A single dose of 20 mg intravenous HBB is effective and safe in shortening the duration of the first stage of labor without any adverse effects on fetus and mother.

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Background Liver hydatid disease is a common benign condition in many countries. Compared to open surgery, laparoscopic treatment can play an important role in improving the post-operative recovery, reducing the morbidity and recurrence rate of these patients.The purpose of this study is to show that the laparoscopic method is effective and safe in the treatment of liver hydatid cysts compared to open surgery, even in large cysts. Methods All consecutive cases surgically managed for liver hydatid cyst from 7 January 2008 and 15 January 2010 in our institution were included in this study.The surgical approach (laparoscopic or open) and operative strategy, as well as operative and prognostic outcomes, were analyzed. Cyst size, type, location, presence of biliary tract communication, radiological findings, duration of hospitalization, recurrence and postoperative morbidity were analysed and compared retrospectively. Results A total of 60 patients were included in the study.A total of 23 patients underwent open surgery, and 37 patients underwent laparoscopic surgery.Operation types of laparoscopic surgery were as follows: partial pericystectomy (12patients), total cystectomy(2 patients), partial pericystectomy+total cystectomy(7patients) and cystectomy(16patients).The surgical procedures chosen for open treatment of the residual cavity were partial pericystectomy and omentoplasty(17cases), total pericystectomy(3cases) and partial and total pericystectomy(3cases).Cysto-biliary communication was found in 9 patients. A total of 10 patients underwent preoperative endoscopic retrograde cholangiography, and one patient underwent postoperative endoscopic retrograde cholangiography.There was a progression of hypernatremia in 1 patient, wound infections in 3 patients, and perioperative hemorrhage in 3 patients. There were no statistically significant differences concerning age( p = 0.344), gender( p = 0.318), ASA classification( p = 0.963), Gharbi classification( p = 0.649) whereas there were significant differences related to cyst location( p = 0.040) and size( p = 0.022) in patients undergoing laparoscopic and open surgery. Postoperative temporary biliary fistulas were observed in 2 patients undergoing open surgery. Patients undergoing laparoscopic surgery had the advantages of shorter hospital stays and operation times, less blood loss, faster recovery, and lower wound infection rates. Recurrences were detected in 2.7% of patients undergoing laparoscopic surgery and 4.7% of those undergoing open procedures. Conclusion Compared to open surgery in the treatment of liver hydatid cysts, we have shown that laparoscopic method can be safely performed even in large cysts and/or cysto-biliary communication.

Colorectal carcinoma is one of the most commonly diagnosed cancers, globally. Retrieval of pericolorectal lymph nodes from colectomy specimens is important in colorectal cancer staging. Several researches have detected that the increased count of nodes is associated with an increased disease-free and overall survival (OS). 1 Obtaining more lymph nodes allows for more accurate cancer staging and, therefore, is important in planning further therapies, especially adjuvant chemotherapy.However, the optimal count of lymph nodes that needs to be assessed is controversial. Some major series show that it should be needed at least 12-14 nodes to get adequate prognostic information. 2 The International Union Against Cancer, the American Joint Cancer Committee, and the National Cancer Institute consensus panel have suggested that minimum 12 nodes be evaluated to ensure adequate sampling. 3 However, more and more evidence suggests that this rod indicates that the probability of finding metastasis increases as the number of nodes examined increases, which suggests that a minimum number of nodes can stage all patients not correctly or reliably. 4 Population-based data indicate that only 37% of colon cancer patients have sufficient LN assessment. 5 The count of LN taken can be influenced not only by surgeons and pathologists, but also by factors independent of surgeons and pathologists. There are many factors influencing the final node count.The aim of this study was to evaluate the factors that influence pericolorectal LN retrieval from colectomy specimens in colorectal cancer staging.

Abstract-In this study, electromagnetic (EM) pollution measurements in crowded residential areas were performed, and statistical analysis of values recorded for the EM sources causing pollution was carried out. The actual measurement values and estimated values by the analysis model obtained through the statistical analysis were compared. Also, amplitude fluctuations of the electromagnetic radiations from EM pollution sources were detected for a long time, and statistical analyses were made. EM field levels were measured in the districts of Turkish capital, Ankara where cellular base stations and TV/Radio stations are densely populated. EM radiation levels were measured for the GSM900, GSM1800, FM, UHF4, VHF4 and VHF5 stations for certain spectrum ranges under far-field conditions by utilizing isotropic field probe and selective spectrum analyzer. The measurements were fulfilled by using NARDA SRM3000 radiation meter with isotropic antenna that can be utilized in 75 MHz-3 GHz frequency range. The obtained measurement levels were compared with the limit values given by International Commission for Non-Ionizing Radiation Protection (ICNIRP). The measurement results for each pollution sources were compared, and their contributions to the combined radiation were analyzed. The values for the EM pollution in the measurement regions were embedded over the digital maps created for the related places. During this process, comparisons of the pollution maps were made by utilizing Natural Neighbour (NN) interpolation technique.

A cross-sectional study was conducted to evaluate the efficacy of rescue cerclage in patients with a dilated cervix and prolapsed foetal membranes. Thirty-five patients presenting with cervical dilatation and prolapsed foetal membranes were included in the study. A McDonald cerclage was placed in 27 patients. The duration of pregnancy prolongation and the number of deliveries after 28 weeks were evaluated. The median prolongation of pregnancy after cerclage placement differed significantly between the cerclage and bed-rest groups (64 days versus 13.5 days). Of the 27 patients who had cerclage, 17 (63%) delivered after 28 weeks of gestation, whereas all patients in the bed-rest group delivered before 28 weeks of gestation. The take-home baby rate was 63% in the cerclage group. When pregnancies were complicated by cervical dilatation with membrane prolapse into the vagina, placement of a McDonald cerclage in appropriately selected patients can be a beneficial therapeutic option. Impact statement Although the effectiveness and safety of rescue cerclage is controversial, our study provides strong support for the notion that cervical cerclage accompanied by long-term broad-spectrum antibiotics improves the perinatal outcomes in singleton gestations with membrane prolapsed into the vagina. Further prospective randomised trial is required to prove these findings.

BackgroundEpidemiological data demonstrate that the worldwide prevalence of chronic obstructive pulmonary disease is increasing. These patients have an increased risk of mortality and morbidity and have constant limitations in airflow. Comparing laparoscopic cholecystectomy (LC) in patients with chronic obstructive pulmonary disease (COPD) under spinal anesthesia (SA) and general anesthesia (GA).MethodsWe prospectively evaluated COPD patients who underwent laparoscopic cholecystectomy under general anesthesia (Group 1, n = 30) or spinal anesthesia (Group 2, n = 30) in our clinic between January 2016 and January 2018. Patients with COPD were further divided into groups according to their preoperative stages (Stage 1–4). Intraoperative vital findings, postoperative pain, complications, and length of hospitalization were compared between the general (GA) and spinal anesthesia (SA) groups.ResultsThe mean age of the patients in the GA group was 61.0 ± 6.7 years and was 61.0 ± 7.7 years in the SA group. In the GA and SA groups, the mean ASA score was 2.8 ± 0.6 and 2.9 ± 0.6, respectively, the mean operation duration was 31.7 ± 5.1 and 30.6 ± 5.1 min, respectively, and the length of hospitalization was 3.2 ± 1.7 and 1.5 ± 0.5 days, respectively. The partial carbon dioxide rates (PaCO2) at the postoperative 5th and 20th minutes were lower in the SA group than in the GA group. Further, the requirement for postoperative analgesia was lower in the SA group, and the length of hospitalization was significantly shorter in the SA group. There was no significant difference between the two groups in terms of operation duration.ConclusionLaparoscopic cholecystectomy is a rather safe procedure for COPD patients under general and spinal anesthesia. However, spinal anesthesia is preferred over general anesthesia as it has better postoperative analgesia and causes no impairment of pulmonary functions.Electronic supplementary materialThe online version of this article (10.1186/s12893-018-0396-1) contains supplementary material, which is available to authorized users.

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