Objective: For recurrence of hepatic hydatid, cysts overlooked during surgery, secondary cysts due to the spread of cystic fluid, late postoperative hydatid cyst formation and inadequate treatment are recommended. Factors affecting recurrence were investigated in cases with recurrence. In this retrospective study, data on 199 patients with hepatic hydatid disease treated by surgery in our hospital, between January 1993 and December 2018 were reviewed.Methods: In this study, patients who were operated for hepatic hydatid disease; The relationship between cyst diameters, cyst stages, number of cysts and recurrence was investigated.Results: 84 patients were male and 115 were female. Most of the cases (189 patients- 88.06 %) treated by conservative surgical methods. Remaining’s (8 patients-4.3 %) had total cystectomy or segmental hepatectomy. Recurrence rate was found 5.47%. In that cases, primary operations were done by us, there was no significant differences between cysts’ stages and recurrences. There was not significantly differences between cysts’ number and recurrences, except the patients had 2 cysts (z=2.17, p=0.03).Conclusion: The best way of prevention of the recurrence of hepatic hydatid cysts are complete diagnosis of cysts' classification, localization, and medico-surgical combination. Perioperative medical treatment must be start three days ago before the operation and should be continued for at least 6 months.

Following the spread of novel coronavirus (COVID-19) pandemic, surgical associations have issued their different recommendations for managing the acute cholecystitis (AC) clinic during the pandemic. We aimed to examine the effects of the COVID-19 pandemic period on our clinical approach in patients who presented to the emergency department with abdominal pain and were diagnosed with AC. Medical records of patients diagnosed with AC in the emergency room between 11 March 2020 and 10 March 2021 and in the same period of one year before the pandemic were retrospectively reviewed. Patients were divided into 2 groups as COVID-19 period (Group 1) and non-COVID period (Group 2). Demographics and clinical characteristics, treatment modalities, and outcomes of these two groups were compared. The number of patients diagnosed with AC in the emergency department decreased during the ongoing COVID-19 pandemic. When the time between the onset of the complaints and the admission to the emergency service was evaluated, no statistically significant difference was found between the groups (p>0.05). The distribution of cholecystitis type and TG18 severity grading for AC were similar in both groups (p>0.05). While percutaneous cholecystostomy (PC) is more preferred in the treatment of AC during the pandemic period and the number of delayed interval laparoscopic cholecystectomy decreased, AC management was similar in both periods with no significant statistical difference (P>0.05). In conclusion, our clinical approach and management in the treatment of AC did not differ when compared to the pre-pandemic period.

This retrospective cross-sectional study aimed to investigate the differences and influencing factors between the headache patients who achieved complete r

Objectives In this restrospective and cross-sectional study, it was aimed to analyze the time-dependent change in mortality due to liver hydatid cysts in a multicenter and multivariate manner over 25 years. Methods In the study, 213 files of patients with liver Hydatid cysts underwent surgery in multicenter between 1993 and 2018 were retrospectively included. The mortality rate in patients was reported as 11.7%. Gender, age, cyst stage, number of cysts, localization, maximum cyst diameter, latex and albendazole use, comorbidity, early and late complications, mortality, hospitalization and follow-up periods of the patients were analyzed. Results Age mean, right localization and cardiovascular disease (CVD) frequency parameters were significantly higher in mortality group (p < 0.05). Follow up duration was significantly higher in living group (p < 0.05). Mortality was significantly correlated with age (r = 0.375; p < 0.01), localization (r = − 0.153; p < 0.05), CVD (r = 0.264; p < 0.01) and follow up duration (r = − 0.262; p < 0.01). According to year controlled partial correlation analysis, mortality was only significantly correlated with age (r = 0.301; p < 0.05). Cox regression analysis results showed that effects of age (B = 0.093; p < 0.01), right localization (B = 2.215; p < 0.05) and left localization (B = 2.704; p < 0.05) on mortality were significant. Survival function for mortality showed that about first 100 days after surgery were important for mortality. After 200 day, cumulative survival trend was more stable than before. In left localized cyst, about first 500 days after surgery is important for mortality. In right and segment localized patients, first 1000 days after surgery is important for mortality. Conclusion According to the results of multicenter and 25-year experience in patients with hydatid cysts, the causes of mortality did not change significantly over time, and only age and localization were found to be important factors. Although there have been improvements in environmental hygiene and risk factors over time, their effects on disease-related mortality were found to be insignificant.

Objectives Obesity is related with several sleep disorders and affects the quality of life. In this research it was aimed to evaluate the effects of bariatric surgery on sleep disorders and sleep quality. Methods The study was conducted on 454 patients who underwent bariatric surgery at the Departments of General Surgery of Üsküdar University, Hitit University, Ondokuz Mayis University, and sleep disorders were evaluated at University of Health Sciences Erenköy Mental and Nervous Diseases Training and Research Hospital, Department of Neurology. Sleep quality of the patients, reporting complaints about sleep. was assessed with the Pittsburgh sleep quality index (PSQI), risk of obstructive sleep apnea syndrome was questioned with the Berlin Sleep Questionnaire (BSQ), excessive daytime sleepiness was screened with the Epworth Sleepiness Scale (ESS). The Insomnia Severity Index (ISI) was used in patients who identified insomnia and the restless legs syndrome severity scale (RLSS) index was also evaluated in patients with the complaints of RLS before and after the bariatric surgery. Results Among 454 patients, 207 of them (45.6%) have informed complaints about sleep. After bariatric surgery, all scores indicating impaired sleep quality (BSQ category 1 and category 2, RLS index, ESS, PSQI, ISI) decreased significantly in patients (p = 0.000). BSQ- scale scores had the greatest decrease among other scales. Patients also reported fewer complaints of sweating, sexual dysfunction, gastroosephageal reflux, teeth clenching, dry mouth, morning headache, nocturia, and daytime sleepiness after the surgery (p < 0.05). The decrease in body mass index (BMI) was significantly correlated with BSQ-OSAS total (r=-0.143; p < 0.05), RLS (r=-0.410; p < 0.05) and PSQI sleep latency (r = 0.174; p < 0.05). However, the correlation between BMI reduction and ESS, PSQI and ISI scores was found statistically insignificant. (p > 0.05). Effect of BMI difference on BSQ-OSAS was statistically significant (OR=-0.041; p < 0.05). Effects of BMI difference (OR=-0.490; p < 0.05) and having thyroid comorbidity (OR=-24.752; p < 0.01) on RLS were also statistically significant. Conclusion Bariatric surgery has a positive and healing effect on sleep apnea and restless legs syndrome in favor of this group of patients.

This study aimed to investigate the effects of Laparoscopic Sleeve Gastrectomy (LSG) surgery on Female Sexual Function Index (FSFI) and menstrual functions. A total of 494 sexually active women attempting OMU Faculty of Medicine and diagnosed with obesity and underwent with laparoscopic sleeve gastrectomy before and after the surgery between 17.02.2015 and 10.03.2025 were included in the study. FSFI before operation was significantly and negatively correlated with age (r=−0.443; p<0.01) and Visual Analog Scale (VAS) (r=−0.675; p<0.01). FSFI after operation was significantly and negatively correlated with age (r=−0.383; p<0.01), menstrual cycle (r=−0.202; p<0.05) and VAS (r=−0.661; p0.05). Age (OR=−0.083; p<0.01) and VAS (OR=−0.410; p<0.01) had significant and negative effect on FSFI before operation. Similarly, age (OR=−0.092; p<0.01) and VAS (OR=−0.439; p<0.01) had significant and negative effect on FSFI after operation. Menstrual cycle change after LSG also had a decreasing effect on FSFI level after obesity. Therefore, treatment support can be given to women in terms of menstrual cycle in order to increase their sexual quality of life after LSG. Multidisciplinary studies of bariatric surgeon and gynecologist are needed in this regard.