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    Clinical and surgical profile and follow up of patients with liver hydatid cyst from an endemic region
    (2008) Tekin A.; Kücükkartallar T.; Kartal A.; Kaynak A.; Özer Ş.; Tavli Ş.; Belviranli M.
    Aim: The aim of this study is to present the changes in the treatment of liver hydatid cyst during the last 20 years in our clinic according to literature data. Material and methods: Clinical, laboratory and operational findings and pre- and postoperative complications of 650 from 700 patients with liver hydatid cysts, examined and treated at Selcuk University Meram Medicine Faculty, General Surgery Department, between 1985-2005, were evaluated in two groups: 1st period (1985-1995) and 2nd period (1995-2005). Results: 436 of the cases were females (67.1%) and 214 (32.9%) males. The mean age of the females was 35 years (ranges 10-73) and of the males 46 years (ranges 12-76). Surgical treatment comprised radical and obliterative conservative techniques in the first period, while non-obliterative conservative techniques and percutaneous puncture and aspiration of the cyst, injection of scolex eliminating substance and reaspiration (PAIR) were preferred in the second period. During the follow-up (498 cases were followed for a mean period of 32 [12-72] months), recurrence occurred in 12 in the first period and in 9 in the second period, a total of 21 patients (4.21%). Conclusion: We consider that regardless of the surgical treatment used in liver hydatid cyst cases, combination with chemotherapy is the safest and most effective approach.
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    Pre-operative pneumoperitoneum application in giant inguinal hernia repair [Dev ingunal fitik onariminda ameliyat öncesi pnömoperitoneum uygulamasi]
    (Gulhane Medical School, University of Health Sciences, 2013) Çakir M.; Tekin A.; Kaynak A.
    Hernia repair is one of the most frequent operation surgeons apply. One of the undesired problems in hernia surgery is compartment syndrome which can occur when giant hernia content is pushed into the abdomen. In order to prevent this problem, we used pneumoperitoneum method in giant inguinal hernias and we found it to be worth of discussing. wia catheter placed under direct ultrasonographic vision We applied pneumoperitoneum to repair giant inguinal hernia in our 70 year-old patient with pain and tubercle in the inguinal and dysuria complaints. We applied pneumoperitoneum for 12 days at 15mmHg with catheter placed under direct ultrasonographic vision. The patient on whom tension-free mesh hernioplasty operation was performed was discharged on the postoperative 5th day. Pneumoperitoneum can be used as an effective method in the prevention of abdominal compartment syndrome in the repair of giant inguinal hernias. © Gülhane Askeri Ti{dotless}p Akademisi 2013.