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Acute appendicitis is one of the most common pathologies in emergency surgery practice. While many patients apply with classical symptoms and physical examination findings, some patients experience diagnostic difficulties. The files of 58 patients who were operated in our clinic with a preliminary diagnosis of acute appendicitis were analyzed retrospectively. The diagnosis of the patients was made by history, physical examination, laboratory values and imaging method results. The patients were divided into groups as negative appendectomy, non-complicated and complicated appendicitis according to the operation findings and pathology results. When laboratory parameters were examined, the difference between patients with negative appendectomy and those with positive appendectomy was statistically significant for leukocyte count, neutrophil count, lymphocyte count, CRP level, neutrophil lymphocyte ratio (NLR and platelet lymphocyte ratio (PLR). As a result of our study; In complicated and noncomplicated appendicitis cases, NLR (neutrophil-lymphocyte ratio) and PLR (Platelet lymphocyte ratio) can be used as a strong diagnostic marker in cases of inflammatory process. [ABSTRACT FROM AUTHOR]

Peritoneal carcinomatosis (PC) is defined as tumoral lesions located on peritoneal surface. In this study, we examined demographic findings, operational findings, early and late postoperative complications and survival times of our patients who underwent CRC + HIPEC due to PC. Between January 2013 to September 2017 patients operated due to gynecological, gastrointestinal PC or primary peritoneal mesothelioma were studied retrospectively. CRS+HIPEC was performed for treatment of PC. Demographic characteristics of patients, preoperative and intraoperative findings, postoperative early and late complications, and survival times were evaluated. Statistical analysis was performed. Median follow-up and overall survival were calculated from the date of surgery until death, or last follow-up visit. A total of 6 women (75%) and 2 men (25%) aged between 40-75 years (mean age 54.3 years) were operated due to PC secondary to ovarian cancer, gastric cancer, colon cancer, or due to primary mesothelioma. Two patients developed morbidity at the postoperative period including pleural effusion, intraabdominal abscess, sepsis, wound dehiscence. Two patients were died in early period due to recurrence. This study presents outcomes of a very limited number of cases. CRC+HIPEC can be performed in a low volume center in selected patients with CC0 or CC1 resections. [ABSTRACT FROM AUTHOR]

Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) has became a new treatment option in last years form any patients with peritoneal metastasis. In this case report, a 42 years old women was operated by gynecologists due to pelvic mass. On exploration, there was huge intraabdominal, omental mass with malignant appreance. There were multiple metastatic lesions on peritoneal surface sand in all colon mesentery. Subtotal colectomy, omentectomy, peritonectomy, splenectomy, cholecystectomy and resection of omentum minus were performed. After cytoreductive surgery, HIPEC with cisplatin was used. There were an intraabdominal abscess and pleural effusion which were treated hardly. In conclusion, CRS and HIPEC are becaming a more commonly performed treatment modalities in patients with peritoneal carcinomatosis. Pulmonary effusion and resistant intraabdominal infections can be important problems in postoperative period. [ABSTRACT FROM AUTHOR]

Giant duodenal ulcer perforations form the 1-2% of all perforations. The morbidity and mortality rates are high in these patients. The repair of these defects are difficult. Most of the time Graham duodenoraphy was used for repair. We are presenting two patients with giant duodenal ulcer perforations (larger than 2.5 cm) who were successfully treated with omental plug technique. [ABSTRACT FROM AUTHOR]

Abdominal wall hernias constitute a group of diseases whose treatment is surgery and sometimes surprise the surgeon with unexpected contents of hernia sac. Many times, tumors become a part of this surprise by mimicking with non-incarcerated or incarcerated hernia. We have presented a case which was reported as incarcerated hernia with abdominal ultrasonography but understood that renal tumor was protruded from the anterior abdominal wall during surgery, due to it was the first case according to our research in the literature. [ABSTRACT FROM AUTHOR]