SUMMARY OBJECTIVE Tumor budding is a parameter that is increasingly understood in colorectal carcinomas. We aimed to investigate the relationship between tumor budding, prognostic factors, and survival METHODS A total of 185 patients who had undergone colorectal surgery were observed. Tumor budding, the tumor budding score, and the relationship between these and prognostic factors, and survival investigated. RESULTS Tumor budding was found in 91 (49.2%) cases. The relationship between the tumor budding score and histological grade, lymphovascular invasion, perineural invasion, pathological lymph node stage, and mortality rates were significant. CONCLUSION In our study, the relationship between tumor budding and survival is very strong. Considering these findings and the literature, the prognostic significance of tumor budding becomes clear and should be stated in pathology reports.

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Objective: To investigate the value of preoperative blood tests in predicting lymph node metastasis in colon cancer patients undergoing surgery.

İnsizyonel herniler, daha önce yapılmış olan abdominal operasyon kesilerinden oluşan fıtıklardır. Batın cerrahisinde cerrahi girişimlerden sonra karın duvarında sık görülen bir komplikasyondur. Değişik kaynaklarda farklı rakamlar verilse de insizyonel herni görülme sıklığı vertikal midline insizyonlarda %2,9, transvers insizyonlarda % 3.6 oranında görülmektedir. Abdominal cerrahi sonrası sık görülen insizyonel herni, önemli oranda morbidite ve iş gücü kaybına neden olur. Tek tedavi seçeneği cerrahidir.Bu retrospektif çalışmada amaç insizyonel hernilerde uyguladığımız cerrahi yöntemleri ve postoperatif takipteki verileri paylaşmaktır.Yöntemler: Bu çalışmada 2007-2011 yılları arasında tedavi edilen orta hat geniş insizyonel hernili 54 hastanın verileri retrospektif olarak incelenmiştir.Bulgular: Çalışmada postoperatif nükse sebep olan diyabet, KOAH gibi kronik hastalıklar, yaş, cinsiyet gibi kişisel faktörler ile birlikte insizyonel herni nedeniyle meshli onarım yapılan hastalarda meshin sağlam faysa üzerinde 5 cm altında ve 5 cm üzerinde yapılan dekolasyon sonrası yerleştirilmesi ile nüks, postoperatif seroma gelişimi, postoperatif dren alma ve postoperatif hastanede yatış süreleri karşılaştırıldı. 5 cm üzerinde yapılan dekolasyonda nüks oranı daha az görülürken; seroma gelişimi, hastanede yatış süresi ve dren alma sürelerinde anlamlı farklılık saptanmadı.Sonuç: Sonuç olarak karın ön duvarı dev insizyonel hernilerde herni kesesi etrafında 5 cm üzeri sağlam faysa diseksiyonu yapıp greft uygulamanın nüksü en aza indireceğini düşünmekteyiz.

Objective: Thyroid gland is an important endocrine gland and thyroid cancers (TC) are the most noteworthy disease of the thyroid gland. Although thyroid surgery is performed for most particularly for malignancy, thyroidectomies still maintain a large part of surgical operations. We aimed to investigate the incidence and subtypes of the thyroid cancers in present study, with our 10 years' experience of thyroid surgery. Methods: Data of patients who underwent thyroidectomy were retrospectively analyzed. The patients who underwent bilateral total thyroidectomy were included to the study. Patients' age, gender and histopathological results were recorded. According to the histopathological reports we divided the patients into two groups either as benign or malignant. Results: A total of 3632 patients were included in the study. 2999 (82.6%) patients were in benign group and 633(17.4%) patients were in malignant group. The subtypes of malignant tumors were papillary carcinoma in 591 (93.4%), medullary carcinoma in 16 (2.5%), follicular carcinoma in 14 (2.2%), oncocytic (hurtle cell) carcinoma in 7 (1.1%) and undifferentiated (anaplastic) in 5(0.8%) of the cases. Conclusion: Incidental thyroid cancers are not a rare entity after pathological examination of thyroid specimen after surgery. Therefore, we suggest careful evaluation and bilateral leb lobectomy ectomy in surgical treatment of thyroid conditions

In these studies, we have observed that our mortality (8.2%) and morbidity (26.5%) rates are in concordance with the data from medical literature, and POSSUM scores are the only parameter in positive statistical correlation with mortality. Preoperative and postoperative resuscitation are of great importance if the patients have POSSUM score >20.

Henoch-Schönlein Purpura (HSP) is an autoimmune, systemic, non-granulomatous vasculitis characterised by self-limiting clinical course, and leukocytoclastic vasculitis of small vessels. Deposition of immune complexes that contain IgA is the hallmark of vascular involvement. Adults with HSP have a higher incidence of complications and death. The most common gastrointestinal (GI) symptom of HSP is abdominal pain. Vasculitis-related colitis, causing extensive lower GI hemorrhage, is uncommon in the course of HSP, which increases the risk of renal involvement.Here, we present two cases of HSP with GI involvement. In the first case, surgery was performed. Whereas, the other patient was treated medically due to the experience gained from the first case. The HSP has no specific treatment. Most of the cases are mild and need only supportive care due to its self-limiting nature. Although corticosteroids do not prevent recurrences, evidence in literature suggests that these are beneficial in resolution of the arthritis and abdominal pain. Aggressive therapy with corticosteroids or cyclophosphamide is not successful in reducing renal damage, except in patients with crescentic nephritis.

Objective: Acute appendicitis is among the most applied surgical procedures around the world. One of the complications of appendectomy is stump appendicitis. The diagnosis of stump appendicitis is usually delayed. Material and method: In our study, we compiled cases with stump appendicitis after appendectomy. All cases with open and laparoscopic appendectomy were included in our study. Results: Between 2008 and 2020, 5620 appendectomy patients who were operated in the general surgery clinic were examined. Appendectomy was performed in five patients due to stump appendicitis. One of the patients with stump appendicitis presented with symptoms of generalized peritonitis, another with symptoms of ileus, the other with symptoms of incarcerated incision hernia at the McBurney incision, and the other two patients with symptoms of acute appendicitis. Conclusion: As it can be understood from our study, although appendectomy is the most common and easily seen surgical procedure in general surgical practice, it is a procedure that increases morbidity as we see in patients with stump appendicitis. Abdominal tomography appears to be the gold standard in diagnosis in stump appendicitis. Surgeons should definitely suspect stump appendicitis in patients whose symptoms have improved, even with open appendectomy scarring.