Abdulkerim Temiz

A rare and frequently unrecognised pathology in children: femoral hernia

A femoral hernia is the protrusion of the abdominal contents through the femoral canal. It accounts for less than 1% of all groin hernias in children and is often confused with inguinal hernia or other inguinal pathologies. Preoperative misdiagnosis has been reported to be between 40 and 75%. We believe that misdiagnosis and mistreatment usually occur due to insufficient physical examination, knowledge and experience about childhood femoral hernias. Here, we report and discuss the clinical appearance and treatment approach of three patients operated with the diagnosis of femoral hernias.

Effect of propolis on healing in experimental colon anastomosis in rats

IntroductionPropolis is the generic name for the resinous substance collected by honeybees, which is known to have antioxidant, anti-inflammatory, apoptosis-inducible effects. Anastomotic dehiscence after colorectal surgery is an important cause of morbidity and mortality. We aimed to assess the effect of propolis on healing in an experimental colon anastomosis in rats.MethodsForty adult male Wistar albino rats were randomly assigned into 5 treatment groups with 8 rats in each: Group I, anastomosis+no treatment; Group II, anastomosis+oral propolis (600 mg/kg/d); Group III, anastomosis+oral ethyl alcohol (1 cc/d); Group IV, anastomosis+rectal propolis (600 mg/kg/d); Group V, anastomosis+rectal ethyl alcohol (1 cc/d). The bursting pressures, hydroxiproline levels and histopathological changes in each group were measured.ResultsWhen bursting pressures were compared between groups, we observed that they were increased in the groups treated with propolis in contrast to all other groups. Hydroxiproline levels in the propolis groups were also significantly increased in contrast to the other groups. There was also a statistically significant difference in histopathological changes between the treatment types. When propolis administration methods were compared, we did not observe a statistically significant difference.ConclusionPropolis has a significantly favourable effect on healing in experimental colon anastomosis, independent from the method of administration.

A rare cause of chronic rectal bleeding in children; solitary rectal ulcer: case report.

Alt gastrointestinal kanamaya neden olan soliter rektal ulser, cocuklarda oldukca nadir gorulur. Nadir gorulmesi, ozgun olmayan bulgularla ortaya cikmasi, bu konuda yeterli deneyimin olmamasi ve cesitli rektal hastaliklari taklit etmesi, bazi cocuk hastalarda yanlis veya gecikmis taniya neden olabilmektedir. Burada, belirtilerin baslangicindan 2 yil sonra tanisi konan, yuksek lifli diyet, laksatif, tuvalet egitimi ve sukralfat lavman tedavisine iyi yanit veren soliter rektal ulserli 10 yasindaki bir olgu sunuldu.