Serhat Do?an; Bahad?r Onde?; Nizamettin Kutluer; Selim Sozen; Hasan Erdem; Ali Aksu; Ahmet Ayd?n
Volume 25, Issue 3 , 2023
Abstract
Background: There is no standard method for the treatment of pilonidal sinus disease (PSD). Today, many different treatment methods are attempted. Some of the leading methods are surgical procedures with different flap techniques and less invasive methods, such as crystallized phenol, laser pilonidoplasty, ...
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Background: There is no standard method for the treatment of pilonidal sinus disease (PSD). Today, many different treatment methods are attempted. Some of the leading methods are surgical procedures with different flap techniques and less invasive methods, such as crystallized phenol, laser pilonidoplasty, radiofrequency excision, and monopolar electrocautery excision.
Objectives: This study aimed to compare the monopolar and bipolar electrocautery excision techniques that we performed in our clinic for PSD.
Methods: Patients who received pilonidal sinus treatment in our clinic between January 2018 and January 2021 were analyzed retrospectively. The exclusion criteria were diabetes mellitus, renal failure, immunosuppression, and children (<16 years of age). The study included a total of 36 patients who met the criteria. Data were retrospectively obtained from hospital archive records (operative notes, discharge summary, and outpatient dressing records). The patients were then divided into two groups, namely monopolar electrocautery excision (group 1) and bipolar electrocautery excision (group 2).
Results: The mean age of 36 patients included in the study was 22.9 years. There was no difference between the two groups in terms of predisposing factors (gender, obesity, hirsutism, and smoking). There was also no statistical difference in terms of mean healing time and recurrence rate. Monopolar and bipolar electrocautery excisions lasted 32.2±8.9 and 38.8±7.8 minutes, respectively (P<0.05). Accordingly, the operative time was significantly different between the groups, and it was shorter in the monopolar electrocautery excision group. Furthermore, the bipolar electrocautery group showed shorter wound infection duration, compared to the monopolar electrocautery excision group (P<0.05).
Conclusion: Both excision techniques were similar in terms of wound healing, hospital stay, and recurrence rates. The operative times were longer in bipolar cautery; however, the wound infection was less.
Hasan Erdem; Abdullah ?i?ik; Selim Sozen
Volume 24, Issue 8 , 2022
Abstract
Background: Demands for fasting occasionally arise in patients undergoing bariatric surgery, depending on their beliefs.
Objectives: In the present study, patients who had undergone laparoscopic sleeve gastrectomy (LSG) and experienced fasting at different postoperative times were examined, and the effects ...
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Background: Demands for fasting occasionally arise in patients undergoing bariatric surgery, depending on their beliefs.
Objectives: In the present study, patients who had undergone laparoscopic sleeve gastrectomy (LSG) and experienced fasting at different postoperative times were examined, and the effects of fasting in Ramadan were evaluated.
Methods: A total of 206 patients who underwent LSG were included in the study. All participants were asked to complete three separate questionnaires. The first questionnaire consisted of 15 items on general eating habits and fasting. The second questionnaire comprised 7 items, scores on a 10-point scale, assessing the feeling of hunger while fasting and the desire to get food. The third questionnaire included a total of 9 items asked to determine the psychological state.
Results: The first fasting was observed 13.6±9.1 months (1-36) after the operation. The mean hunger/food cravings score was 26.1±9.6, and the mean psychological disturbance index score was 6.9±3.8. A total of 42.6% of the patients stated that they lost weight while fasting. There was no significant difference between the genders in terms of food consumption habits. There was no difference between the groups in terms of weight and energy level changes after the initiation of fasting.
Conclusion: One year after LSG, most people begin fasting, and women begin their fasting earlier than men. Fasting becomes more difficult after surgery as time passes.
