Amyand's hernia is a rare condition defined by the inclusion of the appendix vermiformis within the hernia sac. Its incidence among cases of groin hernia is less than 1%. The clinical manifestation of incarcerated...Amyand's hernia is a rare condition defined by the inclusion of the appendix vermiformis within the hernia sac. Its incidence among cases of groin hernia is less than 1%. The clinical manifestation of incarcerated inguinal hernia generally masks the symptoms and signs of acute appendicitis, which renders preoperative diagnosis difficult. In this study, we present two cases of Amyand's hernia that were diagnosed preoperatively. The patients were taken for operation with the prediagnosis of ?ncarcerated inguinal hernia. We evaluated these cases along with data from prior studies.展开更多
Triquetrum fractures are the second most common carpal fractures after scaphoid. However they are seldom encountered due to their clinical symptoms and since they cause less functional disability. They can be misdiagn...Triquetrum fractures are the second most common carpal fractures after scaphoid. However they are seldom encountered due to their clinical symptoms and since they cause less functional disability. They can be misdiagnosed as soft-tissue injuries by considering the similar localization of pain and prolonged symptoms. The majority of triquetrum fractures can be diagnosed with direct X-ray. Obtaining three plane (anterior-posterior, lateral and oblique) X-rays is especially important in diagnosing dorsal chip fractures. Accurate diagnosis provides both controlling the symptoms with adequate immobilization, sufficient information of the patient in the acute period and preventing unnecessary diagnostic work up in the subacute period because of prolonged discomfort. In our study, fifteen patients with isolated triquetrum fractures admitted within six year period were presented with their clinical, radiological features and treatment outcomes.展开更多
Objectives:To compare the success rates of autologous fascial mesh(sling and transobturator tape[TOT])with midurethral syntheticmeshes(tension-free vaginal tape sling[TVT]and TOT)for stress urinary incontinence.Materi...Objectives:To compare the success rates of autologous fascial mesh(sling and transobturator tape[TOT])with midurethral syntheticmeshes(tension-free vaginal tape sling[TVT]and TOT)for stress urinary incontinence.Materials and methods:A literature search for studies published in English was conducted from May 10,2022,to June 1,2022.Thesearch included MEDLINE/PubMed,Cochrane Library,Scopus,Web of Science,Google Scholar,and ProQuest,using the terms{“Autologous fascial slings”}OR{“AFS”}AND{“TOT”}OR{“Transobturator tape”}OR{“TVT”}OR{“Transvaginal tape”}.A total of 20 studies,including 10 randomized controlled trials,were selected for the review.RevMan software(version 5.3)was used to calculate the pooledeffect estimates for operative and postoperative variables.Results:In the systemic review,20 studies,including 10 randomized controlled trials,were assessed.In the TVT versus autologouspubovaginal sling(A-PVS)groups,the effect estimates for the surgical duration,catheter duration,success,and complication rates weremore advantageous for TVT.However,in comparison to autologous transobturator tape groups,TOT provided better operative time and ashorter hospital stay.Moreover,in comparison to the A-PVS group,the TOT group was superior in terms of operating time,urethral catheterization,hospital stay,amount of residual urine,and wound complications.The A-PVS group had significantly more groin and thigh pain.Conclusions:During medium-and long-term follow-ups,the use of autologous rectus fascia grafts using a A-PVS or TOT providedsimilar complication rates and urinary continence results as using midurethral synthetic meshes(TVT and TOT).展开更多
Background:Currently,although various methods are used,there is no gold standard method for circumcision.Therefore,we developed a modified circumcision clamp inspired by the Mogen clamp suitable for circumcisions perf...Background:Currently,although various methods are used,there is no gold standard method for circumcision.Therefore,we developed a modified circumcision clamp inspired by the Mogen clamp suitable for circumcisions performed under local anesthesia in our country.To evaluate its success and complications,we compared our modified Mogen clamp with a dorsal slit circumcision.Materials and methods:From 2013 to 2017,we retrospectively evaluated 1309 patients who had undergone circumcision;of these,832 used the modified Mogen clamp method(Group 1)and 477 used the dorsal slit method(Group 2).The patients'age,surgery duration,minor hemorrhage(not requiring suture or repeated surgical exploration after circumcision but with buffer or clotting solution used),major hemorrhage(hemorrhage requiring suture or exploration),redundant prepuce skin remnants,revision numbers,and family satisfaction values were evaluated and compared between the 2 groups.Results:Patients were assessed at least 3 times:1 day,1 week,and 1 month after circumcision.The mean ages in Groups 1 and 2 were 16.5±22.8 versus 15.5±18.8 months,respectively.The surgical procedure durations were 9.2±1.7 and 15.4±2.5 minutes in Groups 1 and 2,respectively(p<0.001).Complications were found in 164(19.7%)versus 81 patients(17.0%)(p=0.522),including redundant skin in 42(5.4%)versus 15 patients(3.14%)(p=0.105)and major hemorrhage in 20(2.4%)versus 15 patients(3.3%)(p=0.230)in Groups 1 and 2,respectively.Conclusion:Under local anesthesia,the circumcision procedure with the modified Mogen clamp can be performed more rapidly than with the dorsal slit,and the cosmetic results are better as the incision line is more regular.All postoperative complications were similar,with problems related to redundant skin occurring more frequently with clamp circumcision.展开更多
文摘Amyand's hernia is a rare condition defined by the inclusion of the appendix vermiformis within the hernia sac. Its incidence among cases of groin hernia is less than 1%. The clinical manifestation of incarcerated inguinal hernia generally masks the symptoms and signs of acute appendicitis, which renders preoperative diagnosis difficult. In this study, we present two cases of Amyand's hernia that were diagnosed preoperatively. The patients were taken for operation with the prediagnosis of ?ncarcerated inguinal hernia. We evaluated these cases along with data from prior studies.
文摘Triquetrum fractures are the second most common carpal fractures after scaphoid. However they are seldom encountered due to their clinical symptoms and since they cause less functional disability. They can be misdiagnosed as soft-tissue injuries by considering the similar localization of pain and prolonged symptoms. The majority of triquetrum fractures can be diagnosed with direct X-ray. Obtaining three plane (anterior-posterior, lateral and oblique) X-rays is especially important in diagnosing dorsal chip fractures. Accurate diagnosis provides both controlling the symptoms with adequate immobilization, sufficient information of the patient in the acute period and preventing unnecessary diagnostic work up in the subacute period because of prolonged discomfort. In our study, fifteen patients with isolated triquetrum fractures admitted within six year period were presented with their clinical, radiological features and treatment outcomes.
文摘Objectives:To compare the success rates of autologous fascial mesh(sling and transobturator tape[TOT])with midurethral syntheticmeshes(tension-free vaginal tape sling[TVT]and TOT)for stress urinary incontinence.Materials and methods:A literature search for studies published in English was conducted from May 10,2022,to June 1,2022.Thesearch included MEDLINE/PubMed,Cochrane Library,Scopus,Web of Science,Google Scholar,and ProQuest,using the terms{“Autologous fascial slings”}OR{“AFS”}AND{“TOT”}OR{“Transobturator tape”}OR{“TVT”}OR{“Transvaginal tape”}.A total of 20 studies,including 10 randomized controlled trials,were selected for the review.RevMan software(version 5.3)was used to calculate the pooledeffect estimates for operative and postoperative variables.Results:In the systemic review,20 studies,including 10 randomized controlled trials,were assessed.In the TVT versus autologouspubovaginal sling(A-PVS)groups,the effect estimates for the surgical duration,catheter duration,success,and complication rates weremore advantageous for TVT.However,in comparison to autologous transobturator tape groups,TOT provided better operative time and ashorter hospital stay.Moreover,in comparison to the A-PVS group,the TOT group was superior in terms of operating time,urethral catheterization,hospital stay,amount of residual urine,and wound complications.The A-PVS group had significantly more groin and thigh pain.Conclusions:During medium-and long-term follow-ups,the use of autologous rectus fascia grafts using a A-PVS or TOT providedsimilar complication rates and urinary continence results as using midurethral synthetic meshes(TVT and TOT).
文摘Background:Currently,although various methods are used,there is no gold standard method for circumcision.Therefore,we developed a modified circumcision clamp inspired by the Mogen clamp suitable for circumcisions performed under local anesthesia in our country.To evaluate its success and complications,we compared our modified Mogen clamp with a dorsal slit circumcision.Materials and methods:From 2013 to 2017,we retrospectively evaluated 1309 patients who had undergone circumcision;of these,832 used the modified Mogen clamp method(Group 1)and 477 used the dorsal slit method(Group 2).The patients'age,surgery duration,minor hemorrhage(not requiring suture or repeated surgical exploration after circumcision but with buffer or clotting solution used),major hemorrhage(hemorrhage requiring suture or exploration),redundant prepuce skin remnants,revision numbers,and family satisfaction values were evaluated and compared between the 2 groups.Results:Patients were assessed at least 3 times:1 day,1 week,and 1 month after circumcision.The mean ages in Groups 1 and 2 were 16.5±22.8 versus 15.5±18.8 months,respectively.The surgical procedure durations were 9.2±1.7 and 15.4±2.5 minutes in Groups 1 and 2,respectively(p<0.001).Complications were found in 164(19.7%)versus 81 patients(17.0%)(p=0.522),including redundant skin in 42(5.4%)versus 15 patients(3.14%)(p=0.105)and major hemorrhage in 20(2.4%)versus 15 patients(3.3%)(p=0.230)in Groups 1 and 2,respectively.Conclusion:Under local anesthesia,the circumcision procedure with the modified Mogen clamp can be performed more rapidly than with the dorsal slit,and the cosmetic results are better as the incision line is more regular.All postoperative complications were similar,with problems related to redundant skin occurring more frequently with clamp circumcision.
