Pure SILS Floppy Nissen Fundoplication with Hiatal Repair: A Case Report

Background. Single-incision laparoscopic surgery has recently became popular on behalf of inventing less invasive procedures. In this paper, we present a case of Pure SILS Nissen Fundoplication. Patient and Methods. In February 2010 a 29-year old male patient with a 4 cm sliding hiatus hernia presenting with reflux symptoms had undergone a standard floppy Nissen Fundoplication with a hiatus repair via single 2 cm incision in umbilicus. Results. The procedure had obeyed the standard natural orifice surgery rules, and no needlescopic assistance for any stage of the operation was used so to be a pure single-incision procedure. The operation lasted for 120 minutes without any need of conversion, and the patient was discharged the following day of operation. Conclusion. In the recent time, hybrid single incision laparoscopy techniques have been defined with the use of extra-abdominal supplements for retraction of liver or stomach for Nissen procedure. In addition the main issue in single-incision upper GI and/or hiatus surgery is still the retraction of liver. We succeeded to retract the left lobe of liver through the incision and completed the operation without any need for supplemental access besides the umbilical incision till the end. SILS Hiatus Surgery can be safely and effectively done but the issue needs further clinical studies to state the efficacy when compared to standard laparoscopy

Two Different Bifurcation Lesion Techniques In The Same Patient After Acute Coronary Syndrome.

13th International Congress of Update in Cardiology and Cardiovascular Surgery (UCCVS) -- MAR 23-26, 2017 -- Cesme, TURKEYWOS: 000407309200080

Limnoecological relationships between water level fluctuations and Ostracoda (Crustacea) species composition in Lake Sunnet (Bolu, Turkey)

The ecological characteristics of ostracods in Lake Sunnet were monitored monthly between May 2005 and September 2007; 9 living and 5 subfossil ostracod taxa were recorded. Among the species, Ilyocypris getica was reported in Turkey for the first time; while Stenocypria fischeri was found for the second time in the country in 55 years. The most abundant species, Limnocythere inopinata, was collected in dry and wet months, while I. bradyi was the only species found in only the wet months. The 9 species clustered into 3 groups based on their ecological preference. Species composition and occurrences were closely related to the lake water level fluctuation, from 7 to 13 m within a year. These fluctuations played a significant role in changes in the physicochemical characteristics of the lake, along with ostracod species composition (P < 0.01). A strong negative correlation (P < 0.05) between precipitation and both ambient temperature and SO4 was also interpreted as the outcome of such fluctuations. The number of species corresponded with salinity changes. Most of the ostracod species appearing in Lake Sunnet were tolerant to the large water level fluctuation. These results correspond with the idea of 'pseudorichness,' when species composition is dominated by cosmopolitans over noncosmopolitans, an indication of low water quality in a lake. Changes in the lake have been accelerated by anthropogenic activities such as water diversions for chicken farms and agricultural fields during dry climatic conditions. The occurrence of these activities appears to have produced seasonal differences in the lake's water quality and species composition

Ductus arteriosus aneursym causing hoarseness which is the best treatment option; surgery or endovascular?

WOS: 000392631500025PubMed ID: 27665349