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Aim: To determine the bacterial prevalence and its susceptibility to antibiotics, and additionally, to investigate the relationship between bacterial status and recurrence and complications with regard to whether bacteria reproduce in the cyst cavity in uninfected pilonidal cyst. Material and Methods: The cases included in the study were those who applied to our clinic due to pilonidal sinus and surgical operation was decided. Before the operation, culture specimen was taken using a sterile swab stick from the cyst hole. The cyst was excised with a safety margin. The excised material was opened under the guidance of the cyst hole and the cavity was entered and samples of cyst tissue and content were collected for culture-antibiogram. Results: Totally 46 cases were included in our study, Average age was 26 (18-47) years. Limberg flap was performed to 37 (78%) of the cases, and primary repair to 9 (22%) cases. Average follow-up period was 27.1 (sd±7.6) months. Normal bacterial skin flora was determined in 6 (13%) cases and significant bacterial reproduction in 4 (8.6%) cases (Enterococcus faecalis, Streptococcus anginosus, MRSA, Streptococcus dysgalactiae) in the cyst cavity culture. In tissue culture however, skin bacterial flora was observed in 9 (19.5%) cases, while bacterial growth only in 1 case. Recurrence was determined in 3 (3.6%) cases in total. Bacterial growth, and other factors were not associated with recurrence (p> 0.05). Conclusion: In this study, non-infected pilonidal sinus surgery does not require bacterial culture to prevent recurrence. [ABSTRACT FROM AUTHOR]

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Copyright of Meme Sagligi Dergisi / Journal of Breast Health is the property of Turkish Federation of Breast Diseases Associations and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Phytobezoars are a rare cause of acute small bowel obstruction. The aim of this work was to identify the diagnostic difficulties and treatment of this rare entity., Methods: Data of 14 patients operated between January 1999-January 2009 with small bowel phytobezoar were retrospectively studied. The patients (n=432) were treated in our clinic for small bowel obstructions. Of these, 14 (3.2%) phytobezoar-induced small bowel obstructions were included in this series. Median patient age was 57.25 years; nine (64%) of the patients were male, and five (36%) were female., Results: The predisposing factor was previous gastric surgery in 12 (87.5%) patients and previous abdominal surgery and total absence of the teeth in two (14.3%) patients. A completely obstructing terminal ileal phytobezoar was found in nine (64%) patients and jejunal phytobezoar in five (36%) patients during exploration. There was no mortality., Conclusion: Phytobezoar-induced small bowel obstruction remains an uncommon diagnosis that poses a diagnostic and management challenge. It should be suspected in patients with an increased risk of bezoar formation, such as in the presence of previous gastric surgery, poor dentition or a history suggestive of increased fiber intake.