Akciğer hidatik kistinin tedavisinde video destekli torakoskopik cerrahi

Amaç: Akciğer hidatik kistinin tedavisinde ilk seçenek cerrahidir ve genellikle torakotomi şeklindedir. Fakat artık günümüzde birçok cerrahi hastalığın tedavisinde minimal invaziv cerrahi ilk seçenek olmaya başlamıştır. Akciğer hidatik kistinin tedavisinde de, video destekli torakoskopik cerrahi VATS güvenli, kolay ve hastanede yatışı kısaltan bir yöntem olarak öne çıkmaya başlamıştır. Olgu sunumu: Biz burada bilateral akciğer hidatik kisti nedeniyle VATS ile başarılı bir şekilde tedavi edilen çocuk hastamızı sunuyoru

The advantages of using photographs and video images in telephone consultations with a specialist in paediatric surgery

Background: The purpose of this study was to evaluate the advantages of a telephone consultation with a specialist in paediatric surgery after taking photographs and video images by a general practitioner for the diagnosis of some diseases. Materials and Methods: This was a prospective study of the reliability of paediatric surgery online consultation among specialists and general practitioners. Results: Of 26 general practitioners included in the study, 12 were working in the city and 14 were working in districts outside the city. A total of 41 pictures and 3 videos of 38 patients were sent and evaluated together with the medical history and clinical findings. These patients were diagnosed with umbilical granuloma (n = 6), physiological/pathological phimosis (n = 6), balanitis (n = 6), hydrocele (n = 6), umbilical hernia (n = 4), smegma cyst (n = 2), reductable inguinal hernia (n = 1), incarcerated inguinal hernia (n = 1), paraphimosis (n = 1), burried penis (n = 1), hypospadias (n = 1), epigastric hernia (n = 1), vulva synechia (n = 1), and rectal prolapse (n = 1). Twelve patients were asked to be referred urgently, but it was suggested that only two of these patients, who had paraphimosis and incarcerated inguinal hernia be referred in emergency conditions. It was decided that there was no need for the other ten patients to be referred to a specialist at night or at the weekend. All diagnoses were confirmed to be true, when all patients underwent examination in the pediatric surgery clinic in elective conditions. Conclusion: Evaluation of photographs and video images of a lesion together with medical history and clinical findings via a telephone consultation between a paediatric surgery specialist and a general practitioner provides a definitive diagnosis and prevents patients from being referred unnecessarily

Laparoscopic Appendectomy Following Conservative Treatment in Children with Appendiceal Mass

Introduction: In this study, we hypothesized that performing laparoscopic appendectomy following conservative treatment is a safe and feasible procedure in children with appendiceal mass. Patients and Methods: Ten children diagnosed with appendiceal mass were treated by conservative therapy in our clinic between August 2009 and August 2012. Among these, 6 children received only medical treatment, and 4 of them received medical treatment following percutaneous abscess drainage under US guidance. Patients underwent laparoscopic appendectomy 2 to 3 months later. Age and gender of the patients, sizes of abscess, treatment modalities, length of hospital stay, complications, and pathologic examination results were evaluated retrospectively. All information was collected from computer records. Results: Six of the patients were male, and 4 of them were female, and their ages ranged between 4 and 15 (9.1 on average). The size of the abscess was between 3 and 8.5 cm (5.2 cm on average). Conservative treatment proved to be successful for all patients. After laparoscopic appendectomy, all patients, excluding one who required being hospitalized for 3 days, were discharged within a period of time shorter than 24 hours. No early or late complications were observed in any of our patients. Conclusions: We can assert that laparoscopic interval appendectomy to be performed after conservative treatment is a good option in the treatment of appendiceal mass. [Arch Clin Exp Surg 2013; 2(4.000): 235-239

Laparoscopic Excision of Omental Infarction Mass: A Case Report

Omental infarction is a very rare cause of an acute abdomen in children. Symptoms, in particular, display a great similarity to those of appendicitis. A 10-year-old boy with omental infarction was successfully treated by laparoscopic excision. The authors have demonstrated that laparoscopic excision is a technically feasible and safe method associated with a shorter hospital stay, no requirement for analgesics and a good cosmetic outcome. [Arch Clin Exp Surg 2014; 3(4.000): 247-250

Prenatal Diagnosis of Fetal Inguinoscrotal Hernia: A Case Report and Review of the Literature

Fetal inguinal hernia is rarely diagnosed antenatally. Here we reported a case of prenatal diagnosis of a inguinoscrotal hernia at 35 weeks’ gestation and was discussed in the light of literature

A Multi-Flow Production Line for Sorting of Eggs Using Image Processing

In egg production facilities, the classification of eggs is carried out either manually or by using sophisticated systems such as load cells. However, there is a need for the classification of eggs to be carried out with faster and cheaper methods. In the agri-food industry, the use of image processing technology is continuously increasing due to the data processing speed and cost-effective solutions. In this study, an image processing approach was used to classify chicken eggs on an industrial roller conveyor line in real-time. A color camera was used to acquire images in an illumination cabinet on a motorized roller conveyor while eggs are moving on the movement halls. The system successfully operated for the grading of eggs in the industrial multi-flow production line in real-time. There were significant correlations among measured weights of the eggs after image processing. The coefficient of linear correlation (R2) between measured and actual weights was 0.95

A Newborn with a Large Umbilical Cord Pseudocyst with Hemangioma: A Case Report and Review of the Literature

Umbilical cord pseudocysts in a newborn are very rare. They may be associated with patent urachus and hemangioma. Generally, they are localized in a particular section of the cord. Urachal or vitelline duct cysts, teratoma, omphalocele, umbilical cord hernia and hematoma are considered in differential diagnosis. In this case report, we discussed the clinicopathological findings of a pseudocyst with hemangioma involving the entire cord in a newborn, and in particular the confusing conditions related to the excision of the umbilical cord

Shunt revision rates in myelomeningocele patients in the first year of life: a retrospective study of 52 patients

WOS: 000429793400017PubMed ID: 29159427Shunt placement indications are stringent and require confirmation of clinical and radiological evidence of hydrocephalus (HC). The aim of this study was to determine the rate of shunting and discuss the outcome in the first year of life in patients with myelomeningocele (MMC) on the basis of review of the literature. All patients who underwent postnatal repair of MMC at our institution between March 2014 and March 2015 were evaluated. Patients were only included if they underwent both MMC repair and ventriculoperitoneal (VP) shunt insertion at our institution and were followed up for at least 12 months. The mean ages for repair of MMC, MMC levels, timing of VP shunt placement, shunt revisions, and causes of shunt revisions were documented. Fifty-two patients with MMC were included in this study. The average gestational age at birth was 38 weeks. The level of MMC was thoracolumbar in 13 cases, 11 times lumbar, 21 times lumbosacral, and 7 times sacral. Thirty-one patients (59.61%) suffered from hydrocephalus and required placement of a shunt. When we evaluate the lesion levels of patients who require shunting, 13 cases were thoracolumbar, 6 cases were lumbar, and 11 cases were lumbosacral. None of the sacral cases needed VP shunt. Seven patients (13.4%) had shunt revision within the first year of life. The cause of shunt revision was wound problem in one patient (1.9%), underdrainage in two patients (3.8%), infection in three patients (5.7%), and mechanical obstruction in another one patient (1.9%). MMC closure and management of the associated HC are one of the most basic, but never simple, legs of the pediatric neurosurgery around the world. As clinicians and neurosurgeons, we are obligated to analyze recent evidences and evaluate present approaches to achieve optimization in this subject until further technologies or approaches became more advantageous for our patients