Turkish Journal of Surgery最新文献

{"title":"Association between preoperative HALP score and anastomotic leakage following colorectal cancer resection: A retrospective cohort study.","authors":"Ufuk Tali, Aktuğ İlke Buzkan, Bilgehan Sarıdal","doi":"10.47717/turkjsurg.2026.2026-4-34","DOIUrl":"10.47717/turkjsurg.2026.2026-4-34","url":null,"abstract":"<p><strong>Objective: </strong>Anastomotic leakage remains a major complication following colorectal surgery. This study aimed to evaluate the association between the preoperative hemoglobin, albumin, lymphocyte, and platelet (HALP) score and postoperative anastomotic leakage in patients undergoing colorectal cancer resection.</p><p><strong>Material and methods: </strong>This single-center retrospective cohort study included 505 patients who underwent colorectal resection with primary anastomosis for stage II-III colorectal cancer. The association between preoperative HALP score and anastomotic leakage was evaluated using univariable analyses and receiver operating characteristic (ROC) analysis. A multivariable logistic regression model adjusted for age and tumor location was fitted, and Firth's penalized likelihood estimation was used for the adjusted analysis because of the limited number of events. The study is reported in accordance with the strengthening the reporting of observational studies in epidemiology statement.</p><p><strong>Results: </strong>Anastomotic leakage occurred in 18 patients (3.6%). Patients who developed leakage had significantly lower preoperative HALP scores than those without leakage [median 18.0 (10.8-33.3) vs. 34.5 (16.6-90.4); p<0.001]. ROC analysis demonstrated good discriminative ability (area under the curve =0.877; 95% confidence interval, 0.802-0.951; p<0.001). The Youden-derived cut-off value of 22.1 yielded a sensitivity of 72.2% and a specificity of 85.0%. In the Firth penalized multivariable logistic regression model, a higher HALP score remained independently associated with lower odds of anastomotic leakage after adjustment for age and tumor location (adjusted odds ratio, 0.83 per 1-unit increase; 95% confidence interval, 0.76-0.91; p<0.001). Given the limited number of leakage events, these findings should be interpreted as exploratory.</p><p><strong>Conclusion: </strong>Lower preoperative HALP scores were associated with postoperative anastomotic leakage. Because of the retrospective study design, these findings should be interpreted as exploratory and require confirmation in larger prospective multicenter studies.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"332-338"},"PeriodicalIF":0.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13549086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866051","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":"Clinical characteristics, treatment strategies, and amputation outcomes in electrical burn patients: A single-center experience.","authors":"Ahmet Yavuz, Ahmet Eray Sarı, Ali Emre Akgün, Merve Akın","doi":"10.47717/turkjsurg.2026.2026-4-27","DOIUrl":"10.47717/turkjsurg.2026.2026-4-27","url":null,"abstract":"<p><strong>Objective: </strong>Electrical burns are associated with deep tissue damage and a high risk of limb loss. Early identification of patients at risk for amputation remains challenging, as traditional predictors such as voltage level and total body surface area (TBSA) may not adequately reflect tissue injury. This study aimed to evaluate clinical, laboratory, and treatment-related factors associated with amputation in adult patients with electrical burns, with a focus on biomarker-based risk prediction.</p><p><strong>Material and methods: </strong>This single-center retrospective cohort study included adult patients hospitalized for electrical burns between February 2019 and October 2025. Patients with incomplete records or hospital stays <7 days were excluded. Demographic data, burn characteristics, electrocardiographic findings, surgical interventions, and laboratory parameters at admission and day 7 were recorded. Univariate and multivariate logistic regression analyses were performed to identify factors associated with amputation. Discriminative ability was assessed using receiver operating characteristic (ROC) curve analysis.</p><p><strong>Results: </strong>A total of 83 patients were included (91.6% male; median age 32 years), with 75.9% exposed to high voltage. Amputation was required in 22.9%, and mortality was 2.4%. Compared with patients who did not undergo amputation, those requiring amputation had significantly higher admission levels of creatine kinase (CK), CK-MB, aspartate aminotransferase, alanine aminotransferase (ALT), lactate dehydrogenase (LDH), C-reactive protein, neutrophils, and neutrophil/lymphocyte ratio, whereas albumin, lymphocyte count, and HALP score were significantly lower. No significant differences were observed between the amputation and non-amputation groups with respect to voltage level or TBSA. In multivariable analysis, none of the evaluated variables remained independently associated with amputation; however, LDH (odds ratio=1.001, p=0.074) and HALP score (odds ratio=0.683, p=0.056) showed borderline associations. ROC analysis showed good performance for HALP, ALT, and LDH (area under the curve: 0.76-0.77).</p><p><strong>Conclusion: </strong>Amputation risk in electrical burns is more closely related to biomarkers of muscle injury and inflammation than to voltage or TBSA. Although no independent predictors were identified in multivariable analysis, admission LDH and HALP score showed borderline associations with amputation risk, and several laboratory biomarkers demonstrated meaningful discriminatory performance. Early laboratory assessment may therefore contribute to risk stratification and support limb-preserving strategies. Prospective multicenter studies are needed for validation.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"339-349"},"PeriodicalIF":0.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13549089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866068","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":"Thiersch's operation for rectal prolapse management.","authors":"Gürel Neşşar, Felat Akıncı, Mustafa Kaan Gençalp","doi":"10.47717/turkjsurg.2026.2026-1-43","DOIUrl":"10.47717/turkjsurg.2026.2026-1-43","url":null,"abstract":"<p><p>Thiersch's operation is a kind of suture technique to narrow the patulous anus for the treatment of rectal prolapse. It can be applied under local anaesthesia to elderly patients who can not tolerate major surgery. It also can be used as a temporary treatment untill the definitive treatment is planned. We demonstrated a simple way of the Thiersch operation with a video presentation. We also report the follow-up results of the patients who were operated on with this technique.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"368-369"},"PeriodicalIF":0.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13549101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151060","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":"Impact of bile duct number and anastomosis technique on postoperative morbidity and mortality in living and deceased donor liver transplantation.","authors":"Muzaffer Atlı, Süleyman Koç","doi":"10.47717/turkjsurg.2026.2026-1-28","DOIUrl":"10.47717/turkjsurg.2026.2026-1-28","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to retrospectively examine the relationship between graft bile duct number (single or multiple) and biliary anastomosis technique (duct-to-duct or Roux-en-Y hepaticojejunostomy) with postoperative morbidity and mortality in living donor liver transplantation (LDLT) and deceased donor liver transplantation (DDLT) patients.</p><p><strong>Material and methods: </strong>A retrospective cohort study was conducted on 244 patients who underwent LDLT and DDLT at Ankara Güven Hospital Liver Transplantation Center between January 2013 and January 2025. Patient data including demographic characteristics, preoperative parameters (MELD score, underlying liver disease), surgical variables (bile duct number, anastomosis type, graft type, operation time), and postoperative outcomes were collected systematically. Bile duct anatomy was classified as single or multiple ducts, and anastomosis techniques were categorized as duct-to-duct or Roux-en-Y. Biliary complications were graded according to the International Liver Transplant Society consensus classification and Clavien-Dindo system. Statistical analyses were performed using SPSS 27.0, employing independent-samples t-tests, Mann-Whitney U tests, and chi-square tests.</p><p><strong>Results: </strong>The mean patient age was 57.8±11.5 years with mean body mass index (BMI) of 27.62±5.67 kg/m². The cohort comprised 70.49% males and 29.51% females. Significant gender distribution differences were observed between groups, with higher male ratio in the duct-to-duct group (75.94%) compared to Roux-en-Y group (63.96%; p=0.041). Diabetes mellitus prevalence was notably higher in the Roux-en-Y group (46.85%) versus duct-to-duct group (34.59%; p=0.052). No significant differences were found in age, BMI, or blood group distribution between anastomosis techniques.</p><p><strong>Conclusion: </strong>Preliminary findings suggest demographic and comorbidity variations between anastomosis technique groups, indicating the need for individualized surgical planning in LDLT and DDLT based on bile duct anatomy and patient characteristics.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"281-288"},"PeriodicalIF":0.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13549093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353848","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":"Diagnostic value of preoperative hemogram parameters in patients with papillary thyroid cancer: An age- and sex-matched retrospective study.","authors":"Emre Gülçek, Yunushan Furkan Aydoğdu, Enes Aksu, Çağrı Büyükkasap, Murat Akın","doi":"10.47717/turkjsurg.2026.2026-4-17","DOIUrl":"10.47717/turkjsurg.2026.2026-4-17","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the diagnostic value of preoperative hemogram parameters —platelet count (PLT), plateletcrit (PCT), platelet distribution width (PDW), mean platelet volume (MPV), and red cell distribution width (RDW)— in differentiating papillary thyroid carcinoma (PTC) from benign thyroid pathology in an age- and sex-matched patient series.</p><p><strong>Material and methods: </strong>A total of 2.080 patients who underwent total thyroidectomy at the Gazi University Faculty of Medicine, Department of General Surgery between January 2015 and January 2023 were retrospectively reviewed. After applying exclusion criteria and removing outliers, 1.955 patients were identified. Cases with a histopathological diagnosis of PTC were matched 1:1 with patients with benign thyroid pathology based on sex and 10-year age groups. The final analysis included 348 PTC patients and 348 benign patients (n=696). Preoperative hemogram parameters were compared between the groups using the Mann-Whitney U test, and the diagnostic value was assessed using receiver operating characteristic (ROC) curve analysis.</p><p><strong>Results: </strong>After matching, no significant difference was found between groups in terms of age (48.0±12.7 vs. 48.3±12.9 years; p=0.754) or sex distribution (p=0.930). None of the parameters —PLT (277.0±70.4 vs. 275.7±69.1 ×10⁹/L; p=0.723), PCT (0.270±0.072 vs. 0.270±0.075; p=0.680), PDW (14.1±2.9 vs. 13.8±2.8; p=0.300), MPV (9.54±1.33 vs. 9.42±1.14 fL; p=0.591), or RDW (13.8±1.4 vs. 14.1±1.5; p=0.053)— showed a statistically significant difference between groups. ROC analysis confirmed that none of the parameters demonstrated meaningful diagnostic value (AUC: PLT 0.508, PCT 0.510, PDW 0.473, MPV 0.488, RDW 0.543).</p><p><strong>Conclusion: </strong>When age- and sex-matching are applied, preoperative PLT, PCT, PDW, MPV, and RDW values do not provide meaningful discrimination between PTC and benign thyroid pathology. Positive findings reported in the literature may be partly attributable to demographic confounding. The potential diagnostic value of combined indices or integration with other complete blood count parameters warrants investigation in prospective studies.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"319-325"},"PeriodicalIF":0.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13549088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424547","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":"Reconstruction for esophageal cancer after previous sleeve gastrectomy technical challenges in a case report.","authors":"Gökalp Okut, Mehmet Alperen Uğur, Halil Takcı, Kenan Can Ceylan","doi":"10.47717/turkjsurg.2026.2025-12-24","DOIUrl":"10.47717/turkjsurg.2026.2025-12-24","url":null,"abstract":"<p><p>Obesity is a major risk factor for cancer. While bariatric surgery reduces obesity-related risks, it may introduce challenges in surgical oncology. We report a case of esophageal carcinoma in a patient with a history of laparoscopic sleeve gastrectomy (LSG), successfully managed with a completely laparoscopic-thoracoscopic Ivor-Lewis esophagectomy using the remnant stomach for reconstruction. Despite LSG-related vascular alterations, collateral circulation appeared sufficient to support conduit perfusion, suggesting that this approach is feasible in selected patients.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"366-367"},"PeriodicalIF":0.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13549098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866535","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":"Evaluating trauma burden and predictive value of reverse shock index Glasgow Coma scale (rSIG) in need for early transfusion and mortality: The largest prospective study from India.","authors":"Yadukrishna S, Sherine E K, Amrutha D, Dipin J, Chandrasekharan S","doi":"10.47717/turkjsurg.2026.2026-4-41","DOIUrl":"10.47717/turkjsurg.2026.2026-4-41","url":null,"abstract":"<p><strong>Objective: </strong>Trauma remains a leading cause of death and disability worldwide, with hemorrhage and traumatic brain injury being major contributors. The reverse shock index (SI) multiplied by Glasgow Coma scale (rSIG) is a novel scoring tool with potential for early identification of high-risk trauma patients. This study, the largest and first of its kind in India, aimed to assess the predictive value of rSIG for in-hospital mortality and early transfusion requirements in trauma patients.</p><p><strong>Material and methods: </strong>This was a prospective, hospital-based study conducted at Government Medical College, Kozhikode, Kerala, from December 2022 to December 2023. A total of 536 trauma patients admitted under the department of general surgery were enrolled. Data on demographics, mechanism of injury, vital signs, GCS score, transfusion requirements, and outcomes were collected. rSIG, SI, and revised trauma score (RTS) were calculated. Receiver operating characteristic analysis was used to assess predictive performance.</p><p><strong>Results: </strong>A total of 536 trauma patients were analyzed (mean age 44.49±15.81 years; 80% males), with road traffic accidents (RTAs) accounting for 68% of cases. RTAs were significantly linked to head and multisystem injuries and contributed to 94% of deaths. Overall mortality was 11.9% (64 patients), exclusively among those with head injury. RTS showed marginally better mortality prediction than rSIG [area under the curve (AUC) 96% vs. 92%; p<0.001], while rSIG best predicted early transfusion need (AUC 91.8%; p<0.01).</p><p><strong>Conclusion: </strong>This study demonstrates that RTAs are the predominant cause of trauma, with head injury as the principal determinant of mortality. While rSIG effectively predicted early transfusion requirements, RTS showed slightly higher accuracy than rSIG in predicting mortality. rSIG remains a practical and reliable triage tool in resource-limited settings.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"358-365"},"PeriodicalIF":0.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13549081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888688","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":"Clinical characteristics, treatment strategies, and outcomes of intestinal obstruction in geriatric patients: A comparative cohort study.","authors":"Kerem Özgü, Mehmet Eşref Ulutaş, Abdullah Sami Maden, Üsame Yıldız, Abdullah Furkan Topaloğlu, Bülent Sultanoğlu, İsmail Hasırcı","doi":"10.47717/turkjsurg.2026.2026-6-28","DOIUrl":"https://doi.org/10.47717/turkjsurg.2026.2026-6-28","url":null,"abstract":"<p><strong>Objective: </strong>Intestinal obstruction remains one of the most common surgical emergencies and is associated with considerable morbidity and mortality, particularly in elderly patients. Age-related physiological changes, multiple comorbidities, and delayed presentation may adversely affect treatment outcomes. This study aimed to compare the clinical characteristics, management strategies, and outcomes of geriatric patients with intestinal obstruction with those of younger adults.</p><p><strong>Material and methods: </strong>This retrospective single-center cohort study included 277 adult patients hospitalized for mechanical intestinal obstruction between January 2018 and December 2025. Patients were divided into a geriatric group (≥65 years, n=171) and a younger group (<65 years, n=106). Demographic characteristics, comorbidities, laboratory findings, etiology of obstruction, treatment modalities, postoperative complications, intensive care unit (ICU) admission, and mortality were analyzed. Major complications were defined as Clavien-Dindo grade III or higher. Multivariable logistic regression analysis was performed to identify independent predictors of mortality.</p><p><strong>Results: </strong>Geriatric patients had significantly higher rates of comorbidity (66.7% vs. 45.3%, p<0.001), delayed hospital presentation (59.1±53 vs. 35.4±24 hours, p<0.001), elevated C-reactive protein and creatinine levels, and lower glomerular filtration rates compared with younger patients. The distribution of obstruction etiologies differed significantly between groups (p<0.001). Although overall surgical treatment rates were similar (53.2% vs. 44.3%, p=0.14), geriatric patients required ICU admission more frequently (51.5% vs. 31.1%, p<0.001). Major complications occurred significantly more often in the geriatric group (31.0% vs. 7.5%, p<0.001). Mortality was markedly higher among elderly patients (14.0% vs. 0.9%, p<0.001). Multivariable logistic regression identified increasing age (odds ratio: 1.08, 95% confidence interval: 1.01-1.16, p=0.033) and surgical treatment (OR 4.92, 95% CI 1.44-16.83, p=0.011) as independent predictors of mortality.</p><p><strong>Conclusion: </strong>Geriatric patients with intestinal obstruction experience significantly higher morbidity and mortality than younger adults. Advanced age is an independent predictor of mortality, highlighting the importance of early diagnosis, careful perioperative assessment, and optimized management strategies in this high-risk population.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of oral iohexol in patients with adhesive small intestinal obstruction.","authors":"Güven Erdoğrul, Güvenç Diner, Samed Sayar, Fırat Yılmaz","doi":"10.47717/turkjsurg.2026.2026-4-33","DOIUrl":"10.47717/turkjsurg.2026.2026-4-33","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical impact of orally administered iohexol on the restoration of bowel passage and surgical outcomes in patients with adhesive small bowel obstruction.</p><p><strong>Material and methods: </strong>This retrospective study included 120 adult patients diagnosed with adhesive small bowel obstruction between August 2021 and January 2024. Patients were categorized according to the treatment strategy used in routine clinical practice: Conservative management with oral iohexol or standard conservative management alone. Demographic data, laboratory parameters, time to restoration of bowel passage, length of hospital stay, need for surgery, readmission, recurrence, morbidity, and mortality were analyzed and compared between groups. Restoration of bowel passage was defined by both radiological and clinical criteria and was assessed using abdominal radiographs obtained at 24-hour intervals and clinical improvement.</p><p><strong>Results: </strong>Bowel passage was successfully restored with conservative treatment in 109 patients (90.8%), while 11 patients (9.2%) required surgical intervention. No statistically significant difference was observed between the groups regarding surgical requirement (p=0.755). However, patients who received oral iohexol achieved bowel passage significantly earlier than those managed without contrast [median 1 day [interquartile range (IQR) 1-2] vs. 4 days (IQR 3-5); p<0.001]. The corresponding mean times to bowel passage were 1.35 and 4.10 days, respectively. Mortality occurred only in surgically treated patients.</p><p><strong>Conclusion: </strong>Oral iohexol appears to be a safe adjunct to conservative management in patients with adhesive small bowel obstruction and is associated with earlier restoration of bowel passage. Failure of bowel passage to resolve in the early period remains an important indicator for operative management. Although no statistically significant difference in surgical requirement was observed in this cohort, larger prospective randomized controlled studies are needed to further clarify the impact of oral iohexol on clinical outcomes in adhesive small bowel obstruction.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"326-331"},"PeriodicalIF":0.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13549100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713835","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":"Turkish version of the Carolinas comfort scale: Validation and long-term clinical outcomes after mesh-based inguinal hernia repair.","authors":"Alisina Bulut, Doğuş Can Ekdal, Ömer Faruk Acar, Betül Ekşim, Israa Maryem El Qadiri, Mehtap Semiz, Nurbanu Mankan, Ömer Günal","doi":"10.47717/turkjsurg.2026.2026-5-24","DOIUrl":"10.47717/turkjsurg.2026.2026-5-24","url":null,"abstract":"<p><strong>Objective: </strong>Mesh-based inguinal hernia repair has reduced recurrence rates; however, long-term postoperative symptoms remain clinically relevant. The Carolinas comfort scale (CCS) is a disease-specific tool developed to assess these outcomes. This study aimed to validate the Turkish version of the CCS and evaluate long-term quality of life.</p><p><strong>Material and methods: </strong>The CCS was translated and culturally adapted using standardized procedures. A retrospective cohort of patients who underwent elective inguinal hernia repair with mesh between 2018 and 2020 was analyzed. Reliability, validity, and factor structure were evaluated using established statistical methods.</p><p><strong>Results: </strong>A total of 85 patients were included, with a median follow-up of 79 months. The Turkish CCS demonstrated excellent internal consistency (Cronbach's α=0.952), strong convergent validity with VAS (ρ=0.952, p<0.001), and significant discriminative validity for chronic pain (p<0.001). The recurrence and chronic pain rates were 10.6% and 35.3%, respectively.</p><p><strong>Conclusion: </strong>The Turkish version of the CCS is a valid and reliable instrument for assessing long-term outcomes after mesh-based inguinal hernia repair and can be used in both clinical practice and research.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":" ","pages":"350-357"},"PeriodicalIF":0.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13549079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881966","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}