Prevalence of congenital abnormalities in Turkish school children

Yücesan, Selçuk; Dindar, Hüseyin; Olcay, I; Okur, Hami̇t; Kilicaslan, Sule; Y, Ergören; TUYSUZ, Cemre; Koca, Mehmet; Civilo, B.; En, Ivanov

doi:10.1007/bf00157393

Cited by 56 publications

(44 citation statements)

References 21 publications

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“…practice was 1.2 in 1000. The girl:boy ratio of 1:1 in this series is not the same as that reported elsewhere, 5,6,8 but the mean age of 15 (range 12-19) years was similar.…”

Section: Discussionsupporting

confidence: 57%

“…practice was 1.2 in 1000. The girl:boy ratio of 1:1 in this series is not the same as that reported elsewhere, 5,6,8 but the mean age of 15 (range 12-19) years was similar.There is nothing written about this disease in the Gray and Skandalakis textbook Embryology for surgeons. 16 It has been assumed that this disease is caused by hair in the coccygeal region being "in-driven" 12 into the subcutaneous tissues, subsequently becoming infected in many cases.…”

supporting

confidence: 57%

“…There is no mention of it in the indexes of recent textbooks on pediatric surgery, 2-4 and only 7 papers have appeared on this topic in the pediatric surgery literature since 1972 (all since 1990). [5][6][7][8][9][10][11] Moreover, the Journal of Pediatric Surgery has only 3 references to pediatric pilonidal disease in its indexes from 2000 to 2008, inclusive. [9][10][11] One must therefore surmise that this problem almost always occurs in adolescents, that its treatment is virtually the same as for adults and that many of these patients are treated by general surgeons.…”

Section: Discussionmentioning

confidence: 99%

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A pediatric surgeon's 35-year experience with pilonidal disease in a Canadian children's hospital

Nasr

Ein²

2011

Can J Surg

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Background:There is an ongoing debate regarding the optimal surgical management for pilonidal disease in the pediatric population. The purpose of this study was to evaluate a pediatric surgeon's experience at a Canadian children's hospital over 35 years. Methods:We performed a retrospective review of the charts of patients seen and treated from July 1969 to December 2003, inclusive. All patients were evaluated for age, sex, clinical diagnosis, infection, treatment, healing time, complications and results.Results: In all, 121 adolescents with pilonidal disease (64 boys, 57 girls) with a mean age of 15 (range 12-19) years were evaluated at the same children's hospital. The 107 (88%) patients with infection (46% acute) underwent surgery. At operation, all 107 pilonidal cysts were either excised and packed open, marsupialized or excised and closed primarily without drainage under general anesthesia; the operation performed was arbitrarily chosen. Vacuum-assisted closure was not used. All patients received antibiotics. The time for healing after the initial operation in the group whose cysts were excised and packed open was at least twice as long (75 d) as in the other 2 groups (p = 0.031). Disease recurred in 24 (22%) patients, 6 (25%) of whom experienced 2 recurrences. Among the 90 patients in the excised and packed open group, 20 (22%) experienced recurrences and 5 (25%) experienced 2 recurrences. Among the 13 patients in the marsupialized group, 3 (23%) experienced recurrences and 1 (33%) experi enced 2 recurrences. Among the 4 patients in the excised and closed primarily without drainage group, 1 (25%) experienced a recurrence and none experienced 2 recurrences (p = 0.12). Each recurrence was smaller than the original. All wounds eventually healed. There were no other complications and no deaths. A multivariable logistic regression analysis revealed that the type of surgical approach was not predictive of recurrence after controlling for age and sex. Conclusion:Age, sex and surgical approach were not predictive of recurrence. From our experience, excision and packing open the wound produced a longer morbidity but offered the same results compared with marsupialization or excision and primary closure without drainage.Contexte : Le débat se poursuit au sujet de la prise en charge chirurgicale optimale de la maladie pilonidale dans la population pédiatrique. Cette étude visait à évaluer l'expérience qu'un chirurgien pédiatrique a acquise en 35 ans dans un hôpital canadien pour enfants. Méthodes :Nous avons procédé à une étude rétrospective des dossiers de patients vus et traités de juillet 1969 à décembre 2003 inclusivement. Nous avons évalué tous les patients selon l'âge, le sexe, le diagnostic clinique, l'infection, le traitement, la durée de la guérison, les complications et les résultats.Résultats : Au total, 121 adolescents qui avaient une maladie pilonidale (64 garçons, 57 filles) et qui étaient âgés en moyenne de 15 (de 12 à 19) ans ont été évalués au même hôpital pour enfants. Les 107 (88 %) patients qui av...

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“…practice was 1.2 in 1000. The girl:boy ratio of 1:1 in this series is not the same as that reported elsewhere, 5,6,8 but the mean age of 15 (range 12-19) years was similar.…”

Section: Discussionsupporting

confidence: 57%

supporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A pediatric surgeon's 35-year experience with pilonidal disease in a Canadian children's hospital

Nasr

Ein²

2011

Can J Surg

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“…Pilonidal sinus disease is a pathology most seen in young adults and generally affects boys three times more often than girls [18]. The girl:boy ratio of 5:1 in this series is not the same as that reported elsewhere [19][20][21], but the mean age of 15.21 ± 2.8 (12-18) years was similar. Although the best treatment approach for pilonidal sinus disease has not yet been established, several treatment procedures such as primary excision with or without closure, marsupialization or different flap techniques have been proposed [22].…”

Section: Discussioncontrasting

confidence: 47%

Surgical treatment with rhomboid excision and Limberg flap technique under spinal anesthesia of 23 young with pilonidal sinus disease

Öztürk

Yoldaş²,

Karagöz³

2018

j-ebr

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A B S T R A C T Aim:To present the experience of treatment with Limberg flap procedure under spinal anesthesia in 23 young patients with pilonidal sinus disease. Methods: This was a retrospective study of 23 young patients who underwent surgery for pilonidal sinus disease under spinal anesthesia between January 2011 and November 2017 in the Division of Pediatric Surgery. All patients were evaluated for age, sex, clinical diagnosis, and body mass index, and infection, duration of symptoms, treatment, healing time, recurrences, complications and results. Results: Of the 23 patients, 4 (17%) were male, and 19 (83%) were female. The mean age of the patients was 15.21 ± 2.8 years and the mean symptom duration was 4 ± 2.6 months. In 13 patients (56.5%), there was one or more sagittal lines in the midline and the mean sinus number of the patients was 2.12 ± 0.60. Pain was the most important complaint affecting the quality of life of the patient. The mean body mass index was 26.33 ± 2.54 kg / m2, and 47.8% (n = 11) were high BMI and 53.2% were normal BMI. One patient had temporary headache and one patient had urinary retention. Wound infection occurred in 2 patients (8.6%). Recurrence was not observed in patients. Conclusion: In this study, pilonidal sinus disease was treated with Limberg flap procedure under spinal anesthesia. The combination of these two applications in patients with pilonidal sinus may provide significant advantages, such as rapid recovery and short hospital stay, early return to daily activities, low complications, and recurrence rates.

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“…Therefore, the diagnosis and incidence of retractile testicle are unclear in spite of many studies. The frequency of retractile testicle in our country was found to be 0.22-3.9% (19,22,25). In our study, the frequency of retractile testicle was found to be 0,4% and the frequency of testicle with high scrotal localization was found to be 0.2%.…”

Section: Discussionsupporting

confidence: 47%

Samsun ilinde ilköğretim çağı erkek çocuklarda testis ve penis boyutları ve dış genital organ anomali oranları

Varol¹,

Özden²,

Bostanci³

et al. 2011

tpa

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T Th he e t te es st ti ic cu ul la ar r a an nd d p pe en ni il le e s si iz ze es s a an nd d r ra at te es s o of f e ex xt te er rn na al l g ge en ni it ta al l o or rg ga an n a an no om ma al li ie es s i in n p pr ri im ma ar ry y s sc ch ho oo ol l b bo oy ys s i in n S Sa am ms su un n S Se er rk ka an n V Va ar ro ol l, , E En nd de er r Ö Öz zd de en n, , Y Ya ak ku up p B Bo os st ta an nc c› ›, , Y Ya ar rk k› ›n n K Ka am mi il l Y Ya ak ku up po o¤ ¤l lu u, , C Ci ih ha an n Y Ya al lm ma an n, , fi fia ab ba an n S Sa ar r› ›k ka ay ya a S Su um mm ma ar ry y Aim: To measure the testicular and penile sizes to determine the standard values by age in primary school boys, to identify the rates of external genital anomalies and to inform patients' families about treatment options. Material and Method:After approval of the Ethics Committee of Ondokuz May›s University, 977 male students with a mean age of 8.67±1.51 years from three primary schools which were selected by simple random sampling method in Samsun were included in the study. Testicular and penile sizes were measured. Observed abnormalities were recorded. Statistical analysis was performed using SPSS 15.0. Results:Mean values for testicular size and penile length were calculated by age. In 44 students (4.5%), 52 genital abnormalities were detected. The most frequent anomalies were undescended testis (12; 1.2%) and inguinal hernia (8; 0.8%). The rate of untreated anomaly of external genital organs was found to be 3.9% in primary school children. Conclusions:Recognizing the normal values for penile and testicular sizes in primary school children may contribute to better evaluation of external genitalia and detection of corresponding anomalies. Our study also revealed that the rates of external genital organ anomalies which had to be operated much earlier were fairly high. (Turk Arch Ped 2011; 46: 151-5)

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Prevalence of congenital abnormalities in Turkish school children

Cited by 56 publications

References 21 publications

A pediatric surgeon's 35-year experience with pilonidal disease in a Canadian children's hospital

A pediatric surgeon's 35-year experience with pilonidal disease in a Canadian children's hospital

Surgical treatment with rhomboid excision and Limberg flap technique under spinal anesthesia of 23 young with pilonidal sinus disease

Samsun ilinde ilköğretim çağı erkek çocuklarda testis ve penis boyutları ve dış genital organ anomali oranları

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