Stoma Prolapse

The incidence of prolapse which is a late complication of stoma ranges between 0–25%. In this study the records of the patients who had been treated and followed up with the diagnosis of stoma prolapse between 1995 -2005 in the General Surgery Department of Dicle University Hospital were examined, retrospectively. There were 12 patients (5 men, 7 women) with a mean age of 51,6±15.01 years. The causes of stoma construction were malign diseases in 9 patients and benign diseases in 3 of them. The average time between construction of stoma and formation of prolapse was 10,9±6.84 month. The type of stoma was loop in 7 patient, end stoma in 4 patient and double bowel enterostomy in 1 patient. Of nine patients with stoma prolapse had been subjected chemotherapy. The overall rate of stomal prolapsus was 3,1% in this series. It was 10,8% in patients who had received chemoradiotherapy. Since stomal prolasus is a serious complication and its reconstruction needs general anesthesia great care should be shown when creatig a stoma

Clinical course and signs in patients with uveitis associated with ankylosing spondylitis

Aim: To evaluate clinical course and signs in patients withuveitis associated ankylosing spondylitis (AS).Methods: In this retrospective study we evaluated thepatients who were diagnosed as uveitis related to AS andfollowed up at the Ophthalmology Department of NecmettinErbakan University Hospital between May 2009 andJune 2012. Demographical features and clinical courseswere assessed.Results: Seventeen eyes of 13 patients were includedin the study. Nine patients (69.2%) were male and four(30.8%) were female. The mean age at presentation was38.54±9.61 years (range 28-63). Bilateral involvementwas observed in four (30.8%) patients. The mean followuptime was 17.46±11.86 months (range 3-36). The meannumber of attacks was 1.15±0.37 (range 1-2). Posteriorsegment manifestation accompanied anterior uveitis inthree eyes (17.6%). Posterior synechia developed in one(7.7%) and cataract in one patient (7.7%), cystoid macularedema in two patients (15.4%), and epiretinal membranein one patient (%7.7). The mean final visual acuitywas 0.975±0.07 (range 0.2-1.0).Conclusion: The prognosis of anterior uveitis associatedwith AS is good if the treatment is administered at theappropriate time. However, the posterior segment complicationsmay develop in these patients, treatment andfollow-up should be done in co-operation with the departmentof rheumatology.Key words: Ankylosing spondylitis, uveitis, rheumatology,clinical cours

Ultrasound Guided Percutaneous Nephrostomy For Obstructive Uropathy

We retrospectively evaluated the indications and complications in our patients that were performed of percutaneous nephrostomy applications with ultrasonography guidance.We evaluated 371 all patients whom applied percutaneous nephrostomy with ultrasonography guidance between January 2002 and December 2005 were evaluated retrospectively. The demographic data, cause of the obstruction, minor and major complications of patients were discussed.In this period, totally 455 Percutaneous nephrostomies (84 bilaterally, 287 unilaterally) in 371 patients (were placed in 113 females (30.45 %) and 258 males) were placed. The male (69.55%) patients whom mean age of the patients were 32.17 year (range 5 months to 85 years). In 17 of 371 (3.73%) patients, it was determined with antegrade pyelography that nephro stomy catheters were not in the kidney). Total success ratio was 96.37%. Causes of the obstructions were malignant diseases in for 76 patients (20.48%) and were benign diseases in for 295 patients (79.52%). The major complications were determined twenty-four of patients (6.46%). Major complications included macroscopic hematuria which needs transfusion (7 patients), septicemia (14 patients), and retroperitoneal colon perforation with needle (3 patients) were observed in 24 of the 371 patients. Minor complications were observed in 51 of the 371 patients (13.74 %). All of the minor complications were macroscopic hematuria that resolved in less than 24 hours. In conclusion, percutaneous nephrostomy with ultrasonography guidance were found as an effective and, safe and successful method for the drainage of upper urinary tract in the obstructive uropaty

Single step therapy for abscess foci localized at different parts of the body using trocar type catheter: Results of two year-experience

Objectives: The aim of this study was to emphasize the feasibility and cost effectiveness of trocar type catheter in percutaneous abscess drainage under imaging guidance and to determine the clinical efficacy of the method.Materials and methods: From June 2008 to December 2010, 48 patients who were referred to interventional radiology unit, in order to undergo percutaneous abscess drainage. All was data including age, the organ or the part of the body where the abscess was localized and size of abscess were recorded. Forty-two (87%) patients underwent drainage with ultrasonographic guidance, while 6 (13%) underwent with computed tomography guidance. One pediatric patient underwent systemic sedation anesthesia (with remiphentanyl and midazolam) and the rest of the patient with local anesthesia (with prilocain hydrochlorid). Catheterization procedure with which abscess drainage was done accepted as technically successful.Results: Imaging guided percutaneous abscess drainage procedures were performed with trocar type catheter to localized abscesses in different organs or systems in 48 patients (25 men, 23 women, mean age 52 years, range 2-82 years). Technical success was 100% in all cases. No patient had a complication during the procedure. Time to extraction of percutaneous catheter after drainage procedure was 5-28 days (mean 11.2 days). There was no recurrence except for a case, in which an abscess at the splenectomy site was successfully drained.Conclusion: Percutaneous drainage with imaging guidance using the trocar type catheter should be preferred because of its feasibility, cost-effectiveness, and reduced rate of complications in treating abscesses, which localized at different organ systems

Effect of Oestradiol Administration on Rat Submandibular Gland after Ovariectomized Period

In this study, we aimed to investigate exogen estrogen on submandibulargland of adult ovariectomized rats. To this end, thirty-six virgin female WistarAlbino rats were used and were divided into three equal groups. Sham groupsreceived no treatment, all animals in the other two groups were bilaterallyovariectomized. Control groups was designated bilaterally ovariectomized andoestradiol was given application groups.Following the applications all animals were sacrified,then submandibulargland was excised and paraffin wax. Paraffin sections, obtained by routinehistologic methods, were cut at 5μm and stained with Hematoxilen-Eozin. Thestained sections were later evaluated under a light microscopy.Histological studies indicated that, after oestrogen deficiency period, theglandular parenchyma and stroma was destroyed. When oestrogen was givenexogenously, it was seen that after ovariectomy, the gland was partially improved.These data demonstrate that oestrogen deficiency play a role in rat of thesubmandibular gland. Exogenous oestrogen leads to partial improvement andoestrogen deficiency doesnt lead to changes of the gland. Exogenous oestrogendoes not completely prevent submandibular gland structur

Histopathologic investigation of the protective effects of omega-3 fatty acids against boric acid-induced injury in kidney and testis tissue

Objective: In this study, it was aimed to evaluate the effects of boric acid on rat kidney and testis tissues histopathologically. Secondly, the protective effects of omega-3 fatty acid against boric acid-induced renal and testicular toxicity were investigated. Methods: 32 wistar albino rats were divided into 4 groups as follows: Control, Omega-3 (400 mg/kg/day for 10 days), Boric acid (375 mg/kg/day for 10 days) and Boric acid+omega-3 (both drugs same dosage for same day). Kidney and testis tissues were evaluated using a scoring system based on the extent of certain histopathological changes. Results: In histopathological examination, boric acid caused significant degeneration in both testis and kidney tissues. Most evident findings were glomerular shrinkage and necrosis, hemorrhage and tubular cell degeneration in kidneys, and exfoliation of seminiferous tubule cells, detachement of epithelium from basement membrane, decreased cellularity and degeneration in epithelial cells in testis tissues. Omega-3 administration significantly attenuated these changes. Conclusion: To our literature search, this is the first study reporting protective effects of omega-3 fatty acid against boric-acid-induced testicular and renal injury

Evaluation of 809 Cases Applicated to A Rabies Vaccination Center of Diyarbakır Government Hospital

In this study; 809 cases applicated to rabies vaccination center ofDiyarbakır Government Hospital between May 2006 and May 2007 wereevaluated. Human diploid cell vaccine was applicated as 3 doses in 708cases (%87.5) and 5 doses in 101 cases (%12.5). In 66 cases (%8.2) rabiesantiserum was also used. The sites of injury were head-neck in 45 cases(%5.6), body-arm-leg in 563 (%69.6) cases and hand in 201 (%24.8) cases.477 cases (%59) were evaluated as superficial and 332 cases (%41) wereevaluated as deep injury. 626 cases (%77.4) had dog bite, 142 cases (%17.6)had cat bite. While 689 cases (%85.2) visited the rabies vaccination center atthe first day of injury, 115 cases (%14.2) visited in 2-5 days and 5 cases(%0.6) visited after 5 days. In conclusion; the sensitivity and the rate of theearly visit of the vaccination center because of suspicious animal contactare high and when compared with developed countries there must be a greateffort in reducing the incidence of suspicious bites

Case Report: Anaesthetic Approach For Emergency Surgery In A Patient With Acute Myocardial Infarction

In this case report, we examined anaesthetic approach for emergency surgery in a patient with acute myocardial infarction and stomach perforation at the same time.Anaesthesia was induced with midazolam, propofol, fentanyl and vecuronium, and maintained with sevoflurane 1-2% in 100% oxygen, fentanyl and vecuronium. Patient controlled analgesia with morphine was used for postoperative analgesia. At postoperative 17th day, the patient was discharged from the hospital as health