Aegean Journal of Obstetrics and Gynecology最新文献

{"title":"Supervene of vesicovaginal fistula after open total hysterectomy with concurrently bladder repair in an outer unit: successful surgical management with robotic surgery and clinical follow-up","authors":"Ozgen Nahya Ozdogar, O. Çelik, I. Ertas","doi":"10.46328/aejog.v4i2.105","DOIUrl":"https://doi.org/10.46328/aejog.v4i2.105","url":null,"abstract":"While vesicovaginal fistula (VVF) is not common in developed countries, it is a significant health problem in developing countries. In developed nations, these fistulas are usually unfortunate complications of gynecologic or other pelvic surgery and radiotherapy. Once a vesicovaginal fistula is suspected, a meticulous vaginal examination should be performed to identify its size, location, and relation to the trigone. Even though there is no consensus on which approaches are better, surgical and conservative are two options. In terms of the surgical option, there are numerous approaches such as abdominal, vaginal, and minimally invasive surgery (i.e., laparoscopic and robotic). The treatment algorithm depends on surgeons’ training and experience, facilities, anatomical localization. Recently, minimally invasive surgery is preferred to provide low morbidity and higher success rate. Therefore, if it is suitable, patientsshould be referred to the tertiary care center and the treatment process management with a multidisciplinary team including the department of urology, radiology, interval radiology, and urogynecology.","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128704589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of fetal adipose tissue thicknesses measured ultrasonographically in the prediction of gestational diabetes","authors":"Yasin Altekin, Emin Üstünyurt, S. Karaşin, Ö. Keskin","doi":"10.46328/aejog.v4i2.113","DOIUrl":"https://doi.org/10.46328/aejog.v4i2.113","url":null,"abstract":"AIM \u0000This study aims to investigate whether second-trimester fetal adipose tissue components reflect glycemic control in diabetic pregnancies and their role as an auxiliary method in predicting gestational diabetes. \u0000MATERIALS AND METHODS \u0000This study was designed prospectively, cross-sectionally in 300 pregnant women 24-28 weeks of gestation between April 2020 and July 2020. The adipose tissue thickness of the humerus, femur, scapula, and abdominal circumference was examined by transabdominal ultrasound. The age, body mass index, family history of diabetes, and diabetes history in previous pregnancies of the groups were questioned. \u0000RESULTS \u0000The anterior abdominal wall adipose tissue thickness of the fetuses we included in the study was 5 ± 0.8 mm, femur adipose tissue thickness was 4 ± 0.7 mm, humerus adipose tissue thickness was 3.7 ± 0.7 mm, scapula adipose tissue thickness was 4.1 ± 2,2 mm. The total adipose tissue thickness was 16.9 ± 2.9 mm. \u0000A statistically significant correlation was found between femoral adipose tissue thickness (p = 0.001) and humeral adipose tissue thickness (p = 0.023) in gestational diabetes groups. \u0000Patients with a diagnosis of Gestational Diabetes Mellitus (n = 60) constituted the first group, patients without GDM (n =240) constituted the second group. In our independent analysis of two groups, femur and humerus adipose tissue thickness were found to be statistically significantly different between both groups (p= 0.002, p = 0.043, respectively). Other parameters did not differ significantly between groups. \u0000Between three groups (healthy, impaired glucose tolerance, and gestational diabetes groups). Femoral adipose tissue thickness was statistically significant among the three groups (p = 0.005). As a result of binary logistic regression, if the femoral adipose tissue thickness was above 4.1 mm, the possibility of developing GDM was observed with 63.8% sensitivity and 65% specificity. \u0000CONCLUSION \u0000In the prediction of gestational diabetes, fetus femoral adipose tissue thickness may be significant","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"2002 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128306408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of serum c-type natriuretic peptide levels in different genders: A pilot study","authors":"Yusuf Özay, Ali Cenk Özay, Oguzhan Edebel, Özlen Emekçi Özay, Yasemin Türkcan Çavdarlı, N. K. Duru","doi":"10.46328/aejog.v4i2.109","DOIUrl":"https://doi.org/10.46328/aejog.v4i2.109","url":null,"abstract":"OBJECTIVE \u0000Firstly we aimed to compare serum C-type natriuretic peptide (CNP) levels in healthy male and female participants of similar age group and secondly to reveal the relationship between serum CNP values and ovarian function markers in women and sperm parameters in men. \u0000MATERIAL and METHODS \u0000In this prospective study, a total of 40 patients, who were admitted to the Department of Obstetrics and Gynecology at Near East University Hospital were included. Of these, 20 were female and 20 were male participants. Serum CNP levels of the patients were analyzed for all participants. Day 3 serum levels of follicle stimulating hormone (FSH), luteinizing hormone (LH) and estradiol (E2) for female participants and semen samples after 3-5 days of sexual abstinence for male participants were evaluated. \u0000RESULTS \u0000Serum CNP levels were similar in both genders. There was only a moderate, but statistically insignificant negative correlation between serum CNP and FSH in female group. In the correlation analysis performed in the male group, no significant correlation was observed between serum CNP level and any semen analysis parameter. \u0000CONCLUSION \u0000We showed that serum CNP levels were similar between healthy women and men. There was no relationship between levels of serum CNP and reproductive hormones in the early follicular phase of menstruation in women, and semen parameters in men.","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128414065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"importance of maternal ischemia modified albumin, non stress test and doppler ultrasonography in foreseeing perinatal asphyxia","authors":"Ferruh Acet, V. Emirdar, M. Celiloğlu, M. Akış, G. İşlekel","doi":"10.46328/aejog.v3i3.98","DOIUrl":"https://doi.org/10.46328/aejog.v3i3.98","url":null,"abstract":"Background: The aim of this study is to evaluate the importance of ischemia changed albumin, in foreseeing fetal asphyxia and comparing it between normal and preeclamptic pregnant.\u0000Method: We planned our study as a prospective case-controlled study between May 2011 and June 2013. We recruited 104 pregnant women complicated by preeclampsia and 110 healthy pregnant women in the study. Doppler ultrasonography, non-stress test and fetal biometric measurements were performed. Venous blood samples taken to measure ischemia modified albumin (IMA). The presence of fetal hypoxia/acidosis was analyzed by conducting post-natal cord blood gas examination and 1.-5. minutes APGAR scoring.\u0000Results: Women with preeclampsia had higher IMA compared to controls. The correlations between umbilical artery doppler systolic/diastolic (S/D) ratio, brain sparing effect, non stress test and IMA analyzed. We have found IMA statistically high when S/D ratio is above 2 standard deviations (preeclampsia; 11.83±1.33 vs 19.62±1.56 p<0.001, control; 10.28±1.57 vs 18.09±2.13 p<0.001) or brain sparing effect started (preeclampsia; 25.59±2.48 vs 9.16±1.99 p<0.001, control; 16.37±1.97 vs 6.72± 1.53 p<0.001) or abnormal NST findings occurred (preeclampsia; 10.69±1.92 vs 20.72±1.15 p<0.001, control; 7,42±1,94 vs 9,72±2,19 p<0.001).\u0000Conclusions: Maternal IMA levels are found high in preeclamptic pregnant women and it can be used as a biomarker for determining fetal wellbeing.","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129381433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tubal reanastomosis results of our clinic: A tertiary center experience","authors":"Mehmet Rıfat Göklü, Şeyhmus Tunç","doi":"10.46328/aejog.v3i3.95","DOIUrl":"https://doi.org/10.46328/aejog.v3i3.95","url":null,"abstract":"Objective: In our study, it was aimed to determine the clinical results of 42 patients who underwent tubal reanastomosis for various reasons. \u0000Materials and Methods: Our study included 42 patients at fertile age who presented to our clinic for tubal reanastomosis between 2017 and 2019. Demographic information and surgery notes of the patients were accessed through the hospital files and hospital archive system. For retrospective screening, patients were contacted by phone and their pregnancy status was learned. \u0000Results: Of the patients, 47.6% (n=20) were operated on due to a wish for fertility, 53.4% (n=22) because of other reasons. The mean age of the patients was 36.2 and the mean number of children of the patients was 4.85. Laparotomy was performed in 23.8% (n=10) of the patients, and laparoscopic surgery in 76.2% (n=32). Our intrauterine pregnancy rate after tubal reanastomosis was calculated as 9.5%. \u0000Conclusion: Tubal reanastomosis can be performed by both laparoscopic and mini-laparotomy methods. We recommend performing bilateral reanastomosis if possible. We think that it would be appropriate to prioritize laparoscopic surgery because it is minimally invasive and provides high pregnancy success.","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"150 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131761562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immunolocalization of FOXP3, JAK1 and STAT5 in Preeclamptic, Intrauterine Growth Restricted and Gestational Diabetic Human Placentas","authors":"V. Emirdar, G. Ekizceli, Yagmur Dilber, Sevinç Inan, M. Şancı","doi":"10.46328/aejog.v3i3.101","DOIUrl":"https://doi.org/10.46328/aejog.v3i3.101","url":null,"abstract":"Objective: The aim of the study to show the relation of  T cells in placental villous fragments with FOXP3,JAK1 and STAT5  receptors in different conditions such as   GDM, PE and IUGR placental tissues. \u0000Methods: Specimens of ten(10) diabetic placentas, ten(10) preeclamptic, ten(10) intrauterine growth restricted placentas  and ten(10) control placentas were collected by systematic uniform random sampling. Immunohistochemical detections of FOXP3, JAK1 and STAT5 were performed in histological sections for each group’s placental tissue. The H-score value was derived for each specimen by calculating the sum of the percentage of syncytiotrophoblast and syncytial nodes in placenta and intervillus area. They were categorized by intensity of staining, multiplied by its respective score.\u0000Results: FOXP3, JAK1 and STAT5 immunoreactivity comparisons are shown in four groups of placentas. FOXP3 immunoreactions significantly increase in GDM group.  JAK1 and STAT5 immunoreactions significantly decrease in PE group. STAT5 immunoreactivity was detected crucially increase  in GDM group.\u0000Discussion: The results showed that in different conditions such as PE,GDM and IUGR,  T cells in   placental villous fragments have relation with FOXP3,JAK1 and STAT5  receptors and that FOXP3 can inactivate the PE and IUGR in the placental tissue. We have also confirmed as other studies that  JAK-STAT pathway plays important role in PE,IUGR and GDM placental tissue.","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131282824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cerclage outcomes in singleton pregnancies at risk for preterm birth following assisted reproductive treatments","authors":"G. Sahin, Ferruh Acet, E. T. Tavmergen Goker, E. Tavmergen","doi":"10.46328/aejog.v3i3.108","DOIUrl":"https://doi.org/10.46328/aejog.v3i3.108","url":null,"abstract":"Objective: We aimed to evaluate the obstetric and neonatal outcomes of singleton pregnancies at risk for preterm birth (PTB) following assisted reproductive treatments and underwent cervical cerclage placement. \u0000Material and methods: A total of 42 women with singleton pregnancies following ART who underwent cerclage between 2009-2021 were included in this retrospective study.  Indications of the cerclage procedure, gestational age at cerclage placement and delivery, neonatal birthweight, and requirement for admission to the neonatal unit of newborns were evaluated. \u0000Results: Of those cerclage placement performed in women with a history of second-trimester loss (19%), women with suspected cervical insufficiency according to pre-pregnancy evaluation (52.4%), women with the unicornuate uterus (4.8%), women with cervical shortening/or suspicious changes on ultrasonography (11.9%), and women with detection of cervical dilatation/shortening beyond 20 weeks of gestation (11.9%). Of the total group, 7.1% resulted in late miscarriages, while the remaining 92.9% ended with a live birth with mean gestational age at delivery of 37.0±2.5 weeks. Of those live births, 92.3% (36/39) delivered at >34 weeks and %74.4 (29/39) delivered at term. Except one neonatal death due to extremely PTB at 26th weeks, all infants were discharged from the hospital with well condition. \u0000Conclusion: ART pregnancies are evaluated as a special group as having a higher PTB risk at baseline. Cerclage may be considered in broader indications for suspected cervical insufficiency in these pregnancies. There is need for further studies on the effectiveness of cerclage in these ART pregnancies with suspected cervical insufficiency based on different criterions used.","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128671742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"International Congress of Hysterectomy in all Aspects, Oral & Poster Presentations Abstract Book","authors":"A. İnan, Ceren Gölbaşı, Hakan Gölbaşı, Sakine Rahimli Ocakoğlu, Seçil Karaca Kurtulmuş, Ömer Tammo, Zekiye Şahin, G. Sahin, Saliha Sağnıç, Evrim Kardelen, İ. Kayar, Nahit Ata, Can Türkler, M. Şengül, Ö. Demir, Meriç Balıkoğlu, Gülin Okay, A. Kanmaz, Burcu Dinçgez, Özge Bal, Özgen Nahya Özdoğar, S. Ay, U. Şen, Doğay Özmüş, Hayriye Varnalı, Sercan Kantarcı, M. Özer, Volkan Kolbaşı, B. Bayraktar, Zübeyde EMİRALİOĞLU ÇAKIR, Alper Ileri, Suna Yıldırım Karaca, Hande İleri, Can Ata, Sertaç Bulut, Hamit Cetin","doi":"10.46328/aejog.v3is1.104","DOIUrl":"https://doi.org/10.46328/aejog.v3is1.104","url":null,"abstract":"","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131752545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining the Homophobia Level of Individuals in Different Countries: A Case Study of Community in Turkey, Nigeria, Pakistan, India, Bangladesh and Nepal","authors":"M. Yıldız, Abraham Tanimowo, M. Tayyeb, Mehmet Salih Yıldırım, Yakup Sarpdağı, M. A. Aydin, R. Khadka, Apurba Gohain, A. Uddin, S. Majumder, Urushi Maggoon, G. Okyar","doi":"10.46328/aejog.v3i2.64","DOIUrl":"https://doi.org/10.46328/aejog.v3i2.64","url":null,"abstract":"Objective: To determine the homophobia level of ındividuals in different countries. \u0000Material and methods: A descriptive cross-sectional study among 518 individuals of ages 18 years and above living in Turkey (Agri), Nigeria (Ibadan), Pakistan (Charsadda), India (Punjab), Bangladesh (Chittagong) and Nepal (Kathmandu). Using google form they completed a demographic characteristics form and Hudson and Ricketts Homophobia Scale \u0000Results: The homophobia scale total score mean was 92.97 ± 27.47. The total score means the homophobia scale was statistically significantly higher among Nigeria nationality, religious belief Christian, male, health personnel and those who do not have a homosexual acquaintance (p <0.05). A statistically significant relationship was also found between homophobia scale total score mean and age (p <0.05). \u0000Conclusion: Nationality, religion, gender, occupation, age and whether or not one has homosexual acquaintances are key demographic correlates of homophobia level. However, the study recommends that further investigation should be conducted with a larger group for a proper inference of causation to be drawn.  \u0000 ","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121448775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"False Endometrial Thickening in Postmenopausal Patients Using Anticoagulants or Antiplatelets Agents","authors":"Nahit Ata, N. G. Kulhan","doi":"10.22541/AU.161882330.06446410/V1","DOIUrl":"https://doi.org/10.22541/AU.161882330.06446410/V1","url":null,"abstract":"Objective There is no report that anticoagulant or antiplatelet use may\u0000lead to abnormal endometrial sonographic findings. This retrospective\u0000study reports our first results associated with endometrial sampling in\u0000asymptomatic postmenopausal women using anticoagulants or antiplatelet.\u0000Materials methods A total of 268 postmenopausal patients who applied to\u0000our gynecology outpatient clinic for any reasons except postmenopausal\u0000bleeding were included in the study. Patients were divided into three\u0000groups according to using drug status: first healty control group (HCG),\u0000second anticoagulants agents group (ACG), and third antiplatelet agents\u0000group (APG). The effects of anticoagulant and antiplatelet agents on\u0000endometrial thickness were compared with histopathological findings.\u0000Results The mean endometrial thickness was significantly greater in\u0000group ACG (5.2 mm) and APG (4.1 m) than in group HCG (3.3 mm). No\u0000significant differences were found in the mean endometrial thickness\u0000between groups HCG and APG. However, it is noteworthy that the average\u0000endomeric thickness in the ACG group is more than the other two groups\u0000and this is statistically significant (p < 0.05). Conclusion\u0000If the thickness of the endometrium was > 4 mm. endometrial\u0000sampling may be recommended in in asymptomatic postmenopausal women\u0000using anticoagulants or antiplatelet agents. Key words: Anticoagulants,\u0000antiplatelets, biopsy, endometrial thickness, menopause, ultrasonography","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133312940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}