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    Evaluation of early thyroidectomy complications
    (Bayrakol Medical Publisher, 2022) Karatas, Turgay; Selcuk, Engin Burak; Karatas, Mehmet; Yildirim, Atilla; Ozbag, Davut; Cay, Mahmut; Senol, Deniz
    Aim: Our aim in this study is to reveal the relationships between patient findings, surgical methods and early thyroidectomy complications. Material and Methods: The files and operative notes of 308 patients who underwent thyroidectomy within 10 years were reviewed retrospectively. Gender, age, preoperative diagnosis, primary or reoperated cases, the type of thyroidectomy [ bilateral subtotal (BST), bilateral total (BTT), unilateral subtotal (UST) and unilateral total (UTT)] and early postoperative complications (hypocalcemia, bleeding, nervus laryngeus recurrens (NLR) injury, infection and seroma) were recorded. The peculiarity of this study is that NLR neuromonitoring was not used in thyroidectomy operations. Results: Of the 308 patients who underwent thyroidectomy, 287 were females and 21 were males. Two hundred eighty three cases of multinodular goiter, 18 cases of nodular goiter and 7 thyroid cancers were operated; 180 BTT, 100 BST, 17 UTT + UST, 7 UST and 4 UTT were applied. Complications were seen in a total of 20 (6.49%) patients who underwent 19 BTT and 1 BST. The only complication in BST was bleeding. There were 10 (3.24%) hypocalcemia, 4 (1.29%) bleeding, 2 (0.649%) NLR injury, 2 (0.649%) infections and 2 (0.649%) seromas. In terms of the frequency of early thyroidectomy complications, hypocalcemia was the first (P=0.0047). In addition, the rates of hypocalcemia and NLR injury were higher in reoperated patients than in primary patients (P<0.05). Discussion: The most common complication was hypocalcemia. NLR injury and hypocalcemia rates were higher in reoperated cases who underwent BTT.
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    Evaluation of risk factors for necrotic tissue resections in elderly patients with groin hernia
    (Edizioni Luigi Pozzi, 2023) Karatas, Turgay; Selcuk, Engin Burak; Karatas, Mehmet; Tahtali, Ibrahim Nuvit; Yildirim, Atilla; Arslan, Ahmet Kadir
    Aim: To reveal the relationships between patient findings and tissue resection in elderly patients. Materials and methods: Between September 2020 and September 2022 three hundred eighty four patients over the age of 60 who were operated with the diagnosis of groin hernia were retrospectively analyzed. Gender, age, height, weight and body mass index value, groin and inguinal hernia types, hernia sides, primary or recurrent cases, hernia sac content, incarceration, tissue necrosis and resection presence, and accompanying pathologies were recorded. These findings were compared and evaluated in order to determine the relationships between patient findings and tissue resection, and the findings at risk for tissue resection. Results: Of the patients in the study, 352 (91.7%) were male and 32 (8.3%) were female. The mean age, height, weight and BMI were 67.48 +/- 5.893 years, 169.27 +/- 6.113 cm, 73.28 +/- 7.878 kg and 25,566 +/- 2.3518 kg/m2, respectively. There were 369 inguinal, 15 femoral, 285 indirect, 84 direct, 312 primary, and 72 recurrent hernias. Incarceration was present in 65 (16.9%) patients, 19 (4.9%) of these patients underwent resection due to tissue necrosis (twelve omentum and seven small intestine). Tissue resection was 3.1% in male, 25% in female, 4.3% in inguinal, 20% in femoral, 5.6% in indirect, 0% in direct, 3.5% in primary and 11.1% in recurrent hernias. Tissue resections were significantly higher in females, femoral hernias, indirect inguinal hernias and recurrent cases (p<0.05). Conclusions: We can say that female gender, femoral, indirect and recurrent hernias are important risk factors for tissue resection in elderly patients.
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    Incidence of emergency surgery in anterior abdominal wall hernias
    (Bayrakol Medical Publisher, 2023) Karatas, Turgay; Selcuk, Engin Burak; Karatas, Mehmet; Yildirim, Atilla; Tahtali, Ibrahim Nuvit; Arslan, Ahmet Kadir
    Aim: This prospective study was conducted to analyze the incidence of emergency surgery in anterior abdominal wall hernias (AWH). Material and Methods: A total of 659 patients with anterior AWH were examined. Patients with anterior AWH who underwent elective or emergency surgery were included in the study. In this study, groin and non-groin hernias constitute anterior AWHs. Gender, age, anesthesia and repair methods, elective and emergency surgery, hernia types, side of groin hernias, recurrent or primary hernias were determined and recorded. Emergency surgery incidences of hernias were evaluated in terms of gender, age, hernia types, groin hernia sides, primary or recurrent hernias.Results: Emergency surgery was performed in 64 patients (9.7%). The incidence of emergency surgery was found to be higher in females. In anterior AWHs, the emergency surgery incidence was found to be higher in non-groin hernias than in groin hernias (P<0.001). The emergency surgery incidence was highest in femoral hernias among groin hernias and incisional hernias in non-groin hernias. In terms of primary and recurrent cases, the emergency surgery incidence was significantly higher in recurrent cases (P<0.001). However, when the emergency surgical incidence of all anterior AWHs such as inguinal, femoral, incisional, umbilical and epigastric hernias in the study were compared, no significant difference was found among them. Discussion: Emergency surgery incidence was found to be higher in females and in recurrent cases. However, there was no significant difference in the incidence of emergency surgery among all anterior AWH types.