A Case of Brucellosis with a Rare Complication: Pericarditis

Objectives: To describe brucellosis and its possible complications according to clinical, laboratory and radiological findings. Methods: We describe a case of Brucella pericarditis visualized at transthoracic echocardiography with clinical manifestations. Results: Clinical manifestations, imaging and laboratory findings provided the correct diagnosis of Brucella pericarditis. The patient recovered fully following doxycycline and rifampin therapy. Conclusion: Brucellosis should be considered in the differential diagnosis of disorders that affect the pericardium in endemic areas

Effects of pre-surgical aerobic dance-based exercise on lower extremity in people with morbid obesity awaiting bariatric surgery: Randomized controlled study

To investigate what are the effects of pre-surgical aerobic dance-based exercise programme (PSADBE) and physical activity counselling (PAC) programme on lower extremity functions after surgery in people with morbid obesity awaiting bariatric surgery (PMOABS). This study was a single-blind, randomized controlled study. Groups were divided into Group I (PSADBE and PAC) and Group II (PAC). Both groups received PAC, Group I completed the PSADBE programme accompanied by music for 60 min/2 days/8 weeks. Thirty-four PMOABS were included in the study. The 6-Minute Walking Test, as primary outcomes, and The Stair Climbing Up-Down Test for evaluating functional capacity, Biodex Isokinetic Test and Exercise System (R) for evaluating muscle strength were used. Besides, muscle endurance, physical activity (PA) level, fatigue and quality of life (QoL) were also assessed. All measurements were repeated three times; pre-treatment, post-treatment and the fifth-month post-surgery. After 8 weeks, significant changes were found in functional capacity, muscle strength and endurance, PA level, fatigue and QoL in both groups (p < .05). Comparing the groups, the changes in functional capacity, muscle strength and endurance, PA and fatigue scores after treatment and the fifth-month post-surgery were statistically superior in Group I (p < .05). Adding an 8-week PSADBE programme to PAC is an effective treatment option for improving postoperative functional capacity, muscle strength and endurance, PA level and fatigue in PMOABS

The effects of core stabilization exercise program in obese people awaiting bariatric surgery: A randomized controlled study

Objective: The aim of this study was the effects of the core stabilization exercise program (CSEP) and physical activity counseling on functional capacity, physical fitness, physical activity, fatigue and quality of life (QoL) in obese people awaiting bariatric surgery

Bezpośrednie wprowadzenie trokarów z uniesieniem pochewki mięśnia prostego brzucha: nowa technika w chirurgii bariatrycznej

Wprowadzenie: Pierwotne wprowadzenie trokaru stanowi pierwszy etap każdego zabiegu laparoskopowego i wiąże się z wieloma powikłaniami. U pacjentów z otyłością olbrzymią wprowadzenie trokara wiąże się z większą liczbą powikłań w porównaniu do pacjentów bez otyłości. Materiał i metody: W naszym badaniu opisaliśmy zastosowaną przez nas technikę pierwotnego wprowadzenia trokaru poprzez bezpośrednie wprowadzenie go z uniesieniem pochewki mięśnia prostego brzucha przy pomocy pojedynczych kleszczyków do serwet typu Backhaus, a następnie oceniliśmy bezpieczeństwo i skuteczność jej stosowania w chirurgii bariatrycznej. Dyskusja: Wyniki wskazują, że uzyskanie pierwotnego dostępu z zastosowaniem naszej techniki pozwala na skuteczne przeprowadzenie laparoskopowych zabiegów bariatrycznych. Przyjęta przez nas technika stanowi bezpieczny i skuteczny pierwszy etap zabiegów laparoskopowych u wszystkich pacjentów, przy czym jedynym przeciwwskazaniem jest ciężka hepatomegalia

Direct Trocar Insertion with Elevation of the Rectus Sheath in Bariatric Surgery: A Novel Technique

Introduction. Initial trocar entry, the first step in laparoscopic surgery, is associated with several complications. In morbidly obese patients, initial trocar placement is associated with a greater number of complications compared to non-obese patients. Materials and Surgical Technique. In this study, we describe our use of an initial trocar entry technique which is direct trocar insertion with elevation of the rectus sheath by a single Backhaus towel clamp and we would like to evaluate the sa fety and efficacy of its administration in bariatric surgery. Discussion. Our results indicate that gaining initial trocar entry using our technique leads to successful laparoscopic bariatric surgery. Our technique is a safe, effective, and reliable first step in successful laparoscopic surgery for almost all patients, and is only contraindicated in patients with severe hepatomegaly