A careful anesthetic management is necessary due to the multisystem involvement. We reported anesthetic management of a two-months-old male child with Walker-Warburg Syndrome who was listed for elective ventriculo-peritoneal shunt operation.

Background and Aim: This study aimed to determine the mean platelet volume (MPV) and platelet distribution width (PDW) values of intensive care patients, and show the relationship between these parameters and mortality. Material and Method: In the present study, 284 patients who were hospitalized in the intensive care unit were retrospectively analyzed. MPV and PDW values of the patients when they first hospitalized, their last MPV and PDW values before they died or were discharged, their ages and duration of ICU period were recorded. Results: There was no statistically significant difference between the first and last values of MPV and PDW in the surviving patient group. Similarly, PDW values did not change in the group of patients who died (p> 0.05). However, the last MPV values were significantly higher in the deceased patient group than the first MPV values (p <0.05). In this study, when the age, length of stay in the intensive care unit, MPV and PDW values were compared, the most important factor was found to be an increase in MPV. Conclusion: This study showed that MPV increase in intensive care patients may be closely related to mortality.

A careful anesthetic management is necessary due to the multisystem involvement. We reported anesthetic management of a two-months-old male child with Walker-Warburg Syndrome who was listed for elective ventriculo-peritoneal shunt operation.

No abstract

Pilonidal sinus, especially in young males, is one of the most common diseases of the sacrococcygeal region. Although many surgical techniques have been described for pilonidal sinus disease (PSD), high recurrence rates and patient satisfaction are still controversial with regard to the ideal treatment modality. In this study, we aimed to compare the complications in Primary excision, Limberg flap, elliptical rotation flap and karydakis techniques used in patients with pilonidal sinus disease. The patients who were diagnosed with Pilonidal sinus and underwent surgery between January 2012 and January 2017 were retrospectively analysed from our hospital database. Patients in whom the Primary repair, Limberg flap, elliptical rotation flap and karydakis flap repair performed were divided into four groups. The groups were compared in terms of their demographic characteristics, length of hospitalization, seroma formation, surgical site infections, wound dehiscence, flap necrosis, sensory loss and recurrence. There were 107 patients in the primary group, 70 in the Limberg flap group, 72 in the elliptical rotation flap group and 45 in the karydakis flap group. There was a statistically significant difference between the groups in terms of the length of hospitalization (p < 0.001). The maximum length of hospitalization period was observed in the Limberg group and was 2.06 ± 0.95 days. The minimum duration of hospitalization was 1.00 ± 0.00 days in the karydakis group. Wound site infection was observed mostly in the primary group with 15% frequency, whereas this higher ratio was significant when compared with Elliptical Rotation flap and Karydakis flap groups (p = 0.010, 0.024 respectively). There was no statistically significant difference between the groups in terms of wound dehiscence, flap necrosis, sensory loss and recurrence. There is no consensus on the ideal surgical technique selection for PSD. Our study revealed that wound infection is common in patients undergoing Primary repair and that there is a difference in terms of length of hospitalization for different techniques. We expect the factors we investigate to be a guide for the surgeons.