INTRODUCTION: Pilonidal sinus disease, commonly seen in natal and sacrococcygeal area, is a chronic, infective disease. Although many surgical treatment methods are defined, there is no ideal treatment method due to high recurrence rates. This pilot study was performed to present the results of laser treatment in pilonidal sinus disease, and inspiration comes from the point that laser treatments are being used in many surgical branches, particulary the promising results from anal fistula treatment.
METHODS: Results of 6 cases (5 males, 1 female) who underwent operation with a diagnosis of pilonidal sinus disease betwwen February 2011 and March 2013 were evaluated.
RESULTS: Mean age was 23 years, mean operation time was 12 minutes, average laser energy was 320 joules, and postoperative pain score using visual analog scale was 0.5, and return to regular daily life was 1.5 days with a perfect patient satisfaction. No recurrence was seen with a follow-up of 1 year.
DISCUSSION AND CONCLUSION: Laser treatment with 1470 nm diode laser in pilonidal sinus patients seems promising due to being minimally invasive, being an outpatient procedure, short operation time, minimal-to-no postoperative pain, and quick return to regular daily activities.

INTRODUCTION: Mini Sling operation is a new technique with a single incision, minimally invasive method of sling procedure that has short operation time and can perform under local anesthesia. The aim of this procedure is to decrease operation duration and complications related to other sling operations. This study aimed to explore perioperative complications, complaints and operation duration in patients underwent minisling procedure.
METHODS: A total of 25 women with stress urinary incontinence performed mini sling procedure. The demographic findings, gynecologic examination, stres test, Q-test, ped test, residual urine volume, operation duration and complications recorded. Urinary symptoms assessed by Urinary Distress Inventory 6 (UDI-6) and three points Likert scale applied to measure patient satisfaction.
RESULTS: The mean age of patients was 49,12±6.12 years. There were no peri-operative complications such as nerve-vessel injury, hemorrhage, hematoma, perforation, urinary retention, infection, mesh erosion. The mean operation duration of the procedure was 14,20±5,53 minute. The 32 % of the patients need analgesia within 24 hours of surgery. Then, there was no analgesic drug need unless colporrhaphy procedure added. The patient satisfaction was 96%.
DISCUSSION AND CONCLUSION: Mini sling operation is a procedure that has a single incision with decreased operation time, complications and analgesic drug need. These advantages of minimal invasive procedure make this operation attractive. However, studies with long term anatomical and functional results are needed.

INTRODUCTION: The aim of this study was to determine the knowledge about breast cancer and the attitude and practices of Breast Self Examination (BSE) among private dormitory girl students.
METHODS: This study is descriptive types. The study sample consisted of 175 girl students stayed private dormitory in Çanakkale. The data were collected using a questionnaire containing 45 questions.
RESULTS: According to results 65,1% of students stated that they learned about breast cancer from visual media (50%). The majority of students reported that their families or friends hadn’t breast cancer. 61,7% of students knew about BSE which was learnt from health personal in 52,8%. 37,1% of students performed BSE. 66,2% of students performing BSE periodically. While majority of performing BSE is doing that to take precaution, 63,6% of students don’t performed because of not having knowledge. Significant differences were found between performing BSE and having knowledge of breast cancer (p<0.05). It was determined that students who have knowledge of breast cancer performed BSE. Significant differences were found between having knowledge or not having knowledge of BSE, and performing or not permorming BSE. 57,4% of students who have knowledge of BSE performed BSE (p<0.05). There wasn’t significant differences between these students groups, their class, education part and breast cancer risk in their families(p>0.05).
DISCUSSION AND CONCLUSION: Consequently, altough the big majority of female university students have heard about BSE, their behaviors of doing BSE are not enough. Training programms should be for university students for BSE and breast cancer, especially studying in departments apart from health.

INTRODUCTION: To determine the frequency of adenomyosis in hystrectomy materials.
METHODS: We here in analyse the adenomyozis frequency in histopathologic evaluation of 255 hysterectomy materials performed due to bening causes in Bakırköy Dr Sadi Konuk Hospital Obstetric and Gynecology Clinic and demographic properties of these patients are evaluated.
RESULTS: 255 hysterectomy materials are evaluated in this study and 48 adenomyosis (%19.2) case are determined.
DISCUSSION AND CONCLUSION: Adenomyosis must be remembered in mind in patients admitted to clinic due to different causes and before managing treatment.

INTRODUCTION: Nowadays midurethral sling operation (MUS) has become the standard therapeutic option in stress type incontinence surgery. Midurethral Polypropylene Sling (MPS) operation is one of the retropubic MUS operation by using ‘Surgeon-Tailored’ mesh. In our study, we try to evaluate the clinical success, the complications and one year follow-up results in MPS operation.
METHODS: MPS operation was performed in 101 patients who have stress type incontinence, younger than 60 years, body mass index (BMI) less than 30 kg/m², have not any pelvic operation history and uterine prolapse. Polypropylene, monofilament and macropore characteristic of standard mesh was used in operations. A 7,5 x 1 cm strip mesh by fixing no.1 polypropylene to its edges has been established by surgeon tailored fashion. One year follow-up results, the complications, the clinical success and the quality of life has been evaluated.
RESULTS: The mean age and BMI of 101 patients are 46,5 (min: 28 - max: 60) and 27,5 kg/m² (min: 18,5 – max: 29,9) respectively. The number of patients who have urgency findings are 22 (21,6 %) and 12 (54,5 %) of them have resolved after the operation. Urethral catheter has pulled out 1 week after the operation in 8 (7,9 %) patient because of urinary retantion. Bladder perforation has detected in 1 (1,0 %) patient and her urethral catheter has pulled out 3 weeks after the operation. Chronic urinary retantion has occured in 4 (3,9 %) patients and they were underwent mesh excision. Only 1 (1,0 %) patient has been observed for each following complications; vaginal mesh extrusion, retropubic hematoma and wound enfection. There is no urethral and bladder erosion for MPS operation. The clinical success
rate of mean one year follow-up is 89 %.
DISCUSSION AND CONCLUSION: Surgeon-tailored mesh with MPS operation by establishing appropriate patient selection could be an alternative option for stress type incontinence surgery because of its cost-effectivity.

INTRODUCTION: Trigger finger is seen in 3% of the population. In this disease the narrow osseofibrosis tunnel slide movement is impaired and can be
treated successfully with non-surgical treatment. The aim of this study is to compare the clinical and functional results of percutaneous
release and ultrasound-guided injection method in treatment of trigger finger.
METHODS: Fifty-one patients who referred to our outpatient clinic with trigger finger complaints in their thumbs are included to this study. Thirty-nine patients were female and 12 patients were male. The pre-intervention of functional and clinical assessment of patients were performed according to Michigan Hand score and Quick-DASH score.
RESULTS: Fifty-one patients are included to this study. Thirty-nine patients (76.5%) were female and 12 patients (23.5%) were male. The mean age was 52.14 (range: 29-80). Of the 51 patients 36 right and 15 left thumbs were involved. In 29 patients (56.9%) percutaneous release and 22 patients (43.1%) ultrasound-guided injection was applied. Time to return to work was longer in the group treated by percutaneous release, according to the group treated by ultrasound-guided injection. The pre-treatment and post-treatment Michigan
Hand scores and Quick-DASH scores were compared in both groups. The post-treatment Quick-DASH scores of the group treated
by percutaneous release were higher than the group treated by ultrasound-guided injection.
DISCUSSION AND CONCLUSION: Trigger finger can be treated successfully with non-surgical treatment. According to percutaneous release group, patient satisfaction was higher and time to return to work was earlier in ultrasound-guided injection group.

INTRODUCTION: To search the effect of hysterectomy, the most common gynecological operation, on female sexual functions.
METHODS: The study group consisted of 48 women who had an abdominal hysterectomy and 50 women who did not. They were outpatient routine control patiens who did not have any diseases which restricts intercourse, did not have systemic diseases like hypertension or diabetes, were literate, had a sexual partner, were premenopausal, and did not have urogynecological pathologies on examination. At least one year had passed after the operation of hysterectomised participants. Informed consent was taken from all participants and they were asked to fill the Arizona Sexual Experience Scale and Glombok Rust Inventory of Sexual Satisfaction. The answers were evaluated for the total scores and subscale scores.
RESULTS: The two groups had statistically non significant differences when the Glombok Rust Inventory results were compared for total scores intercourse frequency, incommunicability, dissatisfaction, avoiding sexual intercourse, absence of sexuality, vaginismus and anorgasmia. When the groups were compared for Arizona Sexual Experience Scales, there was no statistically significant difference between the groups for scores of sexual drive, arousal, vaginal lubrication and satisfaction from orgasm. The ability to reach orgasm was poorer in the hysterectomy group.
DISCUSSION AND CONCLUSION: There was no statistically significant difference between the hysterectomised and non-hysterectomised groups when compared for sexual functions.

INTRODUCTION: The aim of this study is to present the results in patients who undergo upper gastrointestinal endoscopy to exclude any additional problems before performing laparoscopic cholesystectomy for gallstone disease.
METHODS: Between January 2012-June 2014, the patients who were performed upper gastrointestinal tract endoscopy before laparoscopic cholesistectomy were evaluated retrospectifically. 110 Patients in whom performed upper gastrointestinal endoscopy were included in our study. In all of the endoscopy procedures performed. The patients were detected according to age,sex,sonographic and endoscopic
findings.
RESULTS: 110 hospitalized patients for cholelithiasis who undergone uppergastrointestinal tract endoscopy was included in the study. When evaluated for sonographic findings, in 58(%52,7) of patients multiple calcules,in12(%10,9) sludge and in 40(36,4%) patients single calculi were found.The results of findings after upper gastrointestinal endoscopy were;38(34,5%) patients pangastritis,18(16,4%) alchalen reflux gastritis,4(3,6%) peptic ulser located in bulbus,50(45,46%) normal endoscopic findings.
DISCUSSION AND CONCLUSION: In preoperative period, it should be beared in mind that upper gastrointestinal tract disorders mimicking gallstone disease can be existed. In recent studies it is reported that upper gastrointestinal diseases constructed a great amount of gallstone syndromes. Thus,it may cause the loss of cost and business. Today, many centers have gastrointestinal endoscopy units and we recommend to perform upper gastrointestinal endoscopic research firstly in patients who are undergoing laparoscopic cholesystectomy.

Organophosphate intoxications may cause serious clinical results as the activation mechanism of organophosphates is via the inhibition of cholinesterase enzyme. Even if muscarinic and nicotinic symptoms are seen in the acute phase of intoxication, extrapyramidal symptoms are very rare. We aim to present an acute organophosphate intoxication case who was admitted to the emergency unit with extrapyramidal symptoms.

Benign multicystic mesothelioma (BMPM) is a rare benign peritoneal tumor which localized in abdomen, pelvis and retroperitoneum and commonly seen in women which are in reproductive age. Abdomen distension, pelvic localized pain and mass are the most common findings. Preoperative diagnosis is difficult, because of there is not any spesific symptom or finding. Without any findings, it can be determinated incidentally in laparatomy, like in our case, inside of the inguinal hernia sac. In this patients’ medical history, pelvic surgery, pelvik inflamatuar disase, endometriosis or trauma story can be usually found. Because of it’s a rare entity which seen, we introduced this BMPM case which localized in inguinal hernia surgical specimen.

Thyrotoxic hypokalemic periodic paralysis (THPP) is a rare and dramatic complicaton associated with hyperthyroidism. THPP is characterized by recurrent episodes of muscle weakness and hypokalemia associated with hyperthyroidism. We have reported a case of a 24-year-old male with Graves’ disease presenting with a episodic flaccid quadriplegia. His blood tests revealed hypokalemia, low thyroid stimulating hormone (TSH) and high levels of thyroid hormones. His muscle strength and seum potassium fully recovered with a small amount of potassium replacement. The patient was treated with propranolol and propylthiouracil. He had no further episodes of hypokalemic paralysis. This case report reviews the literature looking at pathophysiology, causes, and treatment recommendations
for this rare complication of hyperthyroidism.

Neonatal suppurative parotitis (NSP)is a rare condition characterized by swelling, pain and erythema over the affected gland. Antimicrobials and adequate hydration are important treatment modalities in treatment. Transmission of bacteria seems to ocur mainly
by ascending spread through the Stensen’s duct or by hematogenous spread from a distant focus. Risk factors are dehydration, low birth weight, ductal obstructions and oral trauma. Staphylococcus aureus is the commonest pathogen. Ultrasound examination may help in the diagnosis. The mainstay in the treatment of NSP is the appropriate selection of antibiotics to cover the causative organism.