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    A comparative study between adolescent and adult patients with pilonidal sinus disease
    (2021) Katı, Ömer; Kandur, Yaşar; Kaya, Murat; Güler, Ahmet Gökhan; Dalkıran, Tahir
    Objectives: The main targets of the treatment modalities for pilonidal sinus are to prevent recurrences, and to increase the quality of life. It is unknown whether there is a different treatment trend in pediatric patients as compared with adults. In this study, we aimed to evaluate the surgical methods in pediatric and adult patients with pilonidal sinus. Material and Method: This retrospective study was conducted at the Departments of Pediatric Surgery and General Surgery Department of Necip Fazıl City Hospital, Kahramanmaraş from 2013 to 2017. A total of 66 pediatric patients and 68 adult patients were enrolled in this study. Results: The number of pediatric patients was significantly higher than adults in mean of flap closure (21 (31.8%) vs 2 (2.9%), p?0.01). However, primary closure was the most preferred method both in pediatric and adult patients, 45 (68.2%) pediatric patients and 63 (92.6%) adults. During a postoperative follow-up period of 1 month, 10 (15.2 %) pediatric patients and 12 (17.6%) adult patients developed wound infections (p=0.21). There was no significant difference between pediatric and adult patients with respect to mean recurrence rate (pediatric= 8 (%12.1) vs adult =9 (%13.2) (p=0.527)). Conclusion: We believe that pediatric surgeons should increase their interest in treatment options of PS disease since its prevalence increases in pediatric age group especially in adolescents in recent years. Besides, there was a female prepondarance in pediatric patiens.
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    OUR RESULTS FOR RIGID URETEROSCOPY AND LASER LITHOTRIPSY IN PEDIATRIC AGE GROUP
    (2021) Güler, Ahmet Gökhan; Karakaya, Ali Erdal; Doğan, Ahmet Burak; Kandur, Yaşar
    Objective: Urolithiasis is an important disease that can lead topermanent kidney dysfunction and severe clinical symptoms inpediatric patients. We aimed to present our findings of rigidureteroscopy combined with Holmium YAG laser lithotripsy.Material and Methods: We retrospectively reviewed theultrasonography, and medical records of pediatric patients withurolithiasis who were operated in Sutcu Imam UniversityDepartment of Pediatric Surgery, Kahramanmaraş betweenApril 2018 and December 2019.Results: Sixty-one pediatric patients (M/F=38/23) withurolithiasis were enrolled in this study. The mean age was6.7±4.9 years (range 3 month-17 years). Thirteen (34.2%) malepatients need an urgent operation (rigid ureteroscopy combinedwith Holmium YAG laser lithotripsy) while the correspondingnumber was 4 (17.4%) in female patients. The differencebetween two sexes was statistically non-significant (p=0.156).Thirty-two male patients (84.2%) and 12 (52.2%) femalespatients had a successful operation (rigid ureteroscopy combinedwith Holmium YAG laser lithotripsy). The difference betweenthe two sexes was statistically significant (p=0.019). The ratio offemale patients with right-sided stone was significantly greaterthan the corresponding rates of male patients (p=<0.001). Therewas no difference between infants (<3 years of age) and toddlers(>3 years of age) with respect to gender, side of stone, proceduralsuccess, and need for urgent surgery (p>0.05). Regressionanalysis showed that female gender was a risk factor for a failedattempt (OR=-0.313, 95% CI: 0.052 – 0.528; p=0.0018).Conclusion: Safe and effective stone treatment can beperformed considering that more than one operation can beperformed in infants and children with mini ureteroscopy andholmium laser. However, while evaluating this treatment optionin female patients, alternative treatment methods such as flexibleor percutaneous nephrolithotomy may be preferred.