Turkish Journal of Surgery最新文献_第8页

Protective role of vitamin B12 on acetic acid induced colitis in rats. 维生素B12对大鼠醋酸性结肠炎的保护作用。

IF 0.6

Turkish Journal of Surgery Pub Date : 2023-03-01 DOI: 10.47717/turkjsurg.2023.5903

Şeyma Özsoy, Zeki Özsoy, Fikret Gevrek, Abdullah Özgür Yeniova

{"title":"Protective role of vitamin B12 on acetic acid induced colitis in rats.","authors":"Şeyma Özsoy, Zeki Özsoy, Fikret Gevrek, Abdullah Özgür Yeniova","doi":"10.47717/turkjsurg.2023.5903","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.5903","url":null,"abstract":"Objectives: Inflammatory bowel disease (IBD) is a chronic, relapsing, and remittent inflammatory disease of the gastrointestinal tract. Nutritional deficiency may be instrumental in and attributable to this disease. We examined the effect of VitB12 supplementation on acetic acid (AA)-induced colitis in rats.Material and methods: Five minutes after the application of acetic acid to the rats to create a colitis model, VitB12 was administered 1 mg/kg, i.p concentration, then the application continued for three consecutive days. Control groups were included for colitis and VitB12. After 4d, the rats were sacrificed, and colonic tissues were harvested for macroscopic and microscopic examination of colonic damage. TNF-α, IL-1β, IL-6, MDA, GSH and SOD values were measured biochemically.Results: There was statistically significant macroscopic improvement in damage to the colon tissues (p <0.05). The severity of inflammation reduced in the VitB12 treated rat group compared with the control group, but was not significantly. The levels of TNF-α, IL-1β, MDA, and SOD did not differ between AA control and VitB12 treated AA colitis group. However, the levels of IL-6 and GSH were statistically significant different in rats with AA-induced colitis after VitB12 injection (p <0.05).Conclusion: Nutritional deficiencies might contribute to the pathogenesis of IBD, and the efficacy of VitB12 supplementation has controversial effects on the intestinal mucosa.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 1","pages":"7-16"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10234719/pdf/TJS-39-007.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9585456","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 risk factors for failure and recurrence of LIFT procedure for fistula in ano. 输卵管内瘘LIFT手术失败及复发的危险因素。

IF 0.6

Turkish Journal of Surgery Pub Date : 2023-03-01 DOI: 10.47717/turkjsurg.2023.5807

Siripong Sirikurnpiboon

{"title":"The risk factors for failure and recurrence of LIFT procedure for fistula in ano.","authors":"Siripong Sirikurnpiboon","doi":"10.47717/turkjsurg.2023.5807","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.5807","url":null,"abstract":"Objectives: Fistula in ano (FIA) is a common anorectal problem. There are several techniques that have been used for treatment; however, all of them carry risks of recurrence and incontinence. Ligation intersphincteric fistula tract (LIFT) is a type of treatment with a promising result of preserving the anal sphincter function. This study aimed to evaluate the outcome and risk factor of LIFT failure and to demonstrate the pattern of recurrence. The research funding was supported by Rajavithi Hospital.Material and methods: From January 2015 to January 2020, there were 250 cases of fistula in ano operations. A total of 148 patients underwent LIFT operation. The patients' average age was 39.72 ± 10.55 years and the average follow-up period was 111.86 ± 79.73 days. The average time to diagnose the recurrence was 99.12 ± 30.08 days. In addition, average time to perform a surgery after the diganosis was 64.67 ± 25.76 days. The study's analyses used data on age, sex, type of fistula, operative intervention, healing time, reinterventions, and recurrence.Results: There were 22.97% of recurrence among 148 LIFT patients. Half of the patients who underwent the operation had a preoperative imaging study with MRI or endoanal ultrasonography in the first time due to the complexity of the disease. Factors associated with operation failure were collection, fistula tract size more than 5 millimeters, and the failure of ligating the tract in one attempt.Conclusion: LIFT procedure is one of the several sphincter saving procedures to treat FIA. Recurrence is related with the complexity of the disease. Most of the recurrence is diseases that are easier to treat, such as performing a re-operation or fistulotomy.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 1","pages":"27-33"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10234717/pdf/TJS-39-027.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9587967","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

IN MEMORY OF A VALIANT MAN. 为了纪念一个勇敢的人。

IF 0.6

Turkish Journal of Surgery Pub Date : 2023-03-01 DOI: 10.47717/turkjsurg.2023.230102

Semih Baskan

引用次数: 0

Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students. 减肥与代谢外科教育方案对医学生知识和态度的影响。

IF 0.6

Turkish Journal of Surgery Pub Date : 2023-03-01 DOI: 10.47717/turkjsurg.2023.5639

Halil Özgüç, Mustafa Narmanlı, Özgen Işık

{"title":"Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students.","authors":"Halil Özgüç, Mustafa Narmanlı, Özgen Işık","doi":"10.47717/turkjsurg.2023.5639","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.5639","url":null,"abstract":"Objectives: Bariatric and metabolic surgery (BMS) is the most effective treatment method of morbid obesity. Optimum education of medical students regarding BMS is important for proper assessment of morbidly obese patients in the future.Material and methods: Medical students from five and six years were determined as the targeted study population. A survey including 17 questions was applied through a web-based survey platform. Students who replied the survey were classified into two groups: distinct bariatric and metabolic surgery education program (BMSEP) (+) and (-). The answers of two groups were compared using Chi-square test.Results: In total, 845 students replied the survey. Surgery referral rates were higher (33.4% vs. 26.5%, p <0.05), referring to alternative treatment methods were low (4.9% vs. 11.9%, p <0.05), the answer rate of \"absolutely agree\" was higher and \"have no idea\" was lower in questions regarding the indications of BMS for the sample patient with body mass index (BMI)> 40 kg/m2 and the sample patient with BMI between 35-40 kg/m2 in the BMSEP (+) group (p <0.05). However, the two groups were comparable for the answers given for the sample patient of BMI 30-35 kg/m2 with uncontrolled diabetes. The rate of first-degree relative referral to BMS when indicated was higher in the BMSEP (+) group. Effectiveness of surgery, cost and risk perception were comparable between the two groups.Conclusion: This study showed that medical students who have a distinct BMSEP in their medical school have better level of knowledge and comparable risk perception regarding BMS. Structured education programs in BMS may directly improve knowledge, perception, and attitude of medical students and indirectly increase the role of primary care physicians in patient referral to BMS and long-term follow-up.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 1","pages":"63-69"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10234718/pdf/TJS-39-063.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9587960","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

Level I axillary dissection in patients with breast cancer and tumor-involved sentinel lymph node after NAC is not sufficient for adequate nodal staging. 乳腺癌患者和NAC后肿瘤累及前哨淋巴结的I级腋窝清扫不足以进行适当的淋巴结分期。

IF 0.6

Turkish Journal of Surgery Pub Date : 2023-03-01 DOI: 10.47717/turkjsurg.2023.5984

Jan Žatecký, Oldřich Coufal, Miloš Holánek, Otakar Kubala, Markéta Kepičová, Jiří Gatěk, Milan Lerch, Matúš Peteja

{"title":"Level I axillary dissection in patients with breast cancer and tumor-involved sentinel lymph node after NAC is not sufficient for adequate nodal staging.","authors":"Jan Žatecký, Oldřich Coufal, Miloš Holánek, Otakar Kubala, Markéta Kepičová, Jiří Gatěk, Milan Lerch, Matúš Peteja","doi":"10.47717/turkjsurg.2023.5984","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.5984","url":null,"abstract":"Objectives: The purpose of the study was to investigate the oncological sufficiency of level I axillary dissection for adequate histological nodal staging (ypN) in patients with breast cancer and tumor-involved sentinel lymph node (SLN) after neoadjuvant chemotherapy (NAC).Material and methods: A prospective multicentre pilot study took place from 01.01.2018 to 30.11.2020 in three mammary centres in the Czech Republic in patients with breast cancer after NAC (NCT03556397). Patients in the cohort with positive histological frozen section of SLN were indicated to separate axillary dissection of levels I and II.Results: Sixty-one patients with breast cancer after NAC were included in the study according to inclusion and exclusion criteria. Twelve patients with breast cancer and tumour involved SLN after NAC were further included in the analysis. Two (16.7%) patients had positive non-sentinel lymph nodes in level I only, one (8.3%) patient had positive lymph nodes in level II only, and seven (58.3%) patients had positive lymph nodes in both levels. Level I axillary dissection in a patient with tumour involved SLN after NAC would have resulted in understaging in five (41.7%) patients, mostly ypN1 instead of ypN2.Conclusion: According to our pilot result, level I axillary dissection is not sufficient in terms of adequate histological nodal staging in breast cancer patients after NAC, and level II axillary dissection should not be omitted.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 1","pages":"1-6"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10234716/pdf/TJS-39-001.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9582654","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

A rare location of papillary carcinoma: Thyroglossal duct cyst. 罕见的乳头状癌:甲状舌管囊肿。

IF 0.6

Turkish Journal of Surgery Pub Date : 2023-03-01 DOI: 10.47717/turkjsurg.2022.4268

Mehmet Haciyanlı, Selda Gücek Haciyanlı, Serkan Karaisli, Tuba Balkaya, Turan Acar, Erdinç Kamer

引用次数: 0

Radiofrequency ablation of metastatic lymph nodes in a patient requiring secondary operation for papillary thyroid carcinoma metastasis. 甲状腺乳头状癌转移需要二次手术的患者的转移性淋巴结射频消融。

IF 0.5

Turkish Journal of Surgery Pub Date : 2023-01-20 eCollection Date: 2024-06-01 DOI: 10.47717/turkjsurg.2023.4631

Gizem Öner, Beyza Özçınar, Orhan Ağcaoğlu, Nihat Aksakal, Artur Salmaslıoğlu, Cem Yücel, Yeşim Erbil

{"title":"Radiofrequency ablation of metastatic lymph nodes in a patient requiring secondary operation for papillary thyroid carcinoma metastasis.","authors":"Gizem Öner, Beyza Özçınar, Orhan Ağcaoğlu, Nihat Aksakal, Artur Salmaslıoğlu, Cem Yücel, Yeşim Erbil","doi":"10.47717/turkjsurg.2023.4631","DOIUrl":"10.47717/turkjsurg.2023.4631","url":null,"abstract":"Radiofrequency ablation is a minimally invasive modality performed as an alternative to surgery in patients with benign thyroid nodules and recurrent thyroid cancers. As far we know there is scant data regarding the safety of radiofrequency ablation for metastatic lymph nodes. In this report, our aim was to evaluate the safety and efficacy of radiofrequency ablation for metastatic lymph nodes in patients with recurrent papillary thyroid cancer metastasis. A 63-year old man, who underwent bilateral total thyroidectomy procedure in a different hospital with the diagnosis of papillary thyroid cancer one year ago, was diagnosed to have papillary thyroid cancer metastasis in single lymph nodes bilaterally in his follow-up. He underwent percutaneous radiofrequency ablation under ultrasound guidance. He was discharged home on post-operative day one uneventfully and his first control ultrasonography revealed a decrease in nodule size larger than 50% in right side of the neck and also the nodule in the left side disappeared. In conclusion, radiofrequency ablation is a safe and feasible technique for the treatment of metastatic lymph nodes in patients requiring secondary surgery due to papillary thyroid cancer metastasis.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"40 2","pages":"174-177"},"PeriodicalIF":0.5,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772576","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

Nerve identification in open inguinal hernioplasty: A meta-analysis. 开放式腹股沟疝成形术中的神经识别：荟萃分析

IF 0.5

Turkish Journal of Surgery Pub Date : 2022-12-20 eCollection Date: 2022-12-01 DOI: 10.47717/turkjsurg.2022.5882

Mithilesh Kumar Sinha, Apurba Barman, Prabhas Ranjan Tripathy, Ankit Shettar

{"title":"Nerve identification in open inguinal hernioplasty: A meta-analysis.","authors":"Mithilesh Kumar Sinha, Apurba Barman, Prabhas Ranjan Tripathy, Ankit Shettar","doi":"10.47717/turkjsurg.2022.5882","DOIUrl":"10.47717/turkjsurg.2022.5882","url":null,"abstract":"Objectives: In open inguinal hernioplasty, three inguinal nerves are encountered in the surgical field. It is advisable to identify these nerves as careful dissection reduces the chances of debilitating post-operative inguinodynia. Recognizing nerves during surgery can be challenging. Limited surgical studies have reported on the identification rates of all nerves. This study aimed to calculate the pooled prevalence of each nerve from these studies.Material and methods: We searched PubMed, CENTRAL, CINAHL, ClinicalTrials.gov and Research Square. We selected articles that reported on the prevalence of all three nerves during surgery. A meta-analysis was performed on the data from eight studies. IVhet model from the software MetaXL was used for preparing the forest plot. Subgroup analysis was performed to understand the cause of heterogeneity.Results: The pooled prevalence rates for Ilioinguinal nerve (IIN), Iliohypogastric nerve (IHN), and genital branch of genitofemoral nerve (GB) were 84% (95% CI 67-97%), 71% (95% CI 51-89%) and 53% (95% CI 31-74%), respectively. On subgroup analysis, the identification rates were higher in single centre studies and studies with a single primary objective as nerve identification. The heterogeneity was significant in all pooled values, excluding the subgroup analysis of IHN identification rates in single-centre studies.Conclusion: The pooled values indicate low identification rates for IHN and GB. Significant heterogeneity and large confidence intervals reduce the importance of these values as quality standards. Better results are observed in single-centre studies and studies which are focused on nerve identification.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"38 4","pages":"315-326"},"PeriodicalIF":0.5,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9979557/pdf/TJS-38-315.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10849190","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

From The Editor's Desk. 编者的话

IF 0.5

Turkish Journal of Surgery Pub Date : 2022-12-20 eCollection Date: 2022-12-01 DOI: 10.47717/turkjsurg.2022.20229008

Kaya Sarıbeyoğlu

引用次数: 0

Gardner's syndrome: Simultaneous diagnosis and treatment in monozygotic twins. 加德纳综合征:同卵双胞胎的同时诊断和治疗。

IF 0.6

Turkish Journal of Surgery Pub Date : 2022-12-01 DOI: 10.47717/turkjsurg.2022.4218

Ramazan Kozan, İlhan Taşdöven, Turan Eray Seven, Selim Aydemir, Banu Doğan Gün, Mustafa Cömert

引用次数: 0