Effects of Epidural-and-General Anesthesia Combined Versus General Anesthesia During Laparoscopic Adrenalectomy

Laparoscopic approach is increasingly performed for functional adrenal tumor resections. The aim of this study was to compare general anesthesia and general anesthesia combined with epidural anesthesia for laparoscopic adrenalectomy

Intravitreal bevacizumab monotherapy for type-1 prethreshold, threshold, and aggressive posterior retinopathy of prematurity-27 month follow-up results from Turkey

To study the efficacy of intravitreal bevacizumab (IVB) injection as a single treatment for retinopathy of prematurity (ROP)

Evaluation of Early and Late Term Outcomes of Radiofrequency Surgery in the Treatment of Inferior Turbinate Hypertrophy

Introduction: Inferior turbinate hypertrophy (ITH) plays an important role in the complaint of nasal obstruction. Surgical procedures are preferred to reduce the inferior turbinate if medical treatments fail to achieve satisfactory results. Numerous surgical techniques have been tried for inferior turbinate surgery. Recently, inferior turbinate radiofrequency ablation (RFA) has come forward among these surgical techniques. The aim of this study was to evaluate results of inferior turbinate RFA in patients who did not benefit from medical therapy. Patients and Methods: The study included 32 patients who are suffering from nasal obstruction because of ITH. All the patients did not benefit from medical therapy. Topical and infiltrative anesthesia was performed before the application. Severities of the patients' complaint of nasal obstruction were subjectively evaluated by using a visual analogue scale (VAS) preoperatively, and postoperatively on six weeks and one year. The effects of inferior turbinate RFA on mucociliary activity were evaluated in the same period by a saccharin test. Results: The mean preoperative VAS score was 6.47. The mean postoperative 6-week and 1-year VAS scores were 4.13 (P<0.001) and 4.47 (P<0.001), respectively. There was a statistically significant decrease in postoperative VAS scores compared to preoperative VAS scores. The average saccharin test results for the right nasal cavity preoperatively, 6 weeks postoperatively, and 1 year postoperatively were 11.03 minutes, 11.75 minutes (P=0.054), and 11.69 minutes (P=0.074), respectively. The average saccharin test results for the left nasal cavity preoperatively, 6 weeks postoperatively, and 1 year postoperatively were 10.91 minutes, 11.22 minutes (P=0.268), and 11.59 minutes (P=0.187), respectively. There were no statistically significant differences between preoperative and postoperative saccharin test results for each nasal cavity. Conclusion: Inferior turbinate RFA can be used alone effectively in the treatment of nasal obstruction caused by ITH. Results of inferior turbinate RFA are satisfactory for at least one year without causing impairment in physiologic mucociliary activity or other adverse effects. [Arch Clin Exp Surg 2014; 3(1.000): 34-39

Unusual iatrogenic foreign body in a nose: A case report

Foreign bodies in the nose are common in children, but are rarely found in adults. In this case, a 34-year-old male was ad- mitted to our clinic with complaints of nasal obstruction, halitosis and foul-smelling purulent nasal discharge. History of the patient revealed a septoplasty procedure completed about one year ago. Anterior rhinoscopy and nasal endoscopic exami- nation of the patient revealed that both nasal cavities were filled with foreign bodies. After the removal of these materials, the foreign bodies were identified as rhinolith particles with 2x5cm X-ray film cut-out sheets embedded within. We thought the X-ray film sheets were used for nasal packing following the previous septoplasty. The X-ray film sheets had eventually become rhinoliths over time. It is not clear why the packing was retained for such a long duration. As demonstrated by this case report, postoperative follow-up after septoplasty is important, and iatrogenic foreign bodies should be considered in the differential diagnosis of an adult patient with rhinolithiasis. [Arch Clin Exp Surg 2015; 4(3.000): 157-159

Prospective Evaluation of the Factors Effective on Morbidity and Mortality of Patients Undergoing Liver Resection Surgeries

Background/Aims: The objective of this study is to evaluate the factors effective on mortality and morbidity of the patients operated for liver tumor. Methodology: Thirty-four patients who were operated for liver tumor between January 1st 2008 and December 31st 2009 in Cerrahpasa Medical Faculty have been included in this study. Patient preoperative, perioperative and postoperative characteristics and the effects of these characteristics on mortality, morbidity and the length of hospital stay were evaluated. Results: Most common postoperative complications during the study were fever and surgical site infection. Nineteen of the patients with blood loss over 1000mL had the need for postoperative ICU treatment. The presence of concomitant disease, especially diabetes mellitus, liver disease and cardiovascular diseases and more than 2 units transfusion of erythrocyte suspension and fresh frozen plasma were considered related to mortality and morbidity. Conclusions: Patient preoperative, perioperative and postoperative characteristics affect patient morbidity and mortality in liver resection surgery. Diagnosing liver tumors early and thus reducing surgical site blood loss and use of blood products will decrease mortality and morbidity ratios after liver surgeries

Evaluation of Intravenous Paracetamol Administration on Postoperative Pain and Recovery Characteristics in Patients Undergoing Laparoscopic Cholecystectomy

Purpose: In this study, the effects of intravenous paracetamol treatment on early postoperative period analgesia and recovery characteristics after laparoscopic cholecystectomy have been evaluated

Modified olfactory training in patients with postinfectious olfactory loss

Level of Evidence2b. Laryngoscope, 125:1763-1766, 201

Electrocardiographical P Wave Changes After Electroconvulsive Therapy in Patients With Schizophrenia A Preliminary Study

Objective: Cardiac ventricular conduction has been studied in patients with schizophrenia who have undergone electroconvulsive therapies while they were drug-naive or drug-free or on drug regimens; however, atrial conduction has not been studied in this setting. We aimed to measure atrial and ventricular conduction changes in hospitalized patients with schizophrenia after convulsive therapy