Sleeve gastrectomy and omentopexy can prevent the gastric twist, which is a functional cause of gastric stenosis, by stabilizing the posterior stomach wall.

Lovastatin and Seprafilm were equally effective in preventing postoperative intra abdominal adhesions. The study groups were showed significant superiority to the control group.

TLB-SG is a more effective and simpler method, becoming a candidate for being the most frequently performed surgical operation, in the field of metabolic surgery.

Background. The diagnosis of intestinal malrotation is established by the age of 1 year in most cases, and the condition is seldom seen in adults. In this paper, a patient with small intestinal malrotation-type intraperitoneal hernia who underwent surgery at an older age because of intestinal obstruction is presented. Case. A 73-year-old patient who presented with acute intestinal obstruction underwent surgery as treatment. Distended jejunum and ileum loops surrounded by a peritoneal sac and located between the stomach and transverse colon were determined. The terminal ileum had entered into the transverse mesocolon from the right lower part, resulting in kinking and subsequent segmentary obstruction. The obstruction was relieved, and the small intestines were placed into their normal position in the abdominal cavity. Conclusion. Small intestinal malrotations are rare causes of intestinal obstructions in adults. The appropriate treatment in these patients is placement of the intestines in their normal positions.

Perineal procedures have higher recurrence and lower mortality rates than abdominal alternatives for the treatment of rectal prolapse. Presence of incarceration and strangulation also influences treatment choice. Perineal rectosigmoidectomy is one of the treatment options in patients with incarceration and strangulation, with low mortality and acceptable recurrence rates. This operation can be performed especially to avoid general anesthesia in old patients with co-morbidities. We aimed to present perineal rectosigmoidectomy and diverting loop colostomy in a patient with neurological disability due to spinal trauma and incarcerated rectal prolapse. Keywords:Altemeier's procedure, perineal rectosigmoidectomy, rectal prolapse INTRODUCTIONRectal prolapse is a rare disease with an increased frequency after the fifth decade. Rectoanal inhibitory reflex deterioration, high-pressure intermittent rectal motor activity, anorectal sensation disorders, and pudendal neuropathy have been suggested in its pathophysiology, but still its exact etiology is unknown (1). Clinically, it may present as mucosal prolapse (partial or pseudoprolapsus), internal prolapse (rectal intussusception), or full-thickness prolapse (2). Surgical treatment options can be abdominal and/or perineal approach. Despite the higher recurrence rate, due to its low complication rates and better patient tolerance the perineal approach is often preferred in elderly patients with comorbidities, and can be applied in irreducible cases requiring emergency surgery. In this article, a 60-year-old male patient who had had thoracic spine fractures and neurological sequela due to being trapped in a collapsed building twenty years ago, and who underwent perineal rectosigmoidectomy (Altemeier procedure) and protective sigmoid colostomy for incarcerated rectal prolapse is presented. CASE PRESENTATIONA 60-year-old male patient with reduced sensation and muscle strength in both lower limbs and left drop foot sequela due to a traumatic injury twenty years ago presented to the emergency room with an irreducible mass and pain in the anal region that emerged during defecation 6 hours ago. He had experienced fecal incontinence, constipation, and a rectal prolapse that could be manually reduced for the past 6 months. He had hypertension, diabetes mellitus type 2, and was being treated for benign prostatic hypertrophy. The patient was conscious, cooperative, and oriented. On physical examination, his vital signs were normal except for sinus tachycardia (120/min). On anal inspection, he had 20 cm full-thickness prolapse of the rectum and sigmoid colon. The prolapsed segment was edematous and hyperemic. There were areas of ulceration up to 2 cm in diameter. Bowel sounds were normoactive, there were no signs of abdominal tenderness, defense or rebound tenderness. His neurologic examination revealed a left drop foot, and slightly atrophied muscles in both calves and lower limbs, more prominent on the left. Both lower extremity manual muscle strength was determined as 3/5. Although ...