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    Öğe
    Trocar-site hernias after laparoscopic cholecystectomy
    (Duzce University Medical School, 2011) Kapan M.; Önder A.; Gümüş M.; Böyük A.; Girgin S.
    Introduction: Trocar-site hernia (TH) development after laparoscopic cholecystectomy (LC) is a rare complication. In this study, we aimed to investigate the TH after LC in the light of current literature. Methods: Between January 2007 and June 2010, the records of the patients with TH in 515 patients performed LC analyzed retrospectively in terms of age, sex, location, size, performed previous operation and risk factors. Results: TH was determined in 3 (0.58%) patients among patients underwent LC. The average age was 49.67±5.77 and all of them were women. The 10-mm trocars entry site related to TH appeared at umbilical region for 2 patients and at epigastric region for patient. The average time from LC to TH formation was 18.33±10.97 months. The diameter of the hernia defects were 1.33±0.29 cm. The average of body mass index was 30.3 ± 3.1. During the LC, 2 cm in diameter gallstone in 1 patient and multiple gallstones smaller than 1 cm in the others were detected. Wound infection at the umbilical trocar region in one patient was detected after LC. Conclusion: Although the risk of TH after LC is rare, 10 mm or larger diameter trocar sites should be sutured especially in the patients including risk factors. © 2011 Düzce Medical Journal.
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    Öğe
    The value of micro-ELISA test in the diagnosis of Fasciola hepatica infection.
    (2013) Kaya M.; Beştaş R.; Çiçek M.; Önder A.; Kaplan M.A.
    In sero-diagnosis of parasitic infection, it is essential to inspect cross-reactivity between the target parasite and other parasites in order to assess diagnostic performance. The aim of this study was to determine the cut-off value of antibody titer for diagnosis of F. hepatica (FH) infection by using the micro-ELISA and diagnostic performance of this test. The study population consisted of the following groups: FH group (n=42), Echinococcus granulosus (EG) group (n=27) and control group (n=33). The micro-ELISA test for detection of anti-F. hepatica antibody was performed in all groups. The test was positive in all patients with FH, in 3 out of 27 (11%) patients with EG and in none of the control group. Mean antibody titer was significantly higher in the FH group compared to the EG group (23.8 ± 0.9 DU vs. 5.7 ± 1.2 DU; p < 0.001) and compared to the control group (23.8 ± 0.9 DU vs. 2.4 ± 0.2 DU; p < 0.001). When we used 11,5 DU as a cut-off value for sero-diagnosis of FH, the positive predictive value was 93.3%, negative predictive value was 100%, sensitivity was 100%, and specificity was 95%. Cross-reactions are an important issue in serological diagnosis of parasitic infections. The micro-ELISA test for FH antibody can not definitely discriminate fascioliasis from hydatid disease.