Spontaneous pneumothorax that occurs in patients with no underlying lung disease is termed primary spontaneous pneumothorax (PSP). Recurrence of pneumothorax is usually seen without surgical procedures at any time. The aim of this study was to determine the recurrence time and rate of PSP after the first episode. A total of 82 PSP patients who had been treated in a thoracic surgery clinic between March 2011 and August 2012 were studied retrospectively. Video-assisted thoracoscopic surgery (VATS) was performed in 14 of 82 patients because of prolonged air leakage. These patients were excluded from the study to determine the recurrence period of PSP in our cases. Simple endotracheal intubation with low-volume high-frequency ventilation and three-port VATS technique were applied. Bullae or blebs were excised using an endoscopic linear stapler. Apical pleurectomy was performed in all of the patients. There were no cases in which VATS was converted to open thoracotomy. Recurrence of PSP was seen in 18 (26.47 %) of 68 patients. We found 26.47 % recurrence at the first 7 months, of which 94.4 % occurred at the first 6 months. About 77.77 % of these recurrences occurred at 3 months after discharge from hospital. Recurrence after the first episode of PSP is a common problem within the first 6 months. The thoracic surgeon should give knowledge about it to all patients. With the greater use of VATS for thoracic pathologies, it could be performed for the first period of pneumothorax in the future.

ObjectiveThis study was performed to assess the complication and diagnostic rates of computed tomography (CT)-guided transthoracic needle biopsy of pulmonary parenchymal and mediastinal lesions.MethodsPatients who were suspected to have a malignancy based on chest imaging and CT and could not be otherwise diagnosed were evaluated.ResultsSixty-five patients were included; 48 (73.8%) were male and 17 (26.2%) were female. Their average age was 58 years. The lesion size ranged from 11 to 105 mm. The most common specific histologic subtype was adenocarcinoma, and the least common was lymphoma. The diagnostic rate was 90.8%. The mean complication rate was 15.4%. Statistically significant associations were found between the complication rate and needle size and between the needle path length and lesion size.ConclusionCT-guided needle biopsy is an effective diagnostic method for patients with mediastinal and parenchymal lesions before thoracotomy. This method can also reliably differentiate benign and malignant tumors.

OBJECTIVE: In this study, we aimed to draw attention to traumatic pulmonary pseudocysts, which are rare cavitary lesions resulting from thoracic trauma, and review the diagnostic and therapeutic approaches and results. METHODS: Between January 2014 and January 2017, 30 patients included in this study who were diagnosed with traumatic pulmonary pseudocysts, from 582 patients who were admitted to our hospital with blunt thoracic trauma. To obtain data from the hospital information management system of patients included in this study, permission was obtained from the medical specialization board and the data were analyzed retrospectively. RESULTS: The mean age of the patients with traumatic pulmonary pseudocysts was 40.8 years (range, 7–75 years), and 11 (36.7%) of the patients were under the age of thirty and 19 (63.3%) were over the age of thirty. Twenty-eight (93.3%) patients had lung contusion and among those who had traumatic pulmonary pseudocysts diameter less than 2 cm, in 10 (33.3%) patients, contusion was present. In 27 patients, TPP was seen in thoracic computed tomography and diagnosed in the first 12 hours, but only in 10 of these patients, traumatic pulmonary pseudocysts was seen on chest x-ray. The extrathoracic injury was found in 15 (50%) patients. Twenty-two (73.3%) patients underwent tube thoracostomy. No patient required a thoracotomy. CONCLUSION: Traumatic pneumatoceles are benign lesions and most of them regress with symptomatic treatment and supportive therapy without any specific treatment.

Özet Giriş: Bu çalışmada Sivas ilinde hastaneye başvuran 1-15 yaş grubu çocuklardaki anemi sıklığının değerlendirilmesini amaçladık. Gereç ve Yöntem: Çocuk polikliniğine 01.01.2012-31.12.2012 tarihleri arasında başvuran kronik hastalığı olmayan 1-15 yaş arası 14449 olgu hastane kayıtlarından retrospektif olarak anemi prevelansının değerlendirilebilmesi amacıyla çalışmaya alındı. Bulgular: Hastaneye başvuran olguların 8742'si (%60,5) erkek, 5707'si (%39,5) kız idi. Tüm olgular 1-3 yaş 2531 (%17,5), 4-6 yaş 2872 (%19,9), 7-9 yaş 2735(%18,9), 10-12 yaş 2637 (%18,3), 13-15 yaş 3674 (%25,4) olmak üzere beş gruptan oluşmaktaydı. Anemi saptanan 853 (%5,9) hastanın 465'i (%54,5) erkek, 388'i (%45,5) kız idi. Aneminin yaş gruplarına göre dağılımı: 1-3 yaşta 205 (%8,1) kişi, 4-6 yaşta 97 (%3,4) kişi, 7-9 yaşta 98 (%3,6) kişi, 10-12 yaşta 128 (%4,9) kişi, 13-15 yaşta 325 (%8,9) kişi idi. Düşük MCV (ortalama; 82,2±5,34 (47,4-110,8)) değerine sahip olgular tüm çalışma grubunun %6,3 (905) içermekteydi. Düşük MCV değeri yaş gruplarına göre: 1-3 yaş; %9,4 (237), 4-6 yaş; %5,3 (151), 7-9 yaş; %3,8 (104), 10-12 yaş; %4,5 (119), 13-15 yaş; %8 (294) şeklinde bir dağılım göstermekteydi. Sonuç: Anemi tüm çocukluk yaş grubunun en sık görülen hastalıklarından birisidir. Ülkemizde uygulanan sağlık politikalarına rağmen çocukluk yaş grubunda önemli bir sağlık sorunu olmaya devam etmektedir. Hekimler çocukluk yaş grubunda anemi konusunda uyanık olmalı, aileleri bu konuda bilinçlendirmelidir. Ayrıca çocuk sağlığını ve zeka gelişimini olumsuz etkileyen bu durumun giderilmesi için çalışılmalıdır. (Gün cel Pe di at ri 2014;2:67-72) Introduction: In this study, we aimed to determine the incidence of anemia in children between the ages of 1-15.

Background: In this study, we wanted to draw attention to the spontaneous pneumomediastinum which rarely seen and to share our experiences. Materials and Methods: Between April 2016-April 2018, we retrospectively evaluated 12 patients who were hospitalized and treated with SPM diagnosis at Health Practice and Research Center. Results: Of the 12 patients with spontaneous pneumomediastinum, 9 (75%) were male and 3 (25%) were female. Patients had a mean age of 30.5 years (range 15-42 years), 2 patients admitted to the emergency service with swelling and dyspnea complaints, 1 patient with cough and vomiting, 1 patient with cough and chest pain, 3 patients with dyspnea and chest pain, 3 patients with sore throat and chest pain, 2 patients with swelling in the neck after the tooth extraction. 6 (50%) of the patients had a smoking history. Conclusions: Spontaneous pneumomediastinum is a disease that is seen rarely in emergencies and should be treated. Sometimes life-threatening complications may develop. Other disorders in differential diagnosis should be eliminated in spontaneous pneumomediastinum.

Özet AmaçGerek karaciğer gerekse akciğer yerleşimli hidatik kist ülkemizde hala önemli bir sağlık sorunudur, biz bu çalışmamızda erişkin sağ akciğer ve karaciğer kubbe kist hidatiği nedeniyle tek seansta transtorasik yaklaşımla opere ettiğimiz 24 erişkin olguyu ve bu yaklaşımın üstünlüğünü sunmayı amaçladık. Gereç ve Yöntemler SonuçSimültane sağ akciğer ve karaciğer kubbe kist hidatiği olan hastalarda akciğer operasyonu ile aynı seansta transtorasik yoldan karaciğer kistine müdahale edilmesi hastayı ikinci bir cerrahi işlemden kurtaran güvenilir ve etkili bir yöntemdir. Anahtar KelimelerAkciğer Hidatik Kisti, Karaciğer Hidatik Kisti, Transtorasik Yaklaşım. Abstract AimBoth lungs and liver hydatid cysts is still an important health problem in our country. In this study we aimed to present the superiority of transthoracic approach to 24 adults right lung and liver dome hydatid cyst Material and Methods Between ResultsThe most common findings with 19 patients (79.17%) were chest pain. 6 (%25) patients have bilateral lung hydatid cysts. 17 (70.83%) patients in the right lower lobe, 7 (29.17%) patients in the right middle lobe, 5 (20.83%) patients in the left lower lobe in 1 (4.16%) patient in the left upper lobe in lung, the hepatic lesions were all of the dome located. ConclusionsSingle stage transthoracic approach is prevent the second surgical procedures on simultaneous right lung and liver dome hydatid cyst and it is safe and effective method.

Although there are a lot of data on intrathoracic and extrathoracic injuries associated with adult sternal fractures and how to manage them; but there is not much data on diagnosis and treatment protocols, since they are rare in children. If the child patient has a sternal fracture, he/she probably had a high-energy trauma, so it should be carefully examined whether if there is an accompanying intrathoracic or extrathoracic injury. In this study, we aimed to determine the demographic data, accompanying injuries, treatment modalities and results in children who were admitted to the emergency trauma unit of our hospital and diagnosed with sternal fracture.

ÖzetAmaç: Çanhurfa ve çevresinde damdan dCiçme nedeniyle oiujan eriçkin izole gögüs travmali olgulari degerlendirdik. Gereç ve Yöntemler: Haziran 2008 -Nisan 2010 tarihieri arasinda gögüs cerrahisi klinigine yatiniarak tetkik ve tedavisi yapiian 52 damdan duçmeye bagli erijkin, izole gögüs travmaii oigu geriye dönük olarak incelendi. Oiguiar; cinsiyet, yaj, gelijen torasik yaralanmalar, uygulanan tani ve tedavi yöntemleri, morbidité ve mortalité durumiari açisindan degerlendirildi Bulgular: Olgularm 28'i (%53.85) erkek, 24'ü (%46.15) kadin, yaj araligi 17-87 arasinda degiçmekte olup, ortalama 39.8 idi. 43 oIgu (%82.69) haziran, temmuz, agustos ve eylül aylarinda, 9 oIgu (%17.31) ise diger aylarda tespit edildi. 36 kot fraktürü (%69.23), 3 sternum fraktürü (%5.76), 7 izole hemotoraks (%13.46), 10 izole pnömotoraks (%19.23), 14 hemopnömotoraks (%26.92), 30 akciger kontüzyonu (%57.69), 11 eilt alti amfizemi (%21.15) olgusu mevcuttu. 31 olguya tüptorakostomi (%59.61), 1 oiguya torakotomi (%1.92) uygulandi. Sonuç: Clikemizin güney dogu anadolu bölgesinde özellikle yaz aylannda damdan düjme oiguiarina oldukça sik rastlanmaktadir, yüksekten düjme oigulan travmalar içerisinde özei bir yer almaktadir ve çokiu organ yaralanmaiarina sebep oimasindan doiayi klinik olarak özei bir önemie degeriendirilmesi gerekir. Tedavi hizmetieri kadar koruyucu ve önieyici yakiaçimiarinda önemi vardir. AbstractObjective: We evaluated adult patients with isolated chest injuries caused by falls from roofs in and around the city of Saniiurfa. Materials and Methods: Between June 2008 and April 2010, 52 adult patients with isolated chest trauma caused by falls from roofs who were admitted to the Department of Thoracic Surgery were analyzed retrospectively. Cases were evaluated according to sex, age, developing thoracic injuries, diagnostic and treatment modalities, morbidity and mortality. Results: Among 52 patients, 28 cases (53.85%) were males and 24 (46.15%) females. The age range varied between 17-87 years and the average was 39.8 years. 43 cases (82.69%) were detected in June, July, August and September, 9 cases (17.31%) occurred in the other months. 36 Rib fracture (69.23%), 3 sternal fractures(5.76%), 7 isolated hemothorax (13.46%), 10 isolated pneumothorax (%19.23), 14 haemopneumothorax (%26.92), 30 lung contusion (57.69%), 11 subcutaneous emphysema (%21.1S) cases were seen. Tube thoracostomy was carried out in 31 cases (%59.61)and thoracotomy was done in 1 case (%1.92). Conclusions: In our country, especially in the south-eastern region of Anatolia, falling from a roof in the summer months is quite common, and is a specific place in cases of trauma and falls from height and multiple organ injuries should be evaluated with a special emphasis.A protective and preventive approach is as important as the treatment procedure. (JAEM 2010; 9:155-7)