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The aim of this study is to reveal incidence of gastroesophageal reflux disease (GERD) after laparoscopic sleeve gastrectomy (LSG) and to determine the effect of LSG with hiatal hernia repair on GERD.A total of 440 patients, 395 of them underwent primary LSG (group A) and 45 of them underwent LSG with concomitant hiatal hernia repair (group B) between March 2018 and September 2020 were included in the study. Presence of hiatal hernia was evaluated with endoscopy and confirmed intraoperatively. Patients were evaluated for GERD symptoms in the pre and postoperative period. Two groups' data were compared.Mean age of the 440 patients was 38.4±11 years (56% female) and mean body mass index was 44.2±7 kg/m 2 . Symptomatic GERD was detected in 103 (23.4%) and hiatal hernia was detected in 45 (10.2%) patients. İn the preoperative assessment there was no difference with regard to demographics and symptomatic GERD between the 2 groups. Mean duration of follow-up was 17±5.7 (12 to 28) months in the overall study population. Mean body mass index decreased to 28.3±4.9 kg/m 2 at 12 months after LSG. Excess weight loss ratio was found to be 81±20.4%. The rate of symptomatic GERD after LSG in group A was found to be 20% (n=79/395). Of these patients, 46 (11.6%) had de novo GERD and 33 (38%) had persistent GERD. GERD resolved completely in 54 (62%) patients. In the group B, the rate of symptomatic GERD was detected as 33% (n=15/45) ( P =0.04). The rate of de novo GERD (20%) was also higher in group B ( P =0.03). The rate of persistent GERD (37%) and GERD resolution (62%) were similar in both groups.İn our study, symptomatic and de novo GERD rates were detected to be higher in the LSG+HH group than LSG alone.

AIM The aim of this study is to determine whether gastric sleeve fixation prevents functional stenosis (twist or kink) and to investigate its effects on symptoms such as nausea and vomiting after laparoscopic sleeve gastrectomy (LSG). METHODS A total of 717 patients who underwent primary LSG for morbid obesity and completed at least 1 year of follow-up between 2012 and 2019 were included in the study. All operations were performed by the same surgical team using the same technique. The patients were divided into 2 groups, that is, group 1: standard LSG and group 2: gastric sleeve fixation with LSG. These 2 groups were compared in terms of demographic characteristics, baseline body mass index, follow-up duration, bleeding, leaks, gastric stenosis, postoperative nausea, vomiting, and the need for antiemetics. In the follow-up period, patients with suspected gastric stenosis underwent endoscopy and upper gastrointestinal series. RESULTS LSG was performed in 717 patients (55.2% female) with a mean age of 37.8±11.5 years and a median body mass index of 42.2 (30.2 to 74.2) kg/m2. The 241 patients in the first group underwent LSG without fixation, and the 476 patients in the second group with fixation. Functional stenosis was detected in 8 patients, all of whom were in group 1. One patient in group 1 had a leak on the background of functional stenosis. There was bleeding that required transfusion in 2 patients (group 1) and reoperation in 2 patients (group 2). None of the study patients died. During the in-hospital period, 122 (50.6%) patients in group 1 and 159 (33.4%) patients in group 2 had nausea and vomiting that required antiemetic treatment (P

Groin pain is an important clinical entity that may affect a sportsman’s active sports life. Sportsman’s hernia is a chronic low abdominal and groin pain syndrome. Open and laparoscopic surgical treatment may be chosen in case of conservative treatment failure. Studies on sportsman’s hernia, which is a challenging situation in both diagnosis and treatment, are ongoing in many centers. We reviewed the treatment results of 37 patients diagnosed and treated as sportsman’s hernia at our hospital between 2011–2014, in light of current literature.

An incisional hernia may occur through the incision area following a surgical operation, through the trocar opening and even through drainage exit points. Various synthetic surgical meshes have recently been used for the surgical repair of incisional hernias. In this study, we analysed the burst strength forces of heavyweight mesh and lightweight mesh in an incisional animal model.Following experimental formation of incisional hernias in 32 Wistar albino rats, they were divided into four groups. Polypropylene suture was used for closure of the abdominal incision in Group 1. In Groups 2, 3 and 4, polyester, polypropylene + polyglactin and polypropylene meshes, respectively, were fixed on the surface of the fascia after closing the defects in the rats. Polypropylene and polyester meshes are classified as heavy mesh. Light mesh is composed of a non-absorbable part (polypropylene) and an absorbable part (polyglactin), which will disappear 80 days after implantation. The rats were sacrificed at the end of the experiment. The pullout force of the fascia and meshes were recorded by use of a digital tension meter.The mean pullout forces for Groups 1, 2, 3 and 4 were found to be 123.4 +/- 13.3, 292.33 +/- 17.4, 281.66 +/- 16.3 and 310.60 +/- 26.1 N, respectively.At the end of the experiment, the polypropylene (25 g/cm(2)) present in the lightweight mesh was found to lose only a small percentage of the burst strength compared to the polypropylene (85 g/cm(2)) present in the heavyweight mesh.

Colonic complications of Behcet's disease due to intestinal involvement are rarely reported in the literature. Ulcers are the most frequently seen intestinal complications that cause bleeding and perforation predominantly in the ileocecal region. In this article, we report a patient with Behcet's disease who presented with multiple perforations along the entire colon. Postoperative histopathological examination revealed multiple ulcers containing lymphocytic infiltrations in the small peripheral and submucosal venules. Intimal thickening and fresh intraluminal fibrin thrombosis were also seen in these venules.

GIRIS Pilonidal sinus hastaligi, icerisinde kil demetleri bulunan, inflamasyona bagli olusmus bir kese ve bunun cilde acilmis sinusleri ile karakterize kronik bir hastaliktir. Ilk olarak 1833 yilinda Mayo tarafindan tarif edilmistir (1). Cogunlukla sakrokoksigeal bolgede gorulen bu hastalik daha az siklikla aksilla, umbilikus ve inguinal bolgelerde de gorulebilmektedir. Ozellikle genc eriskin caginin hastaligidir. Etyolojisi ile ilgili cesitli teoriler ileri surulse de kazanilmis hastalik oldugu teorisi daha yaygin kabul gormustur (2). Etyolojik surecin aydinlatilmasi yonunde yapilan calismalar tedavi yaklasimlarini etkilemis, zaman icerisinde cerrahi tekniklerin gelismesine yol acmistir ki ameliyat sonrasi nuks oranlarinin dusmesi gene bu surece paraleldir. Erkeklerde kadinlara oranla 4 kat daha fazla gorulebilmektedir. Hastaligin akinti , agri , kasinti gibi semptomlari tedavi edilmedigi surece yasam kalitesini olumsuz etkilemekte ve zaman zaman isgucu kaybina sebep olmaktadir. Ozellikle folikul etrafinda olusan enfeksiyon ve odem nedeniyle folikul iceriginin disari cikamadigini, cogunlukla dekeratinize olmus killarin gomulmesiyle olusan bu enfekte kistin negatif basinc etkisi ile yag dokusu icerisine ilerledigini ve daha sonra odemin gerilemesiyle acilan folikul agzinin sinus agzini olusturdugu ileri surulmustur (3). Bascom (4) benzer teori ile genelde kilin kendisinin degil folikulunun hastalik etkeni oldugunu soylemistir. Karydakis (6,7) ise hastaligi, hasta cildinin yatkinligi, etken olan kil ve cilt icerisine kili iten guc olmak uzere 3 faktore baglamistir. Gelistirdikleri ameliyat tekniklerinde ise bu faktorlerin etkinligini ortadan kaldiracak yontemler dusunmuslerdir. Ozellikle Karydakis (6,7) ve Bascom (5) one surdukleri teoriler ve tedavi teknikleri ile hastaligin daha iyi anlasilmasini saglamislar ve nuks oranlari daha dusuk cerrahi teknikler gelistirmisler baska tekniklerin gelismesine onayak olmuslardir. Bu teknikARASTIRMA YAZISI