Objective: The study aimed to compare the techniques applying prolene mesh and progrip-self fixating mesh in terms of post-operative pain, limitation of movement and quality of life. Material and Methods: The study was conducted from November 2014 to January 2016 in Department of Surgery, Manisa Celal Bayar University Hospital. The study recruited 50 male patients, aged 18 and over and was carried out as a double blinded procedure. Twenty-five patients were randomly selected to receive hernia repair by progrip self-fixating mesh and 25 patients were treated with hernia repair with suture fixation method by using prolene grafts, and patients' pain follow-up was performed with face-to-face or telephone interviews with VAS (Visual Analogue Scale) and return to daily routine activities were evaluated with SF-36 (Short Form-36) quality of life scale. Recurrent hernias and emergency cases were excluded. Results: The pain scores were lower and a statistically significant difference was achieved in patients in whom progrip self-fixating mesh was used in the early postoperative period. Both methods gave statistically similar results in terms of pain and quality of life. Conclusion: In the literature, there are some evidence that the repair applied with progrip self-fixating graft has more positive outcomes compared to the repairs applied with suture fixation. It is concluded that there is a need for longer follow-ups and larger series of cases in order to achieve a definite result.

Duplication of the vermiform appendix is a rare congenital abnormality and usually found incidentally during laparotomy. The Modified Cave-Wallbridge classification is used to describe the location of the appendixes in relation to each other and to the cecum as well as the extent of the duplication. We report a 45-year-old patient who underwent laparotomy for acute abdominal pain. The operative finding was double acute appendicitis in appendical duplication. The appendixes were removed separately, as it was type B duplication. Since appendectomy is the most common abdominal operation, all surgeons should keep this rare clinical entity in mind.

Rare anatomical localizations of primary hydatid cysts: A single-center retrospective observational study - Turkish Journal of Surgery

Background and Objectives: Percutaneous endoscopic gastrostomy (PEG) is a safe, minimally invasive method preferred for long-term enteral nutrition. While most procedural complications are minor and occur in the early period, there are also major complications that can lead to death. This study aims to investigate the minor and major complications, the timing of minor complications in patients with PEG tube placement, and the relevant literature. Materials and Methods: We conducted a retrospective review of 652 patients who underwent PEG tube placement between 1 January 2010 and 31 October 2024. This study investigated the age, gender, primary disease, minor and major complications, early and late complications, and the time to the emergence of minor complications in patients who underwent PEG tube placement. Results: The majority of patients underwent PEG insertion due to neurological diseases, with stroke being the most common cause. The minor complication rate was 17.1%, while the major complication rate was 9.5%. The most common minor complication was peristomal infection (5.2%), and the most common major complication was buried bumper syndrome. Thirty-nine patients (12.7%) experienced complications in the early period, while 17 patients (5.5%) experienced them in the late period. The transverse colon, which was injured, was the most commonly affected internal organ. Conclusions: PEG is widely used for neurological diseases, such as cerebrovascular disease and dementia, with minor complications being more common than major ones. There is no significant difference between early and late minor complications.

Intestinal choriocarcinoma is a very rare phenomenon. This is the first reported case of intestinal choriocarcinoma following an ectopic pregnancy. We report a 24 year-old woman who presented with severe abdominal pain, distension, and vomiting. She had a history of an ectopic pregnancy nine months prior. Emergent laparotomy exploration revealed abscess formation and obstructions at two sites in the small intestine, with unremarkable gynecological organs. The obstructed sections of the intestinal were excised and subsequently diagnosed as intestinal choriocarcinoma in histopathological evaluation. Postoperative positron emission tomography (PET) revealed a non-contrast-enhancing lesion on the small intestinal wall with increased metabolic activity consistent with healing tissue at the anastomosis site. No other primary focus and/or metastatic lesions were detected. Multi-agent chemotherapy was planned for the patient. No residual and/or recurrent tumoral lesions were detected on the PET scan at the one-year follow-up.