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    Surgery for Pulmonary Hydatidosis in Turkey in 2014: A Nationwide Study
    (Aves, 2019) Gulhan, Sakir Erkmen; Kilicgun, Ali; Samancilar, Ozgur; Altinok, Tamer; Kutluk, Ali Cevat; Baysungur, Volkan Selami; Celik, Muhammet Reha
    OBJECTIVES: Turkey remains among the countries where hydatid disease is endemic. In this study, it was aimed to determine the number of operations performed for the treatment of pulmonary hydatid disease in Turkey during 2014 and to present the distribution of these operations according to the different regions of the country. MATERIALS AND METHODS: The Turkish Thoracic Society Thoracic Surgery Study Group connected with the thoracic surgeons in each city through telephone. A data set was sent by email. The age, sex, contact with animals that might be a risk of gaining the hydatid disease, the side of the disease, the type of surgical method, other organ involvement were recorded and collected from each data set to form the final data, and the results were evaluated. Turkey comprises of 81 cities that are grouped in seven different regions. The number of operations was calculated for each city and region to present the distribution. RESULTS: Overall, 101 centers from 81 cities were considered in the study. A total of 715 pulmonary hydatid cyst operations were performed in 690 patients during the study period. The most common operation technique was cystotomy and capitonnage through thoracotomy (76%). The highest incidence rate of operated patients was in the Eastern Anatolian Region (2.15 patients per 100 000 person-years). CONCLUSION: Pulmonary hydatid disease still has a high incidence rate particularly in the southeast and east of Turkey, which are mainly rural areas and where stockbreeding is very common. Cystotomy and capitonnage is still the most common surgical method used to treat pulmonary hydatid cysts. Preventive methods should be performed strictly in these cities and regions to decrease the risk of infection.
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    Thoracic trauma in children; A retrospective study for causes, diagnosis and treatments
    (2020) Kuru, Murat; Apiliogullari, Burhan; Altinok, Tamer; Cerann, Sami
    Aim: To evaluate pediatric patients subjected to thoracic trauma in terms of prognosis, diagnosis and treatment. Although studies on trauma in adults are aplenty, those on the pediatric population are rarely available.Material and Methods: 261 patients who were exposed to thoracic trauma for any reason in the last 24 hours of hospital admission were included. The patients’ demographic data, etiology, treatments and results were retrospectively evaluated.Results: Our sample consisted of 85 girls and 176 boys with a mean age of 9.73±5.71 (range: 1-18 years). 228 of the patients (87%) had blunt trauma, 26 (10%) had penetrating trauma, and 7 (3%) had both penetrating and blunt trauma. Rate of penetrating trauma was about 4 times higher in boys. Traffic accidents were the most common reason for traumas. The most commonly fractured ribs were the 6th-9th ribs. 75 patients (28.7%) required tube thoracostomy, and 12 required open surgery. Rigid bronchoscopy was performed in 12 patients.Conclusion: None of the 33 patients with penetrating trauma died, contrary to the information in the literature. We found boys to be exposed to trauma more than girls (B/G: 2.07/1), albeit at different rates compared to the findings of other research. The development of rib fractures was found to be a predisposing factor for hemothorax. Hemothorax was observed in the 6th-9th ribs and in ≥4 rib fractures