Out data suggest that fibrin sealant is preferred over primary suture in appropriate cases including liver trauma since it causes less intra-abdominal adhesions while allowing shorter hemostasis time as assessed in experimental liver trauma.
We report a case of squamous cell carcinoma originated from a sacrococcygeal tailgut cyst in a 73-year-old female patient. Tailgut cysts are generally multilocal and have a layer of either columnar, squamous or transitional epithelium, or a combination of these. This case was treated with surgical excision and radiotherapy. Cancer presentation of a congenital abnormality in old age is a rare entity. This report is the first case of squamous cell carcinoma developing in a tailgut cyst without any synchronization, as an isolated (pure) pathology.
The aim of this study was to investigate the prognosis, the risk status and the death reasons in dead and recovered bitches with pyometra after the operative approach by comparing serum biochemical, and haematological parameters, as well as bacteriological and clinical findings. Bitches with pyometra (n=30) were ovariohysterectomized. Eight bitches that died after the ovariohysterectomy formed Group 1 and the rest, which recovered, was Group 2. In addition, 10 healthy bitches were used as the reference for haematological and biochemical parameters. It was found that the level of band neutrophils in Group 1 was higher than 10% and there was lymphopenia along with a marked monocytosis resulting in a highly negative correlation (r=-0.74). There were significant differences (p<0.01) between Group 1 and 2 for BUN, creatinine and BUN/creatinine ratio. Also, the increased serum BUN and creatinine levels were significantly correlated (rs = 0.605 and rs = 0.514, respectively). A significant tendency was apparent for increasing mortality in bitches with pyometra whose BUN levels were over 30 mg/dL (odds ratio=23.80) and creatinine levels above 1.5 mg/dL (odds ratio=7.518). Clinical signs and bacteriological findings did not lead to marked differences between the groups. In pyometra cases, the elderly azotemic dogs having higher BUN and creatinine concentration, would more likely succumb within 3 days after surgery. It may be concluded that the increased BUN concentrations may serve as a reliable prognostic predictor
Condyloma acuminatum is located in the perianal region, anal canal, vagina and the perineum. It is caused by human papillomavirus types 6 and 11. A 18 year-old man was admitted to the clinic because of a perianal mass. On examination of the patient's perianal area and inside the anal canal, a mass was found, which was nearly 8 × 8 cm in size. We could not obtain any information about venereal transmission. The mass was totally excised and the defect was reconstructed with a bilateral V-Y advancement flap. This technique has been used for sacrococcygeal, ischial and other defects but rarely used for condyloma acuminatum. We think that total excision and the use of the V-Y advancement flap technique is safe and has low morbidity in the treatment of condyloma acuminatum.
A case of severe acute hepatitis due to oral intake of firecrackersÇatapat›n oral al›m›na ba¤l› geliflen akut ciddi hepatit vakas›
Brief Reports should be submitted online to www.editorialmanager.com/ amsurg. (See details online under ''Instructions for Authors''.) They should be no more than 3 double-spaced pages excluding an Abstract and sub-headings with a maximum of four (4) references. If figures are included, they should be limited to two (2). The cost of printing color figures is the responsibility of the author.
Aim:The efficiency of a chemical cauterization technique in the treatment of high blind tracts, which are important causes of recurrence in anorectal fistula, were investigated. Materials and methods:Fifteen patients underwent surgery for low perianal fistula with high blind tracts. Partial fistulectomy and cutting seton technique was performed on all patients. The high blind tracts were cauterized by silver nitrate particles and the surgical area was left for secondary healing. The follow-up duration was 6 months to 1 year. The anal continence was evaluated according to the Wexner score.Results: Four of the 15 patients were female, whereas 11 were male. Ages ranged between 17 and 67 years. While 11 participants were primary cases, four were recurrent. Nine of the fistula tracts were intersphincteric and five were transsphincteric and one case had horseshoe fistula. The mean wound healing duration was 5.5 weeks. Mild anal incontinence (Wexner score = 3) was recorded in one case and recurrence was observed in another. Conclusion:Cauterization with silver nitrate is a new treatment method for high blind tract in anal fistulas. It is a safe and noninvasive method that reduces recurrences and surgical complications.
ÖZETAmaç: Hemoroidal hastalıkta demografik, etiyolojik, psikososyal faktörlerin irdelenmesi ve başvuru gecikmesine olan etkilerinin araştırılması. Gereç ve Yöntem: Sağlık Bakanlığı Ankara Eğitim veAraştırma Hastanesi Genel Cerrahi polikliniğinde hemoroidal hastalık tanısı konulan 100 hasta ile görüşme yapı-larak bir anket formu dolduruldu. Bulgular: Çalışma grubu yaşları 18 ile 76 arasında deği-şen 100 hastayı kapsamaktaydı. Çalışmaya alınan hastaların %48'i erkek, %52'si kadın idi. Hastalarımızın %38'i ilk semptomu hissettiğinde 7 gün içerisinde polikliniğe başvurmuş, %62'si ise çeşitli nedenlerden dolayı başvu-ruda gecikmişlerdi. Hastaların %4'ünün sağlık güvencesi yoktu, Bu hastaların hepsi başvuruda gecikmişti. Hastaların eğitim düzeyleri yükseldikçe hemoroidlerin evresi düşüyordu (p=0,033). Hekime başvurmada gecikme ile eğitim düzeyleri arasında negatif bir anlamlı ilişki bulundu (p=0,05). Kanama, ağrı ve kaşıntı şikâyeti olan hastaların ilk şikâyetleri ile başvuru tarihleri arasındaki süre bu semptomları olmayanlara göre daha uzundu. Karşı cinsiyetteki hekimlerden çekinen hastalar ile çekinmeyen-ler arasında başvuruda gecikme bakımından önemli bir farklılık yoktu.Sonuç: Ailede anorektal hastalık öyküsü, meslekler, ayrı-ca gebelik ve obezite hemoroidal hastalık etiyolojisinde etkili bulundu. Eğitim düzeyi yüksek olan hastalarda baş-vuruda gecikme oranı ve hemoroidlerin evresi daha dü-şüktü. Sağlık güvencesi bulunmaması başvuruda gecikmeye neden olmaktaydı. Ağrı, kanama ve kaşıntı şikâyeti olan hastalar başvuruda gecikmişlerdi.Anahtar Kelimeler: Hemoroidal hastalık, demografik faktörler, etiyolojik faktörler, psikososyal faktörler, başvu-ruda gecikme ABSTRACTObjective: To reveal the demographic, etiologic, psychosocial factors in the hemorrhoidal disease and the effects of delay in application. Material and Methods:We interviewed 100 patients ranging in age from 18 to 76 diagnosed with hemorrhoidal disease in the General Surgery Outpatient Clinics at the Ministry of Health Ankara Training and Research Hospital.Results: Overall, 48% of the patients were men, 52% were women. Additionally, 38% of the patients were admitted to the clinic within 7 days of experiencing the first symptoms, while 62%were admitted with a delay for several reasons. The application was delayed for 4% of the patients who did not have health insurance. The grades of hemorrhoidal disease were decreasing as the education levels were increasing (p=0,033). A statistically significant relationship was found between delay in application and education levels (p=0, 05). The period between the first complaints and the application were longer for patients suffering from bleeding, pain, and itching compared to those without these symptoms. We found no significant difference in delayed application between the patients who were and were not ashamed to see a doctor of the opposite sex. Conclusion:An anorectal disease history in the family, the occupations, pregnancy, and obesity were found effective in the etiology of the hemorrhoidal disease. The gra...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.