W hen the intestinal continuity can not be provided, temporarily or permanently colostomy can be considered as a option and it is frequently used in the practice of pediatric surgery. Colostomy plays a vital role in the surgery of congenital and acquired gastrointestinal tract pathologies in neonates and children. [1,2] Colostomy is usually performed in urgent conditions in pediatric population. Despite improvements in surgical methods, surgical morbidity and complication rates are still high. [3] The incidence of complications after colostomy is reported to be between 10% to 74%. [2,3] Introduction: Colostomies play a vital role in the surgery of congenital and acquired gastrointestinal system pathologies. Despite improvements in surgical approaches, surgical morbidity and complication rates are still high. The incidence of complications after colostomy is reported in the literature between 10% to 74%. Methods: Eighty-four patients who underwent colostomy due to congenital and acquired pathologies in pediatric surgery clinics of Van Yuzuncuuyil University and Van Regional Education and Research Hospital were evaluated retrospectively. Patients were compared in terms of risk factors, urgency status, reasons for opening colostomy, location of opening area in abdomen wall, types and complications. Results: 84 patients were found to have colostomy for different reasons. 52 of the patients were male and 42 were female. The most frequent anorectal malformations and Hirschsprung's disease revealed colostomy. Complications related to colostomy were found in 72% of the cases. A total of 14 patients underwent colostomy revision. The most common complication was stomal dermatitis with 67% and colostomy prolapse with 16%. Discussion and Conclusion: Surgical technique errors and lack of care increase the morbidity by affecting the comfort of the patient. Prophylactic care and awareness of complications will reduce morbidity and mortality.
Objective: In relation to torsion, mass appearance may occur due to hemorrhage into the cyst, and blood supply of the over tissue may not be well evaluated radiologically. For this reason, the diagnosis of torsion and non-torsion MCT continues to be a serious dilemma. Material and Methods: The laboratory and imaging methods of ovarian teratomas with or without torsion were compared with the statistical method. The results were evaluated statistically by using SPSS version 24. Normality checks were performed with the Shapiro-Wilk test. The groups were compared with the independent samples t-test. Statistical significance was p <0.05. Results: 40% of the cases with CRP level elevation, torsion were significantly higher (> 5 mg / L). The most common surgical approach was fertilization protective cystectomy applied in 14 cases (77 %). Conclusıon: The first choice in benign ovarian masses is fertility protective surgery. CRP, WBC and CA19-9 can be a marker, especially in torsion cases. The planning of the study with prospective and large number of patients will be appropriate.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.