'The intraabdominal bleeding with an inguinal defect that mimicking a femoral vein aneurysm'. A case report

Inguinal hernia repair is commonly performed operation in surgical practice. Thirty-five years old female patient was operated with the diagnosis of inguinal hernia. The inguinal defect was misdiagnosed as femoral vein aneurysm in surgical exploration. The postoperative diagnostic imaging revealed that the inguinal defect had been confused as femoral vein aneurysm due to intra-abdominal hemorrhogical fluid after an ovarian cyst rupture

Prolonged venous bleeding due to traditional treatment with leech bite: a case report

<p>Abstract</p> <p>Introduction</p> <p>The medicinal leech, <it>Hirudo medicinalis</it>, has been used in the treatment of many diseases for thousands of years. In Turkey, it is used most commonly in the management of venous diseases of lower extremities.</p> <p>Case presentation</p> <p>A 25-year-old Turkish woman presented to our emergency room with bleeding from her left leg. She had been treated for varicose veins in her lower extremities with leeches about 24 hours before admission to the emergency room. The bleeding was controlled by applying pressure with sterile gauze upon the wound, and she was discharged. She returned after four hours having started bleeding again. Hemostasis was achieved by vein ligation under local anesthesia.</p> <p>Conclusions</p> <p>Leech bite should be evaluated as a special injury. Prolonged bleeding can be seen after leech bites. In such cases, hemostasis either with local pressure or ligation of the bleeding vessel is mandatory.</p

The comparision of classical technique and tissue glue in colon anastomosis

YÖK Tez No: 247214Giriş: Gastrointestinal sistem kanserlerinde ve birçok benign abdominal hastalıkta kolon anastomozu gereken bir prosedürdür.Çalışmamızda amacımız sıkça ve güvenle birçok alanda yapıştırıcı olarak kullanılan siyanoakrilatın kolon anostomozları tedavisinde de güvenli bir şekilde kullanılıp kullanılamayacağının araştırılmasıdır.Materyal ve Metod: Çalışmamızda 60 adet erişkin Wistar albino sıçan kullanıldı ve 3 eşit gruba ayrıldı. Kontrol grubu dışındaki 40 albino sıçana deneysel intestinal anastomoz modeli oluşturuldu ve bunların 20 tanesine de 5/0 Poliglaktin ile sütür konularak basit kapama yapılırken 20 taneside siyanoakrilat ile yapıştırılarak basit kapama uygulandı.Anastomoz iyileşme göstergeleri olarak patlama basıncı ve doku hidroksiprolin içeriği ölçüldü.Sonuç: Kontrol grubu ve siyanoakrilat ile basit kapama grupları arasında patlama basıncı olarak anlamlı fark yokken, basit kapama grubunda patlama basıncı değerleri diğer iki gruba göre istatistiksel olarak daha düşük çıkmıştır. Yara iyileşmesinde önemli bir rolü bulunan Hidroksiprolin seviyelerinin ölçümlerinde ise gruplar arasında ileri derece anlamlı fark saptanmıştır. Sonuç olarak bir doku yapıştırıcısı olarakta kullanılan siyanoakrilat, kolon anastomostozları cerrahi teknikleri arasında yer alabilir.Introduction: Colon Anastomosis can be used in gastrointestinal system cancer and benignabdominal disease.The main complication of colon anstomosis is anastomos leak. In this study we compered the classical technique and the use of tissue glue in colon anastomosis.Methods: In our study we used 60 Wistar albino rat and separate this rats three equal group. Classical technique was used in first group, both classical technique and tissue glue were used in second group and the third group was control group. Anastomos recovery indicator was explossion pressure and hydroxyproline content.Results: Explossion pressure of rats which classical technique used was found less than the other groups. Hydroxyproline content was found significant difference in all groups. As a result tissue glue can be used in colon anastomosis

Bir akt ileus olgusunda apendiko-ileal fistül

Appendiko-ileal fistül akut ileus tablosu ile nadir görülür. Bu yazıda mekanik barsak tıkanıklığı nedeni ile laparatomi uygulanan apendikoileal fistüllü 46 yaşında erkek olgu sunuldu. Cerrahi sırasında apendiks lümeni ile terminal ileum arasında bir fistül olduğu gözlendi. Ayrıca proksimal ileal ve jejunal ansların gergin olduğu da saptandı. Apendektomi, segmental ileum rezeksiyonu ve uçuca anastomoz cerrahi işlem olarak uygulandı. İnce barsak tıkanıklığı ile akut ileus tablosu gelişen hastalarda, apendiko-ileal fistülün akılda bulunması gerektiğini düşünmekteyiz.Appendico-ileal fistula is a rare condition with acute ileus. We report a case of appendico-ileal fistule in a 46-year-old man patient who has undergone laparatomy for intestinal mechanical obstruction. Intraoperatively, an appendix with a lumen was found with a fistula to the terminal ileum. It has been observed that proximal ileal and jejunal intestinal anses were distended. Appendectomy, segmental ileum resection and end-to-end anastomoses were performed as a surgical procedure. This case describes an elderly man with acute ileus presenting with small bowel obstruction. We conclude that, appendico-ileal fistula should be kept in mind in cases with acute ileus presenting with small bowel obstruction

Appendico-ileal fistula in an acute ileus patient [Bİr Akut İleus Olgusunda Apendİko-İleal Fİstül]

Appendico-ileal fistula is a rare condition with acute ileus. We report a case of appendico-ileal fistule in a 46-year-old man patient who has undergone laparatomy for intestinal mechanical obstruction. Intraoperatively, an appendix with a lumen was found with a fistula to the terminal ileum. It has been observed that proximal ileal and jejunal intestinal anses were distended. Appendectomy, segmental ileum resection and end-to-end anastomoses were performed as a surgical procedure. This case describes an elderly man with acute ileus presenting with small bowel obstruction. We conclude that, appendico-ileal fistula should be kept in mind in cases with acute ileus presenting with small bowel obstruction

The Diagnostic Value of D-dimer, Procalcitonin and CRP in Acute Appendicitis

<p><b>BACKGROUND:</b> The early diagnosis of acute abdomen is of great importance. To date, several inflammatory markers have been used for the diagnosis of acute abdominal conditions, including acute appendicitis. The aim of this study was to evaluate the diagnostic utility of D-dimer, Procalcitonin (PCT) and C-reactive protein (CRP) measurements in the acute appendicitis.</p><p><b>METHODS:</b> This prospective study was conducted between March 1^st, 2010 and July 1^st, 2011. In this period, seventy-eight patients were operated with the diagnosis of acute appendicitis, and D-dimer, PCT and CRP levels of the patients were measured. The patients were grouped as phlegmonous appendicitis (Group 1), gangrenous appendicitis (Group 2), perforated appendicitis (Group 3) and negative appendectomy (Group 4) according to the surgical findings and histopathological results.</p><p><b>RESULTS:</b> Of 78 patients, 54 (69.2 %) were male and 24 (30.8 %) were female, and the mean age was 25.4 &#177; 11.1 years (range, 18 to 69 years). 66 (84.6 %) patients had increased leukocyte count (white blood cell count). The PCT values were higher than the upper normal limit in 20 (25.6%) patients, followed by D-dimer in 22 (28.2 %) patients and CRP in 54 (69.2 %) patients. The diagnostic value of leukocyte count and CRP in acute appendicitis was higher than that of the other markers, whereas leukocyte count showed very low specificity. CRP values were higher in perforated appendicitis when compared with the phlegmonous appendicitis (p&#60;0.05). However, PCT and D-dimer showed lower diagnostic values (26% and 31%, respectively).</p><p><b>CONCLUSION:</b> An increase in CRP levels alone is not sufficient to make the diagnosis of acute appendicitis. However, CRP levels may differentiate between phlegmonous appendicitis and perforated appendicitis. Due to their low sensitivity and diagnostic value, PCT and D-dimer are not better markers than CRP for the diagnosis of acute appendicitis.</p

The hemostatic effect of calcium alginate in experimental splenic injury model

Ankarali, Seyit/0000-0003-3752-0846WOS: 000319368700002PubMed: 23720104BACKGROUND We evaluated the effect of calcium alginate as a hemostatic agent in a splenic injury model. METHODS Experimental rats (Wistar albino) were divided into four groups. Group I: Laparotomy was not performed. Group II: After laparotomy, the abdomen was closed without any splenic injury. Group III: After laparotomy, splenic injury about 0.5 cm in depth and 0.3 cm in length was created by standard Rochester pean forceps. Physiological serum treated gauze dressing, about 2x2 cm in size, was applied to the injured splenic tissue for 3 minutes. Group IV: After laparotomy, standard splenic injury about 0.5 cm in length and 0.3 cm in depth was created. Calcium alginate wound dressing, 1x1 cm in size, was applied to the splenic wound. In all groups, blood samples for bleeding time and hemogram were taken. Peroperative blood loss, pre- and post-operative hemoglobin and hematocrit values were calculated. RESULTS Comparing hematocrit values and peroperative bleeding in Groups III and IV, Group IV had a lower decline in hematocrit values and lower peroperative bleeding. CONCLUSION Calcium alginate has hemostatic capacity. It may be used in splenic injuries, especially for Grades I and II

International Nosocomial Infection Control Consortiu (INICC) report, data summary of 43 countries for 2007-2012. Device-associated module

We report the results of an International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2007-December 2012 in 503 intensive care units (ICUs) in Latin America, Asia, Africa, and Europe. During the 6-year study using the Centers for Disease Control and Prevention's (CDC) U.S. National Healthcare Safety Network (NHSN) definitions for device-associated health care–associated infection (DA-HAI), we collected prospective data from 605,310 patients hospitalized in the INICC's ICUs for an aggregate of 3,338,396 days. Although device utilization in the INICC's ICUs was similar to that reported from ICUs in the U.S. in the CDC's NHSN, rates of device-associated nosocomial infection were higher in the ICUs of the INICC hospitals: the pooled rate of central line–associated bloodstream infection in the INICC's ICUs, 4.9 per 1,000 central line days, is nearly 5-fold higher than the 0.9 per 1,000 central line days reported from comparable U.S. ICUs. The overall rate of ventilator-associated pneumonia was also higher (16.8 vs 1.1 per 1,000 ventilator days) as was the rate of catheter-associated urinary tract infection (5.5 vs 1.3 per 1,000 catheter days). Frequencies of resistance of Pseudomonas isolates to amikacin (42.8% vs 10%) and imipenem (42.4% vs 26.1%) and Klebsiella pneumoniae isolates to ceftazidime (71.2% vs 28.8%) and imipenem (19.6% vs 12.8%) were also higher in the INICC's ICUs compared with the ICUs of the CDC's NHSN