In this prospective randomised single-blind case-controlled cohort study the aim was to compare the effects of mechanical bowel preparation (MBP) on field of vision and surgical comfort during total laparoscopic hysterectomy procedures. The study group was made of 102 patients that had undergone total laparoscopic hysterectomy (TLH), between July 2012 and June 2014. Statistical comparison was made between the means of durations of operation between the two groups divided by visual indexing (VI). The patients with a VI score of less than 2 and those with VI score of 2 or higher were compared in terms of operation duration in regard to the criteria described above. According to calculations, the p value is .664, therefore, making the result statistically not significant at p ≤ .05. In conclusion it can safely be reported that mechanical bowel preparation before laparoscopic hysterectomy was not found to be necessary in this study group. Impact statement Considering recent publications on the subject, the benefits of mechanical bowel preparation before gynaecologic laparoscopy is still a debateable subject and in that regard what we wish to share is that our study is based on an objective visual indexing tool not used before thus making our results reliable on deciding whether or not patients should receive mechanical bowel preparation prior to laparoscopic surgery for benign reasons.

Family practice is a very new medical specialty in Turkey. Family practice residency programmes have been attended since 1985 only in state hospitals and in 1995 departments of family practice will be funded in universities, too. In this article, we review the problems of family practice in Turkey and we mention our own opinions and comments about various aspects of it.

ÖZETAmaç: Sağlıklı bebeklerin 48 saat izlendikten sonra taburcu edilmeleri uygun olur. Son yıllarda bebeklerin erken taburcu edilmeleri şeklinde bir eğilim vardır. Araştırmamızda son bir yıl içinde doğum yapmış anne ve bebeklerinin demografi k özelliklerini, ilk idrar ve mekonyum saatlerini, taburculuk zamanlarını, ilk gün ve ilk hafta içindeki vücut ağırlığı değişimle-rini, hastaneye tekrar yatış oran ve nedenlerini sorgulamayı amaçladık. Gereç ve Yöntemler:Hastane otomasyon sistemi, hasta dosyaları ve doğum defterleri geriye dönük tarandı. ABSTRACTObjective: Healthy newborns must stay at hospital 48 hours before discharge. During recent years there is a tendency for early newborn discharge. We studied the demographics of mothers and babies, fi rst day of healthy newborns, early hospital discharge and causes of readmission to hospital. Material and Methods:Hospital computer records, patients' documents and birth entries were scanned retrospectively.Results: Mothers had a mean age of 27.95±5.30 years old, gestational age of babies was 38.67±1.23 weeks. Cesarean section (C/S) was the delivery method for 84.6% of mothers. Recurrent C/S was the most common (38.8%) reason for C/S. During fi rst day, mean weight loss of babies was 104.41±54.59 grams. Percentage of weight loss was 3.14±1.57. Infants born with C/S had signifi cantly more body weight loss in grams and percentage (p<0.001 and p<0.001 respectively). First urination time was 4.87±3.84 (0-28) hours, babies had meconium passage in 7.86±5.45 (0-30) hours. Urine time in infants born with vajinal delivery was longer (p=0.006). Length of hospital stay was 26.71±13.13 hours. Readmission rate was 12.6% with in the fi rst month, hyperbilirubinemia was the most common (81.4%) reason for readmission. Conclusion:Early hospital discharge must be decided with parents and all the babies must be reevaluated in fi rst week.