Pellet in the stomach: Where did it come from?

Gunshot might have unexpected findings in the victim owing to the ballistics of the injury. The trajectory of the bullet plays a central role in the surprising findings in gunshot injuries. We are presenting a case with pellets seen in the stomach after a gunshot

Femoral herni ameliyatlarında 19 yıllık deneyimimiz ve bassini-kischner onarımı

Amaç: Femoral herni onarımı yapılan son 19 yıldaki hastaların incelenmesi, Bassini-Kischner yöntemi uygulanan olguların literatür ışığında irdelenmesi. Gereç ve Yöntem: Nisan 1988-Mart 2007 yılları arsında ameliyat edilen femoral hernili olgular çalışmaya alındı. Başvuru şekli; acil-elektif, ortalama yaş, kadın erkek oranı, herninin sağ ve/veya solda oluşu, seçilen cerrahi onarım yöntemi dökümante edildi. Bassini-Kischner onarımı yapılan olguların uzak dönem sonuçları incelendi. Bulgular: Ameliyat edilen olgu sayısı 141 idi. Doksan yedi olgu (%69) elektif koşularda 44(%31) olgu ise acil olarak ameliyat edildi. Onarım olarak 96 olguda McVay, 31 olguda Bassini- Kischner yöntemi kullanılırken 14 olguda mesh ile onarım yapıldı. Bassini-Kischner onarımı yapılan hastaların dosya kayıtlarında ve kontrole gelenlerin muayenesinde nüks görülmedi. Sonuç: Femoral hernia daha çok acil koşullarda ameliyat gerektirir. Bassini- Kischner onarımı uygulaması kolay bir tekniktir, elektif femoral herni onarımlarında tercih edilebilir.Background and Purpose: Patients undergoing surgery for the repair of femoral hernia during the last 19 years were examined and reviewed in the light of previous studies evaluating the results of BassiniKischner repair. Methods: Patients undergoing surgery for femoral hernia between April 1988 and March 2007 were identified. The mode of admission, emergency vs. elective surgery, mean age, female to male ratio, hernia side and the preferred surgical technique were documented and long-term results of Bassini- Kischner repair were reviewed. Main Findings: A total of 141 cases were operated. Ninety-seven patients (69%) underwent elective surgery while 44 (31%) had emergency surgery. The methods used for repair were McVay method in 96 patients, BassiniKischner method in 31 patients, and mesh repair in 14. No cases of recurrence were determined either from patient records or during follow- up visits of patients who underwent Bassini- Kischner repair. Conclusions: Femoral hernias require emergency surgery more frequently and Bassini- Kischner repair is a simple technique and it may be preferred for the elective surgical treatment of femoral hernia

Comparison Of Intravenous Versus Intraperitoneal Interleukin-10 Gene Delivery In Mouse Model Of Sepsis

The most novel approach utilizing IL-10 in sepsis is IL-10 gene delivery in experimental model of sepsis. In our study, we aimed to compare kinetics of intravenous versus intraperitoneal delivery of IL-10 gene transfer in early stages of sepsis. This is a prospective controlled experimental study. Six groups were gathered with 20 Swiss-Albino female mice. Intra-abdominal sepsis was induced by cecal ligation and puncture (CLP). Animals had either intraperitoneal or intravenous IL-10 liposomal gene transfer. Animals were sacrified 24 h after injections, followed by harvest of lung, liver, spleen, vena cava tissues. Immunostaining revealed more prominent staining in liver after intraperitoneal delivery. All endothelial tissues stained with intravenous delivery. There was striking difference between tissue expressions of transgene of animals in CLP intravenous group when compared to other groups. Our results point out that pro-inflammatory action of IL-10 is prominent in intravenous gene delivery which shows itself with induction of zyon. IL-10 still may harbor therapeutical potential which still needs to be explored.Wo

Femoral herni ameliyatlarında 19 yıllık deneyimimiz ve bassini-kischner onarımı

Amaç: Femoral herni onarımı yapılan son 19 yıldaki hastaların incelenmesi, Bassini-Kischner yöntemi uygulanan olguların literatür ışığında irdelenmesi. Gereç ve Yöntem: Nisan 1988-Mart 2007 yılları arsında ameliyat edilen femoral hernili olgular çalışmaya alındı. Başvuru şekli; acil-elektif, ortalama yaş, kadın erkek oranı, herninin sağ ve/veya solda oluşu, seçilen cerrahi onarım yöntemi dökümante edildi. Bassini-Kischner onarımı yapılan olguların uzak dönem sonuçları incelendi. Bulgular: Ameliyat edilen olgu sayısı 141 idi. Doksan yedi olgu (%69) elektif koşularda 44(%31) olgu ise acil olarak ameliyat edildi. Onarım olarak 96 olguda McVay, 31 olguda Bassini- Kischner yöntemi kullanılırken 14 olguda mesh ile onarım yapıldı. Bassini-Kischner onarımı yapılan hastaların dosya kayıtlarında ve kontrole gelenlerin muayenesinde nüks görülmedi. Sonuç: Femoral hernia daha çok acil koşullarda ameliyat gerektirir. Bassini- Kischner onarımı uygulaması kolay bir tekniktir, elektif femoral herni onarımlarında tercih edilebilir.Background and Purpose: Patients undergoing surgery for the repair of femoral hernia during the last 19 years were examined and reviewed in the light of previous studies evaluating the results of BassiniKischner repair. Methods: Patients undergoing surgery for femoral hernia between April 1988 and March 2007 were identified. The mode of admission, emergency vs. elective surgery, mean age, female to male ratio, hernia side and the preferred surgical technique were documented and long-term results of Bassini- Kischner repair were reviewed. Main Findings: A total of 141 cases were operated. Ninety-seven patients (69%) underwent elective surgery while 44 (31%) had emergency surgery. The methods used for repair were McVay method in 96 patients, BassiniKischner method in 31 patients, and mesh repair in 14. No cases of recurrence were determined either from patient records or during follow- up visits of patients who underwent Bassini- Kischner repair. Conclusions: Femoral hernias require emergency surgery more frequently and Bassini- Kischner repair is a simple technique and it may be preferred for the elective surgical treatment of femoral hernia