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Turkish Journal of Obstetrics and Gynecology

Betül Yakıştıran, Salih Taşkın, Cevriye Cansız Ersöz, Fırat Ortaç
Primitive neuroectodermal tumors are high-grade malignant neoplasms. These are uncommon entities for the female genital tract. The treatment, management and follow-up period of Ewing's tumors are not well-defined because of their rarity in the genital tract. Surgical debulking is the mainstay treatment in all cases. After debulking surgery, patients receive chemotherapy and/or radiotherapy and there is a relation between disease stage and survival. Herein, we present a case of ovarian primitive neuroectodermal tumor with a review of previously reported cases...
September 2018: Turkish Journal of Obstetrics and Gynecology
Hakan Erenel, Mehmet Fatih Karslı, Sevim Özge Korkmaz, Cihat Şen
Indomethacin is a commonly used medication against preterm delivery. Several reports of fetal ductal constriction have been described after indomethacin use in the literature; however, there are no previously documented reports describing an association between Twin-Twin Transfusion syndrome and a constrictor effect of indomethacin on the ductus arteriosus. Two patients were referred to our department for Twin-Twin Transfusion syndrome and each underwent placental laser surgery. Constriction of the ductus arteriosus occurred as early as 20 and 24 weeks' gestation following maternal use of indomethacin after laser surgery...
September 2018: Turkish Journal of Obstetrics and Gynecology
Selim Mısırlıoğlu, Engin Türkgeldi, Hande Yağmur, Bülent Urman, Barış Ata
Gelatin-thrombin matrix (GTM) is a hemostatic sealant consisting of bovine-derived gelatin matrix and human-derived thrombin, combining both mechanical and active mechanisms to achieve hemostasis. It was approved by the Food and Drug Administration in 1999. GTM has been used by several surgical specialties; however, it is a possibly an under-used tool in obstetrics and gynecology. A limited number of studies have been performed on its use during laparoscopic endometrioma excision and myomectomy. It may prove useful in endometrioma excision in reproductive aged women because it is likely to harm ovarian reserve less than electrocautery; however, this conclusion needs to be validated...
September 2018: Turkish Journal of Obstetrics and Gynecology
Kemal Güngördük, Yusuf Olgaç, Varol Gülseren, Mustafa Kocaer
Postpartum hemorrhage is a potentially life-threatening, albeit preventable, condition that persists as a leading cause of maternal death. It occurs mostly during the third stage of labor, and active management of the third stage of labor (AMTSL) can prevent its occurrence. AMTSL is a recommended series of steps, including the provision of uterotonic drugs immediately upon fetal delivery, controlled cord traction, and massage of the uterine fundus, as developed by the World Health Organization. Here, we present current opinion and protocols for AMTSL...
September 2018: Turkish Journal of Obstetrics and Gynecology
Aşkı Ellibeş Kaya, Eray Çalışkan
Objective: Aim of study to determine the existence of the G-spot from the healthy women's point of view and to assess the relationship with sexual function and genital perception. Materials and Methods: Sexually-active healthy polyclinic patients aged between 18 and 54 years (n=309) were classified into three groups as group 1 (do not agree, n=90, 29.1%), group 2 (neutral/do not know, n=61, 19.7%) and group 3 (agree, n=158, 51.1%) with regard to participants' responses to a question of "does the G-spot exist...
September 2018: Turkish Journal of Obstetrics and Gynecology
İlker Kahramanoğlu, Nedim Tokgözoğlu, Hasan Turan, Veysel Şal, Gönül Şimşek, Remise Gelişgen, Tugan Beşe, Fuat Demirkıran, Macit Arvas, Hafize Uzun
Objective: To evaluate the use of YKL-40 in the discrimination between benign and malignant adnexal mass and to determine its prognostic value in assessing residual tumor after primary cytoreduction and platinum sensitivity in serous epithelial ovarian carcinoma (EOC). Materials and Methods: During the three years from January 2015 to December 2017, a nonconsecutive series of 100 patient (60 malignant, 40 benign) who underwent surgery for an adnexal mass were enrolled in the study...
September 2018: Turkish Journal of Obstetrics and Gynecology
Vlora Ademi Ibishi, Rozalinda Isjanovska, Anne E Malin
Objective: Prelabor rupture of membranes (PROM) is a common event in obstetrics that has a major impact in pregnancy outcome. This condition is linked to a number of pregnancy and birth complications with early-onset neonatal infection (EONI) being one of the major threats. This study was undertaken to determine the rate of neonatal infection in newborn infants with a maternal history of PROM and to evaluate the association of risk factors with neonatal infection following PROM. Materials and Methods: A cross-sectional descriptive design was used to analyze a population of 200 pregnant women presenting to the Obstetrics and Gynecology Tertiary Center in Kosovo (between 2013 and 2015) with PROM who gave birth to single newborns...
September 2018: Turkish Journal of Obstetrics and Gynecology
Burcu Dinçgez Çakmak, Ülkü Ayşe Türker, Sonay Öztaş, Melis Arık, Emin Üstünyurt
Objective: The relationship between hemoglobin levels and pregnancy outcomes is still a challenging issue. There is a supported opinion about the increased adverse pregnancy outcomes both with low and high hemoglobin levels. In this study, we aimed to evaluate this association for first trimester hemoglobin levels in a Turkish population. Materials and Methods: In this retrospective study, 1306 women who were followed up during their pregnancy and gave birth in our clinic were enrolled...
September 2018: Turkish Journal of Obstetrics and Gynecology
Çetin Kılıççı, Mesut Polat, Mehmet Küçükbaş, Mehmet Baki Şentürk, Resul Karakuş, Çiğdem Yayla Abide, Evrim Bostancı Ergen, İlter Yenidede, Ateş Karateke
Objective: To describe a more effective abdominal packing method in patients with disseminated intravascular coagulation following peripartum hysterectomy due to postpartum hemorrhage (PPH). Materials and Methods: The present retrospective and descriptive study was conducted to document six cases with refractory pelvic bleeding who underwent a second surgery for PPH between January 2016 and December 2017 at İstanbul Zeynep Kamil Woman and Children Diseases Training and Research Hospital...
September 2018: Turkish Journal of Obstetrics and Gynecology
Onur Erol, Hamit Yaşar Ellidağ, Mustafa Kemal Özel, Aysel Uysal Derbent, Esin Eren, Necat Yılmaz
Objective: Polycystic ovary syndrome (PCOS) is thought to represent an early manifestation of metabolic syndrome, which is associated with cardiovascular disease. Signal peptide-CUB (complement C1r/C1s, Uegf, and Bmp1)-epidermal growth factor domain-containing protein 1 (SCUBE1) is a platelet activation marker that plays important roles in vascular biology and has been closely linked to cardiovascular events. In the present study, we investigated SCUBE1 levels in lean glucose-tolerant women with PCOS and assessed the possible association between SCUBE1 levels and hormonal and metabolic features of women with PCOS...
September 2018: Turkish Journal of Obstetrics and Gynecology
Batuhan Özmen, Emre Göksan Pabuçcu, Yavuz Emre Şükür, Hasan Ulubaşoğlu, Can Ateş, Murat Sönmezer, Bülent Berker, Cem Somer Atabekoğlu
Objective: To investigate the impact of peri-implantation prednisolone use and its duration in antagonist co-treated assisted reproductive technology (ART) cycles of patients with good prognosis. Materials and Methods: Infertile patients treated with gonadotropin-releasing hormone antagonist protocol between January 2010 and June 2013 were included. The patients in group A (n=196) received no prednisolone. The patients in groups B (n=397) and C (n=371) received 5 mg oral prednisolone daily, for 4 and 12 days following embryo transfer, respectively...
September 2018: Turkish Journal of Obstetrics and Gynecology
Şafak Hatırnaz, Süleyman Akarsu, Ebru Saynur Hatırnaz, Ahmet Zeki Işık, Michael Haim Dahan
Objective: To evaluate the impact of rescue in vitro maturation (IVM) on the clinical outcomes of women with arrested follicular development in stimulated in vitro fertilization (IVF) cycles. Materials and Methods: This is a retrospective review of 13 patients who were evaluated as normo-hyperresponders for ovarian stimulation. The main outcome measure was the clinical pregnancy and livebirth rates. The purpose of gonadotropin stimulation in patients undergoing IVF is to retrieve multiple oocytes by avoiding multifetal gestation and Ovarian Hyperstimulation syndrome (OHSS)...
September 2018: Turkish Journal of Obstetrics and Gynecology
Bülent Haydardedeoğlu, Gülşen Doğan Durdağ, Seda Şimşek, Pınar Çağlar Aytaç, Tayfun Çok, Esra Bulgan Kılıçdağ
Objective: The correlation between dysmorphic uterus and infertility still remains enigmatic. We evaluated the reproductive outcomes of metroplasty via office hysteroscopy in unexplained infertile women with dysmorphic uteri. Materials and Methods: In this retrospective cohort study, metroplasty via office hysteroscopy using a bipolar system was performed to 272 women with unexplained infertility with dysmorphic uteri from January 2013 to January 2016. Of all the patients, 162 had primary infertility, and 110 had secondary infertility...
September 2018: Turkish Journal of Obstetrics and Gynecology
Eray Çalışkan, Rukiye Ada Bender, Reyhan Aslancan
No abstract text is available yet for this article.
June 2018: Turkish Journal of Obstetrics and Gynecology
Ahmet Rıza Esmer, Reyhan Aslancan, Burak Teymen, Eray Çalışkan
Placenta previa percreta is a serious pregnancy condition that may cause massive bleeding. Life-threatening hemorrhage is commonly managed via cesarean hysterectomy or vascular ligations in order to preserve fertility. We present a case of bilateral external iliac artery thrombosis after pelvic compression and uterine devascularization due to placenta previa percreta. The patient had cesarean section due to ultrasonography and magnetic resonance imaging-diagnosed placenta previa percreta, and stated that she preferred a conservative approach rather than hysterectomy in a case of massive bleeding...
June 2018: Turkish Journal of Obstetrics and Gynecology
İlker Selçuk, Murat Yassa, İlkan Tatar, Emre Huri
The abdominal aorta is divided into two parts (right and left) at the level of the fourth-fifth lumbar vertebra and called the common iliac artery. Anterior to the sacroiliac joint, common iliac arteries are divided into external and internal iliac arteries. The external iliac artery supplies the lower limb, and the internal iliac artery is the major vascular supply of the pelvis. Internal iliac artery is divided into anterior and posterior trunk. The anterior trunk supplies the pelvis, visceral organs, and the posterior trunk supplies pelvic parietal structures...
June 2018: Turkish Journal of Obstetrics and Gynecology
Şafak Hatırnaz, Barış Ata, Ebru Saynur Hatırnaz, Michael Haim Dahan, Samer Tannus, Justin Tan, Seang Lin Tan
In vitro maturation (IVM) is one of the most controversial aspects of assisted reproductive technology. Although it has been studied extensively, it is still not a conventional treatment option and is accepted as an alternative treatment. However, studies have shown that IVM can be used in almost all areas where in vitro fertilization (IVF) is used and it has a strong place in fertility protection and Ovarian Hyperstimulation syndrome management. The aim of this systematic review was to address all aspects of the current knowledge of IVM treatment together with the evolution of IVM and IVF...
June 2018: Turkish Journal of Obstetrics and Gynecology
Aylin Güneş, Red M Alinsod
Aesthetic gynecology has seen increasing patient and physician demand. Although this typically falls in the reign of obstetrics and gynecology, plastic surgeons and cosmetic surgeons have also developed great interest in this field. Currently, few if any obstetrics and gynecology residency or fellowship programs teach this subject matter though inroads have taken place in plastic surgery and cosmetic surgery training programs that had the foresight to include specific training in this field. Currently, many surgeons start by first training in various established certification and preceptorship programs based in the United States and the United Kingdom...
June 2018: Turkish Journal of Obstetrics and Gynecology
Jalal Raoufi, Serhan Can İşcan, Candost Hanedan, Emine Elif Özkan, Sevim Süreyya Çerçi, Ebru Erdemoğlu, Evrim Erdemoğlu
Objective: There is scarce information about axillary lymph node involvement in gynecologic cancers. We analyzed the incidence of suspicious axillary lymph nodes in gynecologic cancers. Materials and Methods: We retrospectively analyzed the positron emission tomography/computed tomography findings of 251 patients with endometrial, cervical, and ovarian cancer. There is no cut-off value documented for axillary metastases from gynecologic cancers; therefore we adopted the cut-off standardized uptake values (SUVs) proclaimed in breast cancer...
June 2018: Turkish Journal of Obstetrics and Gynecology
Çiğdem Yayla Abide, Evrim Bostancı Ergen
Objective: The aim af this study is to evaluate patients with mature cystic teratomas (MCT) with regard to the view of updated knowledge using our retrospective findings. Materials and Methods: This was a retrospective study and included a total of 306 patients from 2013 through 2017 at the İstanbul Zeynep Kamil Women and Children's Diseases Training and Research Hospital. Results: The mean age of the patients was 34.03±11.98 years. Thirty (9...
June 2018: Turkish Journal of Obstetrics and Gynecology
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