Pub Date : 2021-01-01DOI: 10.5222/jtaps.2021.70845
Mustafa Akman
{"title":"Dünya Çocuk Cerrahlarının Sünnette EMLA® Krem ile Oluşturulan Lokal Anestezi Hakkındaki Görüşleri Nedir?","authors":"Mustafa Akman","doi":"10.5222/jtaps.2021.70845","DOIUrl":"https://doi.org/10.5222/jtaps.2021.70845","url":null,"abstract":"","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70852109","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}
Pub Date : 2021-01-01DOI: 10.5222/jtaps.2021.82712
Mirzaman Hüseyinov, Ali Ekber Hakalmaz
Congenital bronchobiliary fistula (CBBF) is a rare anomaly in which a fistulous opening exists between the biliary tract and the tracheobronchial tree. CBBF may be accompanied by many congenital anomalies, with biliary system anomalies being the most common. CBBF was also reported to be associated with esophageal atresia in one case and right diaphragmatic hernia in another case. However, as far as we have known, CBBF case accompanied by multiple congenital anomalies has not been reported previously. In this article, we firstly present a case of a neonatal CBBF, incidentally diagnosed intraoperatively, accompanied by multiple congenital anomalies, including congenital diaphragmatic hernia. Secondly, we present our conclusions and updates about CBBF based on what we have learned from both our case and the literature.
{"title":"Congenital Bronchobiliary Fistula in Association with Multiple Other Congenital Anomalies: Case Report","authors":"Mirzaman Hüseyinov, Ali Ekber Hakalmaz","doi":"10.5222/jtaps.2021.82712","DOIUrl":"https://doi.org/10.5222/jtaps.2021.82712","url":null,"abstract":"Congenital bronchobiliary fistula (CBBF) is a rare anomaly in which a fistulous opening exists between the biliary tract and the tracheobronchial tree. CBBF may be accompanied by many congenital anomalies, with biliary system anomalies being the most common. CBBF was also reported to be associated with esophageal atresia in one case and right diaphragmatic hernia in another case. However, as far as we have known, CBBF case accompanied by multiple congenital anomalies has not been reported previously. In this article, we firstly present a case of a neonatal CBBF, incidentally diagnosed intraoperatively, accompanied by multiple congenital anomalies, including congenital diaphragmatic hernia. Secondly, we present our conclusions and updates about CBBF based on what we have learned from both our case and the literature.","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70852382","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}
Pub Date : 2021-01-01DOI: 10.5222/jtaps.2021.96636
Yusuf Atakan Baltrak, Seniha Esin Söğüt, Onursal Varlıklı
Objective: The debate about the etiology of Pilonidal Sinus Disease (PSD) continues over whether the disease is congenital or acquired. After determining the etiologic factora, new pilonidal sinus treatment methods have been developed. Method: The 6-month follow-up results of patients who were treated with crystallized phenol (CF) application with the diagnosis of PSD between March 2020 and August 2020 in the Pediatric Surgery Clinic were retrospectively analyzed. The patients were evaluated by age, height, weight, gender, body mass index, number of sinus mouths, sinus mouth width, sacral cupping distance and cyst diameter by imaging method and pilonidal sinus area measurement. After three consecutive weeks of CF administration, a two-week break was given. Every three weeks of treatment was considered as one treatment cycle. CF treatment was considered unsuccessful for patients whose pilonidal sinus cavity was not closed at the end of three cycles and the complaint of discharge persisted. Results: During the study period, 21 patients with PSH and a maximum of three sinus orifices were treated with CF in our clinic. Including 15 (71.4%) male and 6 (18.6%) female cases. The median age of the patients was 16 (14-17.5) years. In two patients (9.5%) who received three cycles of treatment, the treatment was considered as CF treatment failure because of the persistence of discharge complaints, and surgical treatment was planned for the patient. In the findings obtained as a result of the follow-up of the patients, it was observed that three patients (14.2%) had temporary painless transient dermatitis during follow-up due to phenol applied. Conclusion: The application of CF in the PSD treatment in pediatric age group should be considered as an acceptable method that can be easily applied by any surgeon with its short hospital stay, its applicability under local anesthesia in outpatient clinic conditions, low postoperative complications, high success rates, and low cost.
{"title":"Results of Crystalized Phenol Application in the Treatment of Pilonidal Sinus Disease in Children: Our Single Center Experience","authors":"Yusuf Atakan Baltrak, Seniha Esin Söğüt, Onursal Varlıklı","doi":"10.5222/jtaps.2021.96636","DOIUrl":"https://doi.org/10.5222/jtaps.2021.96636","url":null,"abstract":"Objective: The debate about the etiology of Pilonidal Sinus Disease (PSD) continues over whether the disease is congenital or acquired. After determining the etiologic factora, new pilonidal sinus treatment methods have been developed. Method: The 6-month follow-up results of patients who were treated with crystallized phenol (CF) application with the diagnosis of PSD between March 2020 and August 2020 in the Pediatric Surgery Clinic were retrospectively analyzed. The patients were evaluated by age, height, weight, gender, body mass index, number of sinus mouths, sinus mouth width, sacral cupping distance and cyst diameter by imaging method and pilonidal sinus area measurement. After three consecutive weeks of CF administration, a two-week break was given. Every three weeks of treatment was considered as one treatment cycle. CF treatment was considered unsuccessful for patients whose pilonidal sinus cavity was not closed at the end of three cycles and the complaint of discharge persisted. Results: During the study period, 21 patients with PSH and a maximum of three sinus orifices were treated with CF in our clinic. Including 15 (71.4%) male and 6 (18.6%) female cases. The median age of the patients was 16 (14-17.5) years. In two patients (9.5%) who received three cycles of treatment, the treatment was considered as CF treatment failure because of the persistence of discharge complaints, and surgical treatment was planned for the patient. In the findings obtained as a result of the follow-up of the patients, it was observed that three patients (14.2%) had temporary painless transient dermatitis during follow-up due to phenol applied. Conclusion: The application of CF in the PSD treatment in pediatric age group should be considered as an acceptable method that can be easily applied by any surgeon with its short hospital stay, its applicability under local anesthesia in outpatient clinic conditions, low postoperative complications, high success rates, and low cost.","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70852136","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}
Pub Date : 2021-01-01DOI: 10.5222/jtaps.2021.70846
Emel Colak, A. Celayir
INTRODUCTION: Congenital duodenal obstruction, which is one of the most common causes of intestinal obstruction in neonates, gain importance in terms of associated anomalies. In this study, we aimed to review our experience with congenital duodenal obstruction cases operated in our clinic while evaluating the results of these patients. METHODS: All hospital records of neonates with congenital duodenal obstruction which had operated in our department between 2004 and 2017 were reviewed retrospectively. Patients were evaluated according to their demographic features, clinical presentations, associated anomalies, treatments and outcomes. RESULTS: During 13 years, 68 newborns (36 males, 32 females) with congenital duodenal obstruction were operated. The mean gestational age was 35.7±3.1weeks (28-44weeks), the mean birth weight was 2477±651.5 gram (1100–4100 gram) and 46 (67.7%) of them were premature. Associated abnormalities were detected in 37 neonates (54.4%); 16 of them (23.5%) had congenital cardiac malformations, and 13 of them (19.1%) had Down Syndrome. In neonates with associated abnormalities; the avarage period to start enteral feeding was 9.5±5.8 days (4-37days) and the mean hospitalization period was 25.6±26.2days (9-140days). These values were found 7.6±3.2 days (4-20days) and 17.5±13.7days (8-80days) respectively for the patients having no associated anomalies. Postoperative complications such as ileus, septicemia and nutritional intolerance were seen in 17 patients (25%); 3 of them (4.4%) need re-operation. While 63 patients (92.6%) were discharged on average 21.4±22 days (8-140 days); due to septicemia and severe congenital cardiac malformations 5 patients (7.4%) were died in 27.2±14.1 days (11-43days) postoperatively. The rate of septicemia was statistically significantly higher in patients with excitus than the ones who were discharged (p<0.001). DISCUSSION AND CONCLUSION: The presence of associated abnormalities in patients with congenital duodenal obstruction increases the risk of morbidity and mortality. Septicemia and severe congenital cardiac malformations adversely affect prognosis.
{"title":"Congenital Duodenal Obstruction: Evaluation of 68 Cases","authors":"Emel Colak, A. Celayir","doi":"10.5222/jtaps.2021.70846","DOIUrl":"https://doi.org/10.5222/jtaps.2021.70846","url":null,"abstract":"INTRODUCTION: Congenital duodenal obstruction, which is one of the most common causes of intestinal obstruction in neonates, gain importance in terms of associated anomalies. In this study, we aimed to review our experience with congenital duodenal obstruction cases operated in our clinic while evaluating the results of these patients. METHODS: All hospital records of neonates with congenital duodenal obstruction which had operated in our department between 2004 and 2017 were reviewed retrospectively. Patients were evaluated according to their demographic features, clinical presentations, associated anomalies, treatments and outcomes. RESULTS: During 13 years, 68 newborns (36 males, 32 females) with congenital duodenal obstruction were operated. The mean gestational age was 35.7±3.1weeks (28-44weeks), the mean birth weight was 2477±651.5 gram (1100–4100 gram) and 46 (67.7%) of them were premature. Associated abnormalities were detected in 37 neonates (54.4%); 16 of them (23.5%) had congenital cardiac malformations, and 13 of them (19.1%) had Down Syndrome. In neonates with associated abnormalities; the avarage period to start enteral feeding was 9.5±5.8 days (4-37days) and the mean hospitalization period was 25.6±26.2days (9-140days). These values were found 7.6±3.2 days (4-20days) and 17.5±13.7days (8-80days) respectively for the patients having no associated anomalies. Postoperative complications such as ileus, septicemia and nutritional intolerance were seen in 17 patients (25%); 3 of them (4.4%) need re-operation. While 63 patients (92.6%) were discharged on average 21.4±22 days (8-140 days); due to septicemia and severe congenital cardiac malformations 5 patients (7.4%) were died in 27.2±14.1 days (11-43days) postoperatively. The rate of septicemia was statistically significantly higher in patients with excitus than the ones who were discharged (p<0.001). DISCUSSION AND CONCLUSION: The presence of associated abnormalities in patients with congenital duodenal obstruction increases the risk of morbidity and mortality. Septicemia and severe congenital cardiac malformations adversely affect prognosis.","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70852286","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}
Pub Date : 2021-01-01DOI: 10.5222/jtaps.2021.08216
A. Gül, D. Aygin
Objective: Breast cancer is a global public health problem which draws attention with the gradual increase in morbidity and mortality rates. Unlike adults, breast cancers in children and adolescents are rarely seen. Since the risk factors are not well defined, cancer findings are mixed with other disease findings and follow-up/treatment processes differ. As a result, childhood/adolescent breast cancers are ignored. It is stated that the prognosis of childhood and adolescent breast cancers is not good, although they are seen in a limited number of patients, the mortality rate is high and it significantly affects the life of the patient and his/her family. The main aim of this compilation is to examine the literature on the pediatric and adolescent breast cancers and the treatment process. Its secondary purpose is to increase the awareness of health professionals and the society and help to create a guideline in this regard to pediatric surgeons, and nurses. Methods: We identified 24 case reports comprising the data of 24 cases of childhood or adolescent breast cancers that were reported between 2000 and 2018. Results: Twenty-four cases (10 males, 14 females) published about breast cancer in children and adolescents were reached. Pathologies of the patients with a mean age of 12.19±4.13 have been reported as secretory carcinoma (70.8%), infiltrative secretory carcinoma (8.3%), malignant phyllodes tumor (8.3%), pleomorphic carcinoma (4.2%), invasive ductal carcinoma (4.2%), secretory adenocarcinoma (4.2%). Modified radical mastectomy was performed in 26.31% of patients with secretory carcinoma, mastectomy in 52.63%, breast-conserving surgery in 10.53%, and wide local excision in 10.53%. While 33.3% of the patients received adjuvant chemotherapy, 29.2% were given radiotherapy. Two patients had recurrence after surgery (3-17 months; median: 10 months). Three patients died due to postoperative metastases. Conclusion: Breast malignancies are relatively rare in the pediatric and adolescent period. However, mortality rates are quite significant contrary to what’s believed. In these patients, difficulties in diagnosing the disease may affect the treatment process negatively. While there isn’t a consensus about the treatment of the disease, the authors reported a wide range of treatments with different combinations of radiotherapy, chemotherapy, breast-conserving surgery, modified radical mastectomy and radical mastectomy.
{"title":"Childhood And Adolescent Period Breast Cancer","authors":"A. Gül, D. Aygin","doi":"10.5222/jtaps.2021.08216","DOIUrl":"https://doi.org/10.5222/jtaps.2021.08216","url":null,"abstract":"Objective: Breast cancer is a global public health problem which draws attention with the gradual increase in morbidity and mortality rates. Unlike adults, breast cancers in children and adolescents are rarely seen. Since the risk factors are not well defined, cancer findings are mixed with other disease findings and follow-up/treatment processes differ. As a result, childhood/adolescent breast cancers are ignored. It is stated that the prognosis of childhood and adolescent breast cancers is not good, although they are seen in a limited number of patients, the mortality rate is high and it significantly affects the life of the patient and his/her family. The main aim of this compilation is to examine the literature on the pediatric and adolescent breast cancers and the treatment process. Its secondary purpose is to increase the awareness of health professionals and the society and help to create a guideline in this regard to pediatric surgeons, and nurses. Methods: We identified 24 case reports comprising the data of 24 cases of childhood or adolescent breast cancers that were reported between 2000 and 2018. Results: Twenty-four cases (10 males, 14 females) published about breast cancer in children and adolescents were reached. Pathologies of the patients with a mean age of 12.19±4.13 have been reported as secretory carcinoma (70.8%), infiltrative secretory carcinoma (8.3%), malignant phyllodes tumor (8.3%), pleomorphic carcinoma (4.2%), invasive ductal carcinoma (4.2%), secretory adenocarcinoma (4.2%). Modified radical mastectomy was performed in 26.31% of patients with secretory carcinoma, mastectomy in 52.63%, breast-conserving surgery in 10.53%, and wide local excision in 10.53%. While 33.3% of the patients received adjuvant chemotherapy, 29.2% were given radiotherapy. Two patients had recurrence after surgery (3-17 months; median: 10 months). Three patients died due to postoperative metastases. Conclusion: Breast malignancies are relatively rare in the pediatric and adolescent period. However, mortality rates are quite significant contrary to what’s believed. In these patients, difficulties in diagnosing the disease may affect the treatment process negatively. While there isn’t a consensus about the treatment of the disease, the authors reported a wide range of treatments with different combinations of radiotherapy, chemotherapy, breast-conserving surgery, modified radical mastectomy and radical mastectomy.","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70851470","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}
Pub Date : 2021-01-01DOI: 10.5222/jtaps.2021.25986
R. Özer
Bladder exstrophy is an embryologic malformation that affects urogenital and skeletal systems. Non-operative treatment of this rare problem is impossible. Urogenital reconstructions can be facilitated by orthopedic procedures. These reconstructions can be performed in a single stage as a complete repair or multi-stage approaches. The goal of the treatment is closure of the bladder and abdominal wall for the achievement of continence, preservation of renal functions, and cosmetic and functional reconstruction of genital organs. Orthopedic procedures are performed to decrease the tension that complicates the bladder and abdominal wall closure by approximating the pubic rami to achieve a secure closure and a low recurrence rate. Surgical interventions consist of the approximation of the pubic rami with different materials such as suture materials and plaque or the application of different osteotomy types such as posterior iliac, anterior pelvic (pubic), diagonal iliac, horizontal iliac and posterior pelvic resection osteotomies. The age of the patient, the amount of pubic diastasis and history of previous operations that the patient has undergone should be considered during the operation planning. Pubic rami can be approximated without performing pelvic osteotomy in patients who are operated within the first 72 hours after birth. But, osteotomy is required in children older than 2 years of age with severe pubic diastasis, concomitant cloacal exstrophy and unsuccessful operation history. The surgical team should have enough knowledge and experience to perform different osteotomy types in case of need to combine anterior and posterior iliac osteotomies. With these multidisciplinary approaches, much more successful outcomes could be achieved.
{"title":"Orthopaedic Management of Bladder Exstrophy","authors":"R. Özer","doi":"10.5222/jtaps.2021.25986","DOIUrl":"https://doi.org/10.5222/jtaps.2021.25986","url":null,"abstract":"Bladder exstrophy is an embryologic malformation that affects urogenital and skeletal systems. Non-operative treatment of this rare problem is impossible. Urogenital reconstructions can be facilitated by orthopedic procedures. These reconstructions can be performed in a single stage as a complete repair or multi-stage approaches. The goal of the treatment is closure of the bladder and abdominal wall for the achievement of continence, preservation of renal functions, and cosmetic and functional reconstruction of genital organs. Orthopedic procedures are performed to decrease the tension that complicates the bladder and abdominal wall closure by approximating the pubic rami to achieve a secure closure and a low recurrence rate. Surgical interventions consist of the approximation of the pubic rami with different materials such as suture materials and plaque or the application of different osteotomy types such as posterior iliac, anterior pelvic (pubic), diagonal iliac, horizontal iliac and posterior pelvic resection osteotomies. The age of the patient, the amount of pubic diastasis and history of previous operations that the patient has undergone should be considered during the operation planning. Pubic rami can be approximated without performing pelvic osteotomy in patients who are operated within the first 72 hours after birth. But, osteotomy is required in children older than 2 years of age with severe pubic diastasis, concomitant cloacal exstrophy and unsuccessful operation history. The surgical team should have enough knowledge and experience to perform different osteotomy types in case of need to combine anterior and posterior iliac osteotomies. With these multidisciplinary approaches, much more successful outcomes could be achieved.","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70851773","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}
Pub Date : 2021-01-01DOI: 10.5222/jtaps.2021.37530
Fatih Akova
Objective: The aim of this study is to present the frenotomy technique in cases of ankyloglossia (tongue-tie), which is diagnosed and treated in the first year of life. Patients were operated by a single surgeon. Method: Cases of ankyloglossia operated at Biruni University Faculty of Medicine Hospital Pediatric Surgery Clinic Between 2016-2020 were evaluated retrospectively in terms of clinical complaints, age, type of ankyloglossia, surgical technique, indications and results of surgery. Results: Frenotomy was performed in 56 patients including 47 boys (84%) and 9 girls (16%), between the ages of 0-1. Average age of the patients was 93 days (1-360). Patients were divided into two groups as Group 1 (n: 40: 0-90 days old) and Group 2 (n: 16: 90-360 days old). Patients were admitted with complaints of having difficulty in sucking the mother’s breast, not being able to take their tongue out, feeding with a bottle, pain at the nipple and not being able to grasp the breast. No additional intervention was required for bleeding in Group 1, and in 12 (75%) patients in Group 2 bleeding control was achieved using bipolar cautery. During follow-up, significant improvement was obtained in all patients who had difficulty in sucking and gripping the nipple. Improvement was observed in 15 of 25 patients with nipple pain. Conclusion: Frenotomy is an easily applied surgical procedure with minimal complications. Additional application may be required for bleeding control in infants older than 3 months. It should be considered that the probability of recurrence may depend on the type, intervention used and thickness of the frenulum, and phrenotomy may not be sufficient. The improvement in breast feeding function of Frenotomy may provide a significant improvement in the complaints of nipple pain, and may contribute to the emotional attachment between the mother and her baby. Randomized controlled trials are required to determine the effects of phrenotomy.
{"title":"Effectiveness of Frenotomy in Ankyloglossia Treatment Between 0-1 Years Old","authors":"Fatih Akova","doi":"10.5222/jtaps.2021.37530","DOIUrl":"https://doi.org/10.5222/jtaps.2021.37530","url":null,"abstract":"Objective: The aim of this study is to present the frenotomy technique in cases of ankyloglossia (tongue-tie), which is diagnosed and treated in the first year of life. Patients were operated by a single surgeon. Method: Cases of ankyloglossia operated at Biruni University Faculty of Medicine Hospital Pediatric Surgery Clinic Between 2016-2020 were evaluated retrospectively in terms of clinical complaints, age, type of ankyloglossia, surgical technique, indications and results of surgery. Results: Frenotomy was performed in 56 patients including 47 boys (84%) and 9 girls (16%), between the ages of 0-1. Average age of the patients was 93 days (1-360). Patients were divided into two groups as Group 1 (n: 40: 0-90 days old) and Group 2 (n: 16: 90-360 days old). Patients were admitted with complaints of having difficulty in sucking the mother’s breast, not being able to take their tongue out, feeding with a bottle, pain at the nipple and not being able to grasp the breast. No additional intervention was required for bleeding in Group 1, and in 12 (75%) patients in Group 2 bleeding control was achieved using bipolar cautery. During follow-up, significant improvement was obtained in all patients who had difficulty in sucking and gripping the nipple. Improvement was observed in 15 of 25 patients with nipple pain. Conclusion: Frenotomy is an easily applied surgical procedure with minimal complications. Additional application may be required for bleeding control in infants older than 3 months. It should be considered that the probability of recurrence may depend on the type, intervention used and thickness of the frenulum, and phrenotomy may not be sufficient. The improvement in breast feeding function of Frenotomy may provide a significant improvement in the complaints of nipple pain, and may contribute to the emotional attachment between the mother and her baby. Randomized controlled trials are required to determine the effects of phrenotomy.","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70851486","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}
Pub Date : 2021-01-01DOI: 10.5222/jtaps.2021.49091
A. Şahin
Hydrosalphinx is the fallopian tubes getting filled with fluid due to their blockage. It usually occurs with obstruction of fallopian tubes after infection in women of sexually active age. The aim of this article is to draw attention to hydrosalpinx in adolescent girls because of two adolescent cases. First case; a cystic lesion of 38x51x76 mm in the right adnexal region was detected in the lower abdominal magnetic resonance imaging of a 13-year-old girl who presented with the complaint of abdominal pain and vomiting. Right tubal torsion and hydrosalpinx were detected during abdominal exploration. The tube was detorsioned and marsupialization was applied to the hydrosalpinx. Second case; a cystic lesion with dimensions of 24x12x35 cm was detected in the abdominal ultrasonography of a 16-year-old girl who presented with the complaint of abdominal pain and a palpable mass. On abdominal exploration, a right hydrosalpinx filling the entire abdomen was detected. Tubal excision was performed. Both cases have not been undergone any intraabdominal surgery previously. Hydrosalpinx is very rare in adolescent girls. Hydrosalpinx also should be considered in lower abdominal pain. Cases should be examined in terms of preventing infertility problems in future carefully, development of adhesion should be curtailed and parents should be informed in detail.
{"title":"Hydrosalpinx in adolescent girls: What did two cases teach?","authors":"A. Şahin","doi":"10.5222/jtaps.2021.49091","DOIUrl":"https://doi.org/10.5222/jtaps.2021.49091","url":null,"abstract":"Hydrosalphinx is the fallopian tubes getting filled with fluid due to their blockage. It usually occurs with obstruction of fallopian tubes after infection in women of sexually active age. The aim of this article is to draw attention to hydrosalpinx in adolescent girls because of two adolescent cases. First case; a cystic lesion of 38x51x76 mm in the right adnexal region was detected in the lower abdominal magnetic resonance imaging of a 13-year-old girl who presented with the complaint of abdominal pain and vomiting. Right tubal torsion and hydrosalpinx were detected during abdominal exploration. The tube was detorsioned and marsupialization was applied to the hydrosalpinx. Second case; a cystic lesion with dimensions of 24x12x35 cm was detected in the abdominal ultrasonography of a 16-year-old girl who presented with the complaint of abdominal pain and a palpable mass. On abdominal exploration, a right hydrosalpinx filling the entire abdomen was detected. Tubal excision was performed. Both cases have not been undergone any intraabdominal surgery previously. Hydrosalpinx is very rare in adolescent girls. Hydrosalpinx also should be considered in lower abdominal pain. Cases should be examined in terms of preventing infertility problems in future carefully, development of adhesion should be curtailed and parents should be informed in detail.","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70851726","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}
Pub Date : 2021-01-01DOI: 10.5222/jtaps.2021.16023
M. Okumuş, U. Alkara, H. Sarbay, A. Atay, B. Malbora
{"title":"Retrospective Evaluation of Ultrasound Guided 525 Permanent Tunneled Catheter Placement Procedure in Pediatric Hematology and Oncology Patients","authors":"M. Okumuş, U. Alkara, H. Sarbay, A. Atay, B. Malbora","doi":"10.5222/jtaps.2021.16023","DOIUrl":"https://doi.org/10.5222/jtaps.2021.16023","url":null,"abstract":"","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70851756","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}
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