Irfan Eser

Characteristics and outcomes of liver and lung hydatid disease in children

Our study retrospectively evaluates and compares the characteristics of lung and liver hydatid disease (HD) in children. This retrospective study was performed between 2007 and 2012 using the medical records of patients aged ≤17 years of age who had liver and/or lung HD. They were evaluated using the demographic characteristics of the patients, clinical presentation, hospital stay and outcome. A total of 252 cysts were identified in 152 of the patients. The incidence of HD increased with age and the majority of patients were older than 9 years. Overall, lung HD was more complicated and symptomatic than liver HD on initial admission.

Our Experiences with Chest Trauma Patients in Syrian Civil War

DOI: 10.4328/JCAM.2247 Received: 24.12.2014 Accepted: 05.02.2014 Printed: 01.09.2015 J Clin Anal Med 2015;6(5): 573-5 Corresponding Author: Şamil Günay, Harran Üniversitesi Tıp Fakültesi Göğüs Cerrahisi AD. Şanlıurfa, Türkiye. T.: +90 4143183352 GSM: +905336472915 F.: +90 4143183389 E-Mail: samilgunay@yahoo.com Özet Amaç: Toraks cerrahisi, savaşta etkinliği tartışılamayacak kadar değerli bir branştır. Komşumuz Suriye’deki iç savaş sırasında bölgemiz göğüs cerrahi uzmanları bu etkinliği çok yakından hissetmişlerdir. Biz de, bu bölgeden sevk edilen hastalardaki deneyimlerimizi aktarmak istedik. Gereç ve Yöntem: Olgularımız Ağustos 2012Kasım 2013 tarihleri arası Suriye’den ateşli silah yaralanması sonrası getirilen 16-75 yaş arası, 33 erkek 8 kadın 41 hastadan oluşmaktaydı. Bulgular: İzole toraks travmalı 11 hastanın dışında, 9 hastada toraks ve batın (% 21.9), 8 hastada toraks ve ekstremite (% 19.5), 3 hastada toraks ve vertebra (% 7.3), 5 hastada toraks, batın ve kranium (% 12.1), bir hastada toraks, batın ve göz (%2.4), 3 hastada toraks, batın ve vertebra (%7.3), bir hastada toraks, batın ve ekstremite (% 2.4) yaralanması tespit edildi. Tartışma: Göğüs cerrahisi, savaş esnasındaki yaralanmalarda hızlı ve etkin müdahele edilebilirse hayat kurtarıcı bir branştır.

The Efficacy of Platelet-Rich Plasma in the Treatment of Rib Fractures

Background Rib fracture is the most common result of thoracic traumas. Intrapulmonary shunt, alveolar capillary membrane damage, intra-alveolar hemorrhage, and hypoxia may develop following rib fractures. Therefore, prompt treatment is important. The aim of this experimental study was to analyze the effects of platelet-rich plasma (PRP) on rib fractures to secure a speedier and more efficient treatment method. Materials and Methods The study involved 18 New Zealand white rabbits, randomly divided into three groups as Group 1, the sham group with no surgical intervention; Group 2, the control group in which simple rib fractures were applied and no treatment; and Group 3, in which rib fractures were applied and then PRP treatment was administered. Results The mean recovery plate thickness measurements were found to be statistically significantly higher in the PRP group compared with the other groups (p < 0.005). A thicker fibrotic cell proliferation and the formation of many capillaries were observed around the growth plate in the PRP group compared with the other groups. These structures were lesser in the control group compared with the PRP group and at the lowest level in the sham group. Larger and distinct callus formation was observed and a new intramedullary field in the PRP group. Conclusions PRP is a reliable and effective autologous product with minimal side effects, which can be considered as an alternative treatment in patients with rib fractures and used easily in pseudoarthrosis, surgical fracture, or flail chest.