Kist hidatik hastalığı, Echinococcus granulosus ve Echinococcus multilocularis ile oluşan, tüm dünyada yaygın görülen, zoonotik bir enfestasyondur. İnsanlarda en sık tutulan organlar karaciğer (%65) ve akciğerlerdir (%25). Tiroid bezi tutulumu hastalığın endemik olduğu bölgelerde bile son derece enderdir. Bu çalışmada, 70 ve 15 yaşlarında, boyunda şişlik yakınmasıyla başvuran ve histopatolojik olarak tiroid bezinde kist hidatik saptanan iki ender olgu sunuldu.
SUMMARYIf the displacement of T drain occu:rs by 5th. day of operation, the drain should be rep~ laced again by a reopeıration.In our case, displacement occured at 3rd. postoperative day. The drain was kept inside and connected to an active aspiration system. After a dose observation, patient did well withoul: problem.Careful observal:ion and active drainage of displaced T drain are well enough and may prevent some reoperations.(
To review the approach for duodenal ulcer perforations in our country, in the period of 60 years between 1930-90, 32 series published in Turkish Medical Literature about peptic ulcer perforations were studied and only nine series (1143 cases) including the criteria that influence mortality and recurrence were reviewed. The series without classification as duodenal and gastric ulcer perforation were excluded.Patients were studied in two periods according to the therapy of Hi receptor blockage begining to use before and after 1980. Although only 3 series (157 cases) were reported before 1980; it was observed that the studies of series has greatly increased after 1980, with 6 series (986 cases) being reported; In comparing, it was observed that primary suture technique was performed in 119 (75.8%) cases, definitive surgery in 38 (24.2%) before 1980; definitive surgery has been performed in 568 (57.9%) cases, primary suture in 418 (42.4%) cases, after 1980. Definitive surgery has increased more than two times after 1980~ The rate of mortality was 11 (9.2%) for simple suture technique; 2 (5.1 %) for definitive surgery before 1980; while 45 (10.8%) for primary suture technique; 15 (2.6%) for definitive surgery after 1980. Only 451 (38.6%) cases could have been followed up to three years . In these cases, it was found 79 (29.4%) recurrence, 58 (21.9%) reoperation in primary suture technique while 22 (11.8%) recurrence; 2 (1.0%) reoperation in definitive surgery. There was two times. decrease in the mortality of definitive surgery while no decrease in the mortality of primary suture technique.As a result, 2 times decrease in the mortality of definitive surgery can be explained with the development of technique of postoperative care and anesthesia; while that the same decrease was not observed in the primary suture group can be explained with the widening of surgical indication in high-risk patient group in spite of the progress of anesthesia and sur-. gery.
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