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    Information on local anesthetics and toxicity for doctors in surgical department of Karadeniz Technical University Medical Faculty Hospital
    (2020) Buran, Sibel; Akdogan, Ali; Besir, Ahmet; Dohman, Davut
    Aim: Local anesthetics are commonly used in surgical interventions and anesthesia applications. The aim of this study was to increase the sensitivity of local anesthetic toxicity to the presence of symptoms, precautions to be taken and the use of 20% lipid infusion for treatment. Material and Methods: The questionnaire was applied on 160 of 205 physicians who were prescribed local anesthetics.Results: Of the 160 participants included in the study, 108 (67.5%) were research assistants, 47 (29.4%) were faculty members and the remaining 5 (3.1%) were expert medical practitioners. 63 of the participants (39.4%) had been working in the medical profession for more than 5 years. While 42.5% of the participants administered local anesthetics every day, 33.1% had not received any training in the area. On the basis of their training status, it was the anesthetists among specialist doctors who were the most trained in anesthetics with a statistically high rate of 86.3%. Thirty-three of the surveyed physicians (20.6%) who responded stated that they had experienced a case of local anesthetic toxicity previously. The most frequent answer to the question in early findings concerning local anesthetic toxicity was anaphylaxis (74.4%). 38.1% of the participants had not heard the use of 20% lipid solution in local anesthetic toxicity. Although there was 20% lipid solution in the university hospital where the research was conducted, 31.9% of the participants knew this.Conclusion: Although local anesthetic toxicity is rare, it frequently occurs in clinical practice. Therefore, physicians should have general knowledge regarding local anesthetic drugs, maximum doses, side effects, toxicity symptoms and the required treatment in the case of toxicity. We also think local anesthetic toxicity should be included in annual training programs and practical applications by other clinical branches that apply local anesthetic drugs as we currently do at our Clinic and physicians should be given appropriate guidance.
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    Ovarian masses in children: A single center’s experience
    (2020) Yalcin Comert, Hatice Sonay; Eyuboglu, Ilker; Ersoz, Safak; Akdogan, Ali; Imamoglu, Mustafa; Sarihan, Haluk
    Aim: Although ovarian masses are rare in children, they differ forevery age group. We aimed to evaluate the management of patients diagnosed with ovarian masses in our clinic. Material and Methods: The medical records of patients (age ≤ 18) who underwent operations for ovarian masses during the period 2009-2019were evaluated retrospectively. Demographic findings, presenting symptoms and signs, the results of radiological examinations, mass locations and sizes, tumor markers, histopathological diagnoses and cases’surgical intervention were recorded.Results: The study included 51 patients with a total of 54 surgical interventions. There was a significant difference between tumor size and pathological diagnosis (p0.048) between the pathological diagnosis and the surgical intervention for patients who required oophorectomy and did not require oophorectomy (p=0.02) and presenting symptoms and signs with pathological diagnoses (p=0.027). We found no difference in the patients’ age of presentation and the pathological diagnoses (ovarian torsion, neoplastic or non neoplastic lesions) (p=0.542). We also found no difference between tumor markers and pathological diagnoses (p=0.253 for CEA, p=0.345 for αFP and p=0.129 for βHCG) or mass location (right or left side) with the pathological diagnoses (p=0.246).Conclusion: : Ovary preservation surgery is important for ovarian masses in children, and we must be careful when performing surgery on these patients.