Turkish Journal of Surgery最新文献

{"title":"Incidence of chylothorax over nineteen years of transhiatal esophagectomy: A case series and review study.","authors":"Rahim Mahmodlou,&nbsp;Awat Yousefiazar","doi":"10.47717/turkjsurg.2022.5821","DOIUrl":"https://doi.org/10.47717/turkjsurg.2022.5821","url":null,"abstract":"<p><strong>Objectives: </strong>Chylothorax (CTx) is the leak and accumulation of lymphatic fluid within the pleural cavity. The incidence of CTx has the highest rate after esophagectomy. This study aimed to present three cases of post-esophagectomy chylothorax among 612 esophagectomies that were performed over 19 years, in which post-esophagectomy chylothorax was reviewed in terms of risk factors, diagnosis, and management.</p><p><strong>Material and methods: </strong>Six hundred and twelve patients were included in the study. Transhiatal esophagectomy was used for all patients. In three cases, chylothorax was detected. In all of the three cases, secondary surgery was performed for the management of chylothorax. Mass ligation was performed for the first and third cases having leak from the right side. In the second case, the leak was from the left side without prominent duct; and despite mass ligation that was done several times, no significant reduction in chyle was observed.</p><p><strong>Results: </strong>In the first case, in spite of reduced output, the patient gradually progressed to respiratory distress. His condition deteriorated over time and he died after three days. In the second case that needed third surgery, the patient's condition deteriorated and she died after two days due to respiratory failure. The third patient had postoperative recovery. The patient was discharged on fifth day after the second operation.</p><p><strong>Conclusion: </strong>In post-esophagectomy chylothorax, the key to preventing high mortality rates can be the identification of risk factors as well as timely detection of symptoms and proper management. Besides, early surgical intervention should be considered to prevent early complications of chylothorax.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"38 4","pages":"401-408"},"PeriodicalIF":0.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9979556/pdf/TJS-38-401.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10854734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anti-inflammatory effects of oral and intraperitoneal administration of cerium oxide nanoparticles on experimental hepatic ischemia-reperfusion injury.","authors":"Akile Zengin,&nbsp;Açelya Erikçi,&nbsp;Gökçen Telli,&nbsp;Bülent Gümüşel,&nbsp;Kemal Kösemehmetoğlu,&nbsp;Gülberk Uçar,&nbsp;Mustafa Cem Algın","doi":"10.47717/turkjsurg.2022.5620","DOIUrl":"https://doi.org/10.47717/turkjsurg.2022.5620","url":null,"abstract":"<p><strong>Objectives: </strong>Hepatic ischemia-reperfusion (IR) injury occurs in liver surgery, resection, and transplantation. Reactive oxygen species (ROS) produced following IR starts the cascade of cell damage, necrosis/apoptosis, and proinflammatory responses by activating intracellular signaling cascade to drive hepatocellular damage. Cerium oxide nanoparticles (CONPs) act as anti-inflammatory and antioxidant agents. Thus, we evaluated the protective effects of oral (o.g.) and intraperitoneal (i.p.) administration of CONPs on hepatic IR injury.</p><p><strong>Material and methods: </strong>Mice were randomly divided into five groups: control, sham, IR protocol, CONP+IR (i.p.), and CONP+IR (o.g.). Mouse hepatic IR protocol was applied to the animals in the IR group. CONPs (300 μg/kg) were administered 24 hours before IR protocol. Blood and tissue samples were taken after the reperfusion period.</p><p><strong>Results: </strong>Hepatic IR injury markedly increased enzyme activities, tissue lipid peroxidation, myeloperoxidase (MPO), xanthine oxidase (XO), nitrite oxide (NO), and tissue nuclear factor kappa-B (NF-κB) p65 levels, plasma pro-inflammatory cytokines, chemokines, and adhesion molecules while decreasing antioxidant markers and caused pathological changes in hepatic tissue. The expression of tumor necrosis factor alpha (TNF-α), matrix metalloproteinase 2 (MMP-2), and 9 increased, and tissue inhibitor matrix metalloproteinase 1 (TIMP-1) expression decreased in the IR group. Pretreatment with CONPs o.g. and i.p. 24 hours before hepatic ischemia improved the biochemical parameters above and alleviated the histopathological findings.</p><p><strong>Conclusion: </strong>Results of the present study demonstrate a significant reduction in liver degeneration by administering CONPs via i.p. and o.g. route in an experimental liver IR model, suggesting that CONPs have the extensive potential to prevent hepatic IR injury.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"38 3","pages":"255-265"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948672/pdf/TJS-38-255.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10793439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Growing Role of Video Materials in Medical Publishing.","authors":"Kaya Sarıbeyoğlu","doi":"10.47717/turkjsurg.2022.9701","DOIUrl":"https://doi.org/10.47717/turkjsurg.2022.9701","url":null,"abstract":"","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"38 3","pages":"0"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948662/pdf/TJS-38-000.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9328195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of lower dose steroid therapy with vitamin D replacement in patients with idiopathic granulomatous mastitis.","authors":"Tansu Altıntaş","doi":"10.47717/turkjsurg.2022.5576","DOIUrl":"https://doi.org/10.47717/turkjsurg.2022.5576","url":null,"abstract":"<p><strong>Objectives: </strong>Low-dose steroid therapy has been recommended in idiopathic granulomatous mastitis (IGM) in various studies in the literature, but the therapeutic minimum dose has not been determined yet. Furthermore, vitamin D deficiency, the effect of which is accepted in autoimmune diseases, has not been previously examined in IGM. The aim of our study was to evaluate the efficacy of lower dose steroid theraphy with adjustment of vitamin D replacement doses with measuring serum 25-hydroxyvitamin D levels in patients with idiopathic granulomatous mastitis (IGM).</p><p><strong>Material and methods: </strong>Vitamin D levels were evaluated in 30 IGM patients who applied to our clinic between 2017-2019. Vitamin D replacement was performed in patients with serum 25-hydroxyvitamin D level below 30 ng/mL and prednisolone was given to all patients at a dose of 0.05-0.1 mg/kg/ day. Clinical recovery times of the patients were compared with the literature.</p><p><strong>Results: </strong>Vitamin D replacement was given to 22 (73.33%) patients. Recovery time was shorter in patients receiving vitamin D replacement (7.62 ± 2.38; 9.00 ± 3.38; p= 0.680). Average recovery time was 8.00 ± 2.68 weeks.</p><p><strong>Conclusion: </strong>Treatment of IGM can be carried out with lower dose steroid therapy, leading to less complications and lower costs. Measuring serum 25-hydroxyvitamin D level and treating it with the appropriate dose may contribute to the healing process.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"38 3","pages":"250-254"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948657/pdf/TJS-38-250.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10800446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of knowledge and practice regarding mammography among a group of Turkish women attending a tertiary hospital.","authors":"Tuba Mert","doi":"10.47717/turkjsurg.2022.5672","DOIUrl":"https://doi.org/10.47717/turkjsurg.2022.5672","url":null,"abstract":"<p><strong>Objectives: </strong>Early detection is the most important cornerstone of breast cancer in determining treatment outcome and survival. In this study, it was aimed to investigate the level of knowledge, attitude, and practice of mammography in the early diagnosis of breast cancer in a group of women.</p><p><strong>Material and methods: </strong>Data of this descriptive study were collected under observation with the help of a questionnaire. Female patients over 40 years of age or over 30 years of age with a family history of breast cancer admitted to our general surgery outpatient clinic for a health problem other than breast were included.</p><p><strong>Results: </strong>A total of 300 female patients with a mean age of 48.7 ± 10.9 years (min-max, 33-83 years) were included. Median frequency of correct answers among the women participating in the study was 83.7% (76.0-92.0). Mean score obtained by the participants from the questionnaire was 75.7 ± 15.8 (the median score 80; 25^th-75^th centiles, 73.3-86.7). Slightly more than half of the patients (159 patients, 53%) had at least one mammography scan before. The level of mammography knowledge was negatively correlated with age and the number of previous mammographies, and positively correlated with education level (r= -0.700, p <0.001; r= -0.419, p <0.001 and r= 0.643, p <0.001, respectively).</p><p><strong>Conclusion: </strong>Although the level of knowledge about breast cancer and early diagnosis methods in women was at a satisfactory level, it is obvious that mammography screening practice of women without any breast symptoms is very low. Therefore, it should be aimed to increase women's awareness of cancer prevention and compliance with early diagnosis methods and to promote participation in mammography screening.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"38 3","pages":"230-236"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948670/pdf/TJS-38-230.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10790708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case series of choledochal cyst with pancreatic divisum: A rare association.","authors":"Amith Pakkala,&nbsp;Bheerappa Nagari,&nbsp;Phani Kumar Nekarakanti,&nbsp;Ashish Kumar Bansal","doi":"10.47717/turkjsurg.2022.5609","DOIUrl":"https://doi.org/10.47717/turkjsurg.2022.5609","url":null,"abstract":"<p><p>Choledochal cysts (CC) are congenital cystic dilations of the biliary tree usually associated with abnormal pancreaticobiliary ductal junction (APBDJ), but its association with pancreatic divisum has been rarely described. We encountered four cases of CC associated with pancreatic divisum (PD). Three had Type 3 PD and one had Type 1 PD. Two cases presented with pancreatic complications, with one case requiring preoperative minor papilla sphincterotomy for recurrent pancreatitis. The association of CC with PD is infrequent, and the variable presentation alters management strategy. PD may be one of the factors responsible for complications associated with CC.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"38 3","pages":"294-297"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948669/pdf/TJS-38-294.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10851293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between self-esteem, body dissatisfaction, and eating attitudes in bariatric surgery candidates.","authors":"Ayşe Gökçen Gündoğmuş,&nbsp;Yasemin Koçyiğit,&nbsp;Hasan Karadağ","doi":"10.47717/turkjsurg.2022.5732","DOIUrl":"https://doi.org/10.47717/turkjsurg.2022.5732","url":null,"abstract":"<p><strong>Objectives: </strong>Considering the effects of self-esteem, eating attitudes and body satisfaction on obesity and bariatric surgery outcomes, psychiatric evaluation is important for the identification and treatment of psychopathology, improvement of self-esteem, eating attitudes and body satisfaction. In this study, it was aimed to determine the relation between eating behaviors, body dissatisfaction, self-esteem and psychological symptoms in patients seeking bariatric surgery. Our second aim was to determine whether depressive symptoms and anxiety had a mediating role in the relationship between body satisfaction and self-esteem and eating attitudes.</p><p><strong>Material and methods: </strong>The study included 200 patients. Patients' data were retrospectively evaluated. Psychometric evaluation performed during the preoperative period included psychiatric examination and administration of the Beck Depression Inventory, Beck Anxiety Inventory, Rosenberg SelfEsteem Scale, Body-Cathexis Scale, and Dutch Eating Behaviors Questionnaire.</p><p><strong>Results: </strong>There was a positive correlation between self-esteem and body satisfaction and a negative correlation between self-esteem and emotional eating (r= 0.160, p= 0.024; r= -0.261, p <0.001 respectively). Body satisfaction had an effect on emotional eating mediated by depression and an effect on external and restrictive eating mediated by anxiety. Furthermore, anxiety mediated the relations between self-esteem and external and restrictive eating behaviors.</p><p><strong>Conclusion: </strong>Our finding indicating that depression and anxiety have mediator effects on the relation between self-esteem, body dissatisfaction, and eating attitudes is significant since screening for these entities and their treatment is relatively more practical in clinical settings.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"38 3","pages":"275-282"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948665/pdf/TJS-38-275.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10800444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Microperforation after colonic endoscopic submucosal dissection, air in 5 separate locations.","authors":"Fevzi Cengiz,&nbsp;Volkan Çakır,&nbsp;Kemal Erdinç Kamer,&nbsp;Hızır Taner Coşkun,&nbsp;Mehmet Hacıyanlı","doi":"10.47717/turkjsurg.2022.4217","DOIUrl":"https://doi.org/10.47717/turkjsurg.2022.4217","url":null,"abstract":"<p><p>Endoscopic submucosal dissection (ESD) and endoscopic mucosal dissection (EMD) are recognized treatment procedures for mucosal lesions. There will always be a risk for complications even if they are performed by experienced specialists. In this study, we aimed to present a 58-year-old male patient in whom lesion was detected in the proximal part of the descending colon during a colonoscopy. Histopathological examination of the lesion revealed intramucosal carcinoma. The lesion was removed by ESD but after the intervention, bilateral pneumothoraxes, pneumoperitoneum, pneumoretroperitoneum, pneumomediastinum and pneumoderma complications observed. It is quite unlikely to encounter all of these complications together in one patient. In this paper, we would like to highlight the potential for complications after ESD, even for the rare and unexpected ones, to contribute to their recognition and treatment.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"38 3","pages":"298-301"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948671/pdf/TJS-38-298.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10800450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Elderly trauma patients and the effect of trauma scores on hospitalization decision.","authors":"Ramazan Gürgöze,&nbsp;Doğaç Niyazi Özüçelik,&nbsp;Mustafa Yılmaz,&nbsp;Halil Doğan","doi":"10.47717/turkjsurg.2022.5681","DOIUrl":"https://doi.org/10.47717/turkjsurg.2022.5681","url":null,"abstract":"<p><strong>Objectives: </strong>Hospitalization, mortality and trauma scores are important in trauma patients aged ≥65 years. The present study aimed to investigate the use of trauma scores in the prediction of hospitalisation and mortality in trauma patients aged ≥65 years.</p><p><strong>Material and methods: </strong>Patients aged ≥65 years who presented to the emergency department with trauma over a one-year period were included in the study. Baseline data of the patients together with their Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), Injury Severity Score (ISS), hospitalisation and mortality were analysed.</p><p><strong>Results: </strong>A total of 2264 patients were included in the study, of whom 1434 (63.3%) were women. The most common mechanism of trauma was simple falls. Mean GCS scores, RTSs and ISSs of the inpatients were 14.87 ± 0.99, 6.97 ± 0.343 and 7.22 ± 5.826, respectively. Furthermore, a significant negative correlation was found between the duration of hospitalisation and GCS scores (r= -0.158, p <0.001) and RTSs (r= -0.133, p <0.001), whereas a positive significant correlation with ISSs (r= 0.306, p <0.001) was observed. The ISSs (p <0.001) of the deceased individuals were significantly elevated, whereas their GCS scores (p <0.001) and RTSs (p <0.001) were significantly decreased.</p><p><strong>Conclusion: </strong>All trauma scoring systems can be used to predict hospitalisation, but the results of the present study suggest that the use of ISS and GCS in making the decision regarding mortality is more appropriate.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"38 3","pages":"237-242"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948661/pdf/TJS-38-237.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9341893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostically challenging rupture of pancreaticoduodenal artery aneurysm: A case report.","authors":"Murat Ferhat Ferhatoğlu,&nbsp;Sadık Ahmet Uyanık,&nbsp;Alp Gürkan","doi":"10.47717/turkjsurg.2022.4140","DOIUrl":"https://doi.org/10.47717/turkjsurg.2022.4140","url":null,"abstract":"<p><p>Splanchnic artery aneurysms are rare vascular lesions with a high risk of rupture regardless of their size. Symptoms may vary from simple abdominal pain or vomiting to morbid conditions like haemorrhagic shock; however, most aneurysms are asymptomatic and difficult to diagnose. In this study, it was aimed to present the case of a 56-year-old female with a ruptured pancreaticoduodenal artery aneurysm treated by coil embolization.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"38 3","pages":"302-305"},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948659/pdf/TJS-38-302.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10800445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}