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Aim: The aim of this study was to compare the results of patients who underwent primary excision of the pilonidal sinus with open excision (GE), wide excision primary closure (PC) and flap application (F). Materials and Methods: The data of 249 patients were evaluated retrospectively. Twelve of these patients were excluded because of recurrent disease. 101 patients had GE, 68 had PK and 68 had F. Demographic characteristics, duration of symptoms, characteristics of gluteal cleft, perioperative complications, duration of surgery and hospital stay, drain use and dressing status, pathological volume, distance to anus, and recurrence of the disease were recorded. Results: Mean operative time was 32.62 ± 9.65 in the GE group; 53.23 ± 15.40 in the PK group; In the F group, it was 76.69 ± 17.00 minutes (p

Amac: Bu calismada, morbid obezite tanili hastalarda tedavi amaciyla uygulanan LSG’nin kilo kaybi ve yandas hastaliklarin tedavisinin yani sira metabolik ve hormonal mekanizmalar uzerindeki etkinliginin, operasyon oncesi ve operasyon sonrasi donemdeki hormon duzeyleri karsilastirilarak irdelenmesi amaclandi. Gerec ve Yontemler: Mayis 2013-Mayis 2014 tarihleri arasinda, LSG uygulanan 38 hasta calismaya dahil edildi. Prospektif olan bu calismada hastalarin demografik verileri, yandas hastaliklari, takipte kilo kaybi, morbidite ve mortalite oranlari, operasyon oncesi ve sonrasi insulin duzeyleri ile operasyon oncesi ve operasyon sonrasi sekizinci haftadaki leptin ve grelin hormonlarinin duzeyleri irdelenerek karsilastirildi. Bulgular: Calismaya dahil edilen 38 hastadan 32’si (%84.2) kadin, altisi (%15.8) ise erkekti. Operasyon oncesi alinan kandaki leptin duzeylerinin ortalamasi 11.16 ng/mL iken, operasyon sonrasi sekizinci haftadaki hormon seviyesi 4.39 ng/mL olarak belirlendi. Grelin duzeylerine bakildiginda ise; operasyon oncesi ortalama 25.72 pg/mL iken, operasyon sonrasi sekizinci haftadaki hormon seviyesi 14.16 pg/mL olarak belirlendi. Operasyon oncesi ortalama vucut kitle indeksi (VKI) 44.3, operasyon sonrasi sekizinci haftada ise 36.6 olarak belirlendi. Hicbir hastada mortalite gerceklesmedi. Sonuc: LSG, gunumuzde mukemmel kilo kaybi saglamasi ve kabul edilebilir oranlarda dusuk komplikasyon riskleri nedeniyle morbid obezite tedavisinde tek basina uygulanan bir cerrahi teknik haline gelmistir. Calismamizin sonuclarina baktigimiz zaman; bu ameliyat tekniginin sadece restriktif degil, ayni zamanda metabolik degisikliklere neden olarak da kilo kaybindaki devamliligi sagladigi kanaatindeyiz.

Aim: The aim of this study was to determine whether minimally invasive parathyroid surgery has any positive impact on cosmesis.Materials and Methods: This case control study included 28 parathyroidectomized patients, who had been operated between January 2006 – December 2008. All patients were called back for at least 8 months after surgery. Demographics were recorded. Minimally invasive parathyroidectomy versus conventional parathyroidectomy were compared by means of skin features (using Fitzpatrick’s classification), results of patient and independent observer scar assessment scales and photographic scar analysis by the blinded plastic surgeon.Results: There were no differences in demographics and Fitzpatrick’s classification between both groups. As expected, incision length of the minimal invasive group was significantly shorter (2.6 ± 0.5cm vs. 4.9±1.0 cm, p=0.02). Meanwhile, no significant difference in objective outcomes of patients between groups was recorded. There was also no significant difference in photographic scar analysis between groups, while independent observer scar assessment scale scores were better in the minimal invasive group (p=0.03). Conclusion: Although superior results of an independent observer, assessment of cosmesis by the plastic surgeon and the patient him/herself revealed no superiority of the minimally invasive approach, when compared to conventional parathyroid surgery.