Pub Date : 2020-01-01DOI: 10.5222/jtaps.2020.54531
Gül Özyüksel, Özlem Boybeyi Türer, F. Tanyel
{"title":"A rare cause of childhood intestinal obstruction: Treves’ field hernia","authors":"Gül Özyüksel, Özlem Boybeyi Türer, F. Tanyel","doi":"10.5222/jtaps.2020.54531","DOIUrl":"https://doi.org/10.5222/jtaps.2020.54531","url":null,"abstract":"","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70851288","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 : 2020-01-01DOI: 10.5222/jtaps.2020.80148
M. Huseynov, Vusal Cafarov, Ali Ekber Hakalmaz
{"title":"Should wound dressing be performed after circumcision?","authors":"M. Huseynov, Vusal Cafarov, Ali Ekber Hakalmaz","doi":"10.5222/jtaps.2020.80148","DOIUrl":"https://doi.org/10.5222/jtaps.2020.80148","url":null,"abstract":"","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70851191","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 : 2020-01-01DOI: 10.5222/jtaps.2020.24482
A. Şahin
Transverse testicular ectopia is a rare congenital anomaly in which both testes are located in the same hemiscrotum or inguinal region. The mean age at presentation was reported as 4 years. It is more common on the right side. We here report a case with incarcerated inguinal hernia and transverse testicular ectopia. The most important points in the diagnosis of transverse testicular ectopia are to be aware of this infrequent malformation and performing genitourinary examination of male newborns.
{"title":"Coexistence of transvers testicular ectopia and incarcerated inguinal hernia: A rare case report","authors":"A. Şahin","doi":"10.5222/jtaps.2020.24482","DOIUrl":"https://doi.org/10.5222/jtaps.2020.24482","url":null,"abstract":"Transverse testicular ectopia is a rare congenital anomaly in which both testes are located in the same hemiscrotum or inguinal region. The mean age at presentation was reported as 4 years. It is more common on the right side. We here report a case with incarcerated inguinal hernia and transverse testicular ectopia. The most important points in the diagnosis of transverse testicular ectopia are to be aware of this infrequent malformation and performing genitourinary examination of male newborns.","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70851097","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 : 2020-01-01DOI: 10.5222/jtaps.2020.71676
S. Moralıoğlu, S. M. Tilev, O. Bosnalı, A. Celayir
Recurrent epididymo-orchitis is a rare condition in children. Considering that obstructive infravesical pathologies, such as posterior urethral valves, may cause recurring epididymo-orchitis in children, a thorough examination of the genito-urinary system will prove essential for the diagnosis and treatment of the main pathology. We herein present a case of posterior urethral valve presenting with recurrent episodes of epididymo-orchitis.
{"title":"A rare clinical finding of posterior urethral valve: Recurrent epididymo-orchitis","authors":"S. Moralıoğlu, S. M. Tilev, O. Bosnalı, A. Celayir","doi":"10.5222/jtaps.2020.71676","DOIUrl":"https://doi.org/10.5222/jtaps.2020.71676","url":null,"abstract":"Recurrent epididymo-orchitis is a rare condition in children. Considering that obstructive infravesical pathologies, such as posterior urethral valves, may cause recurring epididymo-orchitis in children, a thorough examination of the genito-urinary system will prove essential for the diagnosis and treatment of the main pathology. We herein present a case of posterior urethral valve presenting with recurrent episodes of epididymo-orchitis.","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70851019","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 : 2020-01-01DOI: 10.5222/jtaps.2020.04875
E. Ergün, U. Ateş, K. Bahadır, Fırat Serttürk, Bahtiyar Mehdi, G. Göllü, A. Yağmurlu
Objective: Laparoscopic inguinal hernia surgery has recently been a preferred surgical approach among pediatric surgeons. The aim of this study is to compare open and laparoscopic inguinal hernia repair techniques in terms of complications and recurrences in children. Method: Patients whose inguinal hernias were operated with laparoscopic percutaneous internal ring suturing technique and open high ligation technique were included in the study. Dermographic data, surgical details and postoperative complications of the patients were reviewed retrospectively. Results: A total of 246 patients were included in the study. Among them 113 patients underwent laparoscopic inguinal hernia repair and 133 patients open inguinal hernia repair. The mean age of patients in the laparoscopic group was 27.7 months (1-192 months) and the mean age of patients in the open surgery group was 27.5 months (1-156 months). Diagnostic laparoscopy was performed in 104 patients who underwent open surgery, and the contralateral inguinal hernia repair was performed in 33 of the patients after hernia was detected on the contralateral side. Recurrence was observed in 2.6% (n=3) of the patients who underwent laparoscopic surgery and 3.7%(n=5) of the patients undergoing open surgery. In 2 of the patients who underwent laparos- copic surgery had hematomas that resolved without intervention and 1 had hydrocele. On the other hand 4 of the patients who underwent open surgery had iatrogenic undescended testis and 1 had hydrocele. The follow-up periods of the patients who underwent laparoscopic or open surgery were 13.2, and 74 months, respectively. Conclusion: Laparoscopic inguinal hernia repair has results comparable to open repair in terms of recurrence and complications. The advantage of the laparoscopic method can be considered as the ability to evaluate the contralateral side in all cases without increase in the risk of recur- rence and complications, and the ability to operate without scarring , but with good cosmetic results.
{"title":"Comparision of PIRS technique and open surgery in pediatric inguinal hernia","authors":"E. Ergün, U. Ateş, K. Bahadır, Fırat Serttürk, Bahtiyar Mehdi, G. Göllü, A. Yağmurlu","doi":"10.5222/jtaps.2020.04875","DOIUrl":"https://doi.org/10.5222/jtaps.2020.04875","url":null,"abstract":"Objective: Laparoscopic inguinal hernia surgery has recently been a preferred surgical approach among pediatric surgeons. The aim of this study is to compare open and laparoscopic inguinal hernia repair techniques in terms of complications and recurrences in children. Method: Patients whose inguinal hernias were operated with laparoscopic percutaneous internal ring suturing technique and open high ligation technique were included in the study. Dermographic data, surgical details and postoperative complications of the patients were reviewed retrospectively. Results: A total of 246 patients were included in the study. Among them 113 patients underwent laparoscopic inguinal hernia repair and 133 patients open inguinal hernia repair. The mean age of patients in the laparoscopic group was 27.7 months (1-192 months) and the mean age of patients in the open surgery group was 27.5 months (1-156 months). Diagnostic laparoscopy was performed in 104 patients who underwent open surgery, and the contralateral inguinal hernia repair was performed in 33 of the patients after hernia was detected on the contralateral side. Recurrence was observed in 2.6% (n=3) of the patients who underwent laparoscopic surgery and 3.7%(n=5) of the patients undergoing open surgery. In 2 of the patients who underwent laparos- copic surgery had hematomas that resolved without intervention and 1 had hydrocele. On the other hand 4 of the patients who underwent open surgery had iatrogenic undescended testis and 1 had hydrocele. The follow-up periods of the patients who underwent laparoscopic or open surgery were 13.2, and 74 months, respectively. Conclusion: Laparoscopic inguinal hernia repair has results comparable to open repair in terms of recurrence and complications. The advantage of the laparoscopic method can be considered as the ability to evaluate the contralateral side in all cases without increase in the risk of recur- rence and complications, and the ability to operate without scarring , but with good cosmetic results.","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70851042","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 : 2020-01-01DOI: 10.5222/jtaps.2020.77598
S. Dayı
INTRODUCTION: Inguinal hernia repair is one of the most common surgical procedures in pediatric surgery. In parallel with the advances in the field of medicine, various laparoscopic techniques have been developed in inguinal hernia repair. The Burnia technique is one of the latest published techniques and it is the cauterization of the inguinal hernia sac laparoscopically without using sutures in girls. The aim of this study is the investigation of the use of Burnia technique in clinical practice, and its postoperative outcomes. Any article concerning the use of this technique in Turkey has not been encountered. METHODS: The demographic features of patients, preoperative, peroperative, postoperative and follow-up results of 41 patients who had been operated with Burnia technique by a single surgeon within 2 years were reviewed retrospectively. Laparoscopically, the camera was first placed at an inclination of 30 degrees to the umbilical region using Hasson technique, and then, a single port was used for cauterization of the hernia sac. The Hernia sac was pulled into the abdominal cavity and cauterized. RESULTS: Burnia technique was applied to 62 inguinal hernia sacs in 41 girls. Their ages ranged from 1.5 to 16 years (median 36 months) with body weights ranging between 3.5 kg-40 kg (median 12 kg). Preoperatively 15 patients had right (37%), 19 patients left (46%), 7 patients bilateral inguinal hernias (17%). During surgery, 14 of the unilateral inguinal hernias were found to have a hernia sac on the contralateral side, and the rate of bilateral hernia increased to 51 percent. In one patient ovary was in the inguinal canal, and after its reduction, we proceeded with the operation Unexpectedly. in one patient, right ovarian torsion was detected which was detorsioned, and hernia surgery was performed in the same session. The duration of the operation was 5-35 min (median 15 min) for unilateral and 8-45 min (median 20 minutes) for bilateral hernias. None of these patients developed peroperative and postoperative complications. Follow-up time was minimum 10 months, and maximum 3 years. Recurrence was not detected. DISCUSSION AND CONCLUSION: Burnia technique seems to be effective and safe. The contralateral side and other intra-abdominal pathologies are explored. The cosmetic appearance is its another advantage. The operation time is very short due to the fact that only the hernia sac is cauterized. Comparison of this technique with other laparoscopic techniques is planned in the future study.
{"title":"Laparoscopic cauterization of hernia sac in girls; the Burnia technique","authors":"S. Dayı","doi":"10.5222/jtaps.2020.77598","DOIUrl":"https://doi.org/10.5222/jtaps.2020.77598","url":null,"abstract":"INTRODUCTION: Inguinal hernia repair is one of the most common surgical procedures in pediatric surgery. In parallel with the advances in the field of medicine, various laparoscopic techniques have been developed in inguinal hernia repair. The Burnia technique is one of the latest published techniques and it is the cauterization of the inguinal hernia sac laparoscopically without using sutures in girls. The aim of this study is the investigation of the use of Burnia technique in clinical practice, and its postoperative outcomes. Any article concerning the use of this technique in Turkey has not been encountered. METHODS: The demographic features of patients, preoperative, peroperative, postoperative and follow-up results of 41 patients who had been operated with Burnia technique by a single surgeon within 2 years were reviewed retrospectively. Laparoscopically, the camera was first placed at an inclination of 30 degrees to the umbilical region using Hasson technique, and then, a single port was used for cauterization of the hernia sac. The Hernia sac was pulled into the abdominal cavity and cauterized. RESULTS: Burnia technique was applied to 62 inguinal hernia sacs in 41 girls. Their ages ranged from 1.5 to 16 years (median 36 months) with body weights ranging between 3.5 kg-40 kg (median 12 kg). Preoperatively 15 patients had right (37%), 19 patients left (46%), 7 patients bilateral inguinal hernias (17%). During surgery, 14 of the unilateral inguinal hernias were found to have a hernia sac on the contralateral side, and the rate of bilateral hernia increased to 51 percent. In one patient ovary was in the inguinal canal, and after its reduction, we proceeded with the operation Unexpectedly. in one patient, right ovarian torsion was detected which was detorsioned, and hernia surgery was performed in the same session. The duration of the operation was 5-35 min (median 15 min) for unilateral and 8-45 min (median 20 minutes) for bilateral hernias. None of these patients developed peroperative and postoperative complications. Follow-up time was minimum 10 months, and maximum 3 years. Recurrence was not detected. DISCUSSION AND CONCLUSION: Burnia technique seems to be effective and safe. The contralateral side and other intra-abdominal pathologies are explored. The cosmetic appearance is its another advantage. The operation time is very short due to the fact that only the hernia sac is cauterized. Comparison of this technique with other laparoscopic techniques is planned in the future study.","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70851075","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 : 2019-01-01DOI: 10.5222/jtaps.2019.89106
M. A. Özen, E. Eroğlu
{"title":"Safe and Effective Technique in Newborn Tongue-Tie: Frenotomy","authors":"M. A. Özen, E. Eroğlu","doi":"10.5222/jtaps.2019.89106","DOIUrl":"https://doi.org/10.5222/jtaps.2019.89106","url":null,"abstract":"","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70850507","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 : 2019-01-01DOI: 10.5222/JTAPS.2019.71135
M. Saraç, T. Tartar, Ü. Bakal, M. Aydin, A. Kazez
Objective: The aim of this study was to investigate changes of the incidence, complications and mortality rates of patients with anterior abdominal wall defects (AWDs) over the years. Material and Method: Patients who were operated due to anterior AWDs between 1998 and 2017 were evaluated retrospectively. The cases were divided into two groups as cases with omphalocele (OM) and gastroschisis (GS). Then the patients were separated into two subgroups: as operated between January 1998 and December 2007 (Group A), and between December 2017 and January 2008 (Group B). The diagnosis, incidence, prenatal diagnosis (if any), development of sepsis, surgical complications and mortality rates of the patients were recorded. Results: The incidence of Group A patients with OM (n:11, 22%) was 0.2 percent. Two (18.2%) patients were diagnosed during prenatal period. Surgical complications developed in 45.5% (n:5), and sepsis in 18.2 % (n:2) of the patients. Mortality rate in this group was %45.5 (n:5). In Group B (n:24, %48) the incidence of OM was 0.27 percent Prenatal diagnosis was made in 29.2% (n:7) of the cases. Surgical complications developed in 33.3% (n:8), and sepsis in 25% (n:6) of these patients. Mortality rate in this group was 29.2% (n:7). In Group A patients (n:5, 10%), the incidence of GS was 0.089. Twenty percent (n:1) of the patients received prenatal diagnosis Surgical complications developed in 40% (n:2), and sepsis in 40% (n:2) of the patients. Mortality rate was oranı 60% (n:3) idi. Its incidence among Group B patients (n:10; 20%) was 0.18 percent. Five (50%) patients were diagnosed during prenatal period Surgical complication developed in 30% (n=3), and sepsis in 50% (n:5) of the patients. Mortality rate in this group was 50% (n:5). Conclusion: The reduction of complications and mortality rates was achieved with the increase of prenatal diagnosis and-the birth of the cases in the centers where they can be treated.
{"title":"What has changed in the abdominal anterior wall defects in newborns? 20 years of experience of a tertiary reference hospital","authors":"M. Saraç, T. Tartar, Ü. Bakal, M. Aydin, A. Kazez","doi":"10.5222/JTAPS.2019.71135","DOIUrl":"https://doi.org/10.5222/JTAPS.2019.71135","url":null,"abstract":"Objective: The aim of this study was to investigate changes of the incidence, complications and mortality rates of patients with anterior abdominal wall defects (AWDs) over the years. Material and Method: Patients who were operated due to anterior AWDs between 1998 and 2017 were evaluated retrospectively. The cases were divided into two groups as cases with omphalocele (OM) and gastroschisis (GS). Then the patients were separated into two subgroups: as operated between January 1998 and December 2007 (Group A), and between December 2017 and January 2008 (Group B). The diagnosis, incidence, prenatal diagnosis (if any), development of sepsis, surgical complications and mortality rates of the patients were recorded. Results: The incidence of Group A patients with OM (n:11, 22%) was 0.2 percent. Two (18.2%) patients were diagnosed during prenatal period. Surgical complications developed in 45.5% (n:5), and sepsis in 18.2 % (n:2) of the patients. Mortality rate in this group was %45.5 (n:5). In Group B (n:24, %48) the incidence of OM was 0.27 percent Prenatal diagnosis was made in 29.2% (n:7) of the cases. Surgical complications developed in 33.3% (n:8), and sepsis in 25% (n:6) of these patients. Mortality rate in this group was 29.2% (n:7). In Group A patients (n:5, 10%), the incidence of GS was 0.089. Twenty percent (n:1) of the patients received prenatal diagnosis Surgical complications developed in 40% (n:2), and sepsis in 40% (n:2) of the patients. Mortality rate was oranı 60% (n:3) idi. Its incidence among Group B patients (n:10; 20%) was 0.18 percent. Five (50%) patients were diagnosed during prenatal period Surgical complication developed in 30% (n=3), and sepsis in 50% (n:5) of the patients. Mortality rate in this group was 50% (n:5). Conclusion: The reduction of complications and mortality rates was achieved with the increase of prenatal diagnosis and-the birth of the cases in the centers where they can be treated.","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70850668","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 : 2019-01-01DOI: 10.5222/jtaps.2019.98360
U. Ateş, A. Gurbanov, E. Ergün, G. Göllü, N. Y. Taştekin, M. Koloğlu, A. Yağmurlu, A. Çakmak, H. Dindar
{"title":"The effect of radiologist's experience on the measurement of appendix diameter in children with acute appendicitis","authors":"U. Ateş, A. Gurbanov, E. Ergün, G. Göllü, N. Y. Taştekin, M. Koloğlu, A. Yağmurlu, A. Çakmak, H. Dindar","doi":"10.5222/jtaps.2019.98360","DOIUrl":"https://doi.org/10.5222/jtaps.2019.98360","url":null,"abstract":"","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70850741","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 : 2019-01-01DOI: 10.5222/jtaps.2019.24572
S. Bostancı, H. T. Tiryaki
{"title":"Urethracutaneous fistulas after hypospadias repair; evaluation of 34 cases","authors":"S. Bostancı, H. T. Tiryaki","doi":"10.5222/jtaps.2019.24572","DOIUrl":"https://doi.org/10.5222/jtaps.2019.24572","url":null,"abstract":"","PeriodicalId":35435,"journal":{"name":"Cocuk Cerrahisi Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70850321","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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