Hydatid disease is a significant infestation caused by the tapeworm Echinococcus granulosus. Primary hydatid disease of the head and neck without systemic involvement is quite rare in endemic regions.

Objective To compare patients that received intravenous (i.v.) analgesics with those that received transversus abdominis plane (TAP) block for pain relief after laparoscopic cholecystectomy. Methods This retrospective study enrolled patients that had undergone laparoscopic cholecystectomy and divided them into two groups: the i.v. analgesic group (controls; group A) and the TAP block group (group T). Data retrieved from the medical records included postoperative visual analogue scale (VAS) pain scores, duration of intensive care unit (ICU) stay, total hospital stay, additional analgesic requirements and the occurrence of nausea and vomiting. Results A total of 515 patients were included (group A, n = 247; group T, n = 268). Postoperative VAS pain scores at 0, 2, 4 and 6 h and the need for additional analgesics were significantly lower in group T than in group A. Postoperative VAS pain scores at 12 and 24 h were significantly higher in group T than in group A. Postoperative nausea and vomiting were significantly lower in group T than in group A. The rate of ICU admission in group T was significantly lower than in group A. Conclusions Effective postoperative analgesia can be achieved with TAP block and undesirable effects can be reduced.

BACKGROUND: Postoperative serum inflammatory cytokine levels are thought to reflect the magnitude of surgical stress. Cytokine interleukin-6 (IL-6) is an early marker of systemic inflammatory response and tissue damage. This study evaluated levels of IL-6 after open and laparoscopic appendectomy to compare the degree of surgical stress associated with these procedures.

No abstract

Echinococus granulosus causes the echinococcosis also known as hydatid cyst disease. Hydatid cyst disease is a parasitic infection. This parasit is identified by Basch for the first time and defined as echinococus granulosus [1]. Hydatid cyst is presently a prevalent health problem in our country. Echinococus granulosus may indwell all the organs. But liver and lungs are affected usually. Especially; extrahepatic localization is rare. Animals consumed as nutrients, are parasit's intermediate host. The last host is canine genus. The echinococus larvas named as hexagons, are taken by gastrointestinal way. The embryos come to liver by the veins and to the other organs by the lenfatic way. In this article, hydatid cyst cases presenting with different clinical features and localized in extrahepatic organs, are discussed. Methods Patients; with hydatid cysts who are operated in our hospital, between 2015 and 2018, were evaluated. 20 patients with hydatid cyst disease who has extra hepatic located cysts, were detected.Patients were evaluated in terms of; age, sex, location of the cyst, cyst size, diagnostic method, applied surgical method and recurrence. Chest radiography, ultrasonography (USG) and computerized tomography (CT) was performed for all patients before surgery.1/320 serum titres were accepted as positive for echinococcosis for indirect hemagglutination test (IHA) in our hospital. Liver located cases and echinococcus alveolaris cases were eleminated. ResultsFigure 1: Gender distribution of the patients.

No abstract

Background The coronavirus disease 2019 (COVID-19) pandemic led to a worldwide suspension of bariatric and metabolic surgery (BMS) services. The current study analyses data on patterns of service delivery, recovery of practices, and protective measures taken during the COVID-19 pandemic by bariatric teams. Materials and Methods The current study is a subset analysis of the GENEVA study which was an international cohort study between 01/05/2020 and 31/10/2020. Data were specifically analysed regarding the timing of BMS suspension, patterns of service recovery, and precautionary measures deployed. Results A total of 527 surgeons from 439 hospitals in 64 countries submitted data regarding their practices and handling of the pandemic. Smaller hospitals (with less than 200 beds) were able to restart BMS programmes more rapidly (time to BMS restart 60.8 ± 38.9 days) than larger institutions (over 2000 beds) (81.3 ± 30.5 days) (p = 0.032). There was a significant difference in the time interval between cessation/reduction and restart of bariatric services between government-funded practices (97.1 ± 76.2 days), combination practices (84.4 ± 47.9 days), and private practices (58.5 ± 38.3 days) (p < 0.001). Precautionary measures adopted included patient segregation, utilisation of personal protective equipment, and preoperative testing. Following service recovery, 40% of the surgeons operated with a reduced capacity. Twenty-two percent gave priority to long waiters, 15.4% gave priority to uncontrolled diabetics, and 7.6% prioritised patients requiring organ transplantation. Conclusion This study provides global, real-world data regarding the recovery of BMS services following the COVID-19 pandemic. Graphical abstract

Anestezi uygulamaları ile her gün karşı karşıya olan ameliyathane çalışanlarının kendileri ya da yakınları ile ilgili bir cerrahi gerektiğinde hangi anestezi yöntemini tercih ettiklerini ve nedenlerini ortaya koymak. Gereç ve Yöntem: Yarı yapılandırılmış sorulardan oluşan bir anket, teknolojik iletişim yöntemleri ile (internet üzerinden Google forms, messenger, whatsapp gibi) Türkiye'nin farklı bölgelerinde ve farklı hastanelerinde görev yapan 1000 ameliyathane çalışanına ulaştırıldı. Yaş, cinsiyet, meslek ve süresi, kendilerine anestezi uygulanıp uygulanmadığı, uygulandı ise yöntemi, hangi anestezi yöntemini neden tercih edecekleri ya da etmeyecekleri ve hangi anestezi yöntemini neden önereceklerini kapsayan sorular soruldu. Bulgular: Yaşları 20 ila 60 arasında değişen katılımcıların %51.2'sini (n=327) erkekler, %48.8'ni (n=312) kadınlar oluşturuyordu. Katılımcıların % 69'u (n=440) herhangi bir nedenle kendilerine anestezi uygulandığını belirtirken %31'i (n=199) anestezi uygulanmadığını ifade etti. Katılımcılar için genel anestezi, rejyonal anestezi, periferik sinir bloğu yöntemlerinin üçünün de uygun olduğu cerrahi işlemlerde tercihin % 47 ile rejyonal anestezi (spinal, epidural, kombine spinal epidural anestezi) yönünde olduğu anlaşıldı. Yakınlarınıza ve hastalarınıza hangi anestezi yöntemini tavsiye edersiniz sorusuna ameliyathane çalışanlarının cevabı rejyonal anestezi ağırlıklı olmuştur. Sonuç: Bu çalışmada Türkiye'de ameliyathane çalışanlarının daha çok rejyonal anestezi tercih ettiğini saptadık. Daha geniş katılımlı çalışmalar ile anestezi tercihlerinin ne yönde olacağının öğrenilebileceği ve bu durumun iş gücü ve maliyet planlaması açısından da önemli olabileceği kanısındayız.