Factors Affecting the Choice of Treatment in Hepatic Hydatid Cyst Surgery

Objective We aimed to determine the effective factors in the selection of treatment methods for patients with hepatic hydatid cyst undergoing surgery and the variables effective when performing postoperative endoscopic retrograde cholangiopancreatography (ERCP). In addition, we aimed to reveal the factors affecting the recurrence, postoperative complications, and length of stay of these patients. Materials and methods A total of 107 patients diagnosed with hepatic hydatid cysts were treated surgically. Data were obtained from the records of these patients. Chi-square test was used for the analysis. The variables that were found to be significant in the chi-square analysis were included in the logistic regression (Backward: LR) analysis. Results Of all patients, 6.5% underwent the puncture, aspiration, injection, and reaspiration (PAIR) technique, 67.3% underwent conservative surgery, and 26.2% underwent radical surgical treatment. In paired comparisons, a significant difference was found among the ultrasonographic size of the cyst (p = 0.033), the radiological classification of the cyst (0.006), and history of previous surgery and treatment methods for the cyst. The risk of performing ERCP was 25.710 [95% confidence interval (CI): 1.721–284.013] folds higher for cysts located in the left lobe, whereas it was 19.992 (95% CI: 2.004–199.488) folds higher for cysts located in both right and left lobes. When the radical surgical treatment method was taken as a reference, the status of ERCP implementation was 29.785 (95% CI: 1.844–480.996) folds higher for PAIR and 3.628 (95% CI: 0.355–37.103) folds higher for conservative surgery. Conclusion In conclusion, radical surgery is a significant treatment for hepatic hydatid cyst as its ultrasonographic cyst size increases with time. The location and treatment method of the cyst increases the complication of biliary fistula and requires ERCP

Regular breast self-examination rates in women aged 40 and above and factors affecting this rate: a hospital-based cross-sectional study

It was aimed to determine the rate of not performing breast self-examination (BSE) every month and the factors affecting this rate. Data were collected using the face-to-face collection technique until the sample size of female patients aged 40 and above who presented to the outpatient clinic was completed. Women who had breast surgery were not included in the study. The dependent variable of the study was having performed BSE every month within the last year. Independent variables were sociodemographic, socioeconomic, and biodemographic characteristics. The incidence of not performing BSE regularly was 2.773 (CI:1.6064.791) times higher in women living in the town/village than those living in the city/district center, 3.390 (CI:1.4627.861) times higher in those with no formal education compared to those who received 5 or more years of education, 2.506 (CI:1.1335.543) times higher in patients who did not have a family history of breast cancer than in those who did, and 3.128 (CI:1.7505.592) times higher in those who did not receive BSE training from family health midwives than those who did. The factors for not performing periodic BSE were living in rural areas, having a low level of education, no family history of breast cancer, and not having received training from a family health midwife. [Med-Science 2022; 11(1.000): 220-3

Kolorektal hastalıklarda şikayet özellikleri

GİRİŞ ve AMAÇ: Kolorektal bölge (KRB) hastalıkları genel cerrahinin en sık karşılaşılan hastalık gruplarındandır. Hastaların şikayet tipleri ve süreleri, hastalara konulacak endoskopi endikasyonunu belirlediği gibi, hastalıkların prognozu ve yerleşim yerleri hakkında da ipucu verebilmektedir. Çalışmamızda, polikliniğimize başvuran ve alt gastrointestinal sistem (GİS) endoskopi uygulanan hastaların şikayet özellikleri ile saptanan hastalıklar arasındaki ilişki ortaya konulmaya çalışıldı. YÖNTEM ve GEREÇLER: Karın ağrısı, dışkılama alışkanlığında değişim, rektal kanama ve halsizlik şikayetleri ile genel cerrahi polikliniğine başvuran ve alt GİS endoskopisi uygulanan hastaların dosyaları retrospektif incelendi. Hastalar; yaş, cinsiyet, şikayet tipleri ve alt GİS endoskopisi sonuçları incelenerek, patoloji sonucu benign ve malign olanlar ile malignite saptanan gruptaki tümörlü kolon segmentine göre şikayet tipleri karşılaştırıldı. BULGULAR: Çalışmadaki 830 hastanın 140’ında malignite saptandı. Malignite saptanan gruptaki yaş ortalaması benign hastalık grubundan daha yüksek iken (p&lt;0.001), cinsiyet dağılımı homojen idi (p: 0.741). Malignite grubunda özellikle dışkılama alışkanlığında değişim gösterme özelliğinin, benign hasta grubunda ise kanama ve karın ağrısı şikayetlerinin anlamlı şekilde yüksek olduğu gözlendi (p&lt;0.001). Malignite saptanan hastalar kendi içinde değerlendirildiğinde; cinsiyet dağılımında anlamlı fark gözlenmezken (p: 0.310), tümörlü kolon segmentinin anlamlı şekilde rektosigmoid bölgede daha fazla saptandığı görüldü (p&lt;0.001). Rektosigmoid bölge tümörlerinde özellikle dışkılama alışkanlığında değişim ve dışkı kalibrasyonunda incelme en sık saptanan bulgu iken, sağ kolon tümörlerinde kanama, anemi ve halsizlik en sık şikayet olarak karşımıza çıkmaktaydı (p&lt;0.001). TARTIŞMA ve SONUÇ: Özellikle dışkılama alışkanlığında değişim ve dışkı kalibrasyonunda incelme şikayeti ile başvuran 59.5 yaş ve üzeri hastalarda, rektosigmoid bileşkede daha sıklıkla görülmekle birlikte malign hastalıklar düşünülmeli ve alt GİS endoskopisi tanı yöntemlerine başvurulmalıdır.</p

Blood Group Characteristics in Colorectal Cancers

Aim:Colorectal cancer (CRC) is the third most common cancer in the world. Tumors are most commonly located in the rectosigmoid region. There are many factors in the etiology such as age, geographical features, family history, obesity, diet, and history of malignancy. In the present study, we aimed to determine the effect of blood group characteristics, which play a role in the etiology of stomach cancer, on the etiology of CRC.Method:We retrospectively reviewed the files of patients who were diagnosed with CRC and operated in our center or at other centers and were followed postoperatively at our centers. Age, gender, histologic TNM stage (tumor, lymph node involvement, and metastasis), tumor-bearing colon segment, ABO blood group, and Rh antigen were examined from the patients’ records.Results:There were 265 (54.5%) patients with lymph node involvement and 53 (10.9%) with liver metastasis. The most common tumor location was the rectum (n=203). When the blood group and Rh antigen subgroups were examined, blood group A was detected in 253 patients (52.1%), blood group B in 115 patients (23.7%), blood group O in 78 patients (16%), and blood group AB in 40 patients. The incidence of colon cancer was found to be significant in patients with A (+) blood group (p&lt;0.001).Conclusion:As in stomach cancer, our findings show that the A (+) blood group is a risk factor in colorectal cancers, which have multifactorial etiology. Further genetic studies are needed.Keywords:&nbsp;Colorectal cancer, ABO blood group, Rh antigen</p