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    Does mesh utilization in femoral hernia repair affect recurrence?
    (2020) Acar, Nihan; Acar, Turan; Gungor, Feyyaz; Er, Ahmet; Atahan, Kemal; Haciyanli, Mehmet
    Aim: The mechanism of how femoral hernias (FH) develop is not clear. As a result of increased intra-abdominal pressure, preperitoneal fat tissue passes through the femoral ring and also drags the pelvic peritoneum.Femoral hernias are more common in women and also approximately 60% occur on the right, 30% on the left side and 10% are bilateral. The chief complaints of the patients are swelling and pain in the groin. Most cases require emergency operation due to incanceration or strangulation. Hernia repair can be performed with or without mesh, and with open or laparoscopic techniques.In this retrospective study, we aimed to compare the recurrence rates in patients who underwent FH repair with and without mesh.Material and Methods: This is a retrospective study of 48 patients who underwent surgery due to FH in our clinic between January 2012 and October 2017. The patients were divided into two groups according to mesh utilization: Hernia repair with mesh (Group 1) and hernia repair without mesh (Group 2).Results: A total of 48 patients with FH were operated (35 females, 13 males). The mean age of the patients was 64.6 ± 18.3 years and, 31 patients (64.5%) had right-sided and 17 patients (35.5%) had left-sided hernia.When the groups were compared, there was a statistically significant difference in terms of comorbidity, length of hospital stay and morbidity. There was no significant difference in recurrence (recurrence rates: 6.3%, 6.3%, respectively).Conclusion: Currently, mesh and non-mesh repairs are commonly used for the treatment of FH. This study showed that absence of mesh in FH repair did not affect recurrence.
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    Knowledge and attitudes towards brain death and organ donation in hospitalized patients and their relatives
    (2020) Yilmaz, Yeliz; Acar, Kadriye; Oyur Celik, Gulay; Er, Ahmet; Kamer, Erdinc
    Aim: Organs are generally procured from cadavers in developed countries while they are mostly obtained from living donors in developing countries. Firstly, the diagnosis of brain death should be established in order to obtain organ from a cadaver. Secondly, the family or legal guardian should have to donate organs. The knowledge and attitudes of relatives of donor towards organ donation is important in a patient diagnosed as brain death. Thus, this study was performed to determine knowledge and attitudes towards brain death and organ donation in patients (their relatives) hospitalized in general surgery clinic where organ donation is performed. Material and Methods: The patients hospitalized in General Surgery Clinic, and their relatives (n=80) were included to the study. The clinic also performed renal transplantation. The questionnaires developed by researchers were used to collect data.Results: Of the subjects included, 75% were women while25% were men. Mean age was 40.71±15.53 years. Majority of subjects had inadequate knowledge about brain death or organ transplantation. Of subjects, 76.25% reported that they support organ donation. Only 2.5% had donated their organs. Subjects(n=19) reporting that they would not donate organ of their relative diagnosed as brain death proposed following reasons: religious thoughts(15.8%), refusal of disrupting body integrity(94.8%) and being blinded to decision of potential donor about organ donation.Conclusion: Although sample size is small in our study, it was shown that majority of individual have no sufficient information about brain death and organ transplantation and that organ donation rates are extremely in our society.