Patient: Female, 62Final Diagnosis: GossypibomaSymptoms: Abdominal discomfortMedication: —Clinical Procedure: SurgerySpecialty: SurgeryObjective:Challenging differential diagnosisBackground:Gossypiboma is the term for a surgical complication resulting from foreign materials such as a surgical sponge or gauze that was accidentally left inside a patient’s body.Case Report:Here, we report the case of a 62-year-old woman with gossypiboma. She underwent surgery due to an abdominal mass that was preoperatively considered a tumor. Intra-postoperatively, it was diagnosed as gossypiboma.Conclusions:For the prevention of gossypiboma during the pre-operative and post-operative periods, counting sponges and surgical equipment must be done very carefully. If there is any doubt postoperatively, direct abdominal imaging may be helpful.

Hydatid cysts are most frequently localized within the liver and lungs, although they can also be found in highly vascularized tissues such as the brain, muscle, heart, pancreas, adrenal, and thyroid glands.A 65-year-old female patient was admitted to our clinic with complaints of a progressively growing mass that was compressing the surrounding tissues and causing respiratory distress. The pathological result was obtained as cytic hydatid.In patients with diagnosed hydatid cysts in the liver, systemic evaluation is necessary to rule out involvement of other organs. Among patients presenting with growths located in the neck, primary hydatid cyst of the thyroid gland must be considered in endemic regions.

Patient: Male, 44Final Diagnosis: Cutaneous LeiomyosarcomaSymptoms: Abdominal massMedication: —Clinical Procedure: SurgerySpecialty: SurgeryObjective:Rare diseaseBackground:Leiomyosarcoma, a rare type of tumor, accounts for 5–10% of all soft tissue tumors.Case Report:A 44-year-old male patient was admitted to the emergency service of our medical faculty with the complaints of fatigue and abdominal mass.Conclusions:The pathology result was leiomyosarcoma. Leiomyosarcoma of the skin is rare and our case is the largest such lesion reported in the literature.

BackgroundPlanned re-laparotomies are a series of surgical interventions that are rarely used and have a high mortality rate. The aim of this study was to investigate the factors affecting mortality and the effectiveness of the use of the Bogota bag for temporary closure of the abdomen in patients for whom re-laparotomy was planned.Material/MethodsA retrospective examination was made of data of patients in whom a Bogota bag was used in planned re-laparotomies for various reasons in the General Surgery Department of Suleyman Demirel University Medical Faculty between June 2008 and April 2014.ResultsBogota bags were used in a total of 38 patients, comprising 23 (60.5%) males and 15 (39.5%) females, with a mean age of 58.94±17.89 years. The mean period of hospitalization was 14.5 days (range, 1–143 days) and the mean number of operations during that time was 3 (range, 1–11). The mean duration of intensive care unit stay was 6 days (range, 1–143 days). Malignancy was determined in 8 patients (21.1%). Indications were intra-abdominal sepsis in 23 patients (60.5%), mesenteric vascular disease in 10 patients (26.3%), and packing was required in 5 patients (13.2%). Mortality developed in 25 patients (65.8%). A significant relationship was determined between mortality and a diagnosis of mesenteric artery ischemia (p: 0.035). The mortality rate was 56% (n: 13) in patients diagnosed with intra-abdominal sepsis. A relationship was determined between mortality and age (p: 0.015), duration of hospital stay (p: 0.007), need for cardiac inotrope (p: 0.01), and need for mechanical ventilation (p: 0.01). The mean Apache II score was 26.4±5 for patients who died and 15.8±5.2 for surviving patients (p<0.001). In 5 (38.4%) of the 13 surviving patients, primary repair was applied to the abdomen, and in the remaining 8 patients abdominal wall repair was performed using dual mesh.ConclusionsIn patients in whom a Bogota bag was used, which is a cheap and easy method for temporary closure of the abdomen, the high mortality rates seen are related to diagnosis, Apache II score, age, and organ failure.

IntroductionIncisional hernias are abnormal peritoneal outward pouch-like protrusions that develop due to defects that arise as a result of the disruption of the fascia's continuity after abdominal surgery.Presentation of caseA 77-year-old female patient presented to the emergency department of our hospital with complaints of abdominal swelling, abdominal pain, nausea and vomiting. The patient was recommended for surgery. It was decided that the primary fascia closure and onlay patch was the most appropriate approach.DiscussionWhen the defect in the abdominal wall grows, the functionality of the related abdominal wall is disrupted thereby eliminating the dynamic structure of the abdominal wall. Incisional hernias lead to a significant number of job losses and morbidity and negatively affect quality of life. Moreover, the formations in the hernia pouch might lead to higher risk of strangulation and dysfunction.ConclusionSubcutaneous herniation of the left lobe of the liver passing through the abdominal wall is a very rare condition.

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Metyrosine prevented the I/R induced oxidative stress in the gastric tissue. Metyrosine may be beneficial for gastric I/R injury.

ÖZETAmaç: Mide kanseri Avrupa'da kadınlarda ve erkeklerde görülme sıklığı açısından beşinci sırada yer almaktadır. Erkek kadın oranı ise 1.6:1 olarak belirlenmiştir. Mide kanseri, kansere bağlı ölümlerde ülkemizde erkeklerde ikinci, kadınlarda ise üçüncü sırada yer almaktadır. Mide kanserinin prognozu genellikle kötüdür. Bunun sebebi de tanıda gecikme ve tanı konan olguların ileri evrede olmasıdır. Gereç ve Yöntemler: Süleyman Demirel Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı 1995 -2009 yılları arasında mide kanseri tanısı ile cerrahi işlem yapılan 204 olgu geriye dönük olarak incelendi. Bu olgulardan 131'ine küratif cerrahi rezeksiyon yapıldığı belirlendi. Olguların %80'i lokal ileri evre olgulardı (evre IIIa, IIIb ve IV). Olguların yaş, cinsiyet, başvuru semptomları, tümör lokalizasyonu, T, N, M, evre, tümör diferansiyasyonu, histolojik tipleri, tümör çapı, vasküler ve perinöral invazyon varlığı, yapılan cerrahi işlem, rezeksiyon tipi, diseksiyon tipi, diseke edilen toplam lenf nodu sayısı, metastatik lenf nodu varlığı, metastatik lenf nodu sayısı ve toplam lenf nodu sayısına oranı, komplikasyonlar, cerrahi mortalite, adjuvan kemoterapi, adjuvan radyoterapi ve diğer adjuvan tedavileri ve sağkalım süreleri belirlendi. Bu verilerin sağkalım üzerine etkileri lojistik regresyon analizi ile değerlendirildi. Sağkalım açısından 3 ve 5 yıllık sağkalım eğrileri Kaplan-Meier yöntemiyle çıkarıldı Bulgular: Küratif rezeksiyon ve diseksiyon yapılan 131 olguda morbidite %15.2, mortalite ise %7.6 idi. Evre ve metastatik lenf nodlarının toplam lenf nodu sayısına oranı sağkalım üzerinde en önemli faktörler olarak bulundu (p<0.05). Evrelere göre sağkalımda 5 yıllık sağkalım oranlarının evre Ia için %79.1, Ib için %78.3, II için %61.8, IIIa için %46, IIIb için %24.8 ve IV için %25.8 olduğu görüldü. Sonuç: Sonuç olarak olgularımızın çoğunun lokal ileri evre olgular olmasına karşın yapılan radikal cerrahi işlemlerden fayda gördüğü ve sağkalım oranlarının bu anlamda olumlu olduğunu söylemek mümkündür. ABSTRACTObjective: Gastric cancer is the fifth most commen neoplasm in terms of incidence in men and women in Europa. Male to female ratio was determined as 1.6:1. Gastric cancer is the second most commen neoplasm in men and third most commen neoplasm in female in deaths due to cancer in our country. Prognosis of gastric cancer is generally reserved. The low survival rate is due to the delay in diagnosis, most cases being diagnosed in an advanced stage. Material and Methods: Between 1995 and 2009, 204 gastric cancer patients were retrospectively evaluated who was treated surgically in Faculty of Medicine, Suleyman Demirel University. It was observed that tumors of the 131 patients were curatively resected. The great portion (80%) of these patients were in locally advanced stages (stage IIIa, IIIb and IV). Age, gender, symptoms, tumor localisation, T, N, M, stage, tumor differantiation, histologic type, occurence of vascular and perineural invasion, surgery type, resection type, dissection type, count of dissected lymph n...