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Fournier's gangrene is a mortal surgical emergency characterized by rapidly spreading soft tissue necrosis between fascial planes in the perineum and genital area. The goal of treatment is early debridement of necrotic tissues to improve tissue oxygenation. In the treatment of this case, somatic oximetry monitoring, which is a non-invasive method, was applied in addition to hemodynamic monitoring to evaluate the effectiveness of fluids, antibiotics and debridements more closely. In the efficacy of the treatment, it was observed that rSO2 values correlated with other laboratory and follow-up parameters. [ABSTRACT FROM AUTHOR]

Intracranial hypotension may occur after lumbar puncture, spinal anesthesia, and craniospinal trauma. Complications such as orthostatic headache, neck pain, photophobia, tinnitus, nausea, and diplopia are frequently seen in these patients. Complications such as air embolism and pneumocephalus can also be seen in the methods used to determine the epidural space. We aimed to present the postoperative complications and the process in our patient in whom we attempted to insert an epidural catheter to provide intraoperative anesthesia and postoperative analgesia in radical prostatectomy surgery. [ABSTRACT FROM AUTHOR]

Objective: We aimed to predict the risk of hypotension due to spinal anesthesia (HSA) by measuring the diameter and area of the inferior vena cava (IVC-D, IVC-A) through ultrasound and pleth variability index (PVI) in patients who underwent endovenous radiofrequency ablation under spinal anesthesia (SA)., Methods: This cross-sectional, observational, and prospective study was completed with 64 patients. Before SA, PVI IVC-D, and IVC-A were measured. Patients were divided into two groups as hypotension group (Group 1) and patients who did not developed hypotension after SA (Group 2). Shapiro-Wilk normality test and student's t-test were used for statistical analysis., Results: The mean PVI of Group 1 was higher than Group 2, whereas the mean IVC-D and IVC-A in Group 2 was significantly higher than Group 1 (p = 0.000, p = 0.000, p = 0.001). Cutoff values for hypotension PVI > 15% and IVC-A ≤ 2.98 mm2 (p = 0.001, p < 0.05)., Conclusion: PVI and IVC-D and IVC-A measurements are effective and reliable methods that should be used to predict the risk of developing HSA in patients who will undergo surgery under SA.

Objective: The aim of this study was to investigate the outcomes of robotic mitral valve surgery with and without concomitant tricuspid valve surgery., Methods: Patients who underwent robotic mitral surgery between March 2010 and September 2022 were included. Patients were grouped according to the presence of concomitant tricuspid interventions. The groups were compared for baseline factors, operative parameters, and early postoperative outcomes. Age- and gender-matched groups were also compared for outcomes., Results: The study included 285 robotic mitral surgery patients. There were 59 patients who underwent concomitant tricuspid interventions. In the concomitant tricuspid surgery group, cardiopulmonary bypass time (150.1 vs 128.4 min, P < 0.001) and cross-clamp time (99.2 vs 82.4 min, P < 0.001) were longer. Prolonged intubation was more frequent in the concomitant tricuspid intervention group (5.2% vs 0.5%, P = 0.029). The groups did not differ in terms of mortality, permanent pacemaker (PPM) requirement, or other morbidities. Perioperative outcomes were similar after matched group analysis., Conclusions: Operative mortality and early adverse outcomes did not increase with the addition of tricuspid intervention in our cohort of robotic mitral surgery patients. The robotic approach for mitral disease and coexisting tricuspid disease may offer safe results without an increased risk of postoperative PPM requirement., Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.