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Amaç: Servikal spondilotik miyelopati (SSM) servikal vertebrada dejeneratif değişikliklere bağlı gelişen ve spinal kanalda stenoza neden olan nörolojik bir bozukluktur. Çok seviyeli SSM, servikal konjenital dar kanal ve posterior longitudinal ligaman ossifikasyonunda (PLLO) cerrahi tedavi seçimi tartışmalıdır. Çalışmamızda servikal laminoplastik cerrahi yöntemle opere edilen SSM’li hastaların cerrahi sonuçları “JOA” skorlama yöntemi kullanılarak değerlendirilecek ve yöntemin etkinliği literatür bilgileri eşliğinde tartışılacaktır. Yöntem: Hastanemiz Nöroşirurji kliniğinde 2014-2019 tarihleri arasında laminoplasti yöntemiyle opere edilen 8’i kadın, 17’si erkek toplam 25 SSM ve PLLO’lu hasta retrospektif olarak incelendi. Elde edilen sonuçlar “JOA” skorlama yöntemi kullanılarak değerlendirildi. İstatistiksel analiz için SPSS 15.0 for Windows programı kullanıldı. İstatistiksel alfa anlamlılık seviyesi p

PURPOSE Sellar metastases are rare lesions. Recent improvements in diagnosis and treatment strategies have prolonged survival but increased the probability of metastatic tumors. Evaluation with clinical symptomatology and meticulous laboratory examination is crucial. We present our multicenter national study on sellar metastases to evaluate and underline the main clinical, endocrine, and radiological considerations regarding the diagnosis and endonasal endoscopic management of such rare lesions. METHODS A medical literature-based retrospective study was planned across 13 neurosurgical centers in Turkey, where a data survey was conducted to collect information regarding sellar metastases surgically treated using the endoscopic endonasal approach, including clinical presentation, radiographic features, primary tumor origin, histopathological confirmation, time to metastasis, treatment, and patient outcomes. RESULTS Between 2010 and 2020, 54 patients (22 women [40.7%] and 32 men [59.3%]) who underwent surgery with the endonasal endoscopic approach and had pathologically proven sellar metastases (overall incidence, 0.54%) were included. Of the patients, 59.3% had no known malignancy and presented with new-onset symptoms, 79.6% reported headache, 51.9% complained of some degree of visual deficits, and 50% had cranial nerve symptoms. Tissue biopsy was performed in 7.4% of the patients, whereas gross or subtotal resection was achieved in the remaining patients. CONCLUSION To our knowledge, this is the largest series of patients surgically treated with the endonasal endoscopic approach for sellar metastases. For these patients, the treatment focus should be on management modalities for increasing quality of life instead radical treatment options with survival benefit. 35582922

Objective: This is a prospective study of laparoscopic totallyextraperitoneal (TEP) inguinal hernia repair to comparewith the conventional method of Lichtenstein.Methods: A total of 50 patient (25 conventional, 25 laparoscopic)with inguinal hernia were included. We wereexamined prospectively age, gender, body mass index(BMI), inguinal hernia type (Nyhus classification), AmericanSociety of Anesthesiologists risk score (ASA), thefirst skin incision until closure operation time, intraoperativeand postoperative complications, postoperative painscore, analgesic requirement, hospital stay, return to normalphysical activity in terms of duration and recurrenceon preoperative patient. Visual analog pain score (VAS)were used for scoring pain for all patients.Results: 46 patients (92%) were male and mean age was50.9 years (range 17-78). The mean BMI was 25,8 kg/m2(range 19.1-31,6) and there was no significant differencein demographic characteristics between groups (p>0,05).In both groups, mainly Nyhus Type 2 was followed andthere was no significant difference in ASA scores andhernia type between the groups (p>0.05). Laparoscopicgroup was more advantageous in analgesic use, VASscore, and return to work time, but had longer operationtime (p0.05).Conclusions: Although laparoscopic TEP hernia repairhad longer operation time; it provides less pain, less analgesicuse with similar morbidity rate and provides earlydischarge. J Clin Exp Invest 2013; 4 (1): 80-83Key words: Pain, inguinal hernia, total extraperitoneal hernia repair, lichtenstein hernia repair