Journal of Comprehensive Surgery最新文献

{"title":"Evaluation of clinical and laboratory parameters of patients with the diagnosis of upper gastrointestinal system bleeding","authors":"Mehmet Akif Tükenmez, Hatice Tükenmez, Rahime Özgür","doi":"10.51271/jocs-0024","DOIUrl":"https://doi.org/10.51271/jocs-0024","url":null,"abstract":"Aims: In this study, it was purposed to evaluate demographic, clinical, laboratory characteristics, bleeding etiologies, risk factors, comorbidity and mortality of the patients who were interned with the diagnosis of upper gastrointestinal system bleeding.\u0000Methods: In this study, 157 patients those hospitalized to Ministry of Health Beyoğlu Public Hospitals Association\u0000Gaziosmanpaşa Taksim Training and Research Hospital Internal Medicine Clinic with the diagnosis of upper gastrointestinal\u0000bleeding between 1 April 2014 and 1 April 2015 were evaluated retrospectively. Age, gender, duration of hospitalization,\u0000comorbidity, prescription story, need and amount of transfusion, endoscopic findings, hemoglobin (Hgb), blood urea nitrogen (BUN), urea, creatinine (Cr) values on admission, complication and mortality data were recorded. IBM SPSS (Statistical Package for Social Sciences) for MAC 21.0 program was used for statistical analysis in order to evaluate the data.\u0000Results: Patient were aged between 17 and 94 .The mean age was 59.04±20.55. 95 (68.35%) of patients were male and 44 (31.65%) were female with the male/female ratio of 2.15/1. While 64.75% of the patients in our study had at least one additional disease, no additional disease was detected in 35.25%. Endoscopic procedure was peformed 89.93% of patients for both diagnosis and treatment. Exitus was seen in 7 patients and mortality was detected as 5.04%. Median age of deceased patients was 75.28±15.39. Median age of surviving patients was 58.18±20.47.\u0000Conclusion: Our study revealed that upper GI bleeding is an important cause of mortality and morbidity despite advanced\u0000treatment options and intensive care conditions. The most important risk factors responsible for mortality are advanced age\u0000and the presence of comorbidities, as seen in our study.","PeriodicalId":480766,"journal":{"name":"Journal of Comprehensive Surgery","volume":"78 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140418232","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":"Prognostic factors and survival of breast cancer in patients over 40 years of age","authors":"Mahmut Arif Yüksek, S. Yürüker, Vahit Mutlu","doi":"10.51271/jocs-0025","DOIUrl":"https://doi.org/10.51271/jocs-0025","url":null,"abstract":"Aims: Breast cancer is the cancer with the highest incidence and mortality in women. There are differences in prognosis and\u0000survival between women over and under the age of 40. In this article, we aimed to examine breast cancer prognostic factors and survival results in people over the age of 40.\u0000Methods: 1187 patients aged 40 and over who underwent surgery at the Ondokuz Mayıs University Department of General\u0000Surgery between August 2005 and April 2019 and whose data were accessible were retrospectively examined. Data were\u0000obtained from the hospital automation system, the Ministry of Health’s online database, hospital archives, patients, and/or\u0000their relatives. They were classified separately in terms of type of surgery, axillary metastasis status (according to radiological\u0000status if axilla surgery is not performed), type of axilla surgery performed, pathological tumor size, number of pathological\u0000lymph nodes, pathological stage, lymphovascular and perineural invasion status, hormone receptor positivity, C-erb B2 and\u0000Ki-67 status, neoadjuvant treatment status, and molecular subgroup. Variables were analyzed individually for recurrence,\u0000mortality, and survival. Results found to be significant were subjected to multivariate analysis testing. Statistical significance\u0000was accepted as p<0.05.\u0000Results: As a result of multivariate analysis performed by excluding data that disrupted homogeneous distribution, perineural invasion, lymphovascular invasion, grade, and progesterone receptor status were determined to be independent prognostic factors in terms of recurrence. Lymphovascular invasion and progesterone receptor status were found to be independent prognostic factors for mortality.\u0000Conclusion: A lot of studies have been conducted, and criteria have been determined for breast cancer prognosis and survival. In our results, lymphovascular invasion and progesterone receptor status were found to be independent prognostic markers for both recurrence and mortality. More reliable results can be obtained with prospective study analyses.","PeriodicalId":480766,"journal":{"name":"Journal of Comprehensive Surgery","volume":"9 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140420040","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":"A rare case of acute abdomen: acute appendicitis in a patient with midgut malrotation","authors":"Abidin Göktaş, Alperen Karacanoğlu, Şükrü Melih Bayazıtlı, Mehmet Ali Pak, Hüseyin Fahri Martlı, Tezcan Akın, E. Çetinkaya, M. Tez, Sadettin Er","doi":"10.51271/jocs-0028","DOIUrl":"https://doi.org/10.51271/jocs-0028","url":null,"abstract":"Acute appendicitis (AA) is the most common pathology requiring surgery in patients presenting to the emergency department with abdominal pain. AA is usually suspected and diagnosed with abdominal pain localized to the right lower quadrant based on anamnesis and physical examination findings. Atypical anatomical localizations of the appendix vermiformis often do not give typical anamnesis and examination findings and cause delays in diagnosis and treatment. In the presence of Midgut Malrotation (MM) and Situs Inversus Totalis (SIT), the appendix is localized in the left lower quadrant due to malrotation. In this article, we report a case of midgut non-rotation that presented with left lower quadrant pain and was diagnosed with acute appendicitis.","PeriodicalId":480766,"journal":{"name":"Journal of Comprehensive Surgery","volume":"59 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140421379","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":"Developmental anomalies of the breast in the pediatric population","authors":"M. Özdamar","doi":"10.51271/jocs-0026","DOIUrl":"https://doi.org/10.51271/jocs-0026","url":null,"abstract":"Pediatric breast conditions, which rarely require biopsy or excision and where follow-up with ultrasound is sufficient, are usually temporary. To understand childhood's physiological and pathological conditions, it is necessary to know the stages of intrauterine development, as in every organ. In neonatal and subsequent childhood periods, ultrasound is sufficient as a radiological examination after history and physical examination. Malign masses are sporadic, and benign masses are rarely encountered. Parental anxiety is an essential factor affecting patient management from the first admission to the final follow-up examination. For this reason, practitioners need to know information that reassures patients and parents with an appropriate methodology in developmental breast diseases.","PeriodicalId":480766,"journal":{"name":"Journal of Comprehensive Surgery","volume":"4 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140419466","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}