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Cavitron Ultrasonic Surgical Aspirator Makes it Easier for Neurosurgeons. What About Pathologists? 空腔超声手术吸痰器使神经外科医生使用更方便。病理学家呢?
Pub Date : 2023-08-14 DOI: 10.4274/terh.galenos.2022.43078
Mahmut Camlar, Mustafa Eren Yüncü, E. Pala, Nijat Bayramli, Ali Karadağ, Merve Ören, Füsun Demirçivi Özer, N. Gazioğlu
Objective: In recent years, the cavitron ultrasonic surgical aspirator has become an indispensable surgical tool for many neurosurgeons. The aim of the present study was to determine the relationship between the use of the cavitron ultrasonic surgical aspirator and the volume of the material obtained for pathological studies. Methods: The study was conducted with data from 80 consecutive patients undergoing surgical removal of a brain tumor between 2015 and 2019. Clinical records were analyzed retrospectively. Preoperative and postoperative tumor volume measurements were performed on magnetic resonance images using the Aquarius Intuition Client Viewer program available on our picture archiving and communication system. Excised tumor volumes were calculated. The effect of using the cavitron ultrasonic surgical aspirator on the amount of excised tissue, histopathological diagnosis, and excision time of the material sent to our pathology department for histopathological examination was calculated. Results: Mean age was 52.9 years. Preoperative tumor volumes and resected tumor volumes were significantly higher in group 1 (p=0.026; 0.03 respectively). Operation time spent per excised tumor volume was significantly shorter in group 1 (p=0.005). The amount of material sent to pathology was higher in group 2 (p=0.026). There were no complications related to the resection using the cavitron ultrasonic surgical aspirator and it was found to be useful for tumor removal. Conclusion: The cavitron ultrasonic surgical aspirator is a highly helpful tool for surgical intervention. This method based on aspiration may have some negative effects on pathological specimens if cavitron ultrasonic surgical aspirator aspirate material not transferred to the pathology department.
目的:近年来,腔室超声手术吸引器已成为许多神经外科医生不可缺少的手术工具。本研究的目的是确定空腔超声手术吸引器的使用与病理研究所需材料的体积之间的关系。方法:该研究使用了2015年至2019年期间连续80例脑肿瘤手术切除患者的数据。回顾性分析临床记录。术前和术后肿瘤体积测量使用我们的图片存档和通信系统上的Aquarius Intuition Client Viewer程序对磁共振图像进行测量。计算切除肿瘤的体积。计算空腔超声手术吸引器对送我病理科组织病理检查的材料的切除组织量、组织病理诊断及切除时间的影响。结果:平均年龄52.9岁。1组术前肿瘤体积和切除肿瘤体积均显著高于对照组(p=0.026;0.03分别)。1组每切除肿瘤体积的手术时间明显缩短(p=0.005)。2组病理送物量较高(p=0.026)。使用腔室超声手术吸引器切除肿瘤无并发症,是一种有效的手术方法。结论:腔室超声手术吸引器是一种非常有用的手术干预工具。这种基于抽吸的方法可能会对病理标本产生一定的负面影响,如果空腔超声手术吸引器不将吸出的物质转移到病理科。
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引用次数: 0
The Evaluation of the Impact of the COVID-19 Pandemic on Urologic Emergencies 新冠肺炎大流行对泌尿外科急诊影响的评价
Pub Date : 2023-08-14 DOI: 10.4274/terh.galenos.2022.49344
Hakan Gorkem Kazici, A. Yıldız, Abdullah Akdağ, Arif Kol, Erhan Ateş
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引用次数: 0
The Diagnosis of Pulmonary Tuberculosis in a Patient with AA Amyloidosis of Unknown Etiology 病因不明的AA型淀粉样变肺结核的诊断
Pub Date : 2023-08-14 DOI: 10.4274/terh.galenos.2022.00378
Zeynep Öndeş, Görkem Vayısoğlu Şahin, H. Akar, Z. Aydoğdu, F. Güldaval
It is of utmost importance to consider tuberculosis as a differential diagnosis while investigating secondary amyloid A (AA) amyloidosis, especially in developing countries. An early diagnosis of tuberculosis as the primary cause of secondary AA amyloidosis is important for precise treatment and recovery of the patient. In this case report, we aimed to increase awareness of tuberculosis as an underlying cause of secondary amyloidosis by discussing the clinical features with a review of the literature. A 74-year-old female patient presented with dyspnea. A detailed clinical and laboratory examination revealed impairment in renal function tests, leukocytosis, anemia, high procalcitonin values, pleurisy and pneumonic infiltration in the left lung. From her history, it was learned that 2 years ago, liver and inguinal lymph node lymph node biopsy was reported as systemic AA amyloidosis. Due to the increased serum creatinine values and a decrease in urine output, the patient underwent hemodialysis for a short period of time, and a decrease in urea and creatinine levels was observed after dialysis and adequate urine output was achieved. Mycobacterium tuberculosis complex was detected in the Bronchoalveolar lavage sample taken during bronchoscopy. Congo red staining of the pathology material was compatible with amyloid in the vessel wall, and immunohistochemical staining was positive for AA. The patient was transferred to the tuberculosis service for anti-tuberculosis treatment. In this case, chronic inflammation due to tuberculosis is thought to be in the etiology of secondary amyloidosis. The authors emphasize that secondary amyloidosis should be among our differential diagnoses in patients with nephrotic syndrome and previous tuberculosis history.
在调查继发性淀粉样蛋白a (AA)淀粉样变性时,尤其在发展中国家,将结核病作为鉴别诊断是至关重要的。早期诊断结核病是继发性AA淀粉样变的主要病因,对患者的精确治疗和康复至关重要。在这个病例报告中,我们的目的是通过讨论临床特征和回顾文献来提高人们对结核病作为继发性淀粉样变的潜在原因的认识。74岁女性患者,表现为呼吸困难。详细的临床和实验室检查显示肾功能损害、白细胞增多、贫血、降钙素原高值、胸膜炎和左肺肺浸润。从病史中得知,2年前,肝脏及腹股沟淋巴结活检报告为系统性AA淀粉样变。由于血清肌酐升高,尿量减少,患者进行了短时间的血液透析,透析后尿素和肌酐水平下降,尿量充足。支气管镜检查时在支气管肺泡灌洗液中检出结核分枝杆菌复合体。病理材料刚果红染色与血管壁淀粉样蛋白相容,免疫组化染色AA阳性。病人被转到肺结核科接受抗结核治疗。在这种情况下,肺结核引起的慢性炎症被认为是继发性淀粉样变的病因。作者强调继发性淀粉样变应作为肾病综合征和既往结核史患者的鉴别诊断之一。
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引用次数: 0
Relationship Between Systemic Immune-inflammation Index and Coronary Slow Flow 全身免疫炎症指数与冠状动脉慢血流的关系
Pub Date : 2023-08-14 DOI: 10.4274/terh.galenos.2022.36675
M. Duran, M. B. Özen
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引用次数: 0
Newborn Metabolic and Endocrine Disease Screening Program: Example of Giresun Province Between 2015 and 2020 新生儿代谢和内分泌疾病筛查项目:以2015 - 2020年吉伦松省为例
Pub Date : 2023-08-14 DOI: 10.4274/terh.galenos.2023.39297
E. Küçük, M. Bulut, Ünal Özek, S. Takir
Abstract
摘要
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引用次数: 0
Breast Carcinoma Presenting with Thymic Metastasis: A Case Report 以胸腺转移为表现的乳腺癌1例
Pub Date : 2023-08-14 DOI: 10.4274/terh.galenos.2022.25991
E. B. Eni̇seler, F. Ekinci, F. Can, A. Erdoğan, Gamze Göksel
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引用次数: 0
Evaluation of Neutrophil Lymphocyte Ratio and IDH Mutation in Patients with Glioblastoma 胶质母细胞瘤患者中性粒细胞淋巴细胞比率及IDH突变的评价
Pub Date : 2023-08-14 DOI: 10.4274/terh.galenos.2022.59837
Çağlar Türk, Mahmut Camlar
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引用次数: 0
Can the Effect of Torsion Duration Change in the Decision of Orchiectomy in Children with Testicular Torsion? 扭转持续时间对睾丸扭转患儿决定是否切除的影响?
Pub Date : 2023-08-14 DOI: 10.4274/terh.galenos.2022.46656
A. Şahin, Mustafa YILMAZ
{"title":"Can the Effect of Torsion Duration Change in the Decision of Orchiectomy in Children with Testicular Torsion?","authors":"A. Şahin, Mustafa YILMAZ","doi":"10.4274/terh.galenos.2022.46656","DOIUrl":"https://doi.org/10.4274/terh.galenos.2022.46656","url":null,"abstract":"","PeriodicalId":22987,"journal":{"name":"The Journal of Tepecik Education and Research Hospital","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79770317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Efficacy of Combination Therapy for Treating Enuresis Nocturna 综合疗法治疗夜尿症的疗效观察
Pub Date : 2023-08-14 DOI: 10.4274/terh.galenos.2023.59219
U. Şenel, M. Yoldaş, B. Elmas, Osman Demir, Ersin Konyalioğlu, Tuba Kuvvet Yoldaş, Hakan Üçok, Esat Kaan Akbay, M. Keskin
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引用次数: 0
Investigation of the Effect of 4-Hydroxyphenylboronic Acid on Endothelial Damage due to LPS-Induced Endotoxemia in the HUVEC Line via Endocan 4-羟基苯硼酸对lps诱导的HUVEC内皮细胞内毒素血症影响的研究
Pub Date : 2023-08-14 DOI: 10.4274/terh.galenos.2022.21284
P. Aydın, Muhammet Çelik
Abstract
摘要
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引用次数: 0
期刊
The Journal of Tepecik Education and Research Hospital
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