Makale Arama

The aim of the study is determine the incidence of pathologies detected by abdominal ultrasonography in Konya. Screening has begun in 2011 after the necessary permissions from local ethical committee. Participators’ identity, age, gender, history and family history has been recorded. Abdominal ultrasonography has been performed in supine position. Hepatobiliary, genitourinary systems, spleen, midline structures and anterior abdominal wall has been evaluated. The mean age of 2010 participants was 46 (18-94). There were 1071 (53.3%) female and 939 (46.7%) male. In abdominal ultrasonography; hepatosteatosis in 371 (18.5%), liver hemangioma in 14 (0.7%), hidatic cyst of liver in 11 (0.5%), cholelithiasis in 60 (3%), splenomegaly in 13 (0.6%), simple cyst of spleen in 3 (0.1%), aortic aneurism in 4 (0.2%) participants were detected. In renal evaluation; nephrolithiasis in 34 (1.7%) and simple cyst in 145 (7.2%) participants were detected. In pelvic evaluation; prostatic hypertrophy in 4 (0.4%) males and myoma uteri in 8 (0.7%) females were detected. In Konya population most common pathologies at abdominal ultrasonography were hepatosteatosis, renal cyst, cholelithiasis and nephrolithiasis.

Percutaneous cyst aspiration and iophendylate application were performed tü 19 patients who were evaluated as having a simple cyst when they applied to our clinic between the dates of January 1990 and August 1992. The applications were carried out under ultrasonographic control and local anesthesia. The cytologic and bacteriologic examination of the cyst liquid were performed. The results proved the preoperative simple cyst diagnose. lt was understood that iophendylate had a sclerosant effect on the cyst in the periodic post operation examinations. Also it was understood that this application had an important support on preventing the negative effects of great cystic mass on the paranchima and collector system and also it had an importance on deciding the nature of the cyst and in the reductions of cyst volume.

Simple kidney cysts are common, benign and asymptomatic masses and usually unrequire any treatment. However, this simple cyst can grow over time, may become symptomatic and develop complications they may require treatment. In our study, we aim to present, the 63 -years-old male patient admitted to our clinic with dyspnea, abdominal pain and asymmetric abdominal distension. Abdominal ultrasonography (USG) showed that exophytic renal cyst reached 195x180 mm. We underwent sclerosing agents in the presence of continuous percutaneous catheter drainage and dyspnea decreased at the follow-up. Subsequent USG after six months revealed disparition of the cysts.

Simple renal cysts are asymptomatic incidental findings; however, for a small subset of benign renal cysts, patients may present with pain, hematuria, urinary infection, pyelocaliceal obstruction or hypertension. Laparoscopic cyst ablation is an effective minimally invasive modality for the treatment of benign renal cyst. Our aim was to show the ultrasonic energy safe and effective method during laparoscopic renal cyst excision. In our clinic 14 patients underwent operated laparoscopic renal cyst excision with transperitoneal approach between January 2006 and February 2010. Trocar port for camera was inserted to the peritoneum in order to open the told line, gerato fascia and fat over the cyst. Harmonic™ scissor with the cautery was used to incise the cyst wall. Mean age of the patients was 58,1 years. Mean operation and hospitalization times were 59,2 minutes and 1,57 days, respectively. We did not need the fourth trocar during operation and the operation was finished. There was no complication in this procedure. Mean follow-up time was years. In long-term follow-up period symptomatic recurrence was observed in one patient and someone else be observed radiologic recurrence. We believe that using ultrasonic device is safe and effective method in laparoscopic cyst decortication. However, prospective controlled trials are needed to evaluate the other energy sources.