It is aimed to present a cheap and easy made endobag. Fingers of a steril surgical gloves are tied and cut. A purse string is put to the proximal and of the remaining part of the gloves. One and of the tie is prepared long enough to enable it to reach out of the abdomen when the bag is inserted inside. The endobag is ready for use after being irrigated with saline.The endobag presented in this report is casy to prepare and cheap. Therefore, we believe that it can be a good alternative tothe commercially available ones.

INTRODUCTION: This study was designed to compare trace elements changes after laparoscopy and laparotomy.


METHODS: 38 patients who underwent laparoscopy and 35 patients who underwent laparotomy Were included in this study. Blood and urine samples were withdrawn preoperatively, at preoperative 45th min, and postoperative 2nd and 24th hours. Blood hematocrit, plasma CRP, albümin and seruloplasmin and blood and urine selenium (Se), copper (Cu), zinc (Zn) and ferrum (Fe) concentrations were measured.
RESULTS: Plasma Zn Concentrations were significantly decreased at postoperative 2nd and 24th hours in both groups significantly more in laparotomy group than laparoscopy group. Plasma CRP levels were significantly higher in both groups at 2nd and 24th hours than preoperative levels at 24th hours CRP was Ýncreased more Ýn laparotomy group than laparoscopy group. Plasma Se, Cu, and seruloplasmin and Lirine trace elements changes were all ÝnsÝgnÝfÝcant. Preoperative andpostoperative hematocrit levels were not changed significantly. The negative correlation was found between CRP levels and Zn and Fe concentrations in both groups.


DISCUSSION AND CONCLUSION: Both in laparoscopy and laparotomy groups, Zn and Fe levels were significantly reduced postoperatively wereas this reduction was more significant in laparotomy patients. Because of no change was observed in urine trace elements concentrations and blood hematocrit levels, it was concluded that plasma trace elements changes occur due to acute phasereaction instead of hemodilution.

INTRODUCTION: To evaluate the theory of implantation Of celis with C02 pneumoperitoneum to the trocar sites in laparoscapic surgery.
METHODS: In this prospective study, between February 1999 and August 1999 in 35 patients whom a laparoscopic cholecystectomy is performed, histopathologic and microbiologic findings are evaluated for implantation of celis at the inner sides of fundic trocars.
RESULTS: At the histopathologic evaluatÝon celis are found in 74 % of examples. Erythrocytes, squamous cells, mesothelial cells, flat celis and fibroadipous tissue pieces are found. Culture results were sterile, PNL found in Ýn 3 patients.
DISCUSSION AND CONCLUSION: As we found a high amount of celis in the trocars we thought that cell transportation by C02 pneumoperitoneum is possible. Because of this reason laparoscopic malignancy surgery should be performed by experienced teams, by avoiding contamination from the tumor bulk further investigations of the subject is needed.

INTRODUCTION: To compare the results of laparoscopic cholecystectomy (LC) with those of open cholecystectomy (OC) in treatment Of acute cholecystitis.
METHODS: Between January 1994- November 1999, 190 patients with acute cholecystitis who underwent surgery in our department were investigated retrospectively. Rate of conversion from LC to OC were noted and two group were analysed and compared for: operating time, use Of drains, potoperative time for ensuing of oral feeding, complications and length of hospital stay.
RESULTS: 95 of patients were operated by open method and 81 were operated laparoscopic-ally. Conversion from LC to OC was necessary in 14 of patients (14.7 To). The mean operating time was 96.68±42.17 minutes for the OC group and 85.06±42.18 minutes for the LC group (1'<0.05). Time for ensuing of oral feeding was 36.27±18.8 hours for the OC group and 14.69±13.18 hours for the LC grup (p<O.05). Complication occured in Of patients in the OC group and in 5 (6.1%) of the patients in LC group (P<O.05). The length of hospital stay averaged 9.44±4.85 days for the OC group and 4.46±2.41 days for the LC group Drain placement was required in 67 (70.5%) of patients OC group and in 37 (45.6 %) Of patients LC group (P<O.05).
DISCUSSION AND CONCLUSION: According to our results we believe that LC can be underwent in a lot Of patients with acute cholecystitis, and this method is superior than OC.

INTRODUCTION: Laparoscopic cholecystectomy Ýs novv the treatment of choice for symptomatic cholelithiasis. Although the technique has many advantages to Open procedre, some new tecnical complication has been added to surgical practice. This stüdy was planned to evaluate and discuss laparoscopic cholecystectomy-related complications.
METHODS: Between 1996 and 1999, 310 laparoscopic cholecystectomies were performed in University and Sociel Security Hospital in our City. All complications were recorded at the time Of operatÝon.

RESULTS: There were five major complications (1.61 %) consisting of 3 common bile duct injury, one cystic duct spillge and one portal vein thrombosis. in eleven cases (3.54%) Operations were converted to laparotomy. Two cases died at the early postoperative period (0.65%).

DISCUSSION AND CONCLUSION: The complÝcatÝon rate Ýs relatÝvely high for beginners and reduces with experience. Laparoscopic cholecystectomy may accepted as a safe procedure with Iow morbidity.

Situs inversus is a rare autosomal recessive disorder and its presence together with cholelithiasis is very rare. We have represented 2 cases of cholelithiasis treated by laparoscopic cholecystectomy so we have discussed this rare condition. As the classic method, we entered 2 trochars I0 mm. normal sites and 2 trochars 5 mm. from left side of abdomen according to flat mirror symmetrical method (mirror image). There were multiple calculi Ýn both gali bladders. We performed succesfully laparoscopic cholecystectomy in two cases without complication. Cholecystectomy can be performed laparoscopically without applyÝng forces.

INTRODUCTION: Laparoscopic appendectomy seems superior to open technique with respect to the results but total hospital cost is high in laparoscopic surgery. The aim of this study to indicate that laparoscopic appendectomy can be performed with minimal cost.
METHODS: Alogn with this study, 3 patients, who have undergone laparoscopic appendectomy between the dates of June 1998-January 2000 in Akdeniz University Medical Faculty have been asseyed. Laparoscopic appendectomy has been asseyed on the basis of the hospital charge which was been compared with values of open surgery.
RESULTS: Resource costs were recorded for 6 patients, 3 in the laparoscopic and 3 in the open group. Average total hospital cost was 367 USD for a patient in laparoscopic appendectomy, not use the expensive laparoscopic instruments as GIA staplers, endoclips, chromic ligating loop, endocatch. In the same period, mean total hospital charge was 342 USD for a patient in open appendectomy. Mean total hospital cost was higher for the laparoscopic surgery only 7.3%. Quality of life was better after laparoscopic appendectomy.
DISCUSSION AND CONCLUSION: Our limited experience showed that laparoscopic appendectomy can be performed safe with minimal cost.

INTRODUCTION: Our aim in this study is to compare laparoscopic tecnique with open hernia repair techniques. Both groups were evaluated in terms of duration of hospitalization, duration of operation time, postoperative pain, analgesic usage, return to daily activities and recurrence.
METHODS: In this prospect we took 50 patients admitted to our surgical dinic and diagnosed with groin hernia. The patients were divided into two equal groups. First group (n-25) was treated with Total Extraperitoneal RepaÝr (TEP) laparoscopically and the second group (n-25) with Open repair method (posterior Wall darn).
RESULTS: The laparoscopic method was statistically in favor or the patients (p<0.05) and more convenient in terms of hospital stay, return to daily activities and postoperative pain. The duration of hospitalization in the first group was approximately 1.6 days and in the second group 23 days (p<0.05). The use of analgesia, Diclofenac sodium IM, in the first group approximated 1.24 mg and in the second group 204 mg (p<0.05). Return to daily activities in the first group was 16 days and in the second group 19 days No difference related to the duration of operation was recognized. Ýn the first group, it was 58 mins and in the second group 53 mins (p<0.05). The follow-up period for both groups was 24 months and one recurrence was noticed in both groups (4%)
DISCUSSION AND CONCLUSION: The laparoscopic method require less analgesia, provided better outcome with early return to daily activities and shorter hospital stay.

INTRODUCTION: To examine the laparoscopic surgical management to nonparasitic liver cysts concomitant with gallstone in two patients and to discuss with literature.
METHODS: The gallstone and liver csyts near the gallbladder were found with ultrasonography in two female patients (48 and 54 years). They were admitted to our hospital with abdominal pain and nausea. The liver cysts were thought to be nonparasitic liver cysts by using serologic tests and cr. Laparoscopic cholecystectomy and deroofing procedures were performed for both patients at the same session.
RESULTS: Both patients were discharged from hospital on first day. There was no complication in their postoperative course. The pathologic examination showed simpl liver cysts in tissue samples obtained from cyst wall.
DISCUSSION AND CONCLUSION: Although there is no definite algorithm for the asymptomatic nonparasitic lier cysts with symptomatic cholelithiasis in the literature, laparoscopic management should be thought with cholecytectomy simultaneously.

The authors report a series of 2445 inguinal hernias. and 272 incisional hernias treated 1993 and 1997 by the insertion of a Parietex mesh via either a laparoscopic (1595 procedures) or an open approach (578 procedures). Pain scores and time to return to normal activity were Iower in the laparoscopic group than in the open surgery group (p<O.001). In all of the groups, the average incidence of the total reported events (complications) was around With no statistical difference. This ratio seemed to compare favourably to previously published reports. Considering inguinal hernias in particular, chronic pain was extremely rare (0.6% in the laparoscopic group and in the open surgery group). Whatever the approach, sepsis was also very rare (1 / 1526 laparoscopic procedures 2/380 pen operations). These findings illusrate the local tolerance of the mesh. Recurrence rates were beIow 1 %with no satistical difference between groups. This retrospective study demonstrates the clinically apparent local tolerance Of this type Of mesh. Prospective and long term clinical results will be necessary to show whether the short term tolerance of Parietex mesh influences the long term functional results.

The purpose of this study is to compare MR and CT results with arthroscopic finding in the meniscus Between June 1993 and March 1997 diagnostic and surgical arthroscopy Was performed in Taksim State Hospital, on 170 patients 106 Of them were male and 64 Of them were female. Before artroscopic procedure, 40 patients were evaluated with CT scan and other 40 patients with Mr imaging. This diagnostic imaging studies were performed in different centers. For MRI the 0.5 Tesla system system was used. The sensitivy of MR imaging for medial meniscus tears is %87, the specifity is %65, and the accuracy is % 77; for lateral meniscus tears the sensitivity %64, the specifity %88, and the accuracy was % 80. For computed tomographic scanning the sensitivity to medial meniscus tears was % 57, the specifity % 42 and the accuracy was % 50; and for lateral meniscus tears the sensitivity % 47, the specifity % 60 and accuracy was % 52.5 This study revealed that between noninvasive diagnostic procedure used for meniscus tears, the MRI has many advantages comparing to computed tomograpic scanning. But due to Its false POZitive and false negative results, if it is compared to arthroscopic examination its diagnostic value was less accur. We suggest that MRI should have the priority for patients who don't care of cost of diagnostic technique and for active trainers.