Alp Yildiz

A horseshoe fistula is a complex fistula that needs to be appropriately recognized to decrease recurrence rates usually resulting from insufficient treatment. The video presents a modified Hanley procedure for horseshoe fistula.

Aim: Surgical site infection (SSI) is a frequent complication following any surgery. SSI still one of the main causes of elongated hospitalization, morbidity, and cost charges despite the development of new techniques, new materials, and new procedures. This study aims to compare the postoperative outcomes concerning single or double-layer or disinfectant application. Material and Methods: This is a retrospective study aiming to inference the results of 2 different methods of preoperative skin disinfection after Lichtenstein tension-free open hernia repair with prolene mesh. A total of 298 patients enrolled in this study. This is a retrospective study comparing the outcomes of SSI open herniorrhaphy with prolene mesh. Results: Wound infection has occurred in 13 patients from Group-1 (%6.80) versus 3 patients on Group-2 (%2.80) respectively, which is statistically significantly lower than Group-1(p˂0.05). Conclusion: As our results showed, we suggest that octenidine dihydrochloride could be considered a powerful alternative to conventional disinfectant solutions, but further investigations with a single application of octenidine dihydrochloride are needed.

Aim: Postoperative wound infection is still the most developing complication after surgery and globally responsible for almost %25 hospitalizations requiring complications after surgery. Several significant parameters to minimize Surgical Site Infection (SSI) evaluated and published in many articles, reviews, and guidelines. We aim to investigate the SSI outcomes of 3 different hair removal procedures before surgery, including skin preparation, in this original research article. Material and Method: 314 patients enrolled in this study were males aged 18 and 65, admitted to the outpatient clinic with unilateral inguinal hernia, and were eligible for Lichtenstein tension-free open hernia repair using mesh. Results: Wound infection has occurred in 6 patients from Group-1 (4.83%), 8 patients on Group-2 (7.92%), 4 patients on Group-3 (4.49%). There are no statistically significant between Group1 and Group-3 (p>0.05) when the wound infection rates of Group-2 statistically significantly higher than Group-1 and Group-3 (p

Background: Inguinal hernia repair is among the most frequent elective or emergency opera-tions performed in general surgical practice. Lichtenstein hernia repair is considered the gold standard for managing such cases. Postoperative complications especially post-surgical chronic groin pain stands still as a very disabling complication. In this study, we investigated the chronic postoperative pain on 2 different types of meshes.Materials and Methods: This is a retrospective study evaluating the results of open hernior-rhaphy with self gripping mesh or regular prolene mesh. Patients included the study that was male and aged 18-65 years, which presented with unilateral inguinal hernia and were favorable with Lichtenstein tension-free herniorrhaphy using mesh.Results: The median duration of the operation was 44.6 m ± 6.1 on Group-1 and the median duration of the operation was 24.6 m ± 5.4 on Group-2, as significantly shorter than Group-1 (p< 0.001). The median hospital stay of the patients was 1 day and no statistically significant difference has detected between groups. At follow-up on the third month, the rate of the patients with complaints of mild chronic groin pain in Group-1 was % 11.1 vs none in Group-2(p˂0.05). No recurrence has been detected in both groups after 8.4 months of follow-up.Conclusions: Our experience of lightwight self-gripping mesh demonstrates that the material is both safe and effective in matters of postoperative complications and recurrence and is very promising in prohibiting chronic groin pain.Key Words: Tension-free herniorrhaphy, mesh fixation, self-gripping mesh

Very few data are available for evaluating health-related quality of life among people with irritable bowel syndrome (IBS) and even fewer data are available in relation to anxiety and depression status among these patients. To evaluate the quality of life, anxiety and depression status of patients with IBS. Observational cohort study conducted in a tertiary-care university hospital. Patients who had recently been diagnosed with IBS and who had been followed up for IBS-specific treatment for at least three months were included. A quality of life (QoL) survey, the Beck Anxiety Index (BAI) and the Hamilton Depression Index (HAM-D) were applied to the patients. In total, 274 patients with IBS were included in the study cohort. These patients presented very high baseline scores for anxiety and depression, and very poor QoL results. Our study showed that IBS had a very high impact on these patients, regarding their anxiety and depression levels, alongside very poor results relating to quality of life.

Throughout human history, many pandemics have broken out and caused great numbers of deaths. As the technological development made quite a huge advancement by the twentieth century, the medical treatment armamentarium had widened its facilities and resources. This brought with sophisticated and competent health care services for people which provided the medical practitioners with higher success rates when fighting against diseases and improved recovery and survival rates. However, during the COVID-19 pandemic, the high transmission rate of the novel SARS-Cov-2 virus has led to the paralysis of the health system and running out of the resources and healthcare workers. Thus, local government healthcare service regulators have begun building up plans to create management algorithms to use the limited resources more efficiently. This paper presents preliminary practical instructions for healthcare providers as a basic foundation for COVID-19 and potential future pandemics. İnsanlık tarihi boyunca çok sayıda salgın ortaya çıkmış ve pek çok ölüme neden olmuştur. 20. Yüzyılda teknolojik gelişmelerde büyük ilerlemeler olmasıyla birlikte tıbbi tedavi usul ve araç kaynakları ve imkanları da genişledi. Bu durum insanlar için sofistike ve yetkin sağlık hizmetini getirdi ve sağlık çalışanlarının hastalıklarla mücadelede yüksek başarı oranları ve daha iyi sağaltma ve sağkalım oranları elde etmelerini sağladı. Fakat, COVID-19 salgını sırasında, yeni tip SARS-Cov-2 virüsünün yüksek bulaş hızı sağlık sistemini felç etti ve kaynakların ve sağlık çalışanlarının yetersiz kalmasına neden oldu. Bu yüzden yerel sağlık hizmeti düzenleyicileri sınırlı miktardaki kaynakları daha etkin bir şekilde kullanabilmek için yönetim algoritması oluşturma planları yapmaya başladılar. Bu makale de sağlık hizmeti sunanlar için COVID-19 ve ileride ortaya çıkabilecek diğer salgınlar için temel oluşturacak öncül pratik öneriler vermektedir.