Summary Background Pilonidal sinus disease is frequently observed in the producing population; despite it not being a malignant disease, attention of clinicians to this disease has increased. Studies ...on this disease have not clearly revealed its prevalence. We aimed to detect its dispersion characteristics in our country. Materials and methods Our study was designed as a descriptive study involving a large number of patients. A total of 19,013 candidates, aged between 17 years and 28 years and coming from different regions of the country, who applied to be students or officials of the state's schools and institutions, were enrolled in the study. Examination was performed including the perineal region, the presence of any comorbid diseases was noted, and clinical types of pilonidal sinus disease were detected according to Tezel's classification and recorded. Results Pilonidal sinus was detected in a total of 1258 (6.6%) candidates, of whom 72 (0.37%) were female and 1186 (6.23%) male. Our clinical experience showed that pilonidal cysts had a higher incidence in the Turkish population than in other populations, and it was especially increased in individuals of military age. Conclusion We believe that soldiers coming from different regions of Turkey and candidates applying for auxiliary staff positions provide a small sample group resembling a representation of the whole of Turkey.
Sacrococcygeal pilonidal disease is a source of one of the most common surgical problems among young adults. While male gender, obesity, occupations requiring sitting, deep natal clefts, excessive ...body hair, poor body hygiene and excessive sweating are described as the main risk factors for this disease, most of these need to be verified with a clinical trial. The present study aimed to evaluate the value and effect of these factors on pilonidal disease.
Previously proposed main risk factors were evaluated in a prospective case control study that included 587 patients with pilonidal disease and 2,780 healthy control patients.
Stiffness of body hair, number of baths and time spent seated per day were the three most predictive risk factors. Adjusted odds ratios were 9.23, 6.33 and 4.03, respectively (p<0.001). With an adjusted odds ratio of 1.3 (p<.001), body mass index was another risk factor. Family history was not statistically different between the groups and there was no specific occupation associated with the disease.
Hairy people who sit down for more than six hours a day and those who take a bath two or less times per week are at a 219-fold increased risk for sacrococcygeal pilonidal disease than those without these risk factors. For people with a great deal of hair, there is a greater need for them to clean their intergluteal sulcus. People who engage in work that requires sitting in a seat for long periods of time should choose more comfortable seats and should also try to stand whenever possible.
To study the benefits of ultrasonography for detecting the borders of pilonidal sinus tissue. The correlation between physical and ultrasonographic examination was used for surgical planning.
Between ...April and December 2004, 73 patients were recruited for this study. All patients were examined, and the borders of the sinus tissue were marked on the skin according to palpation before surgery. The surgeon also made a treatment plan considering the diseased tissue and marked a possible incision line. Patients were subsequently examined with ultrasonography. According to the ultrasonographic evaluation, the margins, extensions, and openings of pilonidal sinus tissue were determined and marked on the patient in a different color by a radiologist prior to surgery. The most suitable surgical treatment was decided according to the information obtained by ultrasonography.
The average age was 23.03 ± 3.05 (range 18–39) years. We found 81 lesions in 73 patients. Ultrasonographic borders of sinus tissue were similar to the borders marked by the surgeon in 56 patients (76.7%). In the remaining 17 patients (23.3%), ultrasonography detected branches or borders that distinctly exceeded the planned incision line. After ultrasonographic examination, the surgeon changed his incision line in 14 patients and the surgical intervention in 3 patients.
Palpation and methylene blue injection do not provide appropriate information in many patients. Our study revealed that pre-operative ultrasonography can improve the identification of the sinus tract and its branches when compared to palpation and methylene blue injection.
Primary signet-ring cell carcinoma of the urinary bladder is an exceedingly rare entity associated with poor prognosis. Thus, it is essential to distinguish this carcinoma from gastrointestinal ...metastases, as different therapeutic strategies are often necessary. We report the case of a 23 year old female patient with primary signet-ring cell carcinoma of the bladder that invades the pelvic wall and treated with partial cystectomy and adjuvant chemotherapy. No metastatic spread or recurrence was detected in the patient after 12 months of follow-up. To our knowledge, this is the first youngest female patient reported in the English literature.
Abstract Introduction In this study, we investigated d -dimer serum level as a diagnostic parameter for acute appendicitis. Materials and Methods Forty-nine patients were enrolled in the study. ...Patients were classified according to age; sex; duration between the beginning of pain and referral to a hospital or clinic; Alvarado scores; and in physical examination, presence of muscular defense, the number of leukocytes, preoperative ultrasonography, and d -dimer levels of histopathologic study groups were analyzed. Results Of the patients enrolled in the study, 26.5% were females and 73.5% males. The average age was 21 years (range, 16-38 years) and 81.7% acute appendicitis (AA). According the duration of pain, 63.2% of the patients were referred to the hospital within the first 24 hours, 26.5% of the patients were referred to the hospital within 24 to 48 hours, and 10.3% were referred to the hospital within a period of more than 48 hours. No statistically significant difference was determined regarding d -dimer levels between the histopathologic study groups ( P > .05). Alvarado scores lower than 7 were found in 36.7% and 7 or higher in 63.3% of the patients. There was no statistically significant difference related with d -dimer levels between histopathologic study groups ( P > .05). The ratio of cases with a number of leukocytes below the upper limit were determined respectively as 32.7% and 67.3%, and no statistically significant difference was found regarding d -dimer levels between histopathologic study groups ( P > .05). Conclusion Increased d -dimer levels should not be considered as a diagnostic parameter in diagnosis of acute appendicitis.
Primary torsion of omentum: a rare cause of acute abdomen Albuz, Ozgur, MD; Ersoz, Nail, MD; Kilbas, Zafer, MD ...
The American journal of emergency medicine,
2010, 2010-Jan, 2010-01-00, 20100101, Letnik:
28, Številka:
1
Journal Article
Recenzirano
Increased white blood cell count (23,400/mL) was noted in the whole blood count. Increased white blood cell count (23,400/mL) was noted in the whole blood count. Omental tortion should be considered ...and should be included in the differential diagnosis when a patient is given an abdominal exploration for acute appendicitis, and the examination shows a normal appendix with serohemorrhagic fluid in the peritoneal cavity 18.
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