Journal of Turkish Society of Obstetric and Gynecology最新文献

{"title":"The Determination of Opinions on Preferences of Health Sciences Students on the Mode of Delivery","authors":"G. Doğaner, A. Doğaner, Ozlem Duran, Merve Tuna, Serife Tezcan, Gulcin Turan","doi":"10.5505/TJOD.2013.57625","DOIUrl":"https://doi.org/10.5505/TJOD.2013.57625","url":null,"abstract":"Amaç: Bu araflt›rma sa¤l›k bilimlerinde okuyan ö¤rencilerin do¤um flekli tercihlerine yönelik düflüncelerini belirlemek amac›yla yap›lm›flt›r. Gereç ve yöntemler: Tan›mlay›c› olarak planlanan araflt›rman›n örneklemini, Sivas Cumhuriyet Üniversitesi kampüsünde okuyan do¤um ve kad›n hastal›klar› dersini alm›fl 555 sa¤l›k bilimleri ö¤rencisi (260 t›p ö¤rencisi, 204 hemflirelik ö¤rencisi, 91 ebelik ö¤rencisi) oluflturmufltur. Veriler araflt›rmac›lar taraf›ndan gelifltirilen, 19 sorudan oluflan anket formu kullan›larak yüz yüze görüflme tekni¤i ile toplanm›flt›r. Elde edilen veriler SPSS (Ver: 13.0) program›nda khikare testi, say›, yüzde olarak de¤erlendirilmifltir. Bulgular: Do¤um flekli olarak %88.5 oran›nda normal vajinal do¤um tercih edilmifl olup bu tercihin en yüksek pay›na (%92.6) hemflirelik ö¤rencileri sahiptir. Ö¤rencilerin %60.3'ü normal do¤umu do¤al olmas› nedeniyle tercih etmektedir. Sa¤l›k bilimlerinde okuyan ö¤rencilerin %83.8'i t›bbi endikasyon olmaks›z›n iste¤e ba¤l› sezaryen yap›lmas›na karfl› olup, %96.8'i bebe¤in cinsiyetinin do¤um fleklini etkilemedi¤i, %99.5'i ise yüksek maliyetli do¤um fleklinin sezaryen do¤um oldu¤u düflüncesindedir. T›p ö¤rencilerinin %23.8'i t›bbi endikasyon olmaks›z›n iste¤e ba¤l› sezaryen yap›lmas›, sa¤l›k bilimleri ö¤rencilerin ço¤unlu¤u (%73.9) ise normal vajinal do¤um s›ras›nda epidural anestezi yap›lmas› düflüncesindedir. Sonuç: Sa¤l›k bilimleri ö¤rencileri do¤um flekli olarak normal vajinal do¤umdan yana tercih kullan›rken bu do¤um flekli s›ras›nda ortaya ç›kan a¤r›y› azaltmak amaçl› epidural anestezi yap›lma düflüncesine sahiptirler.","PeriodicalId":174635,"journal":{"name":"Journal of Turkish Society of Obstetric and Gynecology","volume":"33 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":"121356867","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":"UNDESCENDED OVARY PRESENTED WITH PARAOVARIAN CYST","authors":"G. Desteli, T. Eraslan, Halime Çevik, H. Zeyneloglu","doi":"10.5505/TJOD.2013.59862","DOIUrl":"https://doi.org/10.5505/TJOD.2013.59862","url":null,"abstract":"SUMMARY Undescended ovary is a rare congenital anomaly of female genital tract. Mostly seen as sample cases in the literature. Uterine or urinary tract anomalies may accompany this rare anomaly. Most cases are asymptomatic. We present an undescended ovary case with abdominal pain, whose ultasound and magnetic resonance imaging studies revealed a cystic mass, and laparoscopic findings were in favour of an undescended ovary.","PeriodicalId":174635,"journal":{"name":"Journal of Turkish Society of Obstetric and Gynecology","volume":"11 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":"125822928","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 MEAN PLATELET VOLUME AND SERUM BILE ACID LEVELS IN INTRAHEPATIC CHOLESTASIS OF PREGNANCY","authors":"N. Güdücü, B. Kayan, H. Işçi, K. Aydınlı, A. B. Yiğiter, I. Dünder, Kamil Turgay, B. Durak, H. Tan, E. Ozalp, G. Bademci, S. Artan","doi":"10.5505/TJOD.2013.82653","DOIUrl":"https://doi.org/10.5505/TJOD.2013.82653","url":null,"abstract":"SUMMARY Objective: The aim of this study was to investigate the relationship between serum bile acid levels (SBA) and mean platelet volume (MPV), a proinflammatory marker and to detect the role of MPV as a marker of fetal well-being in patients with intrahepatic cholestasis of pregnancy (ICP). Material and methods: We compared the biochemical parameters of pregnants with ICP and the control group retrospectively. Results: Pregnants with ICP had statistically significantly higher alanine aminotransferase (ALT), aspartate aminotransferase (AST) and fasting SBA levels and the gestational week at delivery was higher in the control group (p 0.05). Mean gestational week at delivery was statistically significantly lower in pregnants with ICP when compared to the control group (37.95 ± 0.92 weeks and 37.25 ± 1.25 weeks, p < 0.05 respectively). Conclusions: There was no relationship between MPV and biochemical parameters used to define ICP. But the rate of preterm delivery increased as SBA levels increased.","PeriodicalId":174635,"journal":{"name":"Journal of Turkish Society of Obstetric and Gynecology","volume":"17 2 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":"116164542","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":"SEQUENTIAL CERVICAL CERCLAGE IN THE SAME PREGNANCY: TWO MULTIFETAL PREGNANCY CASE REPORTS","authors":"E. Çalışkan, Y. Çakıroğlu, I. Yücesoy","doi":"10.5505/TJOD.2011.25901","DOIUrl":"https://doi.org/10.5505/TJOD.2011.25901","url":null,"abstract":"SUMMARY The common availability of assisted reproductive techniques (ART) has brought the increase of multiple pregnancies. Usually, soon after the preterm delivery of the first fetus in multiple pregnancies, the delivery of the remaining fetus also happens. Delayed interval delivery of the remaining fetus after preterm delivery of the first one allows to gain time for fetal lung maturity and to cope with prematurity. We present here live healthy neonatal outcomes in two sequential cases, one twin and one triplet pregnancies, after emergency cerclage followed by second emergency cerclage due to cervical tear with a delayed delivery of 72 and 74 days respectively. The success of pregnancy prolongation in cervical cerclage cases depends on how effectively uterine contractions are prevented and how possible subclinical infections are controlled. We suggest that use of antibiotics, anti-inflammatory and tocolytic agents should be the main target to safely postpone delivery of the remaining twin.","PeriodicalId":174635,"journal":{"name":"Journal of Turkish Society of Obstetric and Gynecology","volume":"11 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":"116591639","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":"PREGNANCY RATES AFTER COMPULSATORY ONE AND CONDITIONAL TWO EMBRIYO TRANSFER POLICY","authors":"S. Gumuslu, R. O. Karabacak, N. Bozkurt, M. Oktem, Esra Karabay, C. Karakaya, Deniz Ercan, A. Erdem, M. Erdem","doi":"10.5505/TJOD.2013.75983","DOIUrl":"https://doi.org/10.5505/TJOD.2013.75983","url":null,"abstract":"SUMMARY 2011. Results: Our clinical pregnancy rate was 31% and implantation rate was 25%. Our pregnancy rates after one or two ET were 30 and 32 % respectively ( P>0.05). We transferred embryos at second, third day or blastocyst stage. Pregnancy rates were 19, 30 and 48 % respectively (p< 0.001), implantation rates were 14.5, 23.5 and 42.4 % respectively ( P< 0.001). Our freezing rate was 39.5 %. From not to have freezing quality embryos to have, increased the pregnancy rate from 21% to %45 significantly. When one ET ed 95 % single and 5 % twins observed. When two embryos were transferred 81% single,17% twin and 2 % triplets observed. Conclusion: Pregnancy rates for one or two ET were statistically similar. If embryo quality allows us to culture up to blastocyt stage pregnancy rates were statistically increased.New Turkish ET policy resulted 95 % to 81 % single gestational sacs according to 1 or 2 ET at Gazi University IVF center.","PeriodicalId":174635,"journal":{"name":"Journal of Turkish Society of Obstetric and Gynecology","volume":"1 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":"129578466","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":"RETROPECTIVE ANALYSIS OF 25 CASES WITH BORDERLINE OVARIAN TUMORS","authors":"Ş. Baran, B. Pinar, Cilesiz Goksedef, H. Görgen, A. Çetin","doi":"10.5505/TJOD.2011.59319","DOIUrl":"https://doi.org/10.5505/TJOD.2011.59319","url":null,"abstract":"SUMMARY Objective: To determine the borderline ovarian tumors according to clinical features, treatment methods, recurrence and survival rates. Material and methods: Twenty-five cases were included to this study. Demographic and clinical findings, surgical methods, stage of disease, recurrences and survivals were revealed from hospital records. Data were analyzed with SPSS 13.0. Results: Mean age were 42.7±17.9. Most of the patients were in premenopausal (n=19, 76%). Mean tumor size were 13.44±9.37 cm (range 4-30 cm) and 16 of the patients had serous and 9 of them had musinous histologic type. Mean tumor size of serous and mucinous tumors were 9.44±6.78 cm, 20.56±9.4 cm, respectively and the difference was statisticallly significant (p=0.007). Tumor markers were elevated in 17 of the patients (68%) before the surgery. Twenty-two patients had frozen section (88%), accuracy rate of the frozen section was 90%. during surgery. Most of the patients were treated with total abdominal hysterectomy bilateral salpingo-oophorectomy (TAH-BSO) (n=12), 6 of the patients were treated with cystectomy and the others were treated with unilateral oophorectomy (USO) (n=7). Most of the cases were stage I (n=23, 92%). Recurrence of the disease was detected in 4 patients (16%) and 2 of them were treated with cystectomy and the others were treated with USO. No recurrence was detected in TAH-BSO group. Conclusions: Borderline tumors have perfect prognosis and most of the cases are premenopausal. The suggested treatment is surgical staging with TAH-BSO. Cystectomy might be chosen in young patients with fertilty desire, however, patients should be warned for high recurrence rates.","PeriodicalId":174635,"journal":{"name":"Journal of Turkish Society of Obstetric and Gynecology","volume":"48 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":"128207785","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":"MAYER-ROKITANSKY-KÜSTER-HAUSER SYNDOME AND LAPAROSCOPIC ASSISTED CREATION OF NEOVAGINA (MODIFIED VECCHIETTI)","authors":"F. Sendag, A. Akdemir, L. Akman, M. Oztekin","doi":"10.5505/TJOD.2013.24392","DOIUrl":"https://doi.org/10.5505/TJOD.2013.24392","url":null,"abstract":"SUMMARY Objective: To report the post operative 6 month results of tree patients with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome who underwent laparoscopic assisted creation of neovagina (Modified Vecchietti) by using \"Neovagina Set\" for the first time in our clinic. Design: Prospective evaluation. Setting: University hospital Patients: Three patients with MHRK syndrome. Interventions: Laparoscopic assisted creation of neovagina (Modified Vecchietti) by using neovagina set. Main outcome measures: Duration of surgery, duration of hospitalisation, intraoperative and post operative complications, post operative respect and maintenance, anatomical and functional results, sexual satisfaction, vaginal epithelization. Results: Operation times were 60, 55, 50 minutes, respectively. Hospitalisation was 7 days for three patients. Anatomical vaginal lenght was 7, 8, 9.5 cm, respectively and vaginal epithelization was completed at 24, 20, 24 months after surgery, respectively. Conclusions: Laparoscopic modified Vecchietti technique with using \"neovagina set\", which was created and was standardized for this operation, to performe a neovagina should be kept in mind as one of the first step option for patients with MHRK syndrome.","PeriodicalId":174635,"journal":{"name":"Journal of Turkish Society of Obstetric and Gynecology","volume":"43 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":"129305779","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 Hysterectomy in the Treatment of Gestational Trophoblastic Neoplazias: a single center experience of 17 years","authors":"I. Ertas, A. Dogan, V. Emirdar, A. Guler, M. Şancı, Y. Yildirim","doi":"10.5505/tjod.2012.45403","DOIUrl":"https://doi.org/10.5505/tjod.2012.45403","url":null,"abstract":"Amaç: Histerektomi yap›lan gestasyonel trofoblastik neoplazi (GTN) tan›l› vakalar›n endikasyonlar›n› belirlemek ve sonuçlar›n› de¤erlendirmektir. Planlama: Aral›k 1994 ve Aral›k 2011 tarihleri aras›nda, gestasyonel trofoblastik GTN tan›s› alarak ameliyat karar› verilen hastalar retrospektif olarak de¤erlendirildi. Ortam: Ege Do¤umevi ve Kad›n Hastal›lar› E¤itim-Araflt›rma Hastanesi, Jinekolojik Onkoloji Klini¤i, ‹zmir. Hastalar ve giriflim: Total abdominal histerektomi yap›lan 17 GTN'li hasta. De¤erlendirme parametreleri: Histerektomi yafl›, cerrahi öncesi ald›klar› kemoterapiler, tümör evresi, tedavi öncesi risk skoru, histerektomi endikasyonlar›, postoperatif tedavileri, rekürrens oranlar› ve prognozlar› de¤erlendirildi. Bulgular›m›z tan›mlay›c› analizler ile sunuldu. Sonuç: Toplam 267 gestasyonel trofoblastik hastal›k (GTH) tan›s›yla takip edilen hastan›n, 29'una (%10.8) kemoterapi gerekti ve 17'sine (%6.3) histerektomi uyguland›. Cerrahi s›ras›nda yafl ortalamas› 45.1 ± 5.4 ve aral›¤› [32-58] idi. 16 (%94.1) hasta histerektomi öncesi tek veya multi ajan kemoterapi ald›. Kemoterapiye rezistans n = 8, (%47); yaflam› tehdit eden vaginal kanama n = 5, (%29.5) ve ileri yafl n = 4, (%23.5) operasyon endikasyonlar› idi. Hiçbir hastada intra ve postoperatif mortalite ve majör morbidite gerçekleflmedi. Postoperatif, 6 (35.2%) hastaya 3 kür etoposid, methotreksat, aktinomisin D, siklofosfami ve vinkristin (EMA-CO) ve 1 (%5.8) hastada 2 kür metotreksat ile tedavi edildi. Operasyon sonras› ortalama takip süresi 91.8 ± 37.5 [6-204] ay olarak tespit edildi. GTN tan›s›yla histerektomi yap›lan 17 hastan›n 16's›nda (%94) tam remisyon sa¤land›. Cerrahi öncesi kemoterapi rezistans› nedeniyle histerektomi yap›lan koryokarsinom tan›l› 1 hasta nükse sekonder hayat›n› kaybetdi. Koriokarsinom 8 (%47) en s›k patolojik tan›yd› ve takip eden s›rayla di¤erleri invaziv mol 5 (%29.5) ve plasental site trofoblastik tümör 4 (%23.5) idi. Yorum: Histerektomi özellikle konvansiyonel GTH tedavisine dirençli olan ve seçilmifl GTN'li vakalarda güvenli, faydal› ve efektif bir tedavi metodudur.","PeriodicalId":174635,"journal":{"name":"Journal of Turkish Society of Obstetric and Gynecology","volume":"362 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":"114768978","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":"Figo calls us: Wish you have a fellowship to world congress?","authors":"S. Büyükkurt","doi":"10.5505/TJOD.2013.63626","DOIUrl":"https://doi.org/10.5505/TJOD.2013.63626","url":null,"abstract":"","PeriodicalId":174635,"journal":{"name":"Journal of Turkish Society of Obstetric and Gynecology","volume":"2 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":"127738531","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":"INTRAOPERATIVE MANAGEMENT AND URINARY SYSTEM COMPLICATIONS DURING TOTAL LAPAROSCOPIC HYSTERECTOMY","authors":"F. Sendag, L. Akman, K. Öztekin","doi":"10.5505/TJOD.2013.29292","DOIUrl":"https://doi.org/10.5505/TJOD.2013.29292","url":null,"abstract":"SUMMARY Objective: Many authors were accepted that Total Laparoscopic Hysterectomy (TLH) is interesting and reliable treatment at benign gynecological conditions. The aim of this study is to present intraoperative management and urinary system complications performing TLH. Material and methods: This study was included 116 patients who underwent TLH with or without additional surgical procedure at Ege University Meidcal School, Department of Obstetrics and Gynecolgy between 2002-2008.Bialteral salpingoophorectomy for 77 (66,3%), Burch colposuspension for 9 (8.4%), adhesiolysis for40 (37.7%), and McCall Culdeplasty for 10 (8,6%) were applied as additional surgical procedure. Avarege age of patients was 48.1 years. BMI and parity was 27.1±2.3 kg/m2 and 1.8±1.1, respectively. 24 (20.6%) cases were presented previous surgical procedure and 71 (61.2%) cases were postmenopause. Results: Bladder injury occured as uirnary system complication at 2 (1.7%) women. The other postoperative complications were loss of blood exceed than 500 ml, infection and turned conversion to laparotomy; 9 case (7.75%), 2 case (1.7%) an done case, respectively. However bladder injury was recognized during operation and repaired concurrently. Any long term complication and ureteral injury was seen. Conclusion: The rate of our urinary system complicationwas 1.7% in study group performing TLH. Risk factors were prior caesarean section history, prior pelvic surgery history and extensive endometriosis. Familiarity of pelvic anatomy and operator trainig cure were very important at advanced laparoscopic application. The avoidance of complication can be possible with goog observation of surgical area, gentle dissection and favorable using of energy modality.","PeriodicalId":174635,"journal":{"name":"Journal of Turkish Society of Obstetric and Gynecology","volume":"73 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":"115849844","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}