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    Simultaneous operation for coexisting lung and liver hydatid cysts: A treatment modality
    (H G E Update Medical Publ Ltd., 1998) Yoruk, Y; Yalcinkaya, S; Coskun, I; Ekim, T; Kose, S; Mehmet, R
    BACKGROUND/AIMS: Hydatid disease is very common in our region, Whether or not coexisting cysts of lung and liver should be operated on simultaneously is a challenging question. METHODOLOGY: Of 127 patients operated on for hydatid cysts of the lung between 1990 and 1995, 23 (18%) had coexisting hydatid cysts of the right lung and liver. There were 12 male and 11 female patients with an average age of 34 years. RESULTS: All patients had simultaneous operations for both organs via right thoracotomy with an incision in the diaphragm (phrenotomy). In the lung, cystotomy and capitonnage were performed in 21 patients and wedge resection in 2; in the liver, cystotomy and capitonnage were performed in all 23 patients. No hospital mortality occurred. CONCLUSION: Coexisting hydatid cysts of the right lung and liver should be surgically treated simultaneously.
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    Surgery for eventration of the diaphragm
    (Editrice Compositori, 1998) Yoruk, Y; Mamedov, R; Yalcinkaya, S; Kose, S
    Four patients were operated for unilateral left eventration of the diaphragm There were two male and two female patients with a mean age of 63.0+/-14.1 years. All of the patients had dyspnea for an average of 6.2+/-2.6 years. Chest X-ray, fluoroscopy, thorax computed tomography (CT) and in one patient magnetic resonance imaging (MRI) were used for diagnosis. Preoperative forced vital capacity (FVC) and arterial blood partial O-2 pressure (PaO2) values were 1.8+/-0.4 L and 73+/-1.4 mm Hg, respectively. Left thoracotomy via 7(th) intercostal space was applied and complete thinned diaphragmatic leaf was found in all patients. In three patients diaphragm was repaired by plication. In one patient after incision of the leaf, imbrication of one layer over the other was done. No morbidity and mortality were seen. Relief of dyspnea was achieved in all patients. Postoperative FVC and PaO2 values were increased to 2.3+/-0.4 L and 86.6+/-2.7 mm Hg, respectively. Surgery for eventration of the diaphragm in symptomatic patients increases FVC and PaO2 values, thus relieves dyspnea.