Because of its low complication rate and acceptable long-term results, rhomboid excision and the Limberg flap procedure is preferable to simple excision and primary closure in the treatment of SPD.

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.

No abstract

OBJECTIVE:This prospective randomized clinical study was conducted to evaluate the safety and tolerability of early oral feeding after colorectal operations.METHODS:A total of 199 patients underwent colorectal surgery and were randomly assigned to early feeding (n = 99) or a regular diet (n = 100). Patients' characteristics, diagnoses, surgical procedures, comorbidity, bowel movements, defecation, nasogastric tube reinsertion, time of tolerance of solid diet, complications, and length of hospitalization were assessed.RESULTS:The two groups were similar in terms of gender, age, diagnosis, surgical procedures, and comorbidity. In the early feeding group, 85.9% of patients tolerated the early feeding schedule. Bowel movements (1.7±0.89 vs. 3.27±1.3), defecation (3.4±0.77 vs. 4.38±1.18) and time of tolerance of solid diet (2.48±0.85 vs. 4.77±1.81) were significantly earlier in the early feeding group. There was no change between the groups in terms of nasogastric tube reinsertion, overall complication or anastomotic leakage. Hospitalization (5.55±2.35 vs. 9.0±6.5) was shorter in the early feeding group.CONCLUSIONS:The present study indicated that early oral feeding after elective colorectal surgery was not only well tolerated by patients but also affected the postoperative outcomes positively. Early postoperative feeding is safe and leads to the early recovery of gastrointestinal functions.

The present study shows that total thyroidectomy can be performed without increasing risk of complication, and it is an acceptable alternative for benign multinodular goiter, especially in endemic regions, where patients present with a huge multinodular goiter.