesity level, its complications, and treatment methods, especially bariatric surgery among obese patients in Kocaeli, which is one of the most socioeconomically developed cities, as well as the leading industrial city in Turkey...
August 28, 2018: Turkish Journal of Surgery
Ömer Yalkın, Fatih Altıntoprak, Enis Dikicier, Mustafa Yener Uzunoğlu, Zeynep Kahyaoğlu
Behçet's disease is a systemic inflammatory disease that may affect multiple organs. However, intraabdominal complications requiring surgical intervention are rare in the natural course of the disease. A 32-year-old male patient with Behçet's disease who had been followed for 5 years with a diagnosis of acute abdominal syndrome was operated on twice in 18 days. Intestinal ischemia was identified in different segments of the jejenum during each operation. Recurrent segmental intestinal ischemia within a short time interval is rare, although the gastrointestinal involvement can be seen in the normal course of Behçet's disease...
August 28, 2018: Turkish Journal of Surgery
Banu Karapolat, Sercan Büyükakıncak, Eray Kurnaz, Üzer Küçüktülü
OBJECTIVES: Although many surgical techniques have been described for treatment of pilonidal sinus disease (PSD), the ideal treatment method remains controversial. The purpose of this study was to compare Limberg flap and oval flap techniques in patients with PSD. MATERIAL AND METHODS: Patients diagnosed with PSD who underwent surgery using either the Limberg flap or oval flap technique between January 2012 and January 2016 at the general surgery outpatient clinic were retrospectively reviewed from the database of our hospital; 142 patients (124 males and 18 females) were invited for examination...
August 28, 2018: Turkish Journal of Surgery
Deniz Atasoy, Afag Aghayeva, İpek Sapcı, Onur Bayraktar, Turgut Bora Cengiz, Bilgi Baca
OBJECTIVES: With increased experience and technological advancement, laparoscopic cholecystectomy is reported to be safe and feasible even in the presence of most of the previously recognized contraindications. The purpose of this study was to explore the effects of prior upper and lower abdominal surgery on laparoscopic cholecystectomy. MATERIAL AND METHODS: A retrospective evaluation of all sequential patients who underwent laparoscopic cholecystectomy from January 2014 to June 2016 was conducted...
August 28, 2018: Turkish Journal of Surgery
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