Aegean Journal of Obstetrics and Gynecology最新文献_第4页

Legalization, safer and more preventive than restriction 合法化，比限制更安全，更具预防性

Aegean Journal of Obstetrics and Gynecology Pub Date : 2020-08-18 DOI: 10.46328/aejog.v2i2.37

Blondy Kayembe Mulumba

{"title":"Legalization, safer and more preventive than restriction","authors":"Blondy Kayembe Mulumba","doi":"10.46328/aejog.v2i2.37","DOIUrl":"https://doi.org/10.46328/aejog.v2i2.37","url":null,"abstract":"In this paper, the goal aimed was to bring out consequences that go along with illegal and unsafe abortion and benefits attached to legal and safe abortion in order to urge countries with restrictive abortion laws to reform their legislations so as to save women’s lives from higher morbidity and mortality resulting from unsafe abortion and to protect their health and human rights. In fact, a large number of scholars have established the relationships between developing countries and restrictive abortion laws, restrictive abortion grounds and illegal abortion, illegal abortion and unsafe abortion, unsafe abortion and higher maternal morbidity and mortality. From that, it has been stressed that most of developing countries have restrictive abortion legislation, which fosters a large amount of illicit and unsafe abortions, responsible of such consequences as higher maternal morbidity and mortality. Since restrictive laws, instead of decreasing illegal abortion and its consequences, only increase them and make women run a great risk, it has been demonstrated that legalizing and granting access to safe abortion is the most effective prevention of criminal and unsafe abortions.","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121289403","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}

引用次数: 0

Experience with opportunistic salpingectomy during vaginal hysterectomy for uterine prolapsus 阴道子宫切除术中机会性输卵管切除术治疗子宫脱垂的体会

Aegean Journal of Obstetrics and Gynecology Pub Date : 2019-12-30 DOI: 10.46328/aejog.v1i1.10

E. Töz, A. Özcan

{"title":"Experience with opportunistic salpingectomy during vaginal hysterectomy for uterine prolapsus","authors":"E. Töz, A. Özcan","doi":"10.46328/aejog.v1i1.10","DOIUrl":"https://doi.org/10.46328/aejog.v1i1.10","url":null,"abstract":"Objective: The aim of this study was to evaluate the trend in uptake of salpingectomy at the time of vaginal hysterectomy after the Clinical Practice Statement of Society for Gynecologic Oncology and to assess the risk of operative/postoperative complications associated with salpingectomy during vaginal hysterectomy. \u0000Material and Methods: Patients who underwent vaginal hysterectomy or vaginal hysterectomy with salpingectomy for uterine prolapsus between January 2010 and January 2018 were analysed. We divided the patients into two groups to see the change in the rate of opportunistic salpingectomy after a systemwide practice recommendation was issued. Group 1 consist of patients who were operated between 2010-2014, before recommendation of the Society of Gynecologic Oncology that favour salpingectomy and Group 2 consist of patients operated after that. \u0000Results: From January 2010 to January 2018, a total of 1224 vaginal hysterectomies were performed. A total of 808 patients under 60 years old were included in the study. There was no difference in operating time, the median estimated blood loss, intraoperative complication and postoperative complication by the performance of salpingectomy (P>0.05). When we examine the changes in the rate of salpingectomy year by year, from 2014, the salpingectomy rates increased, being 4 % in 2013, 7 % in 2015, and 8 % in 2017 onward. \u0000Conclusion: We report an increase in the rate of salpingectomy during vaginal hysterectomies from 3 % to 7.2 % after the recommendation of the Society of Gynecologic Oncology that favour salpingectomy but this increase is not as great as the increase during laparoscopic or abdominal hysterectomies.","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"3 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120859139","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}

引用次数: 0

Laparoscopic removal of migrated intrauterine device located on sigmoid colon, case report and literature review 腹腔镜下乙状结肠移位宫内节育器移除1例报告及文献复习

Aegean Journal of Obstetrics and Gynecology Pub Date : 2019-12-29 DOI: 10.46328/aejog.v1i1.16

O. Oner, A. Özcan, Z. Çankaya

引用次数: 0

Pre- and Postoperative Evaluation of Operated Myoma Uteri Patients: a 5-Year Tertiary Care Experience 子宫肌瘤手术患者的术前和术后评价:5年三级护理经验

Aegean Journal of Obstetrics and Gynecology Pub Date : 2019-12-29 DOI: 10.46328/aejog.v1i1.12

Hıdır Budak, Rezan Buğday, M. Budak, A. Yalınkaya, A. Budak, T. Gül

{"title":"Pre- and Postoperative Evaluation of Operated Myoma Uteri Patients: a 5-Year Tertiary Care Experience","authors":"Hıdır Budak, Rezan Buğday, M. Budak, A. Yalınkaya, A. Budak, T. Gül","doi":"10.46328/aejog.v1i1.12","DOIUrl":"https://doi.org/10.46328/aejog.v1i1.12","url":null,"abstract":"Introduction: This study aims to evaluate the pre- and postoperative outcomes of myomas operated in a tertiary clinic. \u0000Method: We retrospectively evaluated data from a total of 378 cases operated for myomas between January 2014 and December 2018 in the Dicle University Medical Faculty Obstetrics and Gynecology Clinic. \u0000Results: There were 169 cases of abdominal myomectomy (44.7%), 156 cases of total abdominal hysterectomy (41.3%), 15 cases of laparoscopic myomectomy (4%), 13 cases of total laparoscopic hysterectomy (3.4%), 12 cases of myomectomy during cesarean delivery (3.2%), 9 cases of hysteroscopic myomectomy (2.4%), and 4 cases of vaginal myomectomy (1.1%). Pathology results revealed 341 cases of leiomyoma (88.2%), 32 cases of concomitant leiomyoma and adenomyosis (8.4%), and 13 cases of STUMP (3.3%). There were 5 cases of intraoperative bowel injury, 1 case of bladder injury, and 1 case of postoperative wound infection. \u0000Conclusion: Myomas can be surgically treated with satisfactory outcomes and low complication rates. The preferred surgical treatment will majorly depend on the patient's fertility expectations.","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114945797","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}

引用次数: 0

Evaluations of Pregnancies Diagnosed with Fetal Neural Tube Defects in Our Center 本中心诊断为胎儿神经管缺陷的妊娠评估

Aegean Journal of Obstetrics and Gynecology Pub Date : 1900-01-01 DOI: 10.46328/aejog.v3i2.85

M. Obut, Özge Yücel Çelik, B. Kahveci, M. Kaya, Ayşe Keleş, Neval Çayönü Kahraman, Ö. Arat, A. Çağlar

{"title":"Evaluations of Pregnancies Diagnosed with Fetal Neural Tube Defects in Our Center","authors":"M. Obut, Özge Yücel Çelik, B. Kahveci, M. Kaya, Ayşe Keleş, Neval Çayönü Kahraman, Ö. Arat, A. Çağlar","doi":"10.46328/aejog.v3i2.85","DOIUrl":"https://doi.org/10.46328/aejog.v3i2.85","url":null,"abstract":"Objective: To evaluate the risk factors, chromosomal abnormalities and additional anomalies of cases diagnosed with fetal neural tube defects (NTDs). \u0000Material and Method: The data of cases diagnosed with fetal NTDs between January 2016 and August 2020 with fetal NTD were retrieved from the hospital database. Only patients whose diagnosis confirmed after pregnancy termination and have a genetic test were included in the study. The family and antenatal history of patients included maternal age, maternal education level, diabetes mellitus, exposed to teratogenic drugs, smoking, and folic acid intake before or during the first trimester, siblings with a congenital abnormality, consanguinity, and AFP MOMs (alpha-fetoprotein, multiple of median) was obtained. Also, the type and level of NTDs and additional anomalies were noted. The data were evaluated using version 23.0 (SPSS Inc., Chicago, IL, USA). \u0000Results: During the study period, a total of 68 patients who met the study criteria were included in the study. A total of 27 patients diagnosed with spina bifida, 24 patients with anencephaly and 17 patients with encephalocele. The most anomalies resulted from NTDs was hydrocephaly and pes equinovarus. The most detected chromosomal abnormality was trisomy 13 (3 out of 7), and the most additional anomaly was the cleft lip and palate and detected in 4 (5.88%) patients. Pregestational DM was seen in 12/68 of pregnancies with fetal NTD. \u0000Conclusions \u0000The rate of additional anomalies and chromosomal abnormalities in cases diagnosed with fetal NTDs is high. Thus, a detailed ultrasonographic examination and genetic tests of fetuses with NTD is essential. The pregnancies complicated with pregestational DM have an increased risk for fetal NTD.","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126920996","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}

引用次数: 0

Microdose Flare-up Gonadotropin-releasing Hormone (GnRH) Agonist Protocol and GnRH Antagonist Protocol: Effects on In-vitro Fertilization in Patients with Poor-responder Diagnosis According to Bologna Criteria 微剂量促性腺激素释放激素(GnRH)激动剂方案和GnRH拮抗剂方案:根据博洛尼亚标准诊断为不良反应的患者对体外受精的影响

Aegean Journal of Obstetrics and Gynecology Pub Date : 1900-01-01 DOI: 10.46328/aejog.v3i2.84

Gökşen Görgülü, Merve Çakır Köle, O. Aldemir, E. Köle, S. Dilbaz

{"title":"Microdose Flare-up Gonadotropin-releasing Hormone (GnRH) Agonist Protocol and GnRH Antagonist Protocol: Effects on In-vitro Fertilization in Patients with Poor-responder Diagnosis According to Bologna Criteria","authors":"Gökşen Görgülü, Merve Çakır Köle, O. Aldemir, E. Köle, S. Dilbaz","doi":"10.46328/aejog.v3i2.84","DOIUrl":"https://doi.org/10.46328/aejog.v3i2.84","url":null,"abstract":"Objective: The aim of the study was to evaluate microdose flare-up Gonadotropin-Releasing Hormone (GnRH) agonist protocol and GnRH antagonist protocol with respect to their effects on in-vitro fertilization (IVF) results in patients with poor ovarian response according to the Bologna Criteria. \u0000Material Methods: This was a retrospective cohort study conducted in the Assisted Reproduction clinic of University of Health Sciences, Etlik Zübeyde Hanım Gynaecology Training and Research Hospital. A total of 645 patients who had been diagnosed as poor responders in our clinic, between 2007 and 2018, and received treatment with either microdose flare-up GnRH agonist protocol (n=250, 38.8%) or GnRH antagonist protocol (n=395, 61.2%), were included in the study. \u0000Results: The mean age of the study group was 34.5±5.5 years. Comparisons showed that IVF cycle cancellation frequency (p<0.01), third day estradiol level (p=0.04) and third day follicle stimulating hormone level (p<0.01) were significantly greater in patients who underwent the microdose flare-up protocol. In the GnRH antagonist group, the number of surviving children (p=0.01), antral follicle count (p<0.01), follicle count on day of human chorionic gonadotropin (hCG) administration (p<0.01), endometrial thickness on hCG day (p<0.01), number of oocytes collected (p<0.01), mature oocyte count (p<0.01), embryo transfer number (p<0.01) were higher compared to the microdose flare-up protocol group. The two groups were similar in terms of clinical pregnancy rate. \u0000Conclusions: In terms of clinical pregnancy rate, the IVF results of microdose flare-up and GnRH antagonist protocols are similar. Further studies are needed to reach more comprehensive results on the subject.","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128071434","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}

引用次数: 0

Analysis of 300 Total Laparoscopic Hysterectomy Cases Performed by The Same Surgeon 同一外科医生行腹腔镜全子宫切除术300例分析

Aegean Journal of Obstetrics and Gynecology Pub Date : 1900-01-01 DOI: 10.46328/aejog.v3i2.88

E. Tamburacı, B. Mulayim

{"title":"Analysis of 300 Total Laparoscopic Hysterectomy Cases Performed by The Same Surgeon","authors":"E. Tamburacı, B. Mulayim","doi":"10.46328/aejog.v3i2.88","DOIUrl":"https://doi.org/10.46328/aejog.v3i2.88","url":null,"abstract":"Aim: This study aimed to evaluate the results of 300 cases of total laparoscopic hysterectomy (TLH) performed by the same surgeon. \u0000Material and methods: During the study period, a total of 300 TLH operations were performed between January 2017 and December 2018. Demographic characteristics, indications of hysterectomy, uterine weights, intra-operative and post-operative complications, duration of the operation, length of hospital stay, blood loss of patients, visual analogue scores and amount of analgesics needed were retrospectively evaluated. Complications were analysed and compared with literature. \u0000Results: Parameters analysed for 300 patients included in the study were as follows: mean age 47.82 ± 6.18 years, mean parity 3.4 ± 2.0 (0–11), BMI 27.41 ± 4.36 (kg/m²), mean uterine weight 367.67 ± 266.21 g (50–1600 g), mean operative time 89.07 ± 37.94 min (30–240 min), mean hospital stay 54.37 ± 21.95 h (24–168 h) and total complication rate 28 (9.3%). Conversion to open surgery was required in 29 (9.7%) patients. The level of technical difficulty and existence of prior abdominal surgery were associated with a higher risk of complications and conversions to laparotomy. \u0000Conclusion: Total laparoscopic hysterectomy is a well-designed surgical procedure for the management of benign gynaecological conditions, and after adequate training, it seems to be a safe and effective procedure for patients.","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127595967","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}

引用次数: 0

Sonoelastographic assessment of the normal uterus and ovaries using the Shear Wave Elastography according to different menstrual phases 利用剪切波弹性成像对正常子宫和卵巢按不同月经期进行超声弹性成像评估

Aegean Journal of Obstetrics and Gynecology Pub Date : 1900-01-01 DOI: 10.46328/aejog.v3i2.90

Ö. Turan, E. Ertekin, O. Abdullayev, Behram Kuh

{"title":"Sonoelastographic assessment of the normal uterus and ovaries using the Shear Wave Elastography according to different menstrual phases","authors":"Ö. Turan, E. Ertekin, O. Abdullayev, Behram Kuh","doi":"10.46328/aejog.v3i2.90","DOIUrl":"https://doi.org/10.46328/aejog.v3i2.90","url":null,"abstract":"Objective: In most of the gynecological studies conducted using the Shear Wave Elastography (SWE) method in the literature, the menstrual cycle period was not taken into account. Current study, we aimed to describe the sonoelastographic features of normal myometrium and ovaries in healthy women and to define their variability during the different phases of the menstrual cycle using the SWE method.\u0000Material and methods: All cases were selected from individuals between the ages of 24-31, with regular menstrual cycles and no systemic disease. Each case was called in, 1-5th, 12-16th, 21-24th day of their menstrual cycles and was evaluated by B-mode imaging and SWE in pelvic ultrasonography. The relationship of menstrual phases with uterine and ovarian elasticity was investigated by comparing all measurements made in different menstrual phases.\u0000Results: No statistically significant difference was observed between the volume of right and left ovaries in terms (p> 0.05). There was no statistically significant difference in terms of elastography measurements obtained from the uterus, right and left ovaries for each menstrual phase according to Bonferroni Correction (p> 0.0163).\u0000Conclusion: Although there was a slight decrease in myometrial SWE measurements in the follicular phase, there was no significant difference regarding the SWE measurements of uterus and ovaries in early follicular, peri-ovulatory, and luteal menstrual stages. Further studies with a large number of participants are needed to suggest whether gynecological studies planned to be carried out with the shear wave elastography method should be planned in a specific menstrual phase.","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125439545","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}

引用次数: 0

Cervical Insufficiency and Cerclage Treatment of Pregnant Syrian Refugees 怀孕叙利亚难民的宫颈功能不全和环扎治疗

Aegean Journal of Obstetrics and Gynecology Pub Date : 1900-01-01 DOI: 10.46328/aejog.v3i2.87

İ. Kayar, Aliye Nigar Serin, Ö. Birge

{"title":"Cervical Insufficiency and Cerclage Treatment of Pregnant Syrian Refugees","authors":"İ. Kayar, Aliye Nigar Serin, Ö. Birge","doi":"10.46328/aejog.v3i2.87","DOIUrl":"https://doi.org/10.46328/aejog.v3i2.87","url":null,"abstract":"Objective: We aimed to evaluate the cervical cerclage treatment among the Syrian refugees with cervical insufficiency. \u0000Material and Methods: Retrospective data of 42 Syrian pregnant women who had cervical cerclage suture due to cervical insufficiency between 2015 and 2017 scanned and analyzed with SPSS 22. \u0000Results: The mean age of the cases included in the study was 27.4±6.8. 12 cases (28.6%) had spontaneous pregnancy losses twice in the 2nd trimester. 24 cases (57.1%) gave birth via spontaneous vaginal delivery, whereas 18 cases (42.9%) gave birth via cesarean section. A statistically significant difference was determined between pre-cerclage and post-cerclage cervical length. Whilst no difference was detected in pre-cerclage cervical length for deliveries at week 37, a significant difference was detected in post-cerclage length. \u0000Conclusıon: Increased miscarriages and second-trimester pregnancy losses seen in the first years of the war especially due to the use of chemical weapons and the stress suffered thereafter as well as the increased reproductive interest after the war bring together a greater desire for a healthy pregnancy and delivery. We believe that cervical-length measurement using transvaginal sonography during post-cerclage checks is important and that measurement of a cervical length equal to or above 30 mm may increase the probability of term delivery and decrease maternal, and most importantly, neonatal complications associated with preterm labor.","PeriodicalId":159256,"journal":{"name":"Aegean Journal of Obstetrics and Gynecology","volume":"289 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131870403","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}

引用次数: 0