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Copyright of Current Retina Journal / Güncel Retina Dergisi is the property of Anadolu Kitabevi Basim Yayim Medikal Turizm Kirtasiye Tic. Ltd. Sti. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Health & Nursing Management / Sağlık ve Hemşirelik Yönetimi Dergisi is the property of Logos Medical Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of MN Opthalmology / MN Oftalmoloji is the property of Medical Network and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: aim of this study was to investigate the long-term clinical, functional and oncologic outcomes of patients with aneurysmal bone cyst (ABC). It was also aimed to reveal the effect of treatment options on recurrence and complications. Materials and Methods: Patients who underwent surgical treatment and follow-up with the diagnosis of ACS between 2000 and January 2023 were included in the study. Data were collected retrospectively using the hospital database and patient follow- up files. Only patients with a histologically confirmed diagnosis of ABC and a minimum follow-up period of 12 months were included in the study. Data such as age, gender, side, bone location of the tumor, extremity localization, preferred surgical method (curettage+allograft, curettage+allograft, curettage+autograft, curettage+cement and resection), whether internal fixation was applied, follow-up period, presence of recurrence and date of recurrence were recorded. The last follow-up was performed with the MSTS (Musculoskeletal Tumor Society) scoring system in outpatient clinic controls. On the basis of these data, the clinical, radiological, functional and oncological outcomes of the patients, complication rates, presence of recurrence and factors affecting the occurrence of recurrence were retrospectively analyzed. Results: A total of 103 patients, 51 women and 52 men, were included in the study. The mean follow-up period was 30.94±4.43 months. Recurrence was seen in 24.3% (n=25) of the patients. The age of patients with recurrence was significantly higher than those without recurrence (p<0.001). There was a statistically significant correlation between recurrence and internal fixation (p=0.020). The MSTS scores of patients who underwent internal fixation during surgery were significantly higher than those of patients who did not undergo internal fixation (p<0.001). Conclusions: In conclusion, in line with the data obtained in our study, the choice of treatment for aneurysmal bone cysts depends on localization, size, pathological fracture risk, symptoms and surrounding tissues. We believe that more caution should be exercised in the surgical treatment of ACCs with fracture risk, lower extremity localizations, and patients with incomplete skeletal development. Prevention of recurrence and internal fixation in patients with fracture risk increase patient satisfaction and positively affect functional outcomes. [ABSTRACT FROM AUTHOR]

Amaç: Ayak bileği dorsifleksiyon güçlüğü nörolojik yolaklarda çeşitli seviyelerdeki hasar sonucu ortaya çıkabilir. Düşük ayak kliniğinin cinsiyet ve yaşa göre de farklı etiyolojik nedenleri olduğu bilinmektedir. Ancak epidemiyolojik veriler sınırlıdır. Bu çalışmada düşük ayak kliniği ile başvuran ve tanısı elektrofizyolojik olarak doğrulanan hastaların demografik, klinik etiyolojik ve elektrofizyolojik özelliklerinin araştırılması amaçlanmıştır. Materyal ve Metod: Nörofizyoloji laboratuvarına düşük ayak ön tanısı ile yönlendirilen ve elektromiyografi (EMG) ile tanısı doğrulanan hastaların verileri retrospektif olarak incelendi. Demografik bilgileri, motor ve duyusal semptomları, nörolojik muayene bulguları, elektrofizyolojik incelemeleri ve semptom başlangıcından EMG yapılana kadar geçen süre açısından değerlendirildi. Hastalar öykülerinde yer alan etiyolojik faktörlere göre sınıflandırıldı. Elektrofizyolojik incelemelerine göre etkilenen sinir ve taraf bilgileri kaydedildi. Bulgular: Çalışmaya 55'i (%44) kadın, 107'si (%66) erkek olmak üzere 162 hasta dahil edildi. Hastaların yaşlarının ortanca değeri 37,00 (5-85) idi. Hastalar semptom başlangıcından sonra EMG laboratuvarına başvurma sürelerinin ortanca değeri 4,00 (1-108) ay idi. Elektrofizyolojik olarak en çok etkilenen sinir peroneal+tibial (%37, n=60) sinirdi. Bunu izole peroneal sinir (%27.8, n=45) takip ediyordu. Etiyolojide ise en sık travmaya (%37, n=61) bağlı düşük ayak geliştiği görüldü. Kadın hastalarda cerrahi komplikasyonlara (n=11, %20), erkek hastalarda travmaya bağlı (n=45, %42,1) düşük ayak kliniği anlamlı olarak (p=0,037) daha sık saptanmıştır. Yaş ile etiyolojik nedenler arasında ise anlamlı farklılık yoktu (p=0,306). Sonuç: Düşük ayak kliniği günlük yaşamda çeşitli derecelerde özürlülüğe sebep olması nedeni ile önemlidir. Düşük ayak kliniğinde en sık etkilenen sinirler peroneal ve tibial sinirlerdi. Erkek cinsiyet travma, kadın cinsiyet ise cerrahi komplikasyonlara bağlı gelişen düşük ayak kliniği ile ilişkiliydi. Nöromusküler yolaktaki herhangi bir yaralanma bu kliniğe neden olabileceğinden bu hastalarda kapsamlı bir araştırma yapılması gerekmektedir. [ABSTRACT FROM AUTHOR]

Copyright of Ahi Evran Medical Journal is the property of Ahi Evran University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ümraniye Pediatri Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Pyoderma gangrenosum is a rapidly progressing rare systemic disease that is characterized by idiopathic chronic skin changes and can be seen with systemic diseases. In rapidly progressive lesions following surgery, it is vital to differentiate pyoderma gangrenosum from necrotizing soft tissue infections in which the primary treatment is debridement. In this report, we present a case of pyoderma gangrenosum with pulmonary involvement whose medical condition worsened after serial debridements were performed because of a misdiagnosis of necrotizing fasciitis. [ABSTRACT FROM AUTHOR]

Background: The aim of our study is to compare laparoscopic and abdominal myomectomies performed in our clinic and to evaluate the feasibility and safety of laparoscopic myomectomies. Materials and Methods: In this study, we retrospectively evaluated 314 cases who were threated with myomectomy operation in our clinic between 2012-2022. All of the cases were divided into two groups with respect to the surgical procedure performed. 314 patients were in the abdominal myomectomy group, 47 patients were in the laparoscopic myomectomy group and the groups were compared. Results: There was no statistically significant difference between the groups in terms of demographic data (p>0.05). When the groups were evaluated in terms of postoperative white blood cell(WBC), hemoglobin, hematocrit, platelet values, operation time, hospitalisation time, postoperative blood transfusion and perioperative complications, no statistically significant difference was observed (p>0.05). There were no statistically significant difference in terms of preoperative WBC and CRP values between the groups, but postoperative WBC and CRP values were lower in the laparoscopic myomectomy group (p<0.05). Conclusions: Laparoscopic myomectomy has a short recovery time and aesthetic advantage. However, equipment and the need of experienced surgeons limit its applicability. With the development of laparoscopic technologies and increasing the experience of surgeons with laparoscopic surgery, it will provide a serious advantage over the abdominal method in terms of less blood loss, less hospital stay, shorter operation times, less trauma and better cosmetic results. [ABSTRACT FROM AUTHOR]

Background: The patency rate of Polytetrafluoroethylene (PTFE) grafts used in patients with modified right lobe implants in Living Donor Liver Transplantation (CVKN) was evaluated over time. In addition, factors affecting patency rate, problems that may develop after early occlusion, and possible graft-related complications were examined. Materials and Methods: 168 patients aged between 17-74 who underwent surgery in 2013-15 were included in the study. Venous phases of Multislice Computed Tomography (MSCT) taken during postoperative follow-ups were analyzed retrospectively. The occlusion times of the PTFE grafts used in the patients and the congestion in the segment drained by these grafts were evaluated. Graft-related complications, Graft Recipient Weight Ratio (GAAO) values, and postoperative 1-month laboratory findings were also included in the study. Results: The patency rate of the PTFE graft used was lower when compared to the cryoprecipitated graft studies. There was no significant difference between graft localization and patency time. There was no significant correlation between the patients' height, weight, BMI, liver graft weight (KGA) and graft recipient weight ratio (GAAO) and initial congestion, first occlusion, and time of all vein occlusion. A correlation was found between GAAO values and patency times of thrombosed grafts during follow-up. There was no significant relationship between the PTFE graft diameter used and the patency time. The patency status according to the reasons for transplantation was also examined, but no significant difference was found. Conclusions: Due to the high early patency rate of PTFE grafts, they can be used for reconstruction purposes only in the absence of cryoprecipitated grafts, but keeping in mind the current complication potential. [ABSTRACT FROM AUTHOR]

Background: In this study, we aimed to compare the perioperative outcomes and complications of Olympus and Karl Storz bipolar transurethral bladder resection in the treatment of bladder tumors in non-invasive bladder cancer patients. Materials and Methods: After obtaining approval from the Ethics Committee (Decision No. 2023/5-17), all patients who underwent transurethral bladder tumor resection using Olympus and Karl Storz bipolar systems between January 01, 2019 and February 28, 2023 were evaluated. The demographic data of the patients, transfusion requirement, tumor size, and perioperative complications were compared. Results: It was observed that out of the 75 patients included in the study, 45 were operated on with Olympus, and 30 were operated on with Karl Storz. In the Olympus group, the change in hemoglobin (hgb) was found to be 1.11±0.61 gr/dl, while in the Karl Storz group, it was 1.35±0.82 gr/dl, and no statistically significant difference was observed (p= 0.180). Tumor size was 3.20±1.55 cm in the Olympus group and 4.20±2.79 cm in the Karl Storz group. Similarly, no statistically significant differences were found between the two groups in terms of obturator reflex, presence of bladder perforation, blood transfusion, and postoperative clot retention. Conclusions: The use of both bipolar systems' technology is safe and effective in the transurethral resection of non-invasive bladder cancer. [ABSTRACT FROM AUTHOR]

Background: Chylothorax following congenital heart surgery is a potentially serious complication that requires early diagnosis and treatment. The aim of this study is to review our experience with the treatment of chylothorax occurring in the early period after congenital heart surgery. Materials and Methods: The records of patients who developed postoperative chylothorax among 1215 patients who underwent surgery for congenital heart disease in our hospital between March 2017 and February 2023 were retrospectively reviewed. Results: Seventeen patients, 11 of whom were male, who developed postoperative chylothorax were included in the study. The median age was 7.5 months, and the median body weight was 6.4 kilograms. Surgical procedures were aortic coarctation repair (five), Glenn operation (four), Tetralogy of Fallot repair (two), Fontan operation (one), atrioventricular canal defect repair (one), ventricular septal defect closure (one), vascular ring repair (one), patent ductus arteriosus ligation (one), and right modified Blalock-Taussig shunt in one patient. The median amount of lymphatic drainage was 4.6 ml/kg/day (2.3 to 8.1 ml/kg/day) and the median lymphatic drainage time was 16.5 days (5 to 38 days). After the chylous fluid drained, total parenteral nutrition and enteral medium-chain triglyceride diet were given. Octreotide was used additionally in 82.4% of the patients. After the chylous fluid drainage stopped, the patients were given a medium chain triglyceride diet for 6 weeks. One patient died due to sepsis. Conclusions: Chylothorax is a complication that causes morbidity after cardiac surgery. Morbidity can be reduced if a correct algorithm determined by the clinic is followed. [ABSTRACT FROM AUTHOR]

Copyright of Balikesir Health Sciences Journal / Balıkesir Sağlık Bilimleri Dergisi is the property of Balikesir Health Sciences Journal (BAUN Health Sci J) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Massive arterial gas embolism is a complication that has a low probability of occurring during cardiac surgery but can cause high mortality and morbidity. It is very important that the surgical, anesthetic, and perfusion teams cooperate in the management of massive gas embolisms. In this article, we discuss the successful management of a massive air embolism that occurred during cardiopulmonary bypass. The patient was discharged from the hospital without complications on the 7th postoperative day. The article emphasizes the importance of a careful anesthesiologist monitoring the surgical field during surgery. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Academic Research in Nursing (JAREN) is the property of Hemsirelikte Egitim ve Arastirma Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Intrarenal resistive index (RI) in doppler ultrasonography (DUS) after renal transplantation (RT) is a sensitive indicator of kidney graft function. In our study, we aimed to investigate the predictivity of RI in the first three postoperative days in determining complications. Material and Method: Seventy two adult recipients (54 males, 18 females) who underwent live-to-live renal transplantation and had no intraoperative complications were included in the study. The relationship between the mean RI values obtained in the first three days after transplantation, and recipients' gender, age, body mass index (BMI), comorbidities, postoperative complications in the first three months, serum creatinine values at the end of the third month, duration of dialysis, ischemia time of the transplanted kidney, human leukocyte antigen (HLA) mismatch values, survival and graft loss status, the age of the donors were evaluated. Results: The mean age of the recipients was 33 (15-68) years, with a mean BMI of 21.95 (16.7-42) kg/m2. Postoperative complications were developed in 20 (27.7%) patients. RI was higher in patients with cardiovascular complications compared to those without complications and this difference was statistically significant (p =0.022). A statistically positive correlation was found between RI and recipient age (r =0.278). In multivariate logistic regression analysis, RI>0.65 was determined as an independent risk factor for the development of complications (OR= 7.111, 95% CI=1.965-25.727, p =0.003). Conclusion: An RI>0.65 in the first three days after renal transplantation is an independent risk factor for complications in the first 12 weeks. [ABSTRACT FROM AUTHOR]

Copyright of MN Opthalmology / MN Oftalmoloji is the property of Medical Network and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: this study, we aimed to investigate the efficacy and safety of (Retrograde Intrarenal Surgery) RIRS in patients over 65 years of age. Materials and Methods: 107 patients over 65 who underwent RIRC in our clinic were evaluated retrospectively. The patients were divided into two groups, according to whether there were complications (Group 1: without complications, Group 2: with complications) and according to age (Group 1: 65-74 years, Group 2: 75 years and above). The groups were compared with each other regarding stone-free rate, complication rate, stone characteristics, and hospital stay. Results: When divided into groups according to age, no difference was observed between group 1 (65-74 years old) and group 2 (75 years and older) in terms of American Society of Anesthesiogists score, stone size, number of stones, and Hounsfield unit of the stone. On the other hand, it was observed that the hospital stay and complication rate of group 2 were higher than group 1. (p value 0.01 and 0.02, respectively). The patients were divided into two groups according to whether there were complications. There was no significant difference in ASA score, Hounsfield unit of stone, and stone-free rate between group 1 (without complications) and group 2 (with complications). (p value respectively: 0.127, 0.915, 0.379 ) Conclusions: The number of elderly patients with kidney stones is increasing day by day. The most appropriate and reliable treatment modalities gain importance in treating kidney stones in these patients. The result of our study revealed that RIRC is an effective and safe procedure in geriatric patients with kidney stones. [ABSTRACT FROM AUTHOR]

Copyright of Balikesir Health Sciences Journal / Balıkesir Sağlık Bilimleri Dergisi is the property of Balikesir Health Sciences Journal (BAUN Health Sci J) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: In this study, it was planned to examine the clinical findings that may be caused by thyroid nodules of 6 cm and above, which are rarely seen, and the rates of postoperative complications (hematoma, cord paralysis, permanent hypocalcemia, tracheostomy) of these nodules. Materials and Methods: The study was conducted on 23 patients with nodules of 6 cm and above among all patients who underwent total thyroidectomy between 2020-2021. Demographic information of the patients was recorded and computed tomography was performed on all patients. The patients were followed up in the short and long term in terms of complications in the postoperative period, and all complications were recorded. Results: Twenty-three patients with a thyroid nodule size of 6 cm or more were analyzed retrospectively. In 9 (39.1%) of 23 patients, signs of airway obstruction were observed in neck CT (Computerized tomography). It was determined that the thyroid gland showed substernal extension in 2 (8.6%) patients. While no permanent complications were observed in any of the patients, temporary complications were observed in 5 patients (21.7%). Conclusions: Thyroid nodules of 6 cm and above are less common in the thyroid gland. In patients with thyroid nodules of 6 cm or more, thyroidectomy is essential for reasons such as airway obstruction, risk of malignancy, and aesthetic concerns. Increasing the size of the thyroid gland increases the risk of complications after surgery, but this rate can be minimized with appropriate surgical technique and close follow-up. [ABSTRACT FROM AUTHOR]

Copyright of Balikesir Health Sciences Journal / Balıkesir Sağlık Bilimleri Dergisi is the property of Balikesir Health Sciences Journal (BAUN Health Sci J) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Pilonidal sinus disease (PSD) is an inflammatory condition that mostly affects young people and adults, with a higher incidence in males. Many conservative and surgical methods have been de- scribed for the treatment of PSD, but there is still no method accepted as the ideal treatment, and most importantly, no treatment method can eliminate the risk of recurrence of the disease. Materials and Methods: The files of 49 patients who were operated on for PSD in our clinic between June 2016 and November 2021 were reviewed retrospectively. The patients were divided into 2 groups who were operated with the Karydakis flap (KF) method and Excision of the sinus with primary closure (EPC) method. Results: While the CF group returned to normal life in an average of 7.52 days, the EPK group was able to return in 11.53 days. Complications developed in 2 (8.7%) patients in the KF group, whereas 5 (19.2%) patients had complications in the EPC group. There was no statistically significant difference. Conclusions: Both the KF method and the EPC method are acceptable and safe in the treatment of PSD, but our study showed that the KF method is more effective. [ABSTRACT FROM AUTHOR]

Copyright of MN Opthalmology / MN Oftalmoloji is the property of Medical Network and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of MN Opthalmology / MN Oftalmoloji is the property of Medical Network and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Archives of Lung is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Chronic thromboembolic pulmonary hypertension is a chronic progressive disease developing obstruction ocurring in pulmonary vascular bed. Pulmonary endarterectomy is the surgical procedure described in the management of chronic pulmonary hypertension which excises, and removes the obstructing thromboembolic material from the affected vascular structures. Our aim is to share our approaches to the management of anesthesia and complications in pulomanry endarterectomy operations performed in our center. Methods: The data of 200 PEA cases conducted in June 2017-2020 were retrospectively analyzed. The demographic data of the patients, preoperative pulmonary function tests, cardiac catheterization findings, peroperative cardiac output measurement values, aortic cross clamp, extubation, intensive care unit, and hospital stay times and complications were recorded. Results: Average age of the patients’ ages was 50.8 years, and female/male ratio was 108/92. In the thermodilution measurements of the patients after induction, mean values of CO, PVR and mPAP were determined as 4.4 l/min, 594 dyn/s/cm-5, 40 mmHg, respectively. The corresponding measurements made after the sternal closure were stated as 6 l/min, 241 dyn/s/cm-5 and 28 mmHg, respectively. The patients were hospitalized in the intensive care unit for 4 days. In our patient group residual pulmonary hypertension occurred in 21%, reperfusion pulmonary edema in 10% and pulmonary bleeding in 4% of the cases. Conclusion: Only a very few centers in the world are experienced in PEA surgery. Anesthesia management and treatment of the complications of PEA surgery are quite difficult. Therefore, PEA surgery shl be performed in experienced centers. [ABSTRACT FROM AUTHOR]

Objective: In this study, the importance of indication, preparation, process, results and liver transplant timing were rewieved in patients who underwent liver transplantation due to Tyrosinemia Type 1 (HT-1) and the suspicion of hepatocellular carcinoma (HCC). Material and Methods: All patients who underwent liver transplantations due to HT-1 in our clinic were included in the present study. The demographic findings, preoperative alpha-fetoprotein (AFP) levels and tomography/MRI findings of the patients and live donors were examined. Indications for surgery were questioned. The presence of HCC, tumor grade, extention and burden in the hepatectomy materials were recorded. The postoperative complications, the recurrences of HCC and the survival rates were investigated. Results: A total of 11 patients with Tyrosinemia Type1, 6 of whom were female and 5 were male, with an median age of 8.5±7 years and a median weight of 30.6±23.4 kg were included in this study. The mean AFP value before surgery was 10.682±22.612 U/ml (R: 8-76000). AFP value was within normal limits in only one patient. HCC was not detected in three patients transplanted due to liver failure. In seven (87%) of 8 patients who were transplanted with the diagnosis of HCC, HCC was determined. Multifocal lung metastases were detected in one at the postoperative sixth month. The average follow-up time after transplantation is 4.6±3.4 years and all patients are still alive. Conclusion: Living donor liver transplantation is a curative treatment method in HT-1 patients with liver failure findings or the diagnosis of clinical or radiological HCC. The patients should be carefully selected because of the possible complications and mortality of the liver transplantation, lifelong immunosuppression usage and the fact of requirement for a re-transplantation in a long-term period. [ABSTRACT FROM AUTHOR]

Background: Endoscopic retrograde cholangiopancreatography (ERCP) is used in the diagnosis and treatment of benign and malignant pathologies of the biliary tract and pancreas. ERCP is a complex application that requires knowledge, skills and practice. It differs from other endoscopic applications with the use of different techniques and equipment and possibility of more complications. Our aim in this study is to share the 19-month experience of a general surgery of ERCP unit. Materials and Methods: This study retrospectively evaluated 513 patients that were diagnosed with cholestasis, obstructive cholangitis / pancreatitis or bile leakage between May 15, 2019 and December 31, 2020 and were applied ERCP in clinical, medical and radiological data. Results: The age distribution of the participants was between 18-109 and the mean age was 58.54 ± 20.16 years. The gender distribution was 356 women (69.4%), 157 men (30.6%). The most common diagnoses were cholestasis, obstructive icterus, acute pancreatitis or cholangitis due to bile duct obstruction. Among the patients, 452 were common bile duct stones, 15 were pancreatic head tumors, 11 were common bile duct tumors, and 10 were papillae tumors. 10 patients were processed for Oddi Sphincter Dysfunction. Among 499 patients who came with bile duct obstruction, 63 were hospitalized with the diagnosis of acute biliary pancreatitis and 38 with the diagnosis of acute cholangitis. The procedure time varied from 20 minutes to 90 minutes (average processing time 37 minutes). After ERCP, 56 of the patients developed amylazemia that did not require treatment, 24 patients developed pancreatitis, which regressed with 3 days of medical treatment and 5 patients bleeding that did not require blood transfusion and could be controlled by adrenaline injection and balloon pressure. During a stone extraction, the basket and stone were trapped in a patient. There was no operative mortality. Conclusion: Leaks and fistulas in the bile ducts are best shown with ERCP and treated endoscopically. We believe that endoscopist should determine the indication of the ERCP application correctly, know the potential complications, manage the treatment early, avoid unnecessary and complicated applications as much as possible since endoscopy includes very serious complications such as perforation, sepsis as much as it is effective. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: Although bariatric surgery for elderly obese patients is having high complication risks and with indefinite results, can be still beneficifial. The aim of this study is to evaluate the results of sleeve gastrectomy in elderly patients. Material and Method: All 65 years or older patients underwent laparascopic sleeve gastrectomy operation between April 2013-September 2017 included in this retrospective study. Demographic data, comorbidities due to obesity, body mass index, pre and post operative weight, recovery from comorbidities, followup time, postoperative complications, and duration of hospital stay were recorded. Elderly patients and patients under 65 years underwent sleeve gastrectomy were comparised according to results. Results: Fourteen patients (mean age 66.9±1.9 years) operated on for laparascopic sleeve gastrectomy. Mean 52.9% BMI loss obtained in the patients after 19-month follow-up. In the elderly patients, significant improvements were obtained for the comorbidities due to obesity. Complication rates were similiar among the two groups. Conclusion: Laparascopic sleeve gastrectomy is an effecitive and safe operation in elderly obese patients, but weight loss is more tolerable compared to younger patients. A selective group of elderly patients may benefit from bariatric surgery. [ABSTRACT FROM AUTHOR]

Objective: One of the factors affecting liver functions in open coronary surgery (CABG) of patients with metabolic syndrome (MS) may be the anesthetic drugs used. For this purpose, we investigated the effects of midazolam-based total intravenous anesthesia (TIVA) and sevoflurane-based inhalation anesthesia on liver functions and postoperative complications in patients with MS who wiould undergo open coronary bypass surgery. Method: A total f 76 patients were included in our study. A statistically significant difference was not found between the TIVA (n=38) and SEVO (n=38) groups in terms of gender, age, body mass index (BMI), Euroscore values, presence of preoperative comorbidity, blood product transfusion, postoperative complications, and 30-day mortality rates. (p>0.05). Preoperative and postoperative laboratory parameters, ALT, AST, LDH, and glucose values were comparable between both groups. Results: 76 patients were included in our study. There was a statistically significant difference between the TIVA (n=38) and SEVO (n=38) groups in terms of gender, age, body mass index (BMI), euroscore values, presence of preoperative comorbidity, blood product transfusion, postoperative complications, and 30-day mortality rates. There was no difference (p>0.05). When compared according to preoperative and postoperative laboratory parameters, ALT, AST, LDH, and glucose values were found similar in both groups. Conclusion: In our study, we found that TIVA and SEVO groups are not superior to each other in coronary bypass patients with metabolic syndrome. Studies investigating detailed parameters with more patients will be guiding for this issue. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the predicting factors affecting post-operative free flap complications in patients who underwent flap reconstruction due to tissue defect in the lower extremity and who were followed up in the intensive care unit (ICU) between 2014 and 2018. Materials and Methods: Demographic data, size of tissue defect, hemoglobin level, duration of anaesthesia and surgery, amount of blood transfusion, presence of post-operative complications, length of hospital stay, tissue culture results, and length of ICU stay were recorded, retrospectively. Statistical analysis was performed on SPSS. Results: The most common cause of tissue defect was traffic accidents and defect size was 118.35±74.74 cm². Post-operative complications were observed in 12 (42.9%) patients. The most common complications were hematoma and partial flap necrosis. The culture results in 10 patients (35.7%) were found to be positive. Smoking, American Society of Anesthesiologists (ASA) score and age were significantly higher in patients who developed post-operative flap complications (p<0.05), compared with those who did not. Length of ICU stay was similar. Post-operative length of hospital stay was longer in these patients (p<0.05). Conclusion: In our study, smoking, age and ASA score were important risk factors for the development of post-operative flap complications. The length of hospital stay was longer in these patients. [ABSTRACT FROM AUTHOR]

Objective: To evaluate long term outcomes of reconstruction techniques used for full thickness defects of upper and lower eyelids. Material and Method: Patients who had undergone reconstruction for full thickness eyelid defects were evaluated retrospectively. Partial thickness defects, defects which were less than 1/3 of the total size of the eyelid, and defects which could be repaired primarily without flap were excluded from the study. Surgical borders were excised with negative margins in malignant tumors. Reconstruction methods were performed according to the size and localization of eyelid defects. Demographic characteristics of patients, etiologies, reconstruction methods, sizes of the defects, pathology reports, follow-up times, postoperative complications, tumor recurrence, and surgical outcomes were recorded. Patients were evaluated for surgical outcomes, complications and tumor recurrence. Results: Eighty-four eyes of eighty-two patients were included in the study. The mean age was 67.5±13.5 years. The mean follow-up time was 21.2±14.6 (3-80) months. Reconstruction of lower eyelid was perfomed in 63 (75%) patients, upper eyelid in 18 (21.4%) patients and both lower and upper eyelid in 3 (3.6%) patients. Basal cell carcinoma was diagnosed in 65.4% (n=55) of patients. Reconstruction was performed using only flap in 74 (88.1%) patients and flap and graft in 10 (11.9%) patients. Among 15 (17.9%) patients with complications, 5 (5.9%) underwent secondary surgery. Cosmetic and functional outcomes were satisfactory in 95.2% and 96.4% of patients, respectively. Tumor recurrence was not observed during follow- up. Conclusion: In the full thickness defects of upper and lower eyelids, good functional and cosmetic outcomes can be achived using proper reconstruction methods. [ABSTRACT FROM AUTHOR]

Aim: In this study is to evaluate the preoperative risk factors and compare the complications of patients who underwent diagnostic VATS for interstitial lung diseases in our clinic and patients who started thoracoscopic and converted to thoracotomy. Methods: Patients who underwent VATS due to interstitial lung disease between January 2010 and December 2019 in our clinic were included in the study. In the study, patients were evaluated under 2 groups. There are 159 patients who underwent VATS wedge (Group-V) and 29 patients who started with VATS and converted to thoracotomy (Group-T) due to unexpected intraoperative complications. Results: There was no significant difference between VATS and thoracotomy groups in terms of demographic characteristics, except for a history of tuberculosis. The most common postoperative pathology was unusual interstitial pneumonia (n=56, 28%). Complications were observed in 17 patients (9%). Prolonged air leak in 5 patients, pneumothorax after postoperative drain removal in 3 patients, wound infection requiring revision in 3 patients, respiratory failure requiring non-invasive mechanical ventilation in 6 patients developed. Mortality occurred in 5 patients (2.7%) in the first 30 days postoperatively. Conversion from VATS to thoracotomy occurred due to a previous history of tuberculosis and widespread pleural adhesions. Conclusion: Although revealing in videothoracoscopic surgery is considered to be a failure, postoperative complication and mortality rates were found to be similar to VATS. The main risk factor for conversion to thoracotomy is tuberculous sequelae observed in preoperative thoracic CT and perioperative pleural diffuse adhesions. Therefore, VATS is a reliable and applicable method in interstitial lung disease (ILD). We think that careful patient selection in the preoperative period will reduce the probability of the thoracotomy. [ABSTRACT FROM AUTHOR]

Background: In our study, we aimed to compare the efficiency and reliability of using semirigid ureteroscopy (S-URS) and flexible ureteroscopy (F-URS) in the treatment of patients with stones smaller than 2 cm in isolated renal pelvis. Materials and Methods: The data of 45 patients who underwent ureteroscopic stone treatment for isolated renal pelvis stones smaller than 2 cm were evaluated retrospectively. S-URS was routinely applied to all patients. If the stones can be accessed in the renal pelvis with S-URS, direct treatment with holmium laser was applied. If the stone was not accessible, F-URS was made. Groups were compared in terms of stone-free rates, operation times, hemoglobin reduction, and complications. Results: S-URS was performed in 24 (53.3%) patients and F-URS in 21 (46.7%) patients. There was no significant difference between the two groups in terms of age, degree of hydronephrosis, mean stone size and stone side. Mean operation time was 64.62 ± 9.34 minutes in the S-URS group and 96.43 ± 14.26 minutes in the F-URS group (p=0.001). There was no statistically significant difference between the groups in terms of postoperative complications (p = 0.548). In the postoperative 1st day and 1st month follow-up, stone-free rates were 79.2% and 83.3% in the S-URS group, and 80.9% and 85.7% in the F-URS group, respectively (p = 0.768 and p = 0.574). Conclusions: We observed that the use of S-URS and F-URS were very successful and safe methods in kidney stones smaller than 2 cm. S-URS is a safe treatment method that can be applied if the stone in the renal pelvis can be reached without any problem, especially in selected cases. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Archives of Lung is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Circumcision is one of the most performed surgical procedures in the world. This study is a retrospective study on the short-term postoperative complications after a thermocautery-assisted circumcision on a series of patients according to the Clavien-Dindo classification system (CDCS). Materials and Methods: A total of 2.356 male thermocautery-assisted circumcision cases, performed by two urologists in a hospital, were examined retrospectively. The mean age, type of anesthesia, peri- and postoperative complications, durations of the procedures, mean number of sutures, cohesive bandage requirements, and mean recovery times were evaluated. Results: The age of the patients ranged from 1 to 32 years with the mean age being 8.33 years. While 1.943 patients (82.47%) were only locally anesthetized, the remaining 413 (17.53%) were sedated in addition to local anesthesia. The mean values of the operative time, suture count, total requirement of cohesive bandages, and recovery time were 5.19±1.38 min (range of 4-20), 5.71 (range of 4-12), 69 (2.92%), and 6 days (range of 4-25), respectively. The short-term postoperative complications of 1.573 patients who returned to the hospital for a physical examination after being discharged were edema (mild, moderate, and severe), bleeding (simple and hematoma-causing), and infection (mild, moderate, and serious). The postoperative complications were adapted to the CDCS as grade 1 (638 patients, 40.55%), grade 2 (12 patients, 0.76%), grade 3 (6 patients, 0.38%), grade 4 (0 patients, 0%), and grade 5 (0 patients, 0%). There was no statistically significant difference between the patients in terms of complications adapted to the CDCS who received local anesthesia and those who received sedation + local anesthesia (p>0.05). Additionally, there was no significant difference in the development of penile edema between the patients who were sutured with Vicryl Rapide and normal Vicryl (p>0.05). Conclusion: Our retrospective results indicate that thermocautery-assisted circumcision has a short operative time and is tolerable despite its shortterm complications. Thermocautery-assisted circumcision may be a useful method in regions where circumcision is common. [ABSTRACT FROM AUTHOR]

Objective: The use of Non-Intubated Video Assisted Thoracoscopic Surgery (NIVATS) technique is gradually increasing as an alternative method to classical intubation in minor Video Assisted Thoracoscopic Surgeries (VATS) such as sympathectomy, pleural biopsy, lung parenchymal biopsy, pleurodesis and bullectomy. Our aim was to compare a NIVATS technique with the classical intubation method applied in bilateral and uniportal sympathectomies in terms of feasibility and perioperative effects. Method: According to the use of Laryngeal Mask Airway (LMA) or Double Lumen Tube (DLT), the patients were evaluated in two groups as Group LMA (n: 20) and Group DLT (n: 20). Demographic data, anesthesia and surgery times, respiratory parameters, surgical feasibility assessment, the postoperative oral intake and mobilization starting times, pain scores, sore throat, nausea-vomiting, air leak, pneumothorax at postoperative follow-ups, and length of hospital stay were compared between groups. Results: Anesthesia induction time was significantly lower in the LMA group (p<0.001). Maximum EtCO2,and minimum SpO2 saturations, and maximum respiratory rates were significantly higher in the LMA group (p<0.001). Mean FiO2 and mean TV were significantly higher in the DLT group (p<0.05). There was no statistically significant difference between the two groups in terms of surgical feasibility. There was a significant difference between the onset of oral feeding and mobilizing (p<0.05). There was no statistically significant difference between pain scores, postoperative complications and length of hospital stay. Conclusion: Our data suggest that LMA NIVATS technique by preserving spontaneous ventilation and establishing iatrogenic open pneumothorax is a feasible and safe strategy in cases with VATS sympathectomy. [ABSTRACT FROM AUTHOR]

Aim: Endoscopic retrograde cholangiopancreatography (ERCP) has serious complications such as pancreatitis, perforation, cholangitis and bleeding. Our aim is to raise awareness about bleeding complication and management also to evaluate effectiveness of our approach. Methods: We analyzed medical records of 288 patients who underwent ERCP for the first time with successful endoscopic sphincterotomy between January 1, 2016 and March 31, 2019. Nineteen patients who developed bleeding complication during or after the procedure were evaluated. Results: Bleeding occurred in fifteen (5.2%) patients during the procedure and in four (1.4%) after the procedure. Of the 19 patients with bleeding, 12 (63.2%) had a comorbid condition. Presence of a comorbidity and pre-cut with needle-knife papillotome in cautery cut mode were associated with bleeding complication. Single comorbidity was not significant in terms of bleeding. Conclusion: Comorbidities that may cause bleeding should be evaluated with a pro-active approach and ERCP should be performed after necessary treatments and precautions. While pre-cutting with needle-knife papillotome, fast cutting should not be done in cautery cut mode and operation should be continued with controlled coagulation mode. We assume that adrenaline injection and balloon tamponade are the easiest methods and first-choice approach. [ABSTRACT FROM AUTHOR]

Background: Although rectal cancers have a slowly progressive and these cancers are asymptomatic for a long time, it can be said that they are fatal systemic disease. Today, its primary treatment is surgery. Early diagnosis, correct preoperative staging, synchronicity and determining metachronous colorectal cancers and determining local recurrences in a treatable condition are the most important determines of the success of surgical treatment. In our study, by reviewing the characteristics of rectal cancers and the principles of surgical approach in the light of the current literature, we tried to examine rectal cancer cases detected and treated in our clinic in terms of etio-pathogenesis, pathology, symptomatology, diagnosis, treatment and recurrence results in the light of current literature. Materials and Methods: Between December 1993 and December 1999, we analyzed 82 patients who are operated on for rectal cancer in 2nd. General Surgery Clinic of Ministry of Health Ankara Training and Research Hospital. In this study, from archive files, patients' age, gender, symptom, symptom duration, examinations, anatomical location of tumor, complications, tumor stage, postoperative adjuvant treatment, patient follow-up and local recurrences and distant metastases during this period were recorded. Results: The average age of our patients was 57.7, and 20% were under 40 years old. 30 (36,6%) of patients were female, 52 of the patients (63,4%) were male. 10 (12,1%) of the patients were operated urgently with acute abdominal pain and 72 (87,8%) of the patients were operated electively. Anemia was detected in 18.2% of the patients (Hemoglobin levels below 10 g / dl) in the complete blood cell counts. 11 (13,4%) of our cases had liver metastasis. CEA, CA19-9 levels during the diagnosis of 82 patients' who had rectal cancer were examined. CEA level was found high in 60 (73,1%) patients, CA19-9 levels were found high in 35 (42,6%) patients. In the statistical analysis, CEA sensitivity was identified to be superior to CA19-9. Respectability ratio of our cases was 79,2%. According to the Modified Dukes classification, one patient (1.2%) in A stage, 8 patients (9.7%) in stage B1,17 patients (20.7%) in B2 stage, 19 patients (23.1%) in stage C1, 26 patients (31.7%) C2 and 11 patients (13.4%) in D stage were detected. Conclusion: In rectal cancers, early diagnosis, correct preoperative staging, synchronicity and determining metachronous colorectal cancers and determining local recurrences in a treatable condition are the most important indicatives of the success of surgical treatment. In addition, doctor -- patient relationship to reach ideal conditions and ensuring the early diagnosis are essential to get successful results in this disease. [ABSTRACT FROM AUTHOR]

Objective: Transcatheter aortic valve implantation (TAVI) is a preferred alternative method for valve replacement in patients with high-risk symptomatic aortic stenosis, especially older patients. Although TAVI provides apparent benefits, it is known to be associated with some complications such as infection, paravalvular insufficiency, and thrombosis. In this study, we aimed to evaluate infection related complications of the patients undergoing TAVI. Methods: In the Cardiology Clinic of our hospital, 107 geriatric patients with severe aortic stenosis between the years 2014 and 2018 were treated with TAVI. For this purpose, groin areas of patients were disinfected from the belly level to the knees and covered in a sterile manner. The femoral artery was reached through a 3 cm incision in the groin area where the TAVI attempt was made. The catheter was advanced from the main-femoral artery to the abdominal aorta. The bioprosthesis was then implanted into the aortic annulus. 50% of the bioprosthetic valve was placed in the ascending aorta and 50% in the aortic annulus. Demographic data, clinical and laboratory findings of the patients were obtained by retrospective screening. Results: A total of 107 patients with a mean age of 80.2 (65-95) years were included in the study, and 59 (55.1%) were male. Infection-related complications developed in 6 (5.6%) patients. During the procedure, 104 (97.1%) patients had cefazolin, and 3 (2.8%) had vancomycin as systemic antibiotic prophylaxis. Local access site infection developed in four (3.7%) patients. All patients had Escherichia coli at the wound site. Bioprothesis-associated infective endocarditis developed in 2 (1.8%) patients. Conclusions: Infection-related complications were rare after TAVI. This situation supports the fact that it can be applied safely in patients with advanced age in terms of infection. [ABSTRACT FROM AUTHOR]

Objective: The optimal surgical approach for treatment of thoracolumbar junction disc herniations (TLJDH) remains controversial. Anterolateral retroperitoneal, anterior transthoracic, posterolateral, lateral and transforaminal endoscopic approaches are used in current surgical treatment of TLJDH. In a posterolateral transcambin approach, a small piece of bone is removed from the pars interarticularis and facet joints, and decompression is achieved by discectomy without causing instability. The transcambin approach has advantages such as discectomy without advanced neural tissue retraction, short recovery time and less postoperative complications. Methods: The eight patients with 3 T12-L1 and 5 L1-2 TLJDH who were operated on using the posterolateral transcambin approach between 2016-2018 in our clinic were presented retrospectively. The study included patients with extruded or sequestrated disc herniation that had far lateral, foraminal, and paramedian extension, and caused cauda equina syndrome, conus medullaris syndrome, and radiculopathy. A skin incision and fascia opening were done from midline. The exiting root was revealed at laterally of pars interarticularis by subperiosteally stripping of paravertebral muscles and the removal of disc fragments were targeted. Results: Three male and five female patients with a mean age of 45.1 (32-66). Mean operation time was 57.8 minutes. Preoperative VAS values were 8.75}0.51 and postoperative VAS values were 1.25}0.65. According to the MacNab classification, 62.5% excellent, 25% good and 12.5% were fair. There was no neurological injury, cerebrospinal fluid (CSF) fistula, pneumothorax, or operation field hematoma. Conclusion: The transcambin approach was found to be useful in terms of a relatively short operation time, low morbidity probability, and less postoperative pain in patients with TLJDH. [ABSTRACT FROM AUTHOR]

Aim: Mesh erosions that necessitates excision can develop in Trans Obturator Tape (TOT) surgeries which are widely used in the treatment of stress urinary incontinence. In our study, we described a method of vaginal flap placed under suburethral sling to prevent urethral mesh erosion related with TOT surgery and evaluated the patients for postoperative complications. Patients and Methods: In our study, 22 patients who had TOT and cystocele operations simultaneously and to whom flaps composed of vaginal tissue were placed in front of the urethra under the mesh between December 2014 and May 2018 were evaluated retrospectively. Patients were evaluated for urethral mesh erosion, vaginal mesh erosion, complaints of urgency and dyspareunia, urinary retention, and need for secondary surgery. Results: The mean postoperative follow-up of the patients were 8,95±8,45 months. 20 patients had simultaneous TOT and cystocele operations (%90,9), 2 patient had vaginal hysterectomy, TOT and cystocele operations simultaneously (%9,1). Urethral mesh erosion developed in none of the patients during the follow-up period. Vaginal mesh erosion and dyspareunia was observed in only one menopausal patient. Urinary retention and overflow incontinence developed in another patient. Vaginal hysterectomy, TOT and cystocele operations were made simultaneously in this patient. Mesh of this patient was cut later on. Conclusion: The surgical technique we used in our cases kept urgency and vaginal mesh erosion in a minimal level besides totally preventing urethral mesh erosion in a mean short-term follow-up period of 9 months. [ABSTRACT FROM AUTHOR]

Introduction: The aim of our study is to determine whether there is a relationship between preoperatively measured vitamin D, postoperative development of AF and early adverse events and vitamin D in patients with isolated off-pump coronary artery bypass. Method: Fifty five consecutive patients who underwent off-pump coronary bypass in our hospital were included. Patients were divided into two groups group 1 (n = 44) as patients who developed AF at any time within the first five days after the operation and group 2 non-AF (n = 11). Two groups were examined in terms of preoperative blood vitamin D levels, postoperative AF and postoperative complications. Results: There was no significant difference between the two groups in terms of preoperative vitamin D values (P = 0.850). In terms of postoperative complications, there was no difference between respiratory problem, pleural effusion, wound infection, stroke, dialysis due to kidney failure and mortality (p> 0.05). In addition, no difference was found between vitamin D and postoperative complications. Conclusion: In our study for the first time in the literature, it was examined whether there was a relationship between preoperative vitamin D levels and AF development after off-pump coronary bypass. In our study, which was about 1 year and involving all seasons, there was no significant relationship between vitamin D and postoperative AF. [ABSTRACT FROM AUTHOR]

Pseudomonas aeruginosa is a rare cause of infective endocarditis. Mortality rate of infective endocarditis due to P aeruginosa is high and is often associated with complications. In this report, we present a 37-year-old male who developed nosocomial left sided endocarditis due to P aeruginosa after mitral and aortic valve replacement. A fatal course was observed following intracranial hematoma, splenic infarct and persistent bacteremia. [ABSTRACT FROM AUTHOR]

Objective: Hypospadias is a common congenital abnormality with a high rate of complications after surgery. Therefore, surgical expertise is required. In this study, the outcome of surgery performed by a pediatric urologist is investigated. Material and Methods: The patients who underwent surgery for hypospadias between October 2016-May 2019 in our hospital were included. Those with a follow-up of less than three months and patients out of followup were excluded from the study. Follow-up included visits at the 1st, 3rd, 6th months, and the 1st year and evaluation for complications including urethrocutaneous fistula (UCF), meatal stenosis and urethral diverticulum. Results: In total 246 patients were operated for hypospadias. The study included 228 patients who were followed-up properly. The median age was 3.00 (1-16) years. One hundred thirtynine patients with distal and 69 patients for proximal hypospadias were operated. In addition, 11 patients with UCF and 9 patients with cripple hypospadias applied to our hospital after being operated in another center. 7% of all patients had meatal stenosis and 7.8% had UCF. Urethral diverticulum, meatal retraction and flap or graft necrosis were not observed in any patient. Conclusion: Hypospadias is a frequently observed disease with many defined surgeries in its repair. Since the risk of complication is not low and additional surgery may be required, its surgery shall be performed in centers with expertise. [ABSTRACT FROM AUTHOR]