The influence of Cortisone, Isuprel and Prostaglandin E2 on decreased liver blood flow on portacaval shunted dogs. (An experimental study) (Turkish)

The influence of Cortison, Isuprel and Prostaglandin E2 on decreased liver blood flow is studied in 21 dogs. The liver blood flow is measured with the technic of radioactive Xenon 133 clearance. The liver blood flow was 109,03 ± 3,87 ml/min/100 gm. in non shunted groups while it was 42,52 ± 1,36 ml/min/100 gm in porta caval shunted groups. There was no statistical significance between the liver blood flow values which were estimated two hours after porta caval shunt. The liver blood flow was 78,68 ± 4,81 ml/min/100 gm. after Dexamethasone perfusion; 70,05 ± 2,30 ml/min/100 gm. Isuprel infusion, and 61,77 ± 2,88 ml/min/100, gm. PGE2 infusion. These values were statistically significant (P<0.001) compared with control groups. The liver blood flow dropped as soon as the perfusions of Dexamethasone, Isuprel and PGE2 were discontinued

The surgical treatment of the primary lymphedema

[No abstract available

Review of the historical development of the surgical aspects of the cancer of the stomach

[No abstract available

Rupture of the extrahepatic biliary tract (Case report)

[No abstract available

Renal hydatid cyst (A case report)

[No abstract available

Surgical management of hydatid disease of the liver

PubMedID: 3971242The authors review 143 consecutive, surgically treated cases of hydatid disease of the liver seen over the past 10 years. Of the 208 cysts found, 82 (39.4%) were complicated; the remainder were simple. The complications included rupture into the biliary system (16.3%), suppuration (11.0%), partial calcification of the pericyst (5.8%), intraperitoneal rupture (4.8%), bronchobiliary fistula (0.9%) and cystocutaneous fistula (0.5%). External capitonnage was the most commonly used surgical technique (63.0%), followed by cystectomy (17.8%), omentoplasty (10.6%), tube drainage (7.7%) and cystojejunostomy (0.9%). Capitonnage was carried out with or without tube drainage. The complications of surgery were higher with drainage than without. The main complications of surgery were infection in the residual cavity and biliary fistula. The patients who underwent external capitonnage without drainage or omentoplasty had good results with minimal complication rates (3.5% and 4.5% respectively). For the patients in whom the cystectomy was established, the complication rate was 8.1%

Surgery in Fasciola hepatica pancreatitis: Report of a case and review of literature

PubMedID: 17427114Fasciola hepatica is a trematode rarely causing disease in humans. In symptomatic cases, while various pathologies such as damage to liver parenchyma, acute cholecystitis, and obstructive jaundice can be seen, the development of pancreatitis is rarely mentioned in the literature. The treatment of the disease is medical. In cases where no definite diagnosis can be made or in incidental cases where common bile duct exploration is being done, F. hepatica can be detected accidentally during operation. No consensus has yet been reached on the surgical procedure to be applied in this condition. We report on our case due to the rare occurrence of pancreatitis as a complication. In surgical cases, external drainage of the bile is both crucial in observing the response to the treatment, and also should be accepted as part of the treatment. © Karl Demeter Verlag im Georg Thieme Verlag KG Stuttgart

Necrotizing fasciitis

We reviewed 13 cases of necrotizing fasciitis who presented between 1988 and 1992; of these 5 patients (38%) died. Early diagnosis and aggressive surgical debridement are essential to the successful management of necrotizing fasciitis. © 1995 S. Karger AG, Basel

The effects of intraperitoneal lavage solutions in barium peritonitis [BARYUM PERITONITINDE KULLANILAN PERITON ICI YIKAMA SOLUSYONLARININ ETKILERI]

An experimental model of established barium peritonitis in the rat was used to test the effect of various peritoneal lavage solutions with systemic agents on survival. This experimental study was made on 70 Wistar-Albino rats divided in 3 groups: 1. Group: In the first group (control group) including 10 rats, established barium peritonitis were not given any treatment. Mortality rate was 100%. 2. Group: After establishing barium peritonitis, agents were given intraperitoneally during the first 2 hours in the second (early treatment) group. It was divided in three subgroups: 2a: Serum saline was used. Mortality rate was 40% 2b: Metranidazole was used. Mortality rate was 30%. 2c: Povidone-iodine was used. Mortality rate was 70%. 3. Group: After establishing barium peritonitis, agents were given intraperitoneally 24 hours later in the third group (late treatment). If was divided in three subgroups: 3a: Serum saline was used. Mortality rate was 80%. 3b: Metranidazole was used. Mortality rate was 50%. 3c: Povidone-iodine was used. Mortality rate was 90%. We assessed our results according to Fisher exact and chi square test. In comparison of the subgroups, no statistical significance was found. Comparing the second and third groups, second group was found to be statistically significant in mortality rate

Cholesterol polyps (report of a case)

Cholesterol polyps are among the most common types of the benign polypoid lesions of the gallbladder. Polyps of the gallbladder may lead to several clinical complaints and complications. Before the widely use of ultrasonography and tomography these lesions could only be detected histopathologically following cholecystectomy. In this report, a case of multiple cholesterol polyps in the gallbladder is presented, and the clinical, macroscopical, and microscopical characteristics of this entity are reviewed