Glasgow prognostic score (GPS) has been found to be a useful tool in various cancer types. Our aim was to evaluate the significance of GPS in patients operated on for colorectal cancer (CRC). Patients with CRC who underwent radical resections between April 2010 and January 2015 were retrospectively evaluated. GPS was estimated based on the preoperative measurement of C-reactive protein and serum albumin levels. Data including demographics, laboratory and pathological parameters, surgical outcomes, and late-term follow-up results were analyzed. The study group of 115 patients consisted of 51 (44 %) women and 64 (56 %) men with a median age of 66 (range 32-91) years. The mean follow-up period was 20 (range 7-41) months. Tumor size and wound infection rates were significantly increased in patients with higher GPS (p = 0.019 and p = 0.003, respectively). According to multivariate analyses, CEA and GPS were found to be independent risk factors significantly effecting mortality (p = 0.001 and p = 0.009, respectively). At the end of the late-term follow-up period, it was detected that cancer-specific survival significantly decreased as the GPS increased (p = 0.016). The GPS is a significant prognostic factor in CRC and should be included in the routine preoperative assessment of all surgically treated CRC patients.
OBJECTIVE:Acute appendicitis is one of the most common acute surgical pathology we encountered. In this study we investigated our pregnant cases of appendicitis, and reviewed literature.METHODS:A total of 21 pregnant women who underwent appendectomy with the initial diagnosis of acute appendicitis in Istanbul Medeniyet University Clinics of General Surgery between January 2012, and December 2014 were retrospectively analyzed. The patients’s ages, trimesters, complaints, abdominal examination, laboratory, and ultrasonographic findings, surgical techniques, complications and hospital stay were noted.RESULTS:The patients were in their first (n=12; 57.1%), second (n=5; 23.8%), and third trimesters (n=4; 19.0%) of their pregnancies Median age was 23.9 years. All of the patients had abdominal pain. Median value of WBC count was 13.297/mm³. Ultrasound was positive in 12 patients (57.1%). In 14 (66.6%) patients McBurney incision, and in 6 (28.6%) cases right paramedian incision were used. One patient (4.8%) underwent laparoscopic appendectomy. Nineteen cases were acute appendicitis (90.5%), and two cases were perforated appendicitis (9.5%). Average hospital stay was 3.8 days. Two cases with perforated acute appendicitis developed wound infection and treated conservatively. There were no fetomaternal mortality.CONCLUSION:Physiologically anatomic and biochemical changes occurring during pregnancy can delay the diagnosis of acute appendicitis threaten the lives of both the mother and the fetus Therefore, rapid diagnosis and appropriate treatment convey importance.
Epiploic appendices, first described in 1543 by Vesalius, are fatty structures which are attached through the length of the colon and consisted of visceral peritoneum. Epiploic appendicitis is an uncommon and self-limiting disease. In this report, we aimed to present two patients with epiploic appendicitis.
Aim: Our aim was to evaluate, and report the experiences of the volunteer surgical team of Doctors Worldwide (DWW) Turkey during their medical activites in Uganda. Materials and Methods: A surgical camp was organized by DWW Turkey between 3-8 February 2015 in the Butambala and Kampala districts of Uganda. The surgical camp, in addition to other surgeries, was intended to conduct herniorrhaphies for all forms of abdominal wall hernias. Outcomes obtained as results of all surgical practices, including the demographic data of the patients, the types of anaesthesiological, and surgical procedures performed were recorded, and analyzed. Results: Surgical interventions were carried out under either general, spinal, or local anesthesia in a total of 115 patients with the diagnosis of inguinal hernia in 80 (69.57%), umbilical hernia in 15 (13.04%), and epigastric hernia in 9 (7.82%) cases. Additionally, operations were performed for hydrocele in 11 (9.57%) cases. Postoperative minor complications were met in 10 (8.70%) patients, and no postoperative mortality took place at the end of all operations. Discussion and Conclusion: DWW Turkey Surgical Team conclude that, as an efficacious modality of treatment, surgery should be considered as one of the most important priorities when conducting humanitarian health aid programs. Key Words: global surgery; hernia surgery; doctors worldwide; Uganda Özet Amaç: Yeryüzü Doktorları Türkiye'nin gönüllü cerrahi ekibinin Uganda'daki faaliyetleri ile ilgili deneyimlerini değerlendirerek bildirmeyi amaçladık. Gereç ve Yöntemler: Yeryüzü Doktorları Türkiye tarafından 3-8 Şubat 2015 tarihleri arasında Uganda'nın Butambala ve Kampala bölgelerinde cerrahi kamp düzenlendi. Bu kampın amacı, diğer cerrahilere ek olarak, tüm karın duvarı fıtık tipleri için fıtık tamirlerinin gerçekleştirilmesiydi. Hastaların demografik verileri ile uygulanan anestezi ve cerrahi prosedürlerin tipleri kayıt edilerek incelendi. Bulgular: Toplam 115 cerrahi hastasında operasyonlar genel, spinal ya da lokal anestezi ile yapıldı. Bunlardan 80'i (%69,57) kasık fıtığı, 15'i (%13,04) göbek fıtığı ve 9'u (%7,82) epigastrik fıtık tanısı almıştı. Ek olarak hidrosel tanısı ile 11 (%9,57) olgu ameliyat edildi. On (%8,70) hastada postoperatif minör komplikasyonlar gözlenirken, ameliyatların sonunda postoperatif mortalite gelişmedi. Tartışma ve Sonuç: Yeryüzü Doktorları; etkin bir tedavi modalitesi olarak cerrahinin, insani sağ-lık yardımı programlarının düzenlenmesi sırasındaki planlamalarda en önemli önceliklerden birini oluşturması gerektiği kanısındadırlar. Anahtar Kelimeler: küresel cerrahi; fıtık cerrahisi; yeryüzü doktorları; Uganda Orjinal Makale/Original Article
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