16 research outputs found
Effects of abdominal and vaginal hysterectomy on anorectal functions along with quality of life of the patient
Objectives and background: Hysterectomy is the most commonly performed
major gynecological operation for both benign and malign gynecologic
conditions. After hysterectomy, although some investigators have
declared an increased incidence of urinary and anorectal dysfunction,
some others could not show any connection. Methods: The voluntary
patients were divided in two groups: abdominal hysterectomy (Group 1)
and vaginal hysterectomy (Group 2). Anal manometry and all the other
examinations of the patients were performed at the Department of
General Surgery Endoscopy Unit of Ankara University, Faculty of
Medicine. Results: When the quality of life of the patients was
assessed before the operation and on the 12th post-operative month via
the SF-36 form; it can be seen that body pain parameters of the
patients in Group 1 had significantly improved and there is no
statistical difference in other parameters. When the effect of
hysterectomy on the quality of life of the patients was evaluated by
the \u201cCleveland Clinic Global Quality of Life\u201d form, the
statistically significant improvement in the quality of life of the
patients in Group 2 was observed. Conclusion: If the type of operation
(vaginal or abdominal) is performed due to benign causes, it does not
affect the urinary and anorectal functions of the patients. Depending
on the decrease of complaints of the patients, it has a positive effect
on the quality of life
Türk kolon ve rektum cerrahisi derneği (TKRCD) terminoloji komisyonu çalışma raporu
This study aimed to explain the working order of the Terminology Commission, which was established at the workshop of the Turkish Society of
Colon and Rectal Surgery (TKRCD) on February 22, 2020, the criteria and results in the preparation of the terminology report. The commission
prepared a work plan to complete in three main steps. The working process continued in a way that the members expressed their opinions with equal
rights and the decisions were taken by consensus or by majority vote. The main purpose of the commission study was determined as “determining the
terms that need to be explained and agreed in colorectal surgery, and to define them in a way that is compatible with the literature and contributes to
daily practice”. The first meeting of the commission was held on February 22, 2020, and the report was accepted by the TKRCD Board of Directors
on May 25, 2021. A total of 20 meetings were held during this period. In the first step, five headings were determined for writing the terms: Anatomy,
symptoms and diagnostic tools, diseases, treatments and complications. There was a consensus that the terms met the following three conditions:
1) the need for explanation and consensus in colorectal surgery, 2) literature support, and 3) use in daily practice. The terms were written in the
following format: Terms and synonyms, English equivalents, definition, explanation and bibliography. In the second step, each commissioner wrote
an average of 10.8±4.3 terms. The distribution of 89 terms in the final report was as follows: Anatomy (n=26, 29.2%), symptoms and diagnostic
tools (n=8, 8.9%), diseases (n=20, 22.4%), treatments (n=28, 31.4%), and complications (n=7, 7.8%). Figures (n=7), all from the archives of the
commission members, and figures drawn by a new commission member (n=53) were also added to the report. In the third step, the report was
submitted to the TKRCD Management with the approval of the TKRCD President. The preparation process of the Terminology Commission report of
TKRCD was presented. The final report is open to changes and expansions with future studies.Bu çalışma Türk Kolon ve Rektum Cerrahisi Derneği’nin (TKRCD) 22 Şubat 2020 tarihinde yaptığı çalıştayda kurulan Terminoloji Komisyonu’nun çalışma düzenini, terminoloji raporunun hazırlanmasındaki kriterleri ve sonuçlarını açıklamayı amaçlamaktadır. Komisyon üç ana basamakta tamamlayacak iş planı hazırlamıştır. Çalışma süreci üyelerin eşit haklarla görüş belirttiği ve kararların uzlaşı veya oy çokluğuyla alındığı bir şekilde sürdürülmüştür. Komisyon çalışmasının temel amacı “kolorektal cerrahide açıklanması ve uzlaşı sağlanması gerekli terimlerin belirlenmesi, literatüre uygun ve günlük pratiğe katkı sağlayacak bir şekilde tanımlanması” olarak saptanmıştır. Komisyon ilk toplantısı 22 Şubat 2020’de yapılmış, rapor ise TKRCD Yönetim Kurulu’nda 25 Mayıs 2021’de kabul edilmiştir. Bu dönemde toplam 20 toplantı yapılmıştır. İlk basamakta terimlerin yazılması için beş adet üst başlık belirlenmiştir: anatomi, semptomlar ve tanı gereçleri, hastalıklar, tedaviler ve komplikasyonlar. Terimlerin şu üç şartı sağlaması konusunda karar birliği oluşmuştur: 1) kolorektal cerrahide açıklanması ve uzlaşı sağlanması gerekliliği, 2) literatür desteği ve 3) günlük pratikte kullanılması. Terimler şu formatta yazılmıştır: terim ve eş anlamlıları, İngilizce karşılıkları, tanım, açıklama ve kaynakça. İkinci basamakta her bir komisyon üyesi ortalama 10,8±4,3 terim yazmıştır. Sonuç raporunda yer alan 89 terimin üst başlıklara dağılımı şu şekildedir: anatomi (n=26, %29,2), semptomlar ve tanı gereçleri (n=8, %8,9), hastalıklar (n=20, %22,4), tedaviler (n=28, %31,4) ve komplikasyonlar (n=7, %7,8). Tamamı komisyon üyelerinin arşivlerinden gelen resimler (n=7) ve yeni bir komisyon üyesi tarafından çizilen şekiller de (n=53) rapora eklenmiştir. Üçüncü basamakta rapor TKRCD Başkanının onayıyla TKRCD Yönetimi’ne sunulmuştur. TKRCD’nin Terminoloji Komisyonu raporunun hazırlık süreci sunulmuştur. Sonuç raporu ileride yapılacak çalışmalarla değişiklik ve genişletmelere açıktır
Non-operative therapy for pilonidal sinus in adolescence: crystallised phenol application, 'report of a case'
Pilonidal sinus (PS) is an acquired disease at the sacrococcygeal region that can be treated by different surgical techniques. Crystallised phenol application seems to be an alternative therapy to surgery with higher success rates, lower costs, faster recovery and earlier return to work. We aimed to state the success of phenol application for PS in adolescence. A 14-year-old boy with recurrent PS, an 18-year-old girl with the history of pilonidal abscess and a 15-year-old girl with PS was hospitalised. All patients underwent phenol application in an outpatient setting. The patients were followed thereafter. The 14-year-old boy and 18-year-old girl did not face any problems and all sinuses healed completely. The 15-year-old girl was followed for 2 weeks because of intergluteal maceration and ongoing drainage. She underwent another phenol application and the course after intervention was uneventful with complete healing of the sinus. Crystallised phenol application seems to be a promising non-operative therapy for PS in adolescents. Copyright 2013 BMJ Publishing Group. All rights reserved
Enteral glutamine pretreatment does not decrease plasma endotoxin level induced by ischemia-reperfusion injury in rats
AIM: To investigate whether oral glutamine pretreatment prevents impairment of intestinal mucosal integrity during ischemia-reperfusion (I/R) in rats
Sporadik Kolorektal Kanser ile İlişkilendirilmiş Aday Tekli Nükleotid Polimorfizmlerinin Türk Popülasyonu için Değerlendirilmesi
The effectiveness of two different treatment approaches in individuals with chronic non-specific neck pain: a randomized control trial
Abstract
The aim of this study is to examine the effectiveness of conventional treatment and mobilization exercises
in individuals with chronic nonspecific neck pain (CNNP). A total of 28 patients enrolled in the study. The
Mobilization group (MG) completed a 4-week combined conservative physiotherapy and cervical mobilization
program, whereas the control group (CG) received only the 4 weeks of conservative physiotherapy. Pain
severity according to the Visual Analogue Scale (VAS) was used as primary outcome. Secondary outcomes
were included the Bourdon Attention Test (BAT), Beck Anxsiety Scale (BAS), range of motion (ROM), muscle
strength. All outcomes were assessed both prior to and following the treatment. In 2-way mixed-design
repeated-measures ANOVA analysis, when the change in time was analyzed between the groups (Group*Time
[interaction]), a statistical difference was found for the VAS (p = .000, ηp2 = .007), BAT score ( p = .001, ηp2
= .082), BAS ( p= .000, ηp2 = .001), ROM flexion (p= .000, ηp2 = .104), ROM extansion (p= .000, ηp2 = .076),
ROM right rotation (p= .006, ηp2 = .033), ROM left rotation (p= .05, ηp2 = .006), ROM right lateral flexion
(p= .000, ηp2 = .060), ROM left lateral flexion (p= .002, ηp2 = .019), muscle strength flexion (p= .000, ηp2 =
.008), muscle strength extansion (p= .000, ηp2 = .019), muscle strength right rotation (p= .000, ηp2 = .012),
muscle strength left rotation (p= .000, ηp2 = .001), muscle strength right lateral flexion (p= .000, ηp2 = .001)
and muscle strength left lateral flexion (p= .000, ηp2 = .011) parameters in favour of MG. Cervical mobilization
produced a significant benefit to recovery of pain, ROM, muscle strength, attention and anxiety outcomes of
patients with CNNP when added to a conventional CNNP physical therapy program.
Keywords: Chronic non-specific neck pain, cervical mobilization, pain
The study was registered on the Clinical Trials Registry (registration number: NCT05377645
Cytomegalovirus Infection in a Patient with Crohn’s Ileocolitis
Cytomegaloviral enterocolitis is an uncommon infection that can complicate inflammatory bowel disease. A case of a patient with a three-year history of Crohn's disease is reported. He had been in a stable condition on mesalamine 4 g/day and methylprednisolone 10 mg/day for three years until four weeks before admission. The patient was admitted with complaints of fever, abdominal pain and watery diarrhea. A diagnosis of an exacerbation of Crohn's disease was established. The radiological examination revealed narrowing of the terminal ileum. Multiple fistulas and abscess-like images were observed. The patient then underwent ileocolic resection and ileostomy. The histopathological examination revealed Crohn's ileocolitis with superimposed cytomegalovirus infection. In patients with rapidly deteriorating inflammatory bowel disease, cytomegalovirus infection should be kept in mind as one of the differential diagnoses
Investigation of four colorectal cancer related single nucleotide polymorphisms in Turkish sporadic colorectal cancer cases
Effect of Different Stapler Insertion Technique on Anal Function in Patients Who Undergoing Anterior Resection With Stapled Anastomosis
Sonuç: Dilatör kullan lan grupta (Grup 2) anorektal parametrelerin nispeten daha iyi korunmuL olmas n n muhtemel nedeni sabit bir dilatörün anal kanala yerleLtirilmesi ile tüm anal kanala eLit oranda kuvvetin, daha standart bir yöntemle uygulanm L olmas olarak düLünülmüLtür. Dairesel stapler çap na uygun ve daha küçük çaptaki dilatörler kullan larak geniL hasta serileriyle oluLturulan, benzer Lekilde düzenlenmiL randomize, prospektif, klinik çal Lmalarla daha iyi sonuçlar elde edilebilece?i düLü- nülmüLtürConclusion: Anorectal manometric parameters were preserved better in the dilator group (Group 2). Better outcome in the Group 2 was probably dealt with dilator which reflects to force equally, balanced and standardized on the anal canal. The smaller size and appropriate dilator could be used for best clinical outcome in which wider patients were obtained as similarly this randomized, prospective stud