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Demir I, Yilmaz I, Horoz E, Calik B, Bilgir O. Matriptase as a potential biomarker and therapeutic target in newly diagnosed type 2 diabetes mellitus. Ir J Med Sci 2024; 193:223-230. [PMID: 37418107 DOI: 10.1007/s11845-023-03441-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 06/26/2023] [Indexed: 07/08/2023]
Abstract
BACKGROUND Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder that affects the processing of carbohydrates, proteins, and lipids. In T2DM, metabolic dysregulation occurs through various pathways caused by increased levels of many adipokines and inflammatory chemokines. Impaired insulin-glucose metabolism occurs in tissues. The proteolytic enzyme matriptase is thought to be closely related to glucose metabolism due to its glycolization sites. AIM Our study aimed to evaluate the correlation between matriptase, a proteolytic enzyme, and metabolic parameters in individuals recently diagnosed with T2DM. We also sought to investigate the potential involvement of matriptase in the development of diabetes. METHODS We measured all participants' metabolic laboratory parameters, including basic biochemical tests, hemograms, high-sensitivity C-reactive protein (hsCRP), and matriptase levels. RESULTS Our results showed a significant increase in circulating matriptase levels in individuals with T2DM compared to the control group. Furthermore, individuals with metabolic syndrome had significantly higher matriptase levels than those without in the T2DM and control groups. We also observed that T2DM patients had elevated levels of Homeostatic Model Assessment for Insulin Resistance (HOMA-IR), hsCRP, and matriptase, which displayed a positive correlation. CONCLUSION Our study is the first to report elevated levels of matriptase in individuals with newly diagnosed T2DM and/or metabolic syndrome. Additionally, we found a significant positive correlation between matriptase levels and metabolic and inflammatory parameters, indicating a potential role for matriptase in the pathogenesis of T2DM and glucose metabolism. Further research on matriptase could lead to its recognition as a novel target for investigation.
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Affiliation(s)
- Ismail Demir
- Department of Internal Medicine, Health Sciences University, Izmir, Bozyaka Training and Research Hospital, 35170, Karabaglar, Izmir, Turkey.
| | - Ismail Yilmaz
- Faculty of Medicine, Department of Pharmacology and Toxicology, Izmir Kâtip Celebi University, Izmir, Turkey
| | - Ersan Horoz
- Faculty of Medicine, Department of Pharmacology and Toxicology, Izmir Kâtip Celebi University, Izmir, Turkey
| | - Bulent Calik
- Department of General Surgery, Health Sciences University Izmir, Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Oktay Bilgir
- Department of Internal Medicine, Health Sciences University, Izmir, Bozyaka Training and Research Hospital, 35170, Karabaglar, Izmir, Turkey
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Balci B, Kilinc G, Calik B, Aydin C. The association between preoperative 25-OH vitamin D levels and postoperative complications in patients undergoing colorectal cancer surgery. BMC Surg 2021; 21:369. [PMID: 34666739 PMCID: PMC8527669 DOI: 10.1186/s12893-021-01369-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Accepted: 10/01/2021] [Indexed: 01/31/2023] Open
Abstract
BACKGROUND Determining the modifiable risk factors for postoperative complications is particularly significant in patients undergoing colorectal surgery since those are associated with worse long-term outcomes. METHODS Consecutive newly diagnosed 104 colorectal cancer patients were prospectively included in this single-center observational study. Preoperative serum 25-OH vitamin D levels were measured and analyzed for infectious and postoperative complications. RESULTS Serum 25-OH vitamin D levels were found to be < 20 ng/ml in 74 patients (71.2%) and ≥ 20 ng/ml in 30 patients (28.8%); and the mean serum 25-OH vitamin D level was 15.95 (± 9.08) ng/ml. In patients with surgical site infection and infectious complications, 25-OH vitamin D levels were significantly lower than patients without complications (p = 0.036 and p = 0.026). However, no significant difference was demonstrated in 25-OH vitamin D levels according to overall postoperative complications. CONCLUSIONS Our results suggest that vitamin D levels might be a potential risk factor for infectious complications in patients undergoing colorectal cancer surgery.
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Affiliation(s)
- B Balci
- Department of General Surgery, Ankara Oncology Training and Research Hospital, Ankara, Turkey.
| | - G Kilinc
- Department of General Surgery, Tepecik Training and Research Hospital, Izmir, Turkey
| | - B Calik
- Department of General Surgery, Tepecik Training and Research Hospital, Izmir, Turkey
| | - C Aydin
- Department of General Surgery, Tepecik Training and Research Hospital, Izmir, Turkey
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Calik B, Diniz G, Kayapinar AK, Kahraman DS, Calik S, Akbulut G. Histopathological examination of the impact of sodium hypochlorite on the hepatobiliary system. An experimental study. Ann Ital Chir 2021; 92:412-418. [PMID: 34524123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
BACKGROUND The liver is the most common organ for settlement of hydatic cyst disease. All acknowledged protoscolicidals that are used for echinococcus degeneration have a risk of caustic secondary sclerosing cholangitis. The sodium hypochlorite is an effective protoscolicidal agent for treatment of hydatid liver cysts in vitro. OBJECTIVE This study aimed to investigate the safe usability of sodium hypochlorite for the treatment of hydatid cyst in the hepatobiliary system in an experimental rat model. METHODS This experimental study designed as one side blinded animal study. Study was carried out between October 2017 and August 2018. Rats were randomly allocated to the study (n=7), control (n=7), and sham (n=7) groups. A duodenotomy was performed, and a catheter was inserted through the ampulla. The tip of the catheter was placed to instill 0.15 ml sodium hypochlorite (0,25%) solution, and 0.15 ml isotonic saline solution were into the common bile duct in the study and control groups, respectively. After three months, all rats were sacrificed. Livers, biliary tracts, pancreas, and duodenum were investigated for histopathological changes by blinded two pathologists. RESULTS No significant difference was found between groups for periductal portal inflammation (p=0.077), parenchymal inflammation, and focal necrosis (p=0.119). There was not any histopathological change in 71.4 % of the subjects in control and experimental groups. CONCLUSION Sodium hypochlorite (0,25%) did not cause any unfavorable changes in the hepatobiliary system, and this reminds that sodium hypochlorite can be a safe alternative in percutaneous drainage, laparoscopic, and open surgery in the treatment of hydatid cyst. KEY WORDS Hepatobiliary system, Hydatid disease, Sodium hypochlorite, Treatment.
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Calik B, Atici SD. An invited commentary on "impact of choledochotomy techniques during laparoscopic CBD exploration on short- and long-term clinical outcomes". Int J Surg 2020; 84:18-19. [PMID: 33075497 DOI: 10.1016/j.ijsu.2020.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 10/12/2020] [Indexed: 02/07/2023]
Affiliation(s)
- Bulent Calik
- The University of Health Sciences, Izmir Tepecik Education and Research Hospital, General Surgery Department, Yenisehir, Gaziler Street, No:468, 35020, Konak, Izmir, Turkey.
| | - Semra Demirli Atici
- The University of Health Sciences, Izmir Tepecik Education and Research Hospital, General Surgery Department, Yenisehir, Gaziler Street, No:468, 35020, Konak, Izmir, Turkey.
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Calik B, Atici SD. An invited commentary on "Robotic pancreaticoduodenectomy in elderly and younger patients: A retrospective cohort study" [Int. J. Surg. (2020) Epub ahead of print]. Int J Surg 2020; 83:24. [PMID: 32920184 DOI: 10.1016/j.ijsu.2020.08.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Accepted: 08/26/2020] [Indexed: 02/07/2023]
Affiliation(s)
- Bulent Calik
- The University of Health Sciences, Izmir Tepecik Education and Research Hospital, General Surgery Department, Yenisehir, Gaziler Street, No:468, 35020, Konak, Izmir, Turkey.
| | - Semra Demirli Atici
- The University of Health Sciences, Izmir Tepecik Education and Research Hospital, General Surgery Department, Yenisehir, Gaziler Street, No:468, 35020, Konak, Izmir, Turkey.
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Atici SD, Arican C, Avci EK, Akalin M, Kayapinar AK, Calik B, Gul G, Akbulut G. Intussusception Can Be the First Sign of Post-transplant Lymphoproliferative Disease. Transplant Proc 2019; 51:1184-1186. [PMID: 31101196 DOI: 10.1016/j.transproceed.2019.01.085] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Accepted: 01/03/2019] [Indexed: 02/07/2023]
Abstract
Intussusception is usually seen in the pediatric age group and rarely seen in adults. It results in the progression of the proximal segment of the intestine into the distal intestine. A 50-year-old immunosuppressive male patient presented with the complaints of abdominal pain, nausea, vomiting, and no gas or stool discharge for 2 days. He was hospitalized with the presumptive diagnosis of acute abdomen. He has a history of renal transplantation due to chronic renal insufficiency. An explorative laparotomy was performed. The operative findings were compatible with jejunojejunal intussusception, and a segmental small bowel resection and end-to-end anastomosis were performed. The patient was uncomplicated postoperatively and discharged on the fifth postoperative day. The pathology was reported as Epstein-Barr virus negative with diffuse large-cell B lymphoma. In this case report, we aim to report on a jejunojejunal intussusception that was presented as the first sign of post-transplant lymphoproliferative disease.
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Affiliation(s)
- Semra Demirli Atici
- Department of General Surgery, University of Health Sciences Tepecik Training and Research Hospital, Yenişehir/Konak/İzmir, Turkey.
| | - Can Arican
- Department of General Surgery, University of Health Sciences Tepecik Training and Research Hospital, Yenişehir/Konak/İzmir, Turkey
| | - Emran Kuzey Avci
- Department of General Surgery, University of Health Sciences Tepecik Training and Research Hospital, Yenişehir/Konak/İzmir, Turkey
| | - Murat Akalin
- Department of General Surgery, University of Health Sciences Tepecik Training and Research Hospital, Yenişehir/Konak/İzmir, Turkey
| | - Ali Kemal Kayapinar
- Department of General Surgery, University of Health Sciences Tepecik Training and Research Hospital, Yenişehir/Konak/İzmir, Turkey
| | - Bulent Calik
- Department of General Surgery, University of Health Sciences Tepecik Training and Research Hospital, Yenişehir/Konak/İzmir, Turkey
| | - Gulen Gul
- Department of Pathology, University of Health Sciences Tepecik Training and Research Hospital, Yenişehir/Konak/İzmir, Turkey
| | - Gokhan Akbulut
- Department of General Surgery, University of Health Sciences Tepecik Training and Research Hospital, Yenişehir/Konak/İzmir, Turkey
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Calik B. Peer review report 1 on “Clinical value of the neutrophil/lymphocyte ratio in diagnosing adult strangulated inguinal hernia”. Int J Surg 2017. [DOI: 10.1016/j.ijsu.2016.12.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Balci B, Calik B, Karadeniz T, Sahin H, Ugurlu L, Aydin C. Primary squamous cell carcinoma of the ampulla of Vater: a case report. Surg Case Rep 2016; 2:2. [PMID: 26943678 PMCID: PMC4706539 DOI: 10.1186/s40792-016-0130-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2015] [Accepted: 01/04/2016] [Indexed: 12/15/2022] Open
Abstract
Background Primary squamous cell carcinoma of the ampulla of Vater is a very rare type of tumor, and the prognosis is not well known mainly due to a limited number of cases reported. Here, we aimed to report a case with primary squamous cell carcinoma of the ampulla of Vater. Case presentation A 54-year-old woman presented with weight loss, jaundice, and pain in the epigastric and right upper quadrant of the abdomen. With extensive radiological imaging, the patient was diagnosed with periampullary tumor and Whipple’s procedure was performed. The immunohistochemical analyses supported the diagnosis of primary squamous cell carcinoma. The postoperative course was uneventful. The patient was discharged, and adjuvant chemotherapy was recommended. Conclusion Primary squamous cell carcinoma of the ampulla of Vater is a very rare histological type with an unclear pathogenesis. A better understanding of pathogenesis might be helpful in optimizing the treatment for this specific rare type of tumor.
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Affiliation(s)
- B Balci
- Department of General Surgery, Izmir Tepecik Education and Research Hospital, Izmir, Turkey.
| | - B Calik
- Department of General Surgery, Izmir Tepecik Education and Research Hospital, Izmir, Turkey.
| | - T Karadeniz
- Department of Pathology, Izmir Tepecik Education and Research Hospital, Izmir, Turkey.
| | - H Sahin
- Department of Radiology, Izmir Tepecik Education and Research Hospital, Izmir, Turkey.
| | - L Ugurlu
- Department of General Surgery, Izmir Tepecik Education and Research Hospital, Izmir, Turkey.
| | - C Aydin
- Department of General Surgery, Izmir Tepecik Education and Research Hospital, Izmir, Turkey.
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Engin O, Muratli A, Ucar AD, Tekin V, Calik B, Tosun A. The importance of fecaliths in the aetiology of acute appendicitis. Chirurgia (Bucur) 2012; 107:756-760. [PMID: 23294954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/01/2012] [Indexed: 06/01/2023]
Abstract
AIM Fecaliths, lymphoid hyperplasia, parasites, undigested plant residues and foreign bodies are considered as part of the aetiology of acute appendicitis. In our article we discussed about fecaliths, fecalith formation, and its aetiological value. METHODS Patients which have been operated on for acute appendicitis between 2009-2010 are analysed retrospectively. RESULTS The average age was 29,3. The number of cases with fecalith was 261 (36,1%). Out of these, 19 acute appendicites, 95 phlegmons, and 30 perforations were detected. CONCLUSIONS Intraluminal pathologies probably play a major role in the development of acute appendicitis. Intraluminal pathological findings may also be seen in healthy persons without necessarily pointing to acute appendicitis. Disease progresses from intraluminal fecalith with no inflammation to perforation from the beginning. There are many explanations regarding the formation of fecaliths. Diagnosis of the fecalith may be decided with ultrasonography, computed tomography and magnetic resonance imaging techniques. In case of preoperatively demonstrated intraluminal fecalith through ultrasonographic examination with clinical symptoms of acute appendicitis, early appendectomy must be performed in our opinion. Early appendectomy lowers morbidity and mortality rates.
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Affiliation(s)
- O Engin
- Department of Surgery, Tepecik Training and Research Hospital, Izmir, Turkey.
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Engin O, Calik B, Yildirim M, Coskun A, Coskun GA. Gynecologic pathologies in our appendectomy series and literature review. J Korean Surg Soc 2011; 80:267-71. [PMID: 22066046 PMCID: PMC3204677 DOI: 10.4174/jkss.2011.80.4.267] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/19/2010] [Accepted: 08/30/2010] [Indexed: 02/07/2023]
Abstract
PURPOSE Appendectomy applied from the diagnosis of acute appendicitis is one the most common operations in surgery. The rates of negative appendectomy are still high. The rates of negative appendectomy in males and females differ and are higher in females. In our study, these differences, particularly in females, were studied and possible solutions were discussed. METHODS Between October 2002 and October 2009, among women receiving urgent appendectomies, those whose primary cause was gynecological pathology were studied retrospectively. All our women subjects were examined by preoperative gynecologists. After gynecological consultation, the patients were evaluated by a general surgeon due to lack of urgent ultrasonography, computed tomography (CT) and diagnostic laparoscopy and the patient received appendectomy due to acute appendicitis. RESULTS In our series of 1,969 appendectomies, the rate of female/male is 811/1,158. It was determined that the primary cause in 47 (47/811; 5.8%) women with applied appendectomy was gynecological pathology. As a gynecological pathology, it was observed that the most common cause was ovarian cyst ruptures at a rate of 72.3%. The negative appendectomy rate in males was found to be 14.94% (173/1,158), and in females it was 22.56% (183/811). The difference between them is significant (P < 0.01). Of these women, 5.8% were gynecologically-induced and 16.76% were unrelated to gynecological causes. CONCLUSION We believe that gynecological consultation before appendectomy in women is necessary, but not sufficient. It is also important that at least one of the facilities, such as us, CT, magnetic resonance imaging, and diagnostic laparoscopy should be available in surgical use for the diagnosis of negative appendicitis.
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Affiliation(s)
- Omer Engin
- Department of Surgery, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Bulent Calik
- Department of Surgery, Buca Seyfi Demirsoy Large State Hospital, Izmir, Turkey
| | - Mehmet Yildirim
- Department of Surgery, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Ali Coskun
- Department of Surgery, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Gulnihal Ay Coskun
- Department of Pathology, Buca Seyfi Demirsoy Large State Hospital, Izmir, Turkey
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Engin O, Ipekci F, Yildirim M, Kulan A, Yagci A, Dalgic A, Calik B. Phrenic-Recurrent Nerve Anastomosis in Animal Models with Unilateral Cutting of the Recurrent Nerve. Indian J Surg 2010; 72:362-6. [DOI: 10.1007/s12262-010-0196-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2009] [Accepted: 11/08/2009] [Indexed: 11/24/2022] Open
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Engin O, Calik S, Calik B, Yildirim M, Coskun G. Parasitic appendicitis from past to present in Turkey. Iran J Parasitol 2010; 5:57-63. [PMID: 22347256 PMCID: PMC3279846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2010] [Accepted: 07/08/2010] [Indexed: 11/19/2022]
Abstract
BACKGROUND Understanding the etiology of appendicitis is important for developing effective treatments the relationship between parasitic appendicitis and various socio-cultural factors were examined, particularly with respect to the incidence of literacy. The aim of the article was to research the relations between parasitic appendicitis and literacy ratio in population. METHODS Cases of parasitic appendicitis resulting in surgery performed at Buca Seyfi Demirsoy Large State Hospital Surgery Clinic between 2002 and 2009 were retrospectively reviewed and classified according to age, sex, type of parasite, morbidity, and mortality. Studies conducted in different regions of Turkey as well as in other countries were reviewed to determine if there was a relationship between parasitic appendicitis and literacy. RESULTS Of the 1,969 appendectomy cases reviewed, nine were classified as parasitic appendicitis (0.45%). Enterobius vermicularis was observed in seven cases and Taenia spp. in two. The average age was 26.4 yr. No morbidity or mortality was found. CONCLUSION The data were compared with a retrospective review of studies conducted in the same regions and a decrease in the rate of parasitic appendicitis was observed during the period between the two reviews. It was determined that a low literacy rate was associated with an increase in the incidence of parasitic appendicitis. Observations made between different countries also produced similar results. In countries where the incidence of parasitic appendiciticis was greater than 1.5%, the literacy rate was less than 88%. To avoid appendectomy resulting from parasites, it is important to increase education and literacy. In some areas, individuals with appendicitis undergo surgery due to a lack of education or poor literacy.
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Affiliation(s)
- O Engin
- Izmir Bozyaka Training and Research Hospital,Surgery Department, Izmir-Turkey,Corresponding Author: Email
| | - S Calik
- Department of Clinical Microbiology, Urla State Hospital, Izmir-Turkey
| | - B Calik
- Buca Seyfi Demirsoy Large State Hospital, Surgery Department,Izmir-Turkey
| | - M Yildirim
- Department of Surgery, Izmir Bozyaka Training and Research Hospital, Izmir-Turkey
| | - G Coskun
- Department of Pathology Buca Seyfi Demirsoy Large State Hospital, Izmir-Turkey
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Abstract
OBJECTIVE The aim of our study was to evaluate the safety of the intraperitoneal mesh repair procedure and to assess the complications that develop after the procedure. SUBJECTS AND METHODS We reviewed the records of 25 patients who underwent intraperitoneal mesh repair procedures. Data on age, sex, size and cause of the hernia, postoperative mortality, and morbidity with special attention to complications were obtained from the medical records. RESULTS Of the 25 patients (7 males, 18 females), the original operation was cholecystectomy in 15 cases (60%), gynaecological surgery in 2, gastric surgery in 2, and umbilical hernia in 2. Incisions were midline in 20 cases (80%), transverse in 2 and laparoscopic port sites in 3 patients. The average size of the hernia was 150 cm(2). Local complications occurred in 4 (16%) patients. Postoperative complications included wound infection in 3 patients and haematoma in 1 patient. Postoperative hospital stay ranged from 3 to 25 days with a mean of 6 days. No recurrence developed during 28-month follow-up. CONCLUSION The tension-free repair of incisional hernia with polypropylene mesh in intraperitoneal position is a safe and easy procedure with acceptable morbidity and no recurrence.
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Affiliation(s)
- Mehmet Yildirim
- Department of Surgery, Izmir Bozyaka Training Hospital, Izmir, Turkey.
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