Aralık 2019'da Çin'de orta çıkan damlacık ve yakın temas yoluyla yayıldığı bilinen COVİD-19 olarak adlandırılan virüs hastalığı günümüzde pandemiye dönüşmüştür. COVID-19 ile temas etmiş hastaların tümünde enfeksiyonun şiddetli olmadığı ve hatta semptomsuz seyredebileceği de bilinmektedir. Bu kişilerde acil veya elektif cerrahi yapılmasını gerektiren hastalıklar olması durumunda hastayı ve cerrahı koruyacak önlemlerin nasıl alınması gerektiği, ameliyat öncesi hazırlık, perioperatif faz, ve postoperatif bakımın nasıl yapılması gerektiği konusunda henüz fikir birliği oluşmamıştır. Bu çalışmada eldeki veriler ışığında operasyonu zorunlu olan hastalarda cerrahın nasıl davranması gerektiği konusunda bir kılavuz hazırlanması amaçlandı.

Intestinal necrosis, which was followed by bowel resection, was the sole factor affecting morbidity and mortality using multivariate logistic regression analysis. Emergency surgery is required for incarcerated abdominal wall hernias before intestinal necrosis develops.

R0 resection and pN0 status influence overall survival for locally advanced rectal carcinoma.

Context: Fournier's gangrene (FG) is a rapidly progressing acute gangrenous infection of the anorectal and urogenital area. Aims: The objectives of this study were to investigate patients with FG and to determine risk factors that affect mortality. Settings and Design: Retrospective clinical study. Materials and Methods: Clinical presentations and outcomes of surgical treatments were evaluated in 68 patients with FG. Statistical Analysis Used: Chi-square, Student's t -test, and logistic regression test. Results: Mean age of patients was 54 and female-to-male ratio was 9:59. Among the predisposing factors, diabetes mellitus (DM) was the most common (n =24, 35.3%), and sepsis on admission was detected in 31 (45.6%) and 15 (22.1%) patients, respectively. Seven (10.3%) patients died. Using logistic regression test, Fournier's Gangrene Severity Index (FGSI) <9, DM and sepsis on admission were found as prognostic factors. Conclusions: FG has a high mortality rate, especially in patients with DM and sepsis. An FGSI value <9 indicates high mortality rate.

The predictors demonstrated in this study should allow the likelihood of occult insidious cysto-biliary communication to be determined and, thus, indicate the need for additional procedures during operations to prevent the complications of biliary leakage.