Awareness and wound assesment decrease surgical site infections.

Objectives: Various surveillance methods have been described for surveillance of surgical site infections (SSI). The aim of this study was to examine prac- ticality of SSI risk assessment methods (SENIC and NNIS) with a postoperative wound monitoring scale (ASEPSIS) as an outcome assessment measure and evaluation of the contribution of wound assesment to the reduction of wound infection.

Material And Methods: Patients were followed with a prospective data chart through four year.

The rising trend of papillary carcinoma in thyroidectomies: 14-years of experience in a referral center of Turkey.

Background: During the past 25 years, the incidence of thyroid papillary carcinoma (TPC), especially the micropapillary subtype, has been increasing in different countries worldwide. The rise in the rate of thyroid malignancies were also determined in Turkey in the last two decades. This fact was attributed to the Chernobyl accident because Turkey is one of the affected countries by the radioactive fallout.

Colorectal emergencies associated with penetrating or retained foreign bodies.

Background: Foreign bodies in rectum and colon is an uncommon problem in surgical practice. Anal eroticism leads amongst etiologic factors. In some patients accidents or forceful application of foreign bodies are causative factors.

A new surgical method of pilonidal sinus treatment: a bilaterally paralel elliptic fascio-cutaneous advancement flap technique.

Objective: Pilonidal sinus disease (PSD) is a common chronic disease in young people, It is often associated with considerable discomfort and morbidity.

Background: We aimed to describe our new bilateral parallel elliptic fascio-cutaneous advancement flap technique in PSD treatment and we assessed the technique's results in 57 patients.

Method: This procedure consists of a bilateral parallel elliptical excision, mobilization of the fascio-cutaneous flap from the median line of the wound, fixation of the base of the flap to the sacrococcygeal fascia by method of overlapping, and suturing its edge to the lateral side.

A rare complication of intraabdominal hydatid disease: gastric fistula and recurrent gastric bleeding.

Intra-abdominal hydatid disease is a type of echinococcosis. This silent disease becomes symptomatic with serious complications. A 50-year-old woman presented with abdominal pain and recurrent hematemesis.

Effect of tempol, a membrane-permeable radical scavenger, on mesenteric blood flow and organ injury in a murine cecal ligation and puncture model of septic shock.

Background: Interventions that reduce the generation or the effects of reactive oxygen species exert beneficial effects in a variety of models of septic shock. We investigated the effect of tempol, a low-molecular-weight membrane-permeable radical scavenger, on mesenteric blood flow and organ injury in a murine cecal ligation and puncture (CLP) model of septic shock.

Materials And Methods: Forty-four Swiss albino mice were anesthetized with chloral hydrate (400 mg/kg, i.

The effects of L-NG-nitroarginine in a zymosan-induced multiple organ dysfunction syndrome model.

Background: The aim of this study was to investigate the role of nitric oxide in mesenteric ischemia, organ injury and survival in zymosan-induced multiple organ dysfunction syndrome (MODS) by using the nonselective nitric oxide synthase inhibitor L-N(G)-nitroarginine (L-NNA).

Methods: Swiss albino mice (20-40 g) were used in the study. The animals were randomly divided into four groups.

Did ileal knotting trigger labor or did labor cause ileal knotting? Report of a case.

Ileal knotting is a rare but serious complication of pregnancy, with relatively high maternal and fetal mortality. We report a case of ileal knotting with complications in a pregnant woman without any history of abdominal or pelvic surgery. To our knowledge, there is no other report in the international literature.

Isolated intrathoracic hiatal herniation of the twisted sigmoid colon: report of a case.

The hiatus hernia and sigmoid volvulus are usually found in older patients. The delay of the treatment of both of these illnesses may result in increased morbidity and mortality. We report a case of an isolated intrathoracic hiatal herniation of the twisted sigmoid colon.

Conservative management of hemorrhoids: a comparison of venotonic flavonoid micronized purified flavonoid fraction (MPFF) and sclerotherapy.

Purpose: To compare the results of the conservative management of hemorrhoids between venotonic flavonoid micronized purified flavonoid fraction (MPFF) and sclerotherapy, in terms of the subjective and objective outcome of patients after a follow-up period of 2 years.

Methods: One hundred and twenty-six patients who suffered from 1st-and 2nd-degree hemorrhoids were divided into 2 groups. The first (n = 64) and second (n = 62) groups underwent venotonic flavonoid MPFF (VF) and sclerotherapy (SCL).

Serum tumor marker CA19-9 in the follow-up of patients with cystic echinococcosis.

Background: The aim of this study was to compare results of the determination of carcinoembryonic antigen, carbohydrate antigens, alpha-fetoprotein, and human chorionic gonadotropin before and after surgical and pharmacologic treatment in patients with cystic echinococcosis (CE).

Methods: Serum samples were obtained from 40 CE patients (all with cysts in the liver) and from 10 sex- and age-matched healthy donors (control group). Serum samples were drawn (1) before (presurgical group) and after (postsurgical group, including a 3-month cycle of albendazole) surgical and pharmacologic treatment.

Hemodiafiltration treatment for high bilirubinemia state after hepatectomy.

Hyperbilirubinemia which developed after right hepatectomy is reported in a 66-year-old male. The application of hemodiafiltration treatment in the postoperative course of the patient and the effect of treatment in his healing process are summarized and discussed.

Correlation of risk and postoperative assessment methods in wound surveillance.

Background: Various surveillance methods have been described for surveillance of surgical site infections (SSI). The aim of this study was to examine practicality of SSI risk assessment methods (Study on the Efficacy of Nosocomial Infection Control [SENIC] and National Nosocomial Infections Surveillance [NNIS]) with a postoperative wound monitoring scale (ASEPSIS) as an outcome assessment measure.

Materials And Methods: Patients were followed with a prospective data chart from January 1, 2003, to December 31, 2005.

Heterogeneity of damage between segments of rat liver after inflow-outflow obstruction.

Background: Total vascular exclusion (TVE) causes warm liver ischemia. The complete explanation of the events during inflow and outflow obstruction of the liver during selective TVE has not yet been studied. The aim of this study was to investigate the liver injury caused by inflow-outflow obstruction in the rat liver.

Reinforcement of the suture line with an ePTFE graft attached with histoacryl glue in duodenal trauma.

Background: Most duodenal injuries are managed with primary repair, but the degree of duodenal-wall injury may threaten the integrity of the primary repair. Therefore, we evaluated whether the primary repair site could be reinforced with histoacryl glue (HAG) or HAG with an expanded polytetrafluoroethylene (ePTFE) mesh.

Methods: Grade 3 duodenal injury in the second portion of the rat duodenum was chosen as a standard trauma model.

Persistent müllerian duct syndrome associated with irreducible inguinal hernia, bilateral cryptorchidism and testicular neoplasia: a case report.

Persistent müllerian duct syndrome is a rare form of male pseudohermaphroditism. A case is reported of normal male appearance with bilateral cryptorchidism and a right irreducible inguinal hernia. On exploration, an uterus with two fallopian tubes and a testicle were found in the hernia sac.

Evaluation of liver damage after application of TVE in the rat model.

Introduction: The aim of this study was to investigate the effects of total vascular exclusion (TVE) on the liver during the early period of reperfusion.

Materials And Methods: Forty Wistar-Albino rats were divided into four groups. Portal pedicle clamping (groups 1 and 2) or TVE (groups 3 and 4) were applied for 10 minutes.

Comparison of bariatric and non-bariatric elective operations in morbidly obese patients on the basis of wound infection.

Background: Wound infection rates after various types of bariatric operations have been well described. The question of whether bariatric surgery increases wound infection rate compared with similar elective surgical procedures in obese patients has not been clearly answered. The purpose of this study was to investigate wound status of morbidly obese patients after elective general surgery.

Primary hydatid cyst of the breast with elevated CA 19-9 level.

Breast masses secondary to hydatid cyst disease are placed on the differential diagnosis of breast tumors under guidance of the literature. In addition to their characteristic appearance on mammography, many specific parameters for diagnosis are required. In this report, the relation of serum CA 19-9 levels to the primary breast cyst hydatid was evaluated in both preoperative and postoperative periods.

The effects of cetrimide-chlorhexidine combination on the hepato-pancreatico-biliary system.

Sclerosing cholangitis is a rare but dreadful complication of liver hydatid surgery. Almost all scolocidal agents are associated clinically or experimentally with this complication. Cetrimide-chlorhexidine combination is the most potent scolocidal agent, and this study was designed to examine its effect on the hepato-pancreatico-biliary system.

V-Y advancement flap closures for complicated pilonidal sinus disease.

Background And Aims: Hair entry into the midline is the generally accepted theory in pilonidal sinus formation. This theory is also involved in the pathogenesis of the recurrence after different types of operations for pilonidal sinus disease. The relationship of the suture lines and the midline was evaluated in this study.

Effects of TVE application during 70% hepatectomy on regeneration capacity of rats.

Background: For adequate control of excess bleeding during liver resection, total vascular exclusion (TVE) is preferred by surgeons, especially when the tumor is located in the posterior liver lobes or near the cava. To the authors' knowledge, the effects of TVE technique on the postoperative liver regeneration process have not thus far been evaluated yet in the literature. This study was planned to compare the effects of liver resections performed either with portal pedicle clamping or with TVE on the regeneration process.

The effects of dimethyl sulfoxide on liver damage caused by ischemia-reperfusion.

Introduction: The aim of this study was to investigate the effects of dimethyl sulfoxide on liver damage caused by ischemia-reperfusion after portal vein clamping.

Material And Methods: Forty New Zealand rabbits were divided into three groups with the portal veins of all the rabbits except the sham group clamped for 30 minutes: group I, sham procedure; group II, control group; and group III, 500 mg/kg DMSO. The drug was administered IM in the left inguinal region 30 minutes before the operation.

Admission lactate level and the APACHE II score are the most useful predictors of prognosis following torso trauma.

Background: Markers of dysoxic metabolism and scoring systems for triage have been widely used in critically injured patients. However, so far, no model is sufficiently reliable to predict the outcome in trauma victims. The purposes of the present study, therefore, were to determine whether a correlation exits between the main trauma scoring systems and the markers of dysoxic metabolism.