Selçuk Tıp Dergisi Arşiv

Patients with cavitary lung lesions have a high ris of morbidity and mortality with prolonged hospitalization. In this study 204 patients who were treated in Selcuk University, Chest Diseases and Thoracic Surgery departments between 1995-2003, are examined retrospectively. There were 142 (70%) men and 62 (30%) women aged from 6 to 77. Definite diagnosis was established by the presence of cavitary lung lesion in chest x ray or CT. Variable of age, sex, etiology and type of treatment, were analyzed. The most common cause of cavitary lesion was tuberculosis (36%). There were 114 (56%) right caviation, 74 (%36) left and 16 (8%) bilateral cavitation 59 (29%) cases were treated by a surgery, while 145 (%71) were treated by medical treatment and observation. Six cases were died due to respiratory failure

Our study was performed to compare the effects of general and spinal anesthesia on the hemodynamic values of the mother, APGAR and umbilical vein blood gases of the newborns. 128 term, pregnant volunteer womwn who were planned for cesarean section and in group ASA I-II were included in the study. The subjects randomly devided into two groups. In group I (n=60), induction was performed with iv. propofol per 2 mg kg-1 and the maintenance dose was provided with the mixture of 1% sevofluran, 50% air and 50% O2 . In group II (n=68), spinal anestesia was performed in left lateral position, by injecting 7.5 mg (1.5 ml) hyperbaric bupivacain intrathecally, through L3-L4 intervertebral space, with 24 gauce spinal needle. Spinal anesthesia elevated to T6-7 level. Both groups preloaded with 10 mL/kg-1h-1 % 0.9 NaCL solution. Systolic and diastolic blood pressures, meanterial pressures, pulse rates and peripheric oxygen saturations reported in all subjects of group I, before the induction and in 1., 2., 3., 4., 5., 10., 15. and 30. Minutes after endotracheal entubation. In spinal anesthesia group it is reported in 1., 2., 3., 4., 5., 10., 15. and 30. Minutes after the anesthesia. When we compared the pulse rates and mean arterial pressures of both groups, these values were low in spinal anesthesia group which were found to be statistically significant (p<0.05). The arterial blood gases (pCO2, pO2), pH of the mother and APGAR (1., 5., 10. minutes) scores of the newborns were better in spinal anesthesia group, and statistically significant (p<0.005). As a result, regarding the undesired effects of the spinal anesthesia on mother’s hemodynamic parameters like hypotension and bradycardia; in cesarean secion cases it must be used carefully. We can advice its safely use regarding to the results of the arterial blood gases and APGAR scores of the newborns after taking preventive measures especially against deep hypotension

The use of thyroxin for suppression or replacement therapy following thyroidectomy is very common. But İts effect on bone mineral density (BMD), is beeing debated. The aim of this study is to determine whether long term thyroxine therapy is a risk factor fort he development of secondary osteoporosis in premenopousal and postmenopousal womwn after thyroidectomy. 33 premenopousal and 17 postmenopousal female patients who had thyroidectomy for different indications in Ankara Numune Teaching and Research Hospital department of fifth surgery clinic between September 2001 and October 2003 were included in this study. The patientswere put on 50-200 mcg/day L-thyroxine postoperatively and dosage was adjusted on routine follow-ups. BMD of patients at lumbar, femoral neck and Ward triangle regions was measured using dual energy X-ray absorptiometry preoperatively and postoperatively after 6th month and first year. There was no significant difference in thyroid hormone levels and I-thyroxine döşe between the premenopousal and postmenopousal patients (p>0.05). There was no significant difference in preoperative, postoperative 6th month and postoperative first year BMD of patients groups (p<0.05). no correlation was detected between the BMD and preoperative diagnosis, surgical procedure , the döşe and duration of L-thyroxine therapy. In conclusion we think that long-term thyroxine therapy is not a single predisposant factor for decrease in BMD.

Balanced reciprocal translocations are the largest group of chromosomal aberrations responsible for recurrent abortions in couples. A couple, aged 27 and 29 years referred for cytogenetic analysis and counseling for five first trimester spontaneous abortions which one of them was a twin. After the chromosomal analyses the women’s karyotype was determined normal and the man’s was 46,XY,t(18;20)(p11.3;q11.2). The main cause of the loss of reproduction was tought to be the reason of the unbalanced product of this translocation. The genes localized on the region of this balanced translocation was looked over based on the literatüre and the risk of unbalanced karyotyped pregnancies were discussed.

Lipomas are the most common extratesticular scrotal neoplasms and they most often originate from the spermatic cord. The etiology is unknown but linked to a constitutional factors, obesity, an its presentation is more frequent in the sixth or fifth decade. In this case, an unusual massive scrotal lipoma that occured in 70 years old man is described.