The results of the present study suggest that use of the eyedrop-shaped modified Limberg flap is associated with a lower maceration and recurrence rate when compared with the available data on the use of the Limberg flap. Flap necrosis and wound healing was better, and the routine use of drains did not affect the wound-related complications and recurrence rates.
Pneumatosis cystoides intestinalis is a rarely seen disease characterized by cysts filled with multiple gases in the wall of the small or large intestine. Many factors have been suggested in the etiology and pathogenesis, including peptic ulcer, pyloric stenosis, and endoscopic trauma. Because various clinical characteristics and symptoms are observed together, diagnosis is generally difficult. It may be a cause of free air observed on direct radiographs. Treatment is directed at the cause and although there is generally a good course, it can sometimes lead to severe complications. In this paper, we present the case of a 33-year old male being prepared for surgery for pyloric stenosis due to a peptic ulcer. In the preoperative tests, because acid was determined within the abdomen and free air below the diaphragm, pneumatosis cystoides intestinalis was considered in the differential diagnosis. Definitive diagnosis was made during the operation and surgical treatment was applied.
In cases where the dissection of Calot's triangle is difficult during laparoscopic cholecystectomy, laparoscopic partial cholecystectomy is an alternative to total cholecystectomy to prevent bile duct damage. However, recurrent symptoms and bile duct problems associated with the remaining gallbladder tissue may develop in patients over time. The case of a 45-year-old male who underwent laparoscopic partial cholecystectomy one year previously is presented here. In the postoperative period, as a result of tests for the continuing symptoms of cholecystitis, stones and surrounding abscess were detected in the remaining gallbladder tissue, so open completion cholecystectomy was applied. In acute cholecystitis, as severe inflammation of the hilar structures does not allow safe dissection, partial cholecystectomy can be applied. However, in these patients, there is a risk of recurrence of cholecystitis symptoms and the development of biliary pancreatitis and choledocolithiasis because of the remaining tissue. Therefore, it should not be forgotten that endoscopic and/or surgical intervention may be necessary at least in some patients.
Buschke-Löwenstein tumor (BLT), or giant condyloma acuminatum, is a rare sexually transmitted disease with a potentially fatal course. The virus responsible for condyloma is human papillomavirus, usually serotype 6 or 11. A BLT is always preceded by condyloma acuminatum and may occur at any age after puberty. It is characterized by invasive growth and recurrence after treatment, and malignant transformation is possible. There is no general agreement on the choice of treatment for this tumor. Wide radical excision with plastic reconstruction of skin defects seems to be the best treatment, while adjuvant therapies, such as radiotherapy and immunotherapy, may achieve good results, but their effectiveness is still unclear. We report 3 cases of 32-and 40-yearold males and a 38-year-old female with an approximate 5-year history of a perianal BLT.
AmaçErkek Meme Kanseri nadir görülen bir hastalıktır. İnsidansı son yıllarda artmakta, ancak sağkalım sonuçları iyileşmektedir. Prospektif randomize çalışmaların eksikliği nedeniyle, kadın meme kanseri kılavuzlarına göre tedavisi ve takibi yapılmaktadır. Ancak kendine özgü anatomi ve fizyolojisi nedeniyle hastalığın seyrinde farklılıklar olabileceği düşünülmektedir. Gereç ve YöntemSüleyman Demirel Üniversitesi Tıp Fakültesi Cerrahi Onkoloji Kliniği' nde Ocak 2011 -Ocak 2020 tarihleri arasında meme kanseri nedeniyle opere edilen erkek hastaların verileri retrospektif olarak değerlendirildi. Adenokarsinom dışındaki meme patolojileri çalışmaya dahil edilmedi. BulgularÇalışmaya 7 hasta dahil edildi. Aynı süre içerisinde 847 kadın hasta görülürken, erkek hasta oranı % 0,8 idi. Tüm hastalara total mastektomi ile birlikte level 1, 2, 3 aksiller diseksiyon yapıldı. Patoloji sonuçları değerlendirildiğinde; 1 (% 14,2) hastada evre 1, 2 (% 28,5) hastada evre 2, 3 (% 42,8) hastada evre 3, 1 (% 14,2) hastada evre 4 hastalık olduğu görüldü. Genel sağkalım ortanca değeri 48 ay (min: 35 -max: 53 ) olarak saptandı. SonuçErkek meme kanserinin aynı evredeki hastalarda prognozunun kadın meme kanserinden daha kötü olmadığı gösterilmiştir. Ancak geç tanı, tedaviye uyumsuzluk ve standardizasyon problemleri nedeniyle pratikte daha kötü prognoz söz konusudur. Erkek meme kanseri konusunda farkındalığın artırılması ve yapılacak geniş çaplı prospektif randomize çalışmalar neticesinde tedavinin erkek meme kanserine özgü, standardize edilmesi ile daha iyi sonuçlara ulaşılabileceğini düşünüyoruz.
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