Pentalogy of Cantrell: two patients and a review to determine prognostic factors for optimal approach

Two patients with incomplete pentalogy of Cantrell are described. The first was a girl with a large omphalocele with evisceration of the heart, liver and intestines with an intact sternum. Echocardiography showed profound intracardiac defects. The girl died 33 h after birth. The second patient was a female fetus with ectopia cordis (EC) without intracardiac anomalies; a large omphalocele with evisceration of the heart, stomach, spleen and liver; a hypoplastic sternum and rib cage; and a scoliosis. The pregnancy was terminated. A review of patients described in the literature is presented with the intention of finding prognostic factors for an optimal approach to patients with the pentalogy of Cantrell. In conclusion the prognosis seems to be poorer in patients with the complete form of pentalogy of Cantrell, EC, and patients with associated anomalies. Intracardial defects do not seem to be a prognostic factor

Cardiac perforation due to crochet hook: A pediatric patient with penetrating cardiac injury

PubMed ID: 12826516[No abstract available

Techniques for retrograde cerebral perfusion in the treatment of aortic lesions via left thoracotomy

WOS: 000073409200003PubMed ID: 9591173Retrograde cerebral perfusion under deep hypothermic circulatory arrest is a simple and useful adjunct in aortic surgery and is performed by many surgeons in the treatment of aortic arch pathology. In recent years, this technique has been recommended in the surgery of distal arch and proximal descending aortic lesions through a left thoracotomy incision. The aim of the technique is to increase the right atrial pressure for retrograde cerebral perfusion. After cooling using femorofemoral bypass, circulatory arrest is initiated. The right atrial pressure is increased to 20 mmHg, and retrograde cerebral circulation results. In this article, five patients with distal aortic arch and proximal descending thoracic aortic lesions who were operated on by using this technique were evaluated. It is suggested that this technique can be used with a lateral thoracotomy approach that is suitable for procedures on a distal aortic arch and proximal descending aorta

Open surgical technique for thoracic and thoraco-abdominal aortic aneurysms and aortic dissections

Between June 1994 and August 1995, 15 patients were operated on for thoracic and thoraco-abdominal aortic aneurysms in our clinic. The open technique was used in all patients. In three patients, aortocoronary bypass grafting was carried out before aneurysm surgery. The mean spinal cord ischaemia time was 20 minutes (range, 8-38 minutes) and the mean visceral ischaemia time was 31 minutes (range, 16-50 minutes). There was no paraplegia or oliguric renal failure as a postoperative complication. Two patients died, one as a result of duodenal necrosis and sepsis in the early postoperative period, the other of unknown causes. The other 13 patients were followed up for between one and 13 months. One patient had an anastomotic false aneurysm repair two months after surgery. In conclusion, surgery can be performed safely and with acceptable mortality in patients with thoracic and thoraco-abdominal aortic aneurysms. Open surgical technique decreases the chance of the postoperative development of paraplegia and acute renal failure and increases the success of the operation

Evaluation of harvest performances of local producted and imported olive shakers used in olive harvest in Izmir

Zeytin üretiminde en fazla işgücü gereksinimi hasat işlemleri sırasında ortaya çıkmaktadır. Geleneksel hasat yöntemleri büyük ölçüde insan işgücüne dayanmakta, iş başarısını düşürmektedir. Zeytin hasadında makina kullanımı, işçi gücü gereksinimini azaltmakta, zeytinlerin üretim maliyetini düşürmekte, hasat süresini kısaltmaktadır. Bu çalışma ile zeytin hasadı sırasında kullanılan yerli yapım ve ithal bazı zeytin hasat makinalarının performans değerlerinin belirlenmesi, elde edilen sonuçlara göre önerilerde bulunulması amaçlanmıştır. Bu çalışma kapsamında üç yerli bir ithal olmak üzere 4 farklı çırpıcı tip zeytin hasat makinasının performans değerleri belirlenmiştir. Elde edilen sonuçlara göre, genel olarak ağaç boyuna bağlı olarak ortalama kapasite değişme göstermektedir. Ağaç boyu arttıkça kullanıcının makina ile yüksek dallara ulaşımı zorlaştığından ortalama kapasite düşmektedir. Ağaç çeşidine ve kullanıcı yeteneğine bağlı olarak saatlik iş başarısı değişmektedir.The most labor force requirement in olive production occurs during the harvesting process. Traditional harvesting methods are largely based on labor, and also reduces field capacity. The use of machinery in the olive harvest reduces the need for labor, reduces the production cost of olives and shortens the harvest time. The objective of this study was to determine the performances of some domestic and imported olive harvesting machines used during olive harvest and make suggestions according to the results. In this study, performance values of four different shaker olive harvesters, including three domestic harvesters were determined. According to the results, the average capacity depends generally on the olive trees height. As the height of the tree increases, the average capacity decreases because the user has difficulty in reaching the high branches with the machine. Field capacity varies depending on the tree species and labor skill