Trakya University Hospital Research Articles

ASSESMENT OF PATIENT SATISFACTION OF IMPLANTABLE VENOUS PORT CATHETER USE: A SURVEY-BASED STUDY

Aims: Implantable venous port catheter is a widely used clinical tool with plenty of objectives such as parenteral nutrition, taking blood sample, management of medicines used in chemotherapy. The aim of this study is to evaluate patient satisfaction regarding implantable venous port catheter for chemotherapy treatment.Methods: The data of 19 patients operated from March 2017 to June 2017 were analyzed as a survey based assessment in Trakya University Hospital Department of Thoracic Surgery. Age, gender, satisfaction of having an implantable venous port catheter, the level of pain during implantation, being informed before the operation, fear of having a complication due to the implantable venous port catheter, being uncomfortable about having an implantable venous port catheter and not liking the appearance of implantable venous port catheter were included on the survey. The type and stage of cancer, comorbidity and the vein which is a port catheter was implanted in were recorded from patient charts. Results: The mean age of participants was 61.44 ± 7.493 years. Out of all 10 (52.6%) were male and 9 (47.4%) were female. The most utilized side during insertion was right jugular vein (94.4%). Rectum cancer was the most diagnosed cancer type with six patients. The most seen cancer stage was found to be stage-4-IV (66.7%). Comorbidity was detected in 15 patients (83.3%). 89.5% of patients had indicated that they were informed enough before the procedure. 57.9% of the patients responded to question of fear of complication as “yes”. According to these responses, 52.6% of the patients emphasized their discomfort as “little”.Conclusion: This survey-based assessment study points out that most of the cancer patients are contented for being implanted with an implantable venous port catheter. Having an implantable venous port catheter is safer and easier way for cancer patients. Moreover, it gives patients more freedom of movement

Unknown primary adenocarcinomas: a single-center experience.

This study aimed to elucidate the clinical and prognostic characteristics of a homogeneous group of patients with cancer of unknown primary (CUP). Between 1999 and 2014, CUP was diagnosed in 159 (1.3%) of 11,742 cancer patients at Trakya University Hospital (Edirne, Turkey). Ninety-seven (61%) of the 159 patients were retrospectively reviewed. Among these, 61 (62.8%) patients with adenocarcinoma were included in this study. The most frequently predicted primary tumor site was the lung (37.7%), and 59% of the patients were smokers. There was a significant relationship between smoking and the lung as a potential primary cancer site (p = 0.042). The most frequent site of metastasis was the liver (60.7%). The median number of metastases per patient was two, but patients with liver metastases had a median of five metastases. The overall median survival time was 7 months. Median survival was significantly longer in patients with a predicted primary site than in patients without the predicted site (7 vs. 6 months, respectively; p = 0.038). When the patients with predicted ovarian and peritoneal tumors were excluded from the comparison, the statistical p value was still close to significant (p = 0.07). Multivariate analysis revealed that smoking, liver metastasis, serum alkaline phosphatase ≥92 U/L, and progression in response to chemotherapy were independent predictors of a poor prognosis. The present study identified several independent prognostic factors in patients with unknown primary adenocarcinomas who received chemotherapy. Smoking, the presence of liver metastasis, and response to chemotherapy were independent risk factors for both progression-free and overall survival.

Aggregatibacter actinomycetemcomitans Kaynaklı Olası Enfektif Endokardit Olgusuna Mikrobiyolojik Yaklaşım

Aggregatibacter (Actinobacillus) actinomycetemcomitans, a small, gram-negative coccobacillus that grows slow and fastidious, is generally colonized in the oral cavity. It is a rarely seen bacterium because of the difficulty of isolation but it can be a causative agent for dental infections and infective endocarditis (IE) particularly in the persons having prosthetic heart valves. In this report, a possible IE case caused by A.actinomycetemcomitans in a patient with aortic valve replacement has been presented. A 36-year-old man has admitted to Trakya University Hospital, Health Center for Medical Research and Practice, with the complaints of chills, malaise, intermittent fever, severe arthralgia and weight loss (20 kg). During his follow-up period, the blood cultures that were obtained three week intervals yielded the identical gram-negative coccobacilli morphology. The patient was then diagnosed as possible IE on the basis of having one major (growth of the typical microorganisms that may cause IE in two different blood cultures) and two minor (presence of prosthetic valve and high fever) criterias. The isolate could not be identified with conventional methods, while it was identified as Francisella tularensis with VITEK 2 (bioMerieux, France) system. Hence this identification was not confirmed by real-time Taqman polymerase chain reaction, so MALDI-TOF mass spectrometry was used to identify this bacteria. In the first run of the study, the isolate was named as Shigella dysenteriae initially, however when it was retested the next day it was identified as A.actinomycetemcomitans. In order to enlighten these conflicting results, 16S and 23S ribosomal DNA sequence analysis was performed, and consequently the bacterium was identified as A.actinomycetemcomitans. Doxycycline (2 x 100 mg po, 20 days) and streptomycin (2 x 10 mg/kg im, 10 days) therapy were initiated, considering the initial suspicious identification (F.tularensis), and on the fifth day of therapy the blood culture was negative with the regression of patient's complaints. Therapy continued with the addition of rifampicin to doxycycline from the 21(st) day and the patient discharged with cure. As a result, the identification of an exceptional bacterium like A.actinomycetemcomitans may be difficult and time-consuming in certain laboratory facilities. So, the use of different identification methods in addition to classical methods are needed to overcome such a problem, especially for uncommon isolates and clinically discordant cases. This case was presented because A.actinomycetemcomitans is a rare etiological agent for IE patients and it could be a good example to draw attention to the problem when identifying the organism using automatized identification systems.

Patient Safety from a Different Perspective: An Evaluation of the Type of Foods and Drinks Visitors Bring for Postoperative Patients

Introduction: To introduce different types of foods and beverages visitors bring for postoperative patients. Materials and Methods: This descriptive study was conducted on 96 visitors of postoperative patients at Trakya University Hospital in Edirne, Turkey. Data were collected in face-to-face interviews (15 min) during visiting hours (02:00-04:00 p.m.) between August and September, 2015. The questionnaire included 15 questions on demographic characteristics, patient/visitor relation, visitor's knowledge of the type of patient's surgery, date of surgery, and the onset of patient's oral intake, the selected foods and/or drinks, and cause of such selection. Results: Based on the findings, 72.9% of the visitors had brought food for the patients, and soup was the most frequently selected food type (25.7%); also, 41.4% of the visitors had brought the food the patient had requested. In total, 74% of the visitors had brought drinks, with fruit juice accounting for 63.4% of the selected beverages; also, 53.5% of the visitors had brought the drink the patient had requested. By comparing the type of foods and drinks with the type and date of surgery, it was revealed that some visitors had brought pastries and biscuits for patients undergoing gastrectomy on the first postoperative day. Conclusion: It is recommended to control and manage the type of food products visitors bring for the patients during visiting hours. Moreover, visitors should be instructed on how to select foods or drinks for the patients.

Effecting Factors of Outcome in Head Injury

In this study, the data that could be obtained from our patient record system were investigated with respect to factors affecting the outcome in adult patients with head injury. The records of 356 adult head-injury patients (308 males, 48 females; mean age 43.1 +/- 18.6 years; range 17 to 87 years) hospitalized in Trakya University Hospital, Department of Neurosurgery and the Intensive Care Unit were examined. Results of the obtained data were analyzed statistically. Age (p = 0.012), use of airway tube (p < 0.001), Glasgow Coma Scale values determined at the injury site and in the Emergency Unit (p < 0.001), clustered systolic and diastolic tricuspid annulus values (p < 0.001), accompanying chest (p = 0.001) and abdominal (p = 0.041) injury, anisocoria (p = 0.001), pupillary light response (p < 0.001), intracranial radiologic findings such as subdural hematoma (p < 0.001), brain contusion (p = 0.006), traumatic subarachnoid hemorrhage (p < 0.001), traumatic intracranial hemorrhage (p = 0.005), and brain edema ( p < 0.001), performance of a surgical procedure (p < 0.001), and presence of nosocomial infection (p < 0.001) were demonstrated to cause significant differences in the outcome. CONCLUSION The main aim must be to reduce accidents in an effort to reduce the number of deaths due to head injuries; additionally, emergency and hospital care facilities should be developed with respect to head injury cases.

Is EQ-5D a valid quality of life instrument in patients with acute coronary syndrome?

To evaluate the construct validity of the Turkish version of the EQ-5D in patients with acute coronary syndrome. The study was conducted as a cross-sectional study at the Trakya University Hospital between February and May 2008. All patients completed the Turkish version of the EQ-5D and MacNew heart-related quality of life scale. Construct validity of the EQ-5D was assessed according to relationships with MacNew subscales by using Spearman rank correlation and multiple linear regression analyses. One hundred and twenty-two patients responded to the instruments. Mean age was 62.9±9.3 years and male gender (88 or 72.1%) was dominant. Mean score of the EQ-5D index was 0.79±0.32, while the global score of MacNew was 5.01±1.16. The correlation coefficients of the EQ-5D index score with the MacNew subscales ranged from 0.557 to 0.721, with EQ-5D VAS score ranging from 0.297 to 0.484 (p<0.001 for all of them). According to the stepwise regression model MacNew global score was found to be significantly effective factor on EQ-5D index score (β =0.188; 95% CI: 0.152-0.224; p<0.001). The Turkish version of the EQ-5D-based utility score seems to be a valid instrument in the assessment of quality of life studies in patients with acute coronary syndrome.

Nosocomial infections and risk factors in intensive care unit of a university hospital in Turkey

Abstract The aim of this study was to determine the types nosocomial infections (NIs) and the risk factors for NIs in the central intensive care unit (ICU) of Trakya University Hospital. The patients admitted to the ICU were observed prospectively by the unit-directed active surveillance method based on patient and the laboratory over a 9-month-period. The samples of urine, blood, sputum or tracheal aspirate were taken from the patients on the first and the third days of their hospitalization in ICU; the patients were cultured routinely. Other samples were taken and cultured if there was suspicion of an infection. Infections were considered as ICU-associated if they developed after 48 hours of hospitalization in the unit and 5 days after discharge from the unit if the patients had been sent to a different ward in the hospital. The rate of NIs in 135 patients assigned was found to be 68%. The most common infection sites were lower respiratory tract, urinary tract, bloodstream, catheter site and surgical wound. Hospitalization in ICU for more than 6 days and colonization was found to be the main risk factor for NIs. Prolonged mechanical ventilation and tracheostomy, as well as frequently changed nasogastric catheterization, were found to be risk factors for lower respiratory tract infections. For bloodstream infections, both prolonged insertion of and frequent change of arterial catheters, and for urinary tract infections, female gender, period and repeating of urinary catheterization were risk factors. A high prevalence rate of nosocomial infections was found in this study. Invasive device use and duration of use continue to greatly influence the development of nosocomial infection in ICU. Important factors to prevent nosocomial infections are to avoid long hospitalization and unnecessary device application. Control and prevention strategies based on continuing education of healthcare workers will decrease the nosocomial infections in the intensive care unit.

Predicting Prognosis Of Isolated Head Injury: Computer-based Models With Simple Variables

Objective: Over one hundred predictive models were defined in the past for head injury (HI) prognosis, but none of them have been widely used up to the present. The aim of this study is to predict the prognosis of isolated HI patients by simply using data from the first day after injury. Materials and Methods: Data of head injury patients in Trakya University Hospital between January 1996 and December 2006 were obtained from records. The age, gender, causes of HI, basic neurologic examination findings, radiologic findings and discharge status are examined. Results: Most of the data were simplified as absent (0) and present (1), and mortality rates for each groups were accepted weighted values. All data were processed statistically and two models were created. Model 1 with Glasgow Coma Scale (GCS) score predicted the mortality/vegetative event at a rate of 56.5%, and the conscious survival event at 98.7%. Model 2, without the GCS score, predicted the mortality/vegetative event at 55.1% rate and the conscious survival event at 99.2%. Conclusion: Both models could be used for informing the patient and relatives and helping them to understand the severity of HI in busy working conditions of emergency departments.

Prospective evaluation of rickettsioses in the Trakya (European) Region of Turkey in 2005

Several rickettsial diseases have been reported in the Mediterranean basin, including Mediterranean spotted fever, caused by Rickettsia conorii and transmitted by Rhipicephalus sanguineus ticks, tick-borne lymphadenopathy, caused by Rickettsia slovaca and transmitted by Dermacentor marginatus ticks, Rickettsia mongolitimonae infection, transmitted by Hyalomma spp. ticks, Rickettsia helvetica infection, transmitted by Ixodes ricinus ticks, and flea-borne spotted fever, caused by Rickettsia felis and transmitted by cat fleas (Ctenocephalides felis) [1]. Since 2003, prospective surveillance and serological and molecular diagnosis of rickettsioses in the Trakya Region of Turkey has been conducted by the Trakya University in Edirne and the Universite de la Mediterranee in Marseille [1,2]. In 2003 and 2004, 22 patients were diagnosed as spotted fever group (SFG) rickettsioses, using molecular diagnostic methods [1,2]. R. conorii was previously isolated from the skin biopsy specimens of three of ten patients, and was also demonstrated by PCR in skin biopsy specimens of nine of ten patients [1]. From May to September 2005, 24 patients with SFG rickettsioses were admitted into the Trakya University Hospital, a tertiary-care hospital in Edirne. In this prospective study, our aim was to isolate and identify the rickettsial strains from skin biopsy specimens and blood samples of these 24 patients diagnosed with spotted fever in the Trakya Region of Turkey in 2005. M A T E R I A L S A N D M E T H O D S

Resting energy expenditure in manic episode

We aimed to assess the resting energy expenditure in bipolar I disorder, manic episode patients. Forty-two bipolar I disorder, manic episode patients that were treated in the inpatient psychiatry clinic of Trakya University Hospital and had met the necessary study criteria were included along with 27 controls. DSM-IV criteria and the Bech-Rafaelsen Mania Rating Scale were used to evaluate patients' diagnosis and severity of the manic episodes. The indirect calorimetry device was used to measure resting energy expenditure values. Resting energy expenditure values of manic patients were found to be higher than those of the controls. Controls showed significant correlations between body mass index and resting energy expenditure, but manic patients did not exhibit similar correlations. There was also no relation between Bech-Rafaelsen Mania Rating Scale scores and resting energy expenditure values in manic patients. We found significantly increased resting energy expenditure values in bipolar I disorder, manic episode patients. These findings suggest a possible clinical use of resting energy expenditure for evaluation of bipolar I disorder manic episode and also suggest resting energy expenditure as a possible biological marker.

Poisoning Cases In Trakya Uiversity Hospital, Turkey

Introduction: Poisonings are important causes of emergency department visits. It is especially very common in youth and women. In this study we aimed to define clinical and demographic features of poisoning cases admitted to our hospital.Material and Methods: Poisoning cases admitted to the emergency department of Trakya University Hospital between the dates of January 2008 and January 2009 were evaluated retrospectively. Demographic features of patients, poisoning agents, aim of intake of poisonous agent, admission times, treatment methods, department treatment and outcomes were recorded. Data were expressed as mean ± standard deviation and percentage.Results: Between these dates, 2.2% of emergency department visits were poisonings. 460 patients were included in the study. Mean age of the patients was 25.6±11.5 years. 40% of the patients were male (n=184) and 60% were female (n=276). Mean admission time to the hospital was 229.6±150.6 minutes. It was detected that 62.4% of the patients were poisoned with a single agent and 95.1% took the agent orally. The most common poisoning agents were tablets (75.7%, n=348), carbon monoxide (CO) (5.4%, n=25) and alcohol (14.8%, n=68). 77.8% of the patients were discharged from the hospital, 21.3% were hospitalized, and 0.2% were sent to another hospital, and 0.7% were terminal.Conclusion: It was seen that poisoning cases were mostly seen in young females, occurring with single agent, and requiring good clinical care.

Prospective Evaluation of Rickettsioses in the Trakya (European) Region of Turkey and Atypic Presentations of Rickettsia Conorii

In 2004 between the months of May-November, 11 patients with spotted fever group (SFG) rickettsioses were admitted to the Trakya University Hospital in Edirne, Turkey. SFG rickettsioses were diagnosed clinically. Before treatment, punch biopsy from skin lesions, especially from the eschar, was performed. Serum specimens were tested by IFA using a panel of nine rickettsial antigens, including SFG rickettsiae and R. typhi. Western blotting and standard PCR were also performed. The average age of the 11 patients (4 male and 7 female) was 51 years. All the patients had high fever; 10 (91%) had maculopapular rash; 8 (73%) had rash in the palms or on the soles. Five patients had a unique eschar; two had double eschars (64%). Two patients presented with multiple organ failure and one of them died. All the patients had significant antibody titers against SFG rickettsiae. PCR experiments of skin biopsies were positive in six (60%) of 10 skin biopsy samples and DNA sequencing of the positive PCR products gave 100% homology with Rickettsia conorii Malish 7 for opmA and gltA. Trakya Region in an endemic area for rickettsioses. In this series, three patients presented with life-threatening diseases and one of them died. This patient was the first fatal case (2.8%). Atypic and serous life-threatening presentations of rickettsioses must be kept in mind for the differential diagnosis of febrile disease in Turkey.

Acute Disseminated Encephalomyelitis Presenting as Conversion Disorder

Acute Disseminated Encephalomyelitis Presenting as Conversion Disorder

Acute Disseminated Encephalomyelitis Presenting as Conversion Disorder

Acute Disseminated Encephalomyelitis Presenting as Conversion Disorder

Risk factors of status epilepticus in children.

Although there is abundant literature about the morbidity and mortality rates of status epilepticus (SE), little is known about the risk factors of this medical emergency. The aim of the present study is to assess the risk factors of SE in children. The authors reviewed the medical records of 83 patients admitted to the Pediatric Neurology Unit of Trakya University Hospital, Edirne, Turkey from January 1994 to December 2001 with the diagnosis of SE. Eighty-three patients were compared with 166 controls who were admitted to the same unit due to non-status epilepticus (non-SE) seizure. The univariate analysis demonstrated that SE episodes were significantly associated with a history of birth asphyxia, neonatal seizure, discontinuation of antiepileptic medication, epilepsy, partial seizure evolving to secondary generalized seizures, myoclonic seizure, generalized abnormalities in the neurological examination, neuromotor retardation, generalized background abnormalities on electroencephalogram (EEG), generalized abnormalities on neuroimaging and polypharmacy than non-SE episodes. Logistic regression was used to test the independence of these parameters as predictors of SE risk. Four parameters emerged as significant independent predictors of SE in children in multiple logistic regression: polypharmacy (Odds ratio (OR) 5.17, P = 0.0004), discontinuation of antiepileptic medication (OR 4.04, P = 0.0095), neuromotor retardation (OR 4.03, P = 0.0016) and generalized background abnormalities on EEG (OR 2.48, P = 0.0419). Polypharmacy, discontinuation of antiepileptic medication, neuromotor retardation and generalized background abnormalities on EEG are indicators in children of a higher risk of SE.

Monitoring Indoor Airborne Fungi and Bacteria in the Different Areas of Trakya University Hospital, Edirne, Turkey

The aim of this investigation was to monitor monthly the densities and distribution of indoor airborne fungi and bacteria in 6 different areas of Trakya University Hospital (Edirne, Turkey). Areas monitored were an operating theatre, birthing-room, emergency department, service area for infectious diseases, intensive care unit and the canteen. Our method was to expose Petri dishes which contained rose-bengal streptomycin agar and 5% sheep- blood agar media to room air for 10-min periods. Sam ples were collected at 1-month intervals from September 2000 to February 2001. A total of 156 microfungal and 535 bacterial colonies were counted on 144 plates. Dur ing a 6-month period, 10 bacterial genera (Acinetobacter, Bacillus, Corynebacterium, Enterococcus, Escherichia, Listeria, Micrococcus, Propionibacteria, Staphylococcus and Streptococcus) 7 fungal genera (Alternaria, Aspergil lus, Cladosporium, Paecilomyces, Penicillium, Scopular iopsis and Trichothecium) and 33 fungal species were isolated from the hospital air. Penicillium loliense, P. melinii and P. phoeniceum were newly recognised spe cies for Turkey. Some bacterial species such as coagu lase-negative Staphylococcus, Micrococcus and Coryne bacterium spp. were predominant (percentages of colo nies counted were 72.2, 10.7 and 8.8%, respectively). Cladosporium and Penicillium were the most prevalent fungal genera. Cladosporium was predominant in Sep tember, November and February, Alternaria in October and December and Penicillium in January. Staphylococ cus spp. was the most common bacterial species in all months. Statistical analyses (regression with optimal scaling test) were applied to the data.

An uncommon central nervous system manifestation in systemic lupus erythematosus: the diffuse and symmetrical lesions of white matter

European Journal of NeurologyVolume 7, Issue 5 p. 585-585 An uncommon central nervous system manifestation in systemic lupus erythematosus: the diffuse and symmetrical lesions of white matter N. Aydin, N. Aydin Trakya University Faculty of Medicine, Department of Neurology; andSearch for more papers by this authorU. Utku, U. Utku Trakya University Faculty of Medicine, Department of Neurology; andSearch for more papers by this authorT. E. Hüseyin Özer, T. E. Hüseyin Özer Trakya University Faculty of Medicine, Department of Medicine, 22030 Edirne TurkeySearch for more papers by this author N. Aydin, N. Aydin Trakya University Faculty of Medicine, Department of Neurology; andSearch for more papers by this authorU. Utku, U. Utku Trakya University Faculty of Medicine, Department of Neurology; andSearch for more papers by this authorT. E. Hüseyin Özer, T. E. Hüseyin Özer Trakya University Faculty of Medicine, Department of Medicine, 22030 Edirne TurkeySearch for more papers by this author First published: 25 November 2003 https://doi.org/10.1046/j.1468-1331.2000.t01-1-00118.xCitations: 5 Nurgül Aydin, Trakya University Hospital Department of Neurology, 22030 Edirne Turkey (fax: + 90 284 2357652; e-mail:[email protected]). Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article.Citing Literature Volume7, Issue5September 2000Pages 585-585 RelatedInformation

Trakya Üniversitesi Tıp Fakültesi Acil Servisine Başvuran Adli Olguların Özellikleri

Trakya Üniversitesi Tıp Fakültesi Hastanesi (TÜTFH) Acil Servisine Eylül 1992-Eylül 1995 tarihleri arasında başvuran adli olgu sayısı 2802'dir. Bu olguların % 78’i (n:2196) erkek, % 22’si (n:6()6) kadın olup, olguların yaş ortalaması 30.52 (±15.15)'dir. Adli olgu başvurularının Haziran-Ağustos döneminde yoğunlaştığı (% 35.9) görülmüştür. 102 olgu hastaneye ölü duhul ederken, 32 olgu ise acilde tedavisi sürerken ölmüştür. Adli olay türlerinin başında 1762 olgu (% 62.9) ile trafik kazaları gelmektedir, bunu 282 olgu (% 10.1) ile müessir fiiller ve 175 olgu (% 6.2) ile basit düşme ve yüksekten düşmeler izlemektedir. Travmatik lezyonlar, 853 olguda (% 33) birden fazla beden bölgesini ilgilendirmekte iken, 785 olguda (% 29) ise baş-boyun yaralanmaları şeklindedir. 1817 olgunun (% 67) teşhis ve tedavisi acil serviste yapılırken, 883 olgu (% 33) ise ilgili kliniklere yatırılarak tedavi edilmiştir. Adli ve tıbbi belgelerin incelenmesi sonucunda 433 olgunun (% 16) alkollü olduğu saptanmış, 1362 olguda (% 50) ise kişilerin alkol durumu ile ilgili herhangi bir bilgiye rastlanılmamıştır. Benzer şekilde, 432 olguda (% 16) kişilerin hayatını tehlikeye maruz kılacak nitelikte lezyonlar mevcut iken, 519 olguda (% 19) ise tıbbi belge ve kayıtlardaki yetersizlik ve eksikler nedeniyle retrospektif bir değerlendirme yapılamamıştır. Bu çalışmanın amacı; 3 yıllık süre içerisinde T.Ü.T.F.H. acil servisine başvuran adli olguların epidemiyolojik özellikleri ile acil serviste tutulan tıbbi belge ve kayıtlardaki eksiklikleri ortaya koymaktır.Anahtar kelimeler: Acil servis, adli olgular, travma, alkol, yaralanmalar.

The diagnostic role of double contrast arthrotomography for recurrent dislocation of shoulder

Diagnostic double contrast arthrotomography was performed on 19 patients who had recurrent dislocation of shoulder to decide the treatment plan in Trakya University Hospital between 1991-1995. Omnipaque and room air were used as contrast material. No complication has been observed. The role of pathology the labrum and capsule in the recurrent dislocation of shoulder were investigated. The results were compared with arthrotomy and arthroscopy. Treatment was planned in the light of the history, physical examination, double contrast arthrotomography and other diagnostic methods treatment was planned. This study demonstrated that double contrast arthrotomography had significant role for planning the treatment of recurrent dislocation of shoulder with other diagnostic methods as well.