Both procedures can be safely performed in pilonidal disease with a standard length of stay in hospital and a similar loss of productive power. However, the Karydakis flap seems to have a significant higher infection rate and this probably increases the cost.
OBJECTIVE:This prospective randomized clinical study was conducted to evaluate the safety and tolerability of early oral feeding after colorectal operations.METHODS:A total of 199 patients underwent colorectal surgery and were randomly assigned to early feeding (n = 99) or a regular diet (n = 100). Patients' characteristics, diagnoses, surgical procedures, comorbidity, bowel movements, defecation, nasogastric tube reinsertion, time of tolerance of solid diet, complications, and length of hospitalization were assessed.RESULTS:The two groups were similar in terms of gender, age, diagnosis, surgical procedures, and comorbidity. In the early feeding group, 85.9% of patients tolerated the early feeding schedule. Bowel movements (1.7±0.89 vs. 3.27±1.3), defecation (3.4±0.77 vs. 4.38±1.18) and time of tolerance of solid diet (2.48±0.85 vs. 4.77±1.81) were significantly earlier in the early feeding group. There was no change between the groups in terms of nasogastric tube reinsertion, overall complication or anastomotic leakage. Hospitalization (5.55±2.35 vs. 9.0±6.5) was shorter in the early feeding group.CONCLUSIONS:The present study indicated that early oral feeding after elective colorectal surgery was not only well tolerated by patients but also affected the postoperative outcomes positively. Early postoperative feeding is safe and leads to the early recovery of gastrointestinal functions.
Objectives:To evaluate the incidence of hypocalcemia and recurrent laryngeal nerve disfunction secondary to level VI lymph node dissection in patients with papillary thyroid carcinoma.Methods: This randomized prospective study investigated a group of 60 consecutive papillary thyroid carcinoma patients who initially underwent thyroidectomy plus level VI neck dissection (29 patients) -with or without lateral neck dissection -and thyroidectomy alone (31 patients). In order to evaluate the morbidity of central lymph node dissection, postoperative recurrent nerve dysfunction and hypocalcemia were compared between two groups.Results: Early postoperative hypocalcemia was higher in the thyroidectomy plus neck dissection group (group 1) than the thyroidectomy without neck dissection group (group 2) (18/29-62.1% vs. 6/31-19.4%; p=0.001). Permanent hypocalcemia developed in 4 patients of group 1 (4/29-13.8%) and 2 patients of group 2 (2/31-6.5%) six months after surgery (P=0.672). No permanent vocal cord paralysis was observed in both groups. Transient vocal cord paralysis occurred in a patient of group 1.
Conclusions:According to the study results, central lymph node dissection can be safely applied in papillary thyroid carcinoma patients without increasing the risk of permanent morbidity in the hands of experienced surgeons.
Pilomatrixoma is a benign soft tissue neoplasm originated from follicular matrix of hair and is also known as Malherbe's calcified epithelioma. Some lesions are located on the skin and are usually misdiagnosed. A small number of patients had been dermoscopically examined. In this article, three patients of pilomatrixoma who had three different dermoscopic views were evaluated and discussed in concordance with the literature.
Objective: To investigate factors that may have an effect on recurrence by retrospectively analysing the data of patients who were followed up and treated for idiopathic granulomatous mastitis in this clinic.
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