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    Is the use of a drain for thyroid surgery realistic? A prospective randomized interventional study
    (2013) Deveci, Uğur; Altintoprak F.; Sertan Kapakli M.; Manukyan, Manuk Norayık; Cubuk R.; Yener N.; Kebudi A.; Deveci, Uğur
    Background. The use of a suction drain in thyroid surgery is common practice in order to avoid hematomas or seromas. The aim of this study was to determine the efficacy of routine drainage after thyroid surgery. Methods. In this prospective randomized trial, 400 patients who underwent either a total thyroidectomy or lobectomy for thyroid disorders were randomly allocated to either the nondrainage (group 1) or the drainage (group 2) group. The volume of fluid collection in the operative bed, postoperative pain, complications, and length of hospital stay were then recorded. Results. Both groups were homogeneous according to age, gender, thyroid volume, type of procedure performed, and histopathological diagnosis. After assessment by USG, no significant difference was found between the groups in the fluid collection of the thyroid bed (P=0.117), but the length of hospital stay was significantly reduced in group 1 (P=0.004). Conclusions. In our experience, the use of drain for thyroid surgery is not a routine procedure. However, it should be used in the presence of extensive dead space, particularly when there is retrosternal or intrathoracic extension, or when the patient is on anticoagulant treatment. This trial was registered with clinical Trials.gov NCT01771523. © 2013 Ugur Deveci et al.
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    Solitary cerebellar metastasis from a non-muscle invasive transitional cell carcinoma of bladder [Transisyonel hücreli yüzeyel invaziv mesane kanserinin serebelluma soliter metastazı]
    (Ege University Press, 2015) Kelten B.; Ekici S.; Erdoğan H.; Sinanoğlu O.; Yener N.; Karaoğlan A.
    Brain metastasis from non muscle invasive transitional cell carcinoma of the urinary bladder occurs very rarely. Herein, a patient who underwent transurethral resection of bladder tumor and received intravesical bacillus Calmette- Guérin for pT1, G3 bladder carcinoma accompanied by carcinoma in situ, and who subsequently developed solitary cerebellar metastasis following 18 months cystoscopic follow up period with normal findings was reported. To our knowledge, only two cases of solitary cerebellar metastasis from pT1 bladder cancer was reported in the English literature. © 2015, Ege University Press. All rights reserved.