No abstract

No abstract

Varikosel, pampiniform pleksus ve internal spermatik venlerin anormal bir dilatasyonu olup, seminifer tübüllerdeki sıcaklığın artmasına, toksik adrenal ve renal metabolitlerin renal ven yoluyla geri akışına, sperm kalitesinin düşmesine ve testis büyümesinin durmasına neden olur. [1] Erkek infertilitesinin en sık düzeltilebilir nedenidir. Adölesan varikosel insidansı erişkinlere benzer şekilde %15-16'dır. [2] Tedavi endikasyonları arasında varikoselin semptomatik ABSTRACT OBJECTIVES: In the treatment of adolescent varicocele, there isn't any consensus and the ideal technique is not yet defined. Open surgery (microscopy-assisted or not) or laparoscopic techniques are surgical methods used in treatment. We planned to compare the results of microscopic, laparoscopic and open varicocelectomy techniques. MATERIAL and METHODS: Patients who underwent varicocele therapy between 2003-2018 were evaluated retrospectively in 3 groups. Patients who underwent laparoscopic varicocele ligation were included in Group 1, patients who underwent microscopic varicocelectomy were included in Group 2 and patients who underwent subinguinal varicocelectomy were included in Group 3. Three groups were compared in terms for operation and postoperative follow-up data. RESULTS: The study included 113 patients, 30 patients in Group 1, 43 patients in Group 2, 40 patients in Group 3. The mean age was 13.2 years. There was no significant difference between groups in terms of side and varicocele degree. The median operation times for group1.2 and 3 were 55 (35-70), 50 (40-80) and 55 min. (40-70) (p>0.05). The hydrocele development after surgery was detected in 3, 1 and 2 patients, respectively (p>0.05). Varicocele recurrence was not seen in the LVL group, but it was seen in 3 patients in the MV group and in 7 patients in the SV group (p>0.05). Postoperative testicular volume loss was detected in 3 patients in Group 1, 1 patient in Group 2 and in Group 3 no patient was detected. There was no statistical significant different between groups although there were clinical differences between the groups in terms of results or complications. CONCLUSION: In the treatment of adolescent varicoceles, it was found that all 3 techniques can be used successfully but in microscopic or under magnification (via loop) techniques, complication rates seem to be much less and clinical successful rates seem to be much higher.

Chronic spontaneous urticaria (CSU) is characterized by urticaria recurring almost every day and lasting more than six weeks, with either known or unknown etiology. It may lead to various psychiatric disorders. Our aim is to determine the relationship of CSU with depression and anxiety in children. Materials and Methods: Children younger than 18 years of age who were followed by the Pediatric Immunology and Allergy Clinic of Diyarbakır Children's Hospital with diagnosis of CSU were included in the study. A control group matched in terms of age and sex was formed. Both patient and control groups were evaluated by pediatric psychiatrics with regards to anxiety and depression. Prior to psychiatrics evaluation, Beck's anxiety and depression scales were applied to the children aged 12 years or above. Patient and control groups were compared for anxiety and depression disease and symptom scores. Results: The study included 63 patients, 32 of whom were aged 12 years or above (12+ patients), and 82 controls, 32 of whom were aged 12 years or above (12+ controls). In the patient group, both anxiety and depression disorders were significantly more frequent. Similarly, anxiety and depression symptom scores were significantly higher in the 12+ patient group. This increase was found to show positive correlation with age and disease duration (p<0.05). There were no significant differences between patients with and without autoimmunity regarding anxiety and depression disorder (p>0.05). Conclusion: In children, CSU leads to anxiety and depression. This condition increases with age and disease duration.

Çocukluk çağı apendisitlerinin %2-9'unda apendisitin komplike olması sonucu apse ve kitle gelişimi olabilmektedir. Bu çocukların takip ve tedavisi literatürdeki tartışmalı konulardan biridir. Akut dönemin konservatif tedavisi ve elektif şartlarda yapılan interval apendektomi (İA) günümüzde kabul edilen önemli tedavi yöntemlerinden biridir. Plastrone apendisit tanısı ile başvuran ve elektif laparoskopik İA uygulanan hastaların klinik sonuçlarının sunulması amaçlandı.