Turkish Journal of Surgery最新文献

筛选
英文 中文
Effectiveness of clinical examination and radiological investigations in the success of selective non-operative management of abdominal gunshot injuries.
IF 0.5
Turkish Journal of Surgery Pub Date : 2024-12-27 eCollection Date: 2024-12-01 DOI: 10.47717/turkjsurg.2024.6597
Salah Mansor, Naman Ziu, Ayoub Bujazia, Ahmed Eltarhoni, Jamal Alsharif
{"title":"Effectiveness of clinical examination and radiological investigations in the success of selective non-operative management of abdominal gunshot injuries.","authors":"Salah Mansor, Naman Ziu, Ayoub Bujazia, Ahmed Eltarhoni, Jamal Alsharif","doi":"10.47717/turkjsurg.2024.6597","DOIUrl":"10.47717/turkjsurg.2024.6597","url":null,"abstract":"<p><strong>Objectives: </strong>Non-operative management of abdominal gunshot injuries has become the standard care in the selected cases of modern surgery with an acceptable success rate to reduce the incidence of unnecessary laparotomies. In this study, an assessment was conducted to determine how the success of this form of management was impacted by physical examination and radiological investigation.</p><p><strong>Material and methods: </strong>This is a retrospective study that includes all consecutive penetrating abdominal gunshot wound patients who were admitted to the emergency department between February 2011 and December 2018. All patients with superficial gunshot wounds were excluded. The decision to perform a laparotomy on injured patients was the study's primary endpoint while the discharge of patients without surgery was its secondary endpoint.</p><p><strong>Results: </strong>Of 429 torso gunshot wound patients, 411 were males. Average age was 29.5 years. Forty-one (9.5%) were initially treated by selective nonoperative management. Five selective non-operative management patients underwent delayed laparotomy within 12 hours after admission without complication. In the end, 36 (88%) of the 41 patients were successfully treated without undergoing surgery, with only one patient developing pleural effusion and no mortality attributed to it. Of all injured patients, 45 (10.5%) patients had a negative laparotomy, with two of them subsequently developing an incisional hernia.</p><p><strong>Conclusion: </strong>The success rate of non-operative management of torso gunshot injuries can be increased significantly in stable patients by adopting the strategy of repeated physical examinations alone or in conjunction with simultaneous radiological imaging.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"303-311"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469090","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}
引用次数: 0
HER2 immunohistochemical expression and its association with clinicopathological features of gastric adenocarcinoma in Uganda.
IF 0.5
Turkish Journal of Surgery Pub Date : 2024-12-27 eCollection Date: 2024-12-01 DOI: 10.47717/turkjsurg.2024.6501
Mohamed Kahiye, James Yahaya, Sam Kalungi, Hawa Nalwoga
{"title":"HER2 immunohistochemical expression and its association with clinicopathological features of gastric adenocarcinoma in Uganda.","authors":"Mohamed Kahiye, James Yahaya, Sam Kalungi, Hawa Nalwoga","doi":"10.47717/turkjsurg.2024.6501","DOIUrl":"10.47717/turkjsurg.2024.6501","url":null,"abstract":"<p><strong>Objectives: </strong>Despite the remarkable improvement in gastric adenocarcinoma treatment modalities, the prognosis of gastric adenocarcinoma remains poor. The purpose of this study was to determine the prevalence of HER2 immunohistochemical expression and its association with clinicopathological features of patients with gastric adenocarcinoma.</p><p><strong>Material and methods: </strong>This was a cross-sectional study which was conducted at the department of pathology. A total of 86 formalin fixed paraffin embedded tissue blocks of the patients who were confirmed histologically with gastric adenocarcinoma from January 2009 to December 2019 were included in the analysis. Laboratory requisition form and patients' files were used to extract the clinical and pathological data of the cases. Immunohistochemistry to assess HER2 overexpression was done using monoclonal (SP3 clone) rabbit anti-HER2/neu (Thermo Fisher Scientific-USA). Chi-square statistical test was used to determine the association of the clinicopathological characteristics with HER2 expression. P <0.05 was considered statistically significant.</p><p><strong>Results: </strong>Mean age of the patients included in the study was 58.5 ± 14.3 years, and over half 54.7% (n= 47) of the patients were males. Poorly cohesive non-signet ring types contributed most (47.7%) (n= 41) of the cases, and diffuse/mixed histological subtypes were more prevalent (57%) (n= 49) subtypes. Poorly differentiated cases accounted for the majority (66.3%) (n= 57) of the cases. The prevalence of HER2 immunohistochemical expression was 8.1% (n= 7). None of the clinicopathological characteristics were associated with HER2 expression.</p><p><strong>Conclusion: </strong>This study has shown almost every one in 10 patients with gastric adenocarcinoma may express HER2 when using immunohistochemistry test. However, the HER2 in this study was not associated with age, sex, tumor location, the nature of biopsy, histological subtypes, and tumor grade.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"328-335"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469105","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}
引用次数: 0
Osteosarcoma metastatic to the thyroid gland: A rare case report.
IF 0.5
Turkish Journal of Surgery Pub Date : 2024-12-27 eCollection Date: 2024-12-01 DOI: 10.47717/turkjsurg.2022.4860
Selen Soylu, Tülin Öztürk, İrem Onur, Lebriz Uslu, Serkan Teksöz
{"title":"Osteosarcoma metastatic to the thyroid gland: A rare case report.","authors":"Selen Soylu, Tülin Öztürk, İrem Onur, Lebriz Uslu, Serkan Teksöz","doi":"10.47717/turkjsurg.2022.4860","DOIUrl":"10.47717/turkjsurg.2022.4860","url":null,"abstract":"<p><p>Sarcoma is rarely seen in the thyroid gland and it is difficult to differentiate it from anaplastic thyroid carcinoma. Extraosseus osteosarcoma, a rare malignant nonepithelial neoplasia, can be seen in the thyroid gland, breast, soft tissue, and intraabdominal organs. A 31-year-old woman with a previous history of osteosarcoma of distal femur was presented with a constantly growing mass in her neck accompanied with progressive shortness of breath and worsening dysphagia. On physical examination, a 4 x 5 cm firm mass was palpated in the left lobe of her thyroid gland. Seven years ago, during her pregnancy, she was diagnosed with osteosarcoma of the distal femur and she received chemotherapy and radiotherapy after medical abortion. A year after her initial diagnosis, she underwent surgery for osteosarcoma. Two years later, pulmonary metastasis was detected incidentally in her control computed tomography. She was operated for pulmonary metastasis since there was no remission after chemotherapy. When she presented to the clinic with a neck mass, her thyroid function tests were within the normal range. On computed tomography scan, a 2.5 cm calcified lesion in left lobe of her thyroid gland was detected. Fine-needle aspiration of the thyroid mass displayed numerous discohesive pleomorphic tumors cells identical to osteosarcoma cells seen on her previous knee biopsy specimen. On positron emission tomography, a 3 x 3 x 4.5 cm hypermetabolic lesion with pathologic 18F-FDG uptake on the left side of her neck in thyroid cartilage level was detected. A bilateral total thyroidectomy was performed. The patient was discharged without any complications.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"353-356"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469108","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}
引用次数: 0
Comparative outcomes of blunt and penetrating diaphragmatic ruptures: A single trauma center study.
IF 0.5
Turkish Journal of Surgery Pub Date : 2024-12-27 eCollection Date: 2024-12-01 DOI: 10.47717/turkjsurg.2024.6514
Muhammed Kadir Yıldırak, Adnan Özpek, Hanife Şeyda Ülgür, Mert Gedik, Enes Sertkaya, Emre Furkan Kırkan, Fikret Ezberci, Hüseyin Kerem Tolan, Metin Yücel, Mehmet Muzaffer İslam
{"title":"Comparative outcomes of blunt and penetrating diaphragmatic ruptures: A single trauma center study.","authors":"Muhammed Kadir Yıldırak, Adnan Özpek, Hanife Şeyda Ülgür, Mert Gedik, Enes Sertkaya, Emre Furkan Kırkan, Fikret Ezberci, Hüseyin Kerem Tolan, Metin Yücel, Mehmet Muzaffer İslam","doi":"10.47717/turkjsurg.2024.6514","DOIUrl":"10.47717/turkjsurg.2024.6514","url":null,"abstract":"<p><strong>Objectives: </strong>Diaphragma rupture is an insidious case following thoracoabdominal trauma with significant morbidity and mortality rates, if left untreated. Its symptoms might be masked by other associated injuries, which are often present, especially following blunt trauma. Modern imaging modalities might overlook a present diaphragmatic rupture. The real challenge, therefore, lies in diagnosis rather than treatment. To shed more light on this entity, we shared our experience in this regard.</p><p><strong>Material and methods: </strong>A total of 51 patients were enrolled in the study between January, 2008 and October, 2023, with a diagnosis of diaphragma rupture. Two groups were created, namely patients with blunt trauma (PwBT) and patients with penetrating trauma (PwPT). They were evaluated in terms of demographics, clinical and laboratory findings, trauma associated variables, mechanism of injury, accompanying injuries, imaging results, operative approaches and mortality rates.</p><p><strong>Results: </strong>Mean age was 26 (22-33). 21.6% of the patients had blunt trauma. PwBT had significantly more extraabdominal site injuries and additional abdominal organ injuries (p <0.05). Glasgow coma scale and calculated revised trauma score values were significantly lower and injury severity scores values were significantly higher in PwBT (p <0.05). Significant thorax trauma accompanied 81.8% of PwBT and 40% of PwPT. Mortality was observed in 11.8% of the patients, with hemodynamic instability being the leading cause of death.</p><p><strong>Conclusion: </strong>A trauma surgeon must exercise great caution not to overlook a diaphragma rupture following, especially, blunt thoracoabdominal trauma since it is both a consequence and reason of significantly increased mortality and morbidity rates. Future studies should focus on various aspects of both diagnosis and management of this entity, such as increasing the preoperative diagnosis accuracy and requirement of mesh usage during defect closure and optimal approach to especially right sided penetrating thoracoabdominal injuries.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"312-319"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469149","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}
引用次数: 0
The effect of preoperative vitamin D values on hypocalcemia after total thyroidectomy.
IF 0.5
Turkish Journal of Surgery Pub Date : 2024-12-27 eCollection Date: 2024-12-01 DOI: 10.47717/turkjsurg.2024.6219
Manar Mahdi Qanbar, Selen Soylu, Serkan Teksöz
{"title":"The effect of preoperative vitamin D values on hypocalcemia after total thyroidectomy.","authors":"Manar Mahdi Qanbar, Selen Soylu, Serkan Teksöz","doi":"10.47717/turkjsurg.2024.6219","DOIUrl":"10.47717/turkjsurg.2024.6219","url":null,"abstract":"<p><strong>Objectives: </strong>Hypocalcemia is a common complication following thyroidectomy. Vitamin D plays a critical role in calcium regulation. This study aimed to investigate the relation between preoperative vitamin D levels and postoperative hypocalcemia.</p><p><strong>Material and methods: </strong>We conducted a retrospective analysis of 899 patients who underwent total thyroidectomy at our center between 2015 and 2020 due to multinodular goiter, atypia of undetermined significance, follicular lesions, and follicular neoplasia. Patients were excluded if they had a history of thyroid surgery, Graves' disease, renal failure, incidental parathyroidectomy, or received calcium or vitamin D supplementation before surgery. The patients were divided into two groups based on their preoperative vitamin D levels: Group 1 (n= 240) with levels <10 ng/mL, and Group 2 (n= 659) with levels ≥10 ng/mL. Demographic characteristics and pre- and postoperative laboratory values were compared between the groups.</p><p><strong>Results: </strong>The female-to-male ratio was 3.22, with an average vitamin D level of 18.94 ± 13.28 ng/mL. Vitamin D levels were significantly lower in women compared to men (p= 0.001). In Group 1, the rates of asymptomatic and symptomatic postoperative hypocalcemia were 17.1% and 6.7%, respectively; while in Group 2, these rates were 11.2% and 3.2% (p= 0.020). The average preoperative vitamin D level was 14.79 ± 9.4 ng/mL in patients who developed hypocalcemia and 19.12 ± 13.4 ng/mL in those who remained normocalcemic, with this difference being statistically significant (p= 0.026).</p><p><strong>Conclusion: </strong>In our study, we found that preoperative vitamin D level below 10 ng/mL is associated with increased risk of hypocalcemia following thyroidectomy.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"296-302"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469113","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}
引用次数: 0
The clinical presentation of Meckel's diverticulum: Eight years experience.
IF 0.5
Turkish Journal of Surgery Pub Date : 2024-12-27 eCollection Date: 2024-12-01 DOI: 10.47717/turkjsurg.2024.6446
Lutfi Jarboa, Ahmad Zarour, Sherif Mustafa, Salahaldeen Dawdi, Idress Suliman, Tejeswe Gutti, Salah Mansor, Mohamed Said Ghali
{"title":"The clinical presentation of Meckel's diverticulum: Eight years experience.","authors":"Lutfi Jarboa, Ahmad Zarour, Sherif Mustafa, Salahaldeen Dawdi, Idress Suliman, Tejeswe Gutti, Salah Mansor, Mohamed Said Ghali","doi":"10.47717/turkjsurg.2024.6446","DOIUrl":"10.47717/turkjsurg.2024.6446","url":null,"abstract":"<p><strong>Objectives: </strong>Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. It is commonly encountered during surgical practice as the cause of the patient's presentation or as an incidental finding during other unrelated procedures. This study aimed to evaluate the frequency of Meckel's diverticulum in our clinical practice and to provide an adequate level of knowledge of the clinical and diagnostic features and the management of Meckel's diverticulum.</p><p><strong>Material and methods: </strong>We analyzed the medical records of all cases who were diagnosed with Meckel's diverticulum at our hospital for over eight years. Age, sex, presentation, diagnostic procedures, surgical techniques, and histopathology were reviewed and analyzed.</p><p><strong>Results: </strong>A total of 104 patients were enrolled in our study. Mean age was 28.8 years, with male predominance in 92 (88.5%) patients. Symptomatic Meckel's diverticulum was detected in 80 (77%) patients and in 24 (23%) incidental findings. The most common emergency presentation was abdominal pain with 34 patients (42.5%), then intestinal obstruction with 20 patients (25%), bleeding per rectum with 12 patients (15%), acute abdomen with nine patients (11.3%), and intussusception with five patients (6.2%). Mean length of the Meckel's diverticulum was 4.3 centimeters. Small bowel resection was performed in 41 (45.1%) cases, stapled resection in 44 (48.3%), and ligated Meckel's base in 6 (6.4%). Ectopic gastric mucosa was the most common finding in histopathology in 30 (28.8%) patients.</p><p><strong>Conclusion: </strong>Our study supports that the longer Meckel's diverticulum is, the more prone it is to developing complications, and stapler resection and small bowel resection are considered safe techniques, as well as resection of incidental Meckel's diverticulum, which does not increase the risk of morbidity.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"343-348"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469110","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}
引用次数: 0
The Gupta-Akami technique for percutaneous drainage of superficial liver abscess: An indigeneous economic method for low resources setups.
IF 0.5
Turkish Journal of Surgery Pub Date : 2024-12-27 eCollection Date: 2024-12-01 DOI: 10.47717/turkjsurg.2024.6563
Shardool Vikram Gupta, Kewecho Akami, Siddharth Garg, Srishti Bishnoi, Lalit Kumar Bansal, Atul Jain, Neeti Kapur
{"title":"The Gupta-Akami technique for percutaneous drainage of superficial liver abscess: An indigeneous economic method for low resources setups.","authors":"Shardool Vikram Gupta, Kewecho Akami, Siddharth Garg, Srishti Bishnoi, Lalit Kumar Bansal, Atul Jain, Neeti Kapur","doi":"10.47717/turkjsurg.2024.6563","DOIUrl":"10.47717/turkjsurg.2024.6563","url":null,"abstract":"<p><strong>Objectives: </strong>Liver abscesses, which are purulent cavities within the liver, pose significant health challenges, particularly in developing countries where treatment resources are limited. Despite advancements in imaging and drainage technologies, conventional methods such as pigtail catheters and surgical interventions are often financially prohibitive and inaccessible in low-resource settings. This study proposes Gupta-Akami technique, an indigenous and economically viable method for percutaneous drainage, utilizes simple, readily available materials and offers a potential solution for these settings.</p><p><strong>Material and methods: </strong>The study was conducted at a tertiary care hospital over a period of six months. It included 21 patients with liver abscesses meeting specific criteria (abscess volume >500 mL, intervening liver parenchyma <5 cm, and skin-to-abscess distance <10 cm).</p><p><strong>Results: </strong>The average age of the patients was 45.6 years and there were more men than women. Most patients presented with fever and abdominal pain; nausea/vomiting was observed in the majority, and jaundice was noted in a few. Mean abscess volume was 890 mL. The procedure effectively drained over 87% of the abscess volume and only one patient requiring additional aspiration. Post-procedural pain decreased significantly from an average of 3.15 on a visual analog scale at 0 hours to 0.84 before discharge. The average hospital stay was 2.57 days. No complications or mortality were reported.</p><p><strong>Conclusion: </strong>The Gupta-Akami technique demonstrates efficacy as a low-cost, accessible method for percutaneous drainage of liver abscesses in resource-limited settings. It offers a promising alternative to more expensive traditional methods, potentially improving patient outcomes and accessibility in low-resource environments.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"275-282"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469194","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}
引用次数: 0
The effect of cholecystectomy for symptomatic gall stone disease on hepatic steatosis using transabdominal ultrasonography: An observational prospective study. 使用经腹超声波检查对无症状胆结石胆囊切除术对肝脂肪变性的影响:一项前瞻性观察研究。
IF 0.5
Turkish Journal of Surgery Pub Date : 2024-12-27 eCollection Date: 2024-12-01 DOI: 10.47717/turkjsurg.2024.6593
Umang Dhakaria, Rajesh Kumar Bansiwal, Agrawal Kavita Khemchand, Rajeev Sharma, Mandeep Singh, Narinder Kaur, Seema Gupta
{"title":"The effect of cholecystectomy for symptomatic gall stone disease on hepatic steatosis using transabdominal ultrasonography: An observational prospective study.","authors":"Umang Dhakaria, Rajesh Kumar Bansiwal, Agrawal Kavita Khemchand, Rajeev Sharma, Mandeep Singh, Narinder Kaur, Seema Gupta","doi":"10.47717/turkjsurg.2024.6593","DOIUrl":"10.47717/turkjsurg.2024.6593","url":null,"abstract":"<p><strong>Objectives: </strong>Hepatic steatosis and gallstones are common in the general population, with risk factors being multifactorial. Experimental studies have shown that cholecystectomy increases hepatic steatosis and leads to non-alcoholic fatty liver disease (NAFLD). In order to evaluate this, the current study was carried out in the department of general surgery at a medical school, in the north of India.</p><p><strong>Material and methods: </strong>One hundred and three patients awaiting cholecystectomy were selected after written informed consent. Their baseline characteristics were captured preoperatively and thereafter followed at 3<sup>rd</sup> month with liver function test (LFT), lipid profile and ultrasound (USG) abdomen.</p><p><strong>Results: </strong>Average age of the patients enrolled was 41.62 ± 13.62 years and mean body mass index (BMI) was 25.96 ± 1.73 kg/m<sup>2</sup> . Total bilirubin (0.56 vs 0.76, p <0.0001) and direct bilirubin (0.15 vs 0.27, p <0.0001) decreased significantly post cholecystectomy as compared to preoperative values. Levels of serum glutamic-oxaloacetic transaminase (SGOT) (49.14 vs 34.98 IU/dL), serum glutamic-pyruvic transaminase (SGPT) (50.85 vs 35.46 IU/dL) and alkaline phosphatase (ALP) (101.16 vs 85.97 IU/dL) increased significantly post-surgery. Cholesterol values (146.28 vs 168.77 mg/dL), triglycerides (TGs) (119 vs 133.56 mg/dL), low density lipoprotein (LDL) (93.32 vs 113.05 mg/dL) and very low density lipoprotein (VLDL) (18.68 vs 27.45 mg/dL) decreased significantly while high density lipoprotein (HDL) (48.96 vs 42.42 mg/dL) increased significantly at three month follow-up. Prevalence of fatty liver increased post operatively with a rise in Grade 1 steatosis (75%). Severity of fatty liver increased with (8.73%) Grade 3 steatosis on USG post-surgery. Hence, new patients with formerly normal USG reports developed fatty liver and those with preexisting liver steatosis seemed to worsen.</p><p><strong>Conclusion: </strong>The study concluded that the prevalence of fatty liver increased post-cholecystectomy. Lipid profile parameters improved favorably with a decline in total cholesterol, TG, LDL and VLDL versus increase in HDL. LFT parameters also changed significantly.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"320-327"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469112","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}
引用次数: 0
How we do it: Songket suture technique for lying half cone dog ear.
IF 0.5
Turkish Journal of Surgery Pub Date : 2024-12-27 eCollection Date: 2024-12-01 DOI: 10.47717/turkjsurg.2024.6549
Nur Qodir, Afifah Zulfa Salsabila, Muhammad Baharul Iman
{"title":"How we do it: Songket suture technique for lying half cone dog ear.","authors":"Nur Qodir, Afifah Zulfa Salsabila, Muhammad Baharul Iman","doi":"10.47717/turkjsurg.2024.6549","DOIUrl":"10.47717/turkjsurg.2024.6549","url":null,"abstract":"<p><p>Dog ear deformities in wound closure can lead to cosmetic concerns and discomfort for patients, particularly when there is unequal wound length, resulting in lying half cone-type dog ears. Managing these deformities involves aligning the longer side with the shorter side without extending the wound. The Songket suture technique, implemented in a two-stage process, has shown effectiveness in addressing this issue, especially in patients undergoing modified radical mastectomy with a crescent incision that we have presented.</p>","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 4","pages":"349-352"},"PeriodicalIF":0.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469106","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}
引用次数: 0
Surgical education: Ensuring knowledge transfer to future generations.
IF 0.5
Turkish Journal of Surgery Pub Date : 2024-09-30 eCollection Date: 2024-09-01 DOI: 10.47717/turkjsurg.2024.20240301
Kaya Sarıbeyoğlu
{"title":"Surgical education: Ensuring knowledge transfer to future generations.","authors":"Kaya Sarıbeyoğlu","doi":"10.47717/turkjsurg.2024.20240301","DOIUrl":"10.47717/turkjsurg.2024.20240301","url":null,"abstract":"","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 3","pages":"viii"},"PeriodicalIF":0.5,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11792895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366193","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}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信