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Objective: Considering the role of nurses in the postoperative care of patients, simple nursing interventions can prevent gastrointestinal motility problems. This study aimed to assess the impact of viewing food images on the recovery of intestinal motility after surgery in patients who were operated for rectal cancer. Methods: This quasi-experimental study was carried out with 48 patients who underwent rectal surgery in the general surgery clinic of a university hospital in Türkiye from May 2016 to December 2018. The control group had 25 participants and the experimental group had 23. From the first morning after surgery until defecation, patients in the experimental group were asked to monitor food pictures thrice a day, parallel to their meals. Results: In the experimental group, patients’ first flatus (3.30 ± 1.52, day) and defecation time (4.91 ± 1.27, day) were significantly shorter compared with the first flatus (4.28 ± 1.64, day) and defecation time (5.84 ± 1.40, day) of the control group (respectively; p = 0.037, p = 0.027). Conclusion: Monitoring food images supports the cephalic phase and could be a nursing intervention to speed up intestinal functions by increasing the release of gastrointestinal hormones and activating the parasympathetic nervous system. To accelerate bowel motility after rectal surgery, displaying the food images to the patients is a very simple intervention with low risk and cost and nurses should use it in the care of the patients who underwent surgery because of rectal cancer. It is recommended that further studies examining the effectiveness of monitoring food images on gastrointestinal surgeries should be performed.

Objective:Postoperative pulmonary complications (PPC) are one of the most important causes of postoperative morbidity and mortality. The ARISCAT Risk Index is a seven-variable regression model that classifies patients as low, intermediate, and high risk and is used to estimate the overall incidence of postoperative pulmonary complications. In our study, we aimed to evaluate the effectiveness of ASA and ARISCAT index in predicting pulmonary complications in after laparoscopic abdominal cancer surgery. Materials and Method:After the approval of Hospital Ethics Committee, 100 patients scheduled to have major laparoscopic abdominal cancer surgery were included in the study. Preoperative ASA and ARISCAT score, comorbidities, intraoperative fluid amount, ventilation parameters, pneumoperitoneum pressure and duration of surgery were recorded. Patients were followed up for pulmonary complications until discharge from hospital. The length of hospital stay was recorded. Results:Pulmonary complications developed in 11 patients postoperatively. PPC incidence was found similiar within ASA and ARISCAT risk groups (p> 0.05). There was no significant correlation between ASA and ARISCAT risk index and PPC (p= 0.23 and p= 0.89, respectively). The number of fluids administered intraoperatively was significantly higher in patients who developed PPC (p= 0.018). There was a significant correlation between sugical site and PPC development (p= 0.012). The duration of surgery and length of hospital stay was longer in patients with PPC (pË,0.05). Conclusion:We found that both ASA score and ARISCAT risk index are not sufficient to predict postoperative pulmonary complications in laparoscopic major abdominal cancer surgery, and the surgical site, long operation time and the volume of fluid used intraoperatively are important independent risk factors for pulmonary complications. [ABSTRACT FROM AUTHOR]

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Anorectal injuries are rarely seen in children. These injuries may sometimes lead to peritoneal contamination and result in severe clinical manifestations. Herein, we present a 14-year-old male patient who presented with symptoms of septic shock and was diagnosed with rectal perforation occurring after a fall from a hammock. The patient underwent sigmoid colostomy. In order to decrease the morbidity and mortality from anorectal traumas, an early and accurate diagnosis as well as detection and treatment of additional organ injuries are required. Therefore, atypical presentations should be born in mind. [ABSTRACT FROM AUTHOR]

Different foreign bodies were found in rectum in three male patients, whose ages were 25, 66 and 67. These foreign materials were iron stick, special wooden stick and tea cup. In two patients, materials were taken out under general anesthesia in lithotomy position and the other one in knee-elbow position by anal dilatation under local anesthesia with sedation. In two patients there were not any complications related with the treatment method but one of them had superficial lacerations on rectal mucosa. All of the patients were discharged after 24 hours observation. Foreign bodies in rectum and sigmoid colon is increasingly being seen recently and is one of the significant surgical emergency problems due to the complications it may cause. [ABSTRACT FROM AUTHOR]

Objective: Our aim is to evaluate rectal prolapse cases retrospectively to emphasize the laparoscopic aproach. Materials and Methods: Between 2003 and 2009 16 patients (8 man-8 woman) with rectal prolapse were operated at Firat University Medical Faculty Hospital. Patients age, race, symtoms, surgical technics, morbidity and mortality were recorded. The degrees of the rectal prolapse were clasified according to AItemeier's metod. The meshes used were polypropylene. Results: Mean age was 55.7 (19-80) years. Patients underwent Ripstein procedure (n=3), rectopexy (n=3), Notaras procedure (n=10, 4 was laparoscopic). Mean follow up time was 28.6 (3-68) months. The five patiens who had incontinance 3 were improved and 2 had difjculties to control gas. One recurrence (mucosal prolapse) was seen in a patient whom rectopexy was performed. Conclusion: The etiology and the treatment of rectal prolapse are not clear yet. Notaras procedure can be prefered laparoscopicly. [ABSTRACT FROM AUTHOR]

Objective Foreign objects placing in anal canal, rectum and sigmoid constitute one of the important problem requiring emergency surgical intervention due to its complications. We aimed to present a case of rectal foreign body with urinary retention in the light of current literature. Case report: In a 69 years old man who admitted to our department with a rectal foreign body which used for inducing the defecation and pass through the rectum with transanal way, urinary retention was determined. Foreign body which was not caused any complication such as perforation was removed with nonoperative technique. Conclusion: Primarily non-surgical methods must be used for removing the rectal foreign bodies which are not caused to complications such as perforation. [ABSTRACT FROM AUTHOR]