Amniotic membrane transplantation is a successful adjunctive method in achieving corneal epithelization in the study indications.

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in department of general surgery and microbiology laboratory. Samples were collected from ten patients. AbstractInactivation of protoscoleces is one of the main principles of treatment in hydatid cysts. The aim of the present study is to evaluate the scolicidal efficacies of some frequently used scolicidal substances in hydatid cyst fluid. Hydatid cyst fluids were aspirated from ten patients during surgical treatment sand the interventional radiology procedures. The suitable cyst fluids were examined for interactions with 0.9% NaCl, 15% NaCl, 1 0% povidone-iodine, savlon, crystalline, and 0.4% chlorhexidine gluconate (Chx-Glu), respectively. Scoleces in the mixtures were counted at minutes 2, 5, 10 and 20. The ratio of the number of living scoleces/total scoleces was calculated. Normal distribution of numerical data was analyzed using the Shapiro -Wilk test. ANOVA and LSD tests were used in the comparison of variables. There were significant differences between each scolicidal substances and time in terms of the ratio of living scoleces (p<0.05). But all scolicidal substances failed to kill all of the scoleces in the second and fifth minutes. There were significant differences between Chx-Glu and other scolicidal substances in the second minute apart from povidone -iodine, and 99% of the scolexes died at 5 minutes with Chx-Glu. Chx-Glu, savlon, and 10% povidone-iodine showed full efficacy in minute 10. Crystalline and 15% NaCl were able to reach full efficacy in minute 20. The efficacy of all substances was increasing with the waiting period. As soon as possible, the fastest active substance Chx -Glu seems to be used in conservative surgical interventions.

Amaç: Bu yazıda lokal anesteziye ilave olarak sedoanaljezi ile trefin stoma uyguladığımız hastaları değerlendirmeyi ve sonuçlarını paylaşmayı amaçladık. Yöntem: Haziran 2012-Haziran 2017 tarihleri arasında genel cerrahi kliniğimizde fekal diversiyon amacıyla sedoanaljezi yardımlı lokal anestezi eşliğinde trefin stoma uygulaması yapılan hastalar retrospektif olarak incelendi. Hastalar demografik özellikleri, primer hastalığın tanısı ve komplikasyonlar açısından değerlendirildi. Bulgular: Toplam 11 (K/E: 4/7) hastanın verileri değerlendirildi. Ortalama yaş 54 (±4) yıl idi. Ortalama takip süresi 18 ay (2-30 arasında) idi. Hastaların primer hastalıkları 7 hastada rektum kanseri (%63,6), 2 hastada Fournier hastalığı (%18,2), 1 hastada genital kanser (%9,1), 1 hastada rektovajinal fistül (%9,1) idi. Yalnızca 1 hastaya tranvers kolostomi, 10 hastaya ise sigmoid kolostomi uygulandı. Girişimsel işleme bağlı herhangi bir komplikasyon gelişmedi. Bir hasta postoperatif 14. günde metastaza sekonder komplikasyonlar nedeniyle öldü. Sonuç: Özellikle genel durumu iyi olmayan, yüksek riskli hastalarda, laparatomi gerektirmeyen trefin stoma tekniği hızlı, güvenilir, kolay uygulanabilen bir yöntemdir. Anahtar Kelimeler: Kolostomi, acil cerrahi, lokal anestezi, minimal invaziv cerrahi, trefin stoma Aim: In this paper, we aimed to evaluate the patients who underwent trephine stoma with sedoanalgesia in addition to local anesthesia and to share the results. Method: The patients who underwent trephine stoma with sedoanalgesia in addition to local anesthesia for fecal diversion in our general surgery clinic between June 2012 and June 2017 were evaluated retrospectively. The patients were evaluated in terms of demographic characteristics, diagnosis of primary disease and complications. Results: A total of 11 patients (F/M: 4/7) were evaluated. The mean age was 54 (±4) years. The mean follow-up period was 18 months (range 2-30). Primary disease was rectal cancer in seven patients (63.6%), Fournier's disease in two patients (18.2%), genital cancer in one patient (9.1%), and rectovaginal fistula in one patient (9.1%). Only one patient underwent transverse colostomy and 10 patients underwent sigmoid colostomy. There were no complications related to surgical procedures. One patient died on the 14 th postoperative day because of complications secondary to metastasis. Conclusion: Trephine stoma technique, which does not require laparotomy, is a fast, reliable, and easy to use method especially in high-risk patients with poor general condition.

Purpose: This experimental study aimed at comparing the cyanoacrylate abdomen closure to the effectiveness of triclosan coated polidioxanone abdomen closure. Methods: The abdomen layers were closed with 3/0 polidioxanone suture in the fi rst group. In the second group, the layers were closed with triclosan coated polidioxanone suture in a single layer. The abdomen layers of rats in the third group were attached with cyanoacrylates without sutures. The rats were sacrifi ced on the 14th day and the adhesive level was recorded. The incision resistance strength was measured. The tissue was examined blindly in the terms of infl ammatory cell infi ltration, capillary proliferation, fi brosis and micro-abscess by the pathologist. Results: No signifi cant difference was determined between the 1st and 2nd groups in the terms of infl ammatory cell infi ltration, capillary proliferation, collagen deposition, fi broblast activity, adhesive and tissue distension strength. The fi brosis and adhesive rate of the 3rd group was signifi cantly higher than the 1st and 2nd groups statistically. The tissue distension strength was lower than in the other groups and the differences between the groups were found to be signifi cant (p < 0.05). No signifi cant difference was determined between the groups in the term of micro-abscess. Conclusions: Antibacterial suture is not superior to the conventional suture. It is concluded that cyanoacrylate is not an appropriate molecule for abdomen closure (Tab. 1, Fig. 3, Ref. 17). Full Text in PDF www.elis.sk.