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Aim: Drains are used to avoid hematoma, seroma and infection in breast surgery. A topic of debate in breast surgery research is the probability of surgical sites becoming infected through retrograde contamination. In this study, we aimed to determine whether drains cause surgical site infections by using drain tip cultures. Material and Methods: This study included 162 breasts of 99 patients who had undergone breast surgeries, including augmentation, reduction, reconstruction and gynecomastia, with the same surgeon. Data on the patients’ demographic characteristics, clinical findings, antibiotherapies, types of surgeries and drain features, such as type, duration of use, output volume and tip cultures, were collected retrospectively. Results: The study included 99 patients—3 male, 96 female—with a mean age of 37.84. The mean body mass index was 24.5. Seven breast augmentations, three gynecomastia surgeries, 37 breast reconstructions with implants, three breast reconstructions with latissimus dorsi flaps and 49 reduction mammoplasties were performed. We did not observe infectious symptoms, such as fever, hyperemia, abscess or hematoma, in any of the patients. Fifty-six Jackson–Pratt® drains and 106 Hemovac drain tip cultures were evaluated. The mean follow-up duration was 7.16 days, and the mean output volume was 224.66 cc. The drain tip cultures of all the patients were negative. Conclusions: According to our analysis, drains did not cause retrograde contamination or surgical site infection.

Objective: De Quervain's disease is a stenosing tenosynovitis of the first dorsal compartment. Treatment options include conservative measures, injections, and surgery. The main purpose of this study is to eliminate uncertainty in the choice of treatment and to recommend the appropriate treatment to the patient based on Michigan hand questionnaire. Material and Methods: The age, sex, and treatment modality of the patients were recorded retrospectively. Patients' Michigan outcomes were assessed, and patients were divided into three groups: Patients who benefited from conservative treatments (Group 1), from injections (Group 2), and from surgery (Group 3). Statistical analysis of the data was performed. Results: The mean age of the 56 patients (54 women, 2 men) was 35.1±11.4 years. There was a difference between all groups in total hand function and pain scores (p < 0.05). Patients in group 1 were significantly different from the other groups (p < 0.05), and there was no significant difference between group 2 and group 3 (p > 0.05). Conclusion: Various methods have been described for De Quervain's tenosynovitis’s treatment. Choosing the right therapeutic steps for the right patients is important. It is possible to select treatment options by assessing overall hand function and activities of daily living with the Michigan Hand Outcome Questionnaire

Giriş: Dudak kanserleri baş boyun bölgesinde ikinci sıklıkta görülen kanserlerdir. Fonksiyonel ve estetik sonuçları ve agresif seyri sebebiyle cerrahi eksizyon sınırları, boyun diseksiyonu tipi ve rekonstrüksiyon seçenekleri gibi klinik yaklaşım tipleri dudak kanseri hakkında tartışılan konulardır. Çalışmada cerrahi öncesi yapılan değerlendirmelerin güvenilirliği, rekürrens ve metastaz için risk faktörleri, cerrahiye bağlı morbiditeler ve tedavileri araştırıldı. Method: Kliniğimizde tedavi edilen bazal hücreli karsinom ve squamoz hücreli karsinom tanılı hastaların verileri retrospektif olarak tarandı. Hastaların demografik verileri değerlendirildi, punch biyopsi ve radyolojik görüntülemelerin güvenilirliği tartışıldı ve patolojik özelliklerin rekürrens ve metastaz risk üzerine etkileri araştırıldı. Cerrahi sonrası morbiditeler değerlendirilerek tüm bu problemler ve çözüm yolları literatür eşliğide tartışıldı. Sonuç: Bu çalışmada punch biyopsi güvenilir bulunmadı. Rekürrensler ileri evre ve perinöral invazyon ile, servikal metastazlar ise çıkartılan lezyon boyutu ve cerrahi sınır ile ilişkili bulundu. Lokal fleplerde donor alan morbiditeleri daha yüksekti. Geniş eksizyon, boyun diseksiyonu ve serbest flep ile rekonstrüksiyon yapılan hasta grubunda rekürrens veya metastaz gözlenmedi. Tartışma: Erken tanı ve fonksiyonel-estetik onarım dudak kanseri prognozunda en önemli faktörlerdir. Yapılan ilk cerrahi prognozu belirlediğinden çok önemlidir. Evre ilerledikçe cerrahi kompleksleşir fakat iyi bir klinik yaklaşım ile erken evreler kadar iyi bir prognoz sağlanabilir.

Purpose: Lip cancers are the second most common cancers of head and neck region. Due to its functional and aesthetic consequences and aggressive course, clinical approach including surgical margins, type of neck dissection and reconstruction techniques are debated topics in lip cancer. We investigated reliability of preoperative evaluations, pathological risk factors for recurrence or metastasis, surgery related morbidities and their management. Methods: The records of patients with basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) were reviewed retrospectively. Demographic data of the patients were evaluated, the reliability of the punch biopsy and radiological imaging was discussed and the effects of pathological features on the risk of recurrence and metastasis was investigated. Surgery related morbidities were revealed. All these problems and their solutions were discussed in the light of literature. Results: Punch biopsy was found unreliable in this study. Relapses were associated with advanced stage and perineural invasion while cervical metastasis was related with the size of the specimen and surgical margins. Donor site morbidities were higher in local flaps. Recurrence or metastases were not observed in patients who were treated with extensive excision, neck dissection and reconstruction with free flap. Conclusions: Early diagnosis and functional and aesthetic repair are the most important factors in terms of prognosis in lip cancer. First surgery is very important that determines the prognosis. As the stage progresses, the surgery becomes complex but prognosis can be as good as early stages with good clinical approach.