Crystallized phenol application and modified Limberg flap procedure in treatment of pilonidal sinus disease: A comparative retrospective study

Background/Objective: Pilonidal sinus treatment includes various surgical and minimally invasive procedures, but there is still no standard treatment. Flap reconstructions and minimally invasive treatment options such as crystallized phenol application have recently been in the center of interest. The aim of this study is to compare crystallized phenol application as a minimally invasive treatment with modified Limberg flap reconstruction from many aspects. Methods: Thirty-seven patients diagnosed with pilonidal sinus and treated with modified Limberg flap reconstruction, and 44 patients treated with crystallized phenol application were evaluated retrospectively in terms of age, sex, length of stay in hospital postoperatively, wound complications, and the cause and rate of recurrence. Results: Length of hospital stay was decreased and no postoperative incision problems were found in the group treated with crystallized phenol application (p  24.9 kg/m2) and surgical site infection were strongly correlated with recurrence rate (p < 0.001). Discussion: Crystallized phenol application is a good alternative to the modified Limberg flap procedure and other surgical procedures, because it has several advantages such as being a minimally invasive procedure performed under local anesthesia with higher success rate after multiple applications, decreased length of stay in hospital, and minimal scar tissue formation

The neutrophil-to-lymphocyte ratio as a diagnostic marker for malignant thyroid diseases Malign tiroid hastaliklarinda tanisal belirteç olarak nötrofil-lenfosit orani

© 2017, Turkish Biochemistry Society. All rights reserved.Background: The neutrophil-lymphocyte ratio (NLR) is a good marker of malignant diseases. The aim of this study was to investigate NLR as a diagnostic marker of thyroid cancer in patients with malignant thyroid diseases compared to those with benign thyroid diseases. Methods: Two hundred and fifty three patients were divided into two groups: benign and malignant thyroid disease patients. Malignant thyroid disease group was not sub-grouped further into differentiated and undifferentiated. The preoperative complete blood count and biochemical parameters, including NLR, were evaluated. Results: The mean neutrophil count was found to be significantly higher, whereas the mean lymphocyte count was found to be significantly lower in the malignant group which includes 40 of the patients. As a result, NLR was significantly higher in the malignant group than in the benign group (p < 0.001). Conclusion: This is the first study to show the value of NLR as a marker for malignant thyroid diseases including all subtypes

Crystallized phenol application and modified Limberg flap procedure in treatment of pilonidal sinus disease: A comparative retrospective study

Pilonidal sinus treatment includes various surgical and minimally invasive procedures, but there is still no standard treatment. Flap reconstructions and minimally invasive treatment options such as crystallized phenol application have recently been in the center of interest. The aim of this study is to compare crystallized phenol application as a minimally invasive treatment with modified Limberg flap reconstruction from many aspects. Thirty-seven patients diagnosed with pilonidal sinus and treated with modified Limberg flap reconstruction, and 44 patients treated with crystallized phenol application were evaluated retrospectively in terms of age, sex, length of stay in hospital postoperatively, wound complications, and the cause and rate of recurrence. Length of hospital stay was decreased and no postoperative incision problems were found in the group treated with crystallized phenol application (p 24.9 kg/m2) and surgical site infection were strongly correlated with recurrence rate (p < 0.001). Crystallized phenol application is a good alternative to the modified Limberg flap procedure and other surgical procedures, because it has several advantages such as being a minimally invasive procedure performed under local anesthesia with higher success rate after multiple applications, decreased length of stay in hospital, and minimal scar tissue formation

Diagnostic value of platelet/lymphocyte ratio and neutrophil/lymphocyte ratio in investigations for helicobacter pylori gastritis

Helicobacter pylori (HP) can cause many diseases and malignant conditions. In the stomach, HP causes mucosal injury and inflammation. We determined the association of the platelet/lymphocyte ratio (PLR) and neutrophil/lymphocyte ratio (NLR) with HP-positive and HP-negative gastritis severity. We retrospectively reviewed 234 patients who had undergone upper gastrointestinal endoscopy for the investigation of dyspepsia and reflux symptoms. The patients were divided into three groups according to the results of the histopathologic evaluation: HP-negative gastritis group, HP-positive gastritis group and control group (neither HP positivity nor gastritis). We routinely collected laboratory data, including complete blood count, from all the patients. The mean neutrophil count was higher and the mean lymphocyte count was lower in the HP-positive gastritis group than in the other groups. The mean platelet count was increased in all groups, but the lowest increase was seen in the HP-positive gastritis group. Both the NLR and PLR were higher in the HP-positive gastritis group than in the other groups. This is first study to determine that the PLR is a biomarker for HP-positive gastritis. Moreover, the PLR is superior to the NLR in patients with HP-positive gastritis