Background and Purpose: The surgical treatment of Cubital Tunnel Syndrome still hasunsatisfactory results due mainly to arteriovenous ischemia of the nerve in the Epitrochlear Canal. The purpose of our biological procedure is to restore the vascularization of the nerve, transposed together with its vascular pedicle anteriorly to epicondyle, to immediately reactivate the axonal conduction of the Ulnar Nerve and thereby improve clinical results. Methods: From 1987 to 2022, a vascularized Anteposition was performed on 87 limbs for UlnarNerve Entrapment Syndrome at the elbow in 82 patients. Results: Fifty-seven Patients returned for follow-up, 52 Patients obtained excellent and good resultsand effective recovery of sensibility and muscular activity; the electromyographic examination showed many positive changes in the SCV and MCV with increased nerve conduction velocity. Patients with fair results (5 Patients) showed worthwhile recovery of the hand but they recorded many sensory and motor disturbances already present before the operation, even if more attenuated. Conclusions: Our surgical technique of Vascularised Anteposition of the Ulnar Nerve at the Elbowis able to resolve the mechanical aspect of the chronic neuritis of the Ulnar Nerve at the Elbow but also (preserving its vascularity) the biological aspect of its nutrition. The procedure, allowing effective, quick recovery of hand function in most of the patients of our Study-an improvement in all of them-is a step forward in the treatment of this disease.
Background: Kidney transplantation is the best treatment of end-stage kidney disease. The aim of this study was to evaluate the effect of Graft Body Weight Ratio (GBWR) on creatinine levels after living donor kidney transplantation. Methods: Between January 2018 and January 2019 at Medipol University Medical Faculty Hospital Organ Transplantation Department, Istanbul, Turkey, 26 patient’s in living donor kidney transplantation graft body weight ratio evaluated were studied retrospectively. In these patients were divided into two groups; Group 1: GBWR < 3 gram/kilogram (g/kg). Group 2: GBWR >3 gram/kilogram (g/kg). Between these two groups, demographic features, clinical features and creatinine levels were compared. Results: The mean age was 37.4±16.7 years. 16 (61.5 %) patients were male and 10 (38.5 %) patients were female. 10 (38.5 %) patients were GBWR < 3 g/kg and 16 (61.5 %) patients were GBWR >3 g/kg. The mean GBWR were 2.6±0.18 g/kg in GBWR < 3 g/kg group, 4.5±0.74 g/kg in GBWR > 3 g/kg group. Mean follow-up was 15.4±1.2 months. First month creatinine levels and sixth months creatinine levels were statistically significantly high in the GBWR < 3 g/kg group (p<0.05). Conclusions: Creatinine levels, appear to be high in the GBWR < 3 g/kg group after living donor kidney transplantation. Low GBWR should be remembered in patients with high creatinine levels.
The authors report three cases of stercoral peritonitis secondary to colon perforation in a context of chronic constipation. Two patients were young and under ant motility drugs and one patient was elderly and bedridden. The diagnosis was made in the first two patients, who presented with signs and symptoms of generalized peritonitis by the CT scan whereas the last patient presented with a septic shock that did not allow performing of a diagnostic imaging. All the three patients underwent an emergency laparotomy. Perforation sites were located on the sigmoid colon in the two young patients and on the transverse colon in the elderly patient. The two young patients underwent a Hartmann’s procedure while the elderly patient had a transverse colostomy. The latter patient died postoperatively due to late intervention.
