Burak Ersak, Yasemin Taşçi, Rahime BEDİR FINDIK, Duygu TUĞRUL ERSAK, A. Tokmak, Mahmut Kuntay Kokanalı
Aim: To compare pain scores of infertile patients during and after hysterosalpingography (HSG) procedure using visual analoge scale (VAS) between cold and warm contrast medium and to investigate whether using warm contrast can alter spontaneous pregnancy rate. Materials and Methods: Prospective randomized study between March-September 2017. Primary infertile patients undergoing HSG procedure. Patients’ age, body mass index (BMI), history of previous surgery, duration of infertility and pain levels during the most painful menstrual period were recorded. The pain severity was questioned during and at the 30th minute after the procedure using VAS. While patients who underwent HSG using a contrast medium at body temperature 37 °C were defined as warm group(n:55), patients who underwent HSG using a contrast medium at room temperature 23 °C were defined as cold group (n:55). Results: There were no significant differences between the groups in terms of age, BMI, duration of infertility, previous surgery and VAS during menstruation. The mean duration of HSG of warm group patients was significantly lower(p=0.001). Warm group patients’ mean VAS score during and 30 minutes after HSG were significantly lower than in the control group ( 5.3±4.2 vs 7.5±2.0), (1.1±0.9 vs 2.4±1.4), respectively. While severe pain percentage during HSG in warm group was 25.5%, it was 66.7% in the control group. In logistic regression analysis, warm and cold groups were only found as significant related factors for severe pain felt during procedure (p
目的:应用视觉模拟评分法(VAS)比较冷、热造影剂对不孕患者在子宫输卵管造影(HSG)术中及术后疼痛评分的影响，探讨热造影剂对自然妊娠率的影响。材料和方法:2017年3月- 9月的前瞻性随机研究。接受生殖细胞移植手术的原发性不孕症患者。记录患者的年龄、体重指数(BMI)、既往手术史、不孕持续时间和最痛月经期疼痛程度。在手术期间和手术后30分钟使用VAS对疼痛严重程度进行询问。在体温37℃下使用造影剂行HSG的患者被定义为温组(n:55)，在室温23℃下使用造影剂行HSG的患者被定义为冷组(n:55)。结果:两组患者在年龄、BMI、不孕持续时间、既往手术及月经期间VAS评分均无显著差异。温组患者HSG的平均持续时间显著低于温组(p=0.001)。温组患者HSG时和术后30min VAS平均评分均显著低于对照组(5.3±4.2 vs 7.5±2.0)、(1.1±0.9 vs 2.4±1.4)。热组在HSG过程中剧烈疼痛的比例为25.5%，对照组为66.7%。在logistic回归分析中，温热组和冷组仅被发现为手术过程中感受到的严重疼痛的显著相关因素(p
{"title":"Histerosalpingografide Kullanılan İyotlu Kontrast Maddenin Vücut Sıcaklığında ya da Oda Sıcaklığında Uygulanmasının Vizüel Analog Skala Skorlarına Etkisi","authors":"Burak Ersak, Yasemin Taşçi, Rahime BEDİR FINDIK, Duygu TUĞRUL ERSAK, A. Tokmak, Mahmut Kuntay Kokanalı","doi":"10.38136/jgon.1139732","DOIUrl":"https://doi.org/10.38136/jgon.1139732","url":null,"abstract":"Aim: To compare pain scores of infertile patients during and after hysterosalpingography (HSG) procedure using visual analoge scale (VAS) between cold and warm contrast medium and to investigate whether using warm contrast can alter spontaneous pregnancy rate. \u0000Materials and Methods: Prospective randomized study between March-September 2017. Primary infertile patients undergoing HSG procedure. Patients’ age, body mass index (BMI), history of previous surgery, duration of infertility and pain levels during the most painful menstrual period were recorded. The pain severity was questioned during and at the 30th minute after the procedure using VAS. While patients who underwent HSG using a contrast medium at body temperature 37 °C were defined as warm group(n:55), patients who underwent HSG using a contrast medium at room temperature 23 °C were defined as cold group (n:55). \u0000Results: There were no significant differences between the groups in terms of age, BMI, duration of infertility, previous surgery and VAS during menstruation. The mean duration of HSG of warm group patients was significantly lower(p=0.001). Warm group patients’ mean VAS score during and 30 minutes after HSG were significantly lower than in the control group ( 5.3±4.2 vs 7.5±2.0), (1.1±0.9 vs 2.4±1.4), respectively. While severe pain percentage during HSG in warm group was 25.5%, it was 66.7% in the control group. In logistic regression analysis, warm and cold groups were only found as significant related factors for severe pain felt during procedure (p","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130858531","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}
Spermatozoa kriyoprezervasyon teknolojisi, erkek fertilitesi için en çok kullanılan koruma protokolüdür. Erkek doğurganlığının yönetimi, kanser tedavisi, vazektomi veya cerrahi infertilite tedavilerinden önce donör spermlerini depolamak ve korumak için kullanılmaktadır. Epigenetik yeniden programlamanın embriyonik gelişimde hayati bir rol oynadığı bildirilmiştir ve birkaç çalışma, kusurlu epigenetik yeniden programlamanın anormal fetal büyüme, kanser ve diyabet gibi hastalıklar ile ilişkili olduğunu göstermiştir. Yapısal ve fizyolojik değişikliklerin yanı sıra, spermatozoadaki gen ve proteinlerin ekspresyonunun, mRNA stabilitesinin ve epigenetik içeriğin donma-çözme işleminden etkilenebileceği bildirilmektedir. Dondurulmuş-çözülmüş spermatozoadaki bu değişiklikler doğurganlık potansiyelini ve embriyo gelişimini etkileyebilmektedir. Kriyoprezervasyonda toksisite, epigenetik stabilite, mikrobiyal kontaminasyon gibi birden fazla güvenlik sorunu vardır. Bu sorunlardan epigenetik stabilite ve dondurulmuş spermatozoa ile doğan çocukların sağlığı üzerindeki kriyoprezervasyonun etkileri hakkında çok az bilgi vardır. Bu derlemede, kriyoprezervasyon sırasında spermlerdeki değişiklikler ve epigenetik modifikasyonları hakkındaki makaleler özetlenmiştir.
{"title":"Spermatozoa Kryoprezervasyonunda Epigenetik Değişiklikler","authors":"Mehmet Caner Özer","doi":"10.38136/jgon.1186821","DOIUrl":"https://doi.org/10.38136/jgon.1186821","url":null,"abstract":"Spermatozoa kriyoprezervasyon teknolojisi, erkek fertilitesi için en çok kullanılan koruma protokolüdür. Erkek doğurganlığının yönetimi, kanser tedavisi, vazektomi veya cerrahi infertilite tedavilerinden önce donör spermlerini depolamak ve korumak için kullanılmaktadır. Epigenetik yeniden programlamanın embriyonik gelişimde hayati bir rol oynadığı bildirilmiştir ve birkaç çalışma, kusurlu epigenetik yeniden programlamanın anormal fetal büyüme, kanser ve diyabet gibi hastalıklar ile ilişkili olduğunu göstermiştir. Yapısal ve fizyolojik değişikliklerin yanı sıra, spermatozoadaki gen ve proteinlerin ekspresyonunun, mRNA stabilitesinin ve epigenetik içeriğin donma-çözme işleminden etkilenebileceği bildirilmektedir. Dondurulmuş-çözülmüş spermatozoadaki bu değişiklikler doğurganlık potansiyelini ve embriyo gelişimini etkileyebilmektedir. Kriyoprezervasyonda toksisite, epigenetik stabilite, mikrobiyal kontaminasyon gibi birden fazla güvenlik sorunu vardır. Bu sorunlardan epigenetik stabilite ve dondurulmuş spermatozoa ile doğan çocukların sağlığı üzerindeki kriyoprezervasyonun etkileri hakkında çok az bilgi vardır. Bu derlemede, kriyoprezervasyon sırasında spermlerdeki değişiklikler ve epigenetik modifikasyonları hakkındaki makaleler özetlenmiştir.","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"163 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133118386","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}
AIM: In our study, it was aimed to obtain guiding information to prevent complications that may develop in advance and to decrease maternal and fetal morbidity and mortality by evaluating the antepartum of patients who developed DIC due to obstetric reasons. MATERIALS AND METHODS: Obstetric patients who were hospitalized in obstetrics and perinatology clinics and developed disseminated intravascular coagulation (DIC) were retrospectively analyzed. DIC scoring of the patients was made according to the International Society on Thrombosis and Haemostasis (ISTH) criteria. Maternal and fetal outcomes from the patients were documented. RESULTS: During the 6-year period in which the data were analyzed, DIC was detected in 57 pregnants out of 108281 deliveries, and the incidence of DIC was found to be 0.052%. The categories of pregnancy complication preceding DIC: placental invasion and implantation anomalies, postpartum hemorrhage (atonia), placental abruption, hypertensive disease of pregnancy and others were found. Its rate in maternal morbidity was 38.6% and maternal mortality rate was 1.75% with 1 patient. 35% of the patients had laparotomy / re-laparotomy and 21% of these patients had hysterectomy. The average birth weight of the newborn is 2341.3 grams. Neonatal intensive care need is 34.5%, stillbirth rate is 25.5%. Neonatal mortality rate was determined as 3.6%. CONCLUSION: The management scheme plays a key role in delivery because termination of pregnancy often eliminates the underlying obstetric disorder. Early diagnosis and active treatment protocols reduce mortality and morbidity. Because of the physiological changes seen in the coagulation cascade during pregnancy, using a pregnancy-specific DIC score instead of the ISTH DIC score developed for non-pregnant adults may facilitate diagnosis.
{"title":"Disseminated intravascular coagulation in obstetric patients: maternal and fetal results","authors":"Özgün Ceylan, A. Çağlar","doi":"10.38136/jgon.1179018","DOIUrl":"https://doi.org/10.38136/jgon.1179018","url":null,"abstract":"AIM: In our study, it was aimed to obtain guiding information to prevent complications that may develop in advance and to decrease maternal and fetal morbidity and mortality by evaluating the antepartum of patients who developed DIC due to obstetric reasons. \u0000MATERIALS AND METHODS: Obstetric patients who were hospitalized in obstetrics and perinatology clinics and developed disseminated intravascular coagulation (DIC) were retrospectively analyzed. DIC scoring of the patients was made according to the International Society on Thrombosis and Haemostasis (ISTH) criteria. Maternal and fetal outcomes from the patients were documented. \u0000RESULTS: During the 6-year period in which the data were analyzed, DIC was detected in 57 pregnants out of 108281 deliveries, and the incidence of DIC was found to be 0.052%. The categories of pregnancy complication preceding DIC: placental invasion and implantation anomalies, postpartum hemorrhage (atonia), placental abruption, hypertensive disease of pregnancy and others were found. Its rate in maternal morbidity was 38.6% and maternal mortality rate was 1.75% with 1 patient. 35% of the patients had laparotomy / re-laparotomy and 21% of these patients had hysterectomy. The average birth weight of the newborn is 2341.3 grams. Neonatal intensive care need is 34.5%, stillbirth rate is 25.5%. Neonatal mortality rate was determined as 3.6%. \u0000CONCLUSION: The management scheme plays a key role in delivery because termination of pregnancy often eliminates the underlying obstetric disorder. Early diagnosis and active treatment protocols reduce mortality and morbidity. Because of the physiological changes seen in the coagulation cascade during pregnancy, using a pregnancy-specific DIC score instead of the ISTH DIC score developed for non-pregnant adults may facilitate diagnosis.","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133540565","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}
Amaç: Annenin gebelik döneminde kilo artışının yenidoğanın ölçülen ilk TSH düzeyleri üzerine etkisini araştırmaktır. Gereçler: Güngören 30 Ağustos Aile Sağlığı Merkezinde; takip edilen 112 gebe ve bu gebelerin 112 bebeği retrospektif olarak incelendi. Gebelerin boy, kilo ölçümleri ve vücut kitle indekslerinin (VKİ) hesaplandığı gebelik haftaları, bebeklerin doğum tartıları ve TSH değerleri alındı. Gebeler, normal (VKİ
{"title":"The Effects of Maternal Weight-gain During Pregnancy on Neonatal TSH Results","authors":"Özge Torun, R. Dut, Zuhal AYDAN SAĞLAM, S. Cömert","doi":"10.38136/jgon.973086","DOIUrl":"https://doi.org/10.38136/jgon.973086","url":null,"abstract":"Amaç: Annenin gebelik döneminde kilo artışının yenidoğanın ölçülen ilk TSH düzeyleri üzerine etkisini araştırmaktır. \u0000Gereçler: Güngören 30 Ağustos Aile Sağlığı Merkezinde; takip edilen 112 gebe ve bu gebelerin 112 bebeği retrospektif olarak incelendi. Gebelerin boy, kilo ölçümleri ve vücut kitle indekslerinin (VKİ) hesaplandığı gebelik haftaları, bebeklerin doğum tartıları ve TSH değerleri alındı. Gebeler, normal (VKİ","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128511797","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}
Amaç:. Diffüzyon ağırlıklı manyetik rezonans inceleme, serviks kanseri görüntülemesinde önemli bir yöntemdir. Biz de çalışmamızda difüzyon ağırlıklı incelemede hesaplanan ADC değerlerinin normal serviks dokusu ile serviks kanseri arasındaki farklılıklarını ve serviks kanseri patolojik tipleri ayırıcı tanısındaki önemini değerlendirmeyi amaçladık. Gereçler ve Yöntem: Merkezimize Ocak 2018- Ocak 2022 tarihleri arasında başvuran tanısı histopatolojik olarak kanıtlanmış 40 hasta(çalışma grubu) ve aynı tarihler arasında, servikal kanser şüphesi olmaksızın başka nedenlerden pelvik MR çekilen 40 hasta(kontrol grubu) retrospektif olarak değerlendirilerek çalışmaya dahil edildi. Hastaların yaşları ve patolojik tanıları değerlendirilip oluşturulan ADC haritalarından ADC değer ölçümleri yapıldı. Bulgular: Serviks kanseri tanılı hastaların ortalama ADC değeri 0.93(±0.28) x10-3 mm2/s, olarak saptanırken, kontrol grubunda ortalama ADC değeri 1.61(±0.32) x 10-3 mm2/s olarak hesaplandı. Kontrol grubuna kıyasla serviks kanseri tanılı hastalarda ADC skor ortalaması istatistiksel olarak anlamlı derecede daha düşük olduğu saptandı(t=10.339, p=
{"title":"DİFÜZYON AĞIRLIKLI MANYETİK REZONANS İNCELEMENİN SERVİKS KANSERİ TANISI VE PATOLOJİK TİPLENDİRİLMESİNDEKİ YERİ","authors":"Ezel YALTIRIK BİLGİN, Nazan Çiledağ, Koray Aslan","doi":"10.38136/jgon.1082790","DOIUrl":"https://doi.org/10.38136/jgon.1082790","url":null,"abstract":"Amaç:. Diffüzyon ağırlıklı manyetik rezonans inceleme, serviks kanseri görüntülemesinde önemli bir yöntemdir. Biz de çalışmamızda difüzyon ağırlıklı incelemede hesaplanan ADC değerlerinin normal serviks dokusu ile serviks kanseri arasındaki farklılıklarını ve serviks kanseri patolojik tipleri ayırıcı tanısındaki önemini değerlendirmeyi amaçladık. \u0000Gereçler ve Yöntem: Merkezimize Ocak 2018- Ocak 2022 tarihleri arasında başvuran tanısı histopatolojik olarak kanıtlanmış 40 hasta(çalışma grubu) ve aynı tarihler arasında, servikal kanser şüphesi olmaksızın başka nedenlerden pelvik MR çekilen 40 hasta(kontrol grubu) retrospektif olarak değerlendirilerek çalışmaya dahil edildi. Hastaların yaşları ve patolojik tanıları değerlendirilip oluşturulan ADC haritalarından ADC değer ölçümleri yapıldı. \u0000Bulgular: Serviks kanseri tanılı hastaların ortalama ADC değeri 0.93(±0.28) x10-3 mm2/s, olarak saptanırken, kontrol grubunda ortalama ADC değeri 1.61(±0.32) x 10-3 mm2/s olarak hesaplandı. Kontrol grubuna kıyasla serviks kanseri tanılı hastalarda ADC skor ortalaması istatistiksel olarak anlamlı derecede daha düşük olduğu saptandı(t=10.339, p=","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127687967","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}
Ali Oğuzhan Hati̇poğlu, Serhan İscan, İ. Güler, Haldun Güner
Amaç: Endometrium kanseri; Türkiye, Amerika ve Avrupa'da kadınlarda en sık görülen jinekolojik malignensidir. Genel olarak kadınlar yaşamları boyunca endomertium kanserine yakalanma riski %3-4’tür. Tedavi ve evrelemesi cerrahi olarak yapılan endometrium kanserinde cerrahi olarak seçilen genel yöntem açık cerrahidir. Çalışma; endometrium kanserinin evreleme ve tedavisinde laparotomi ile laparoskopiyi karşılaştırmayı amaçlamaktadır. Gereç ve Yöntemler: Endometrium kanseri nedeniyle evreleme cerrahisi yapılan 57 hastanın 29’unda cerrahi laparoskopik olarak, 28’inde cerrahi laparotomik olarak gerçekleştirildi. Laparoskopi grubu ile laparotomi grubunun; yaş, vücut kitle indeksi, perioperatif ve postoperatif komplikasyonları, çıkarılan lenf nodu sayıları, operasyon süresi ve hastanede kalış süresi, cerrahiye giriş ve çıkış hemoglobin değerleri karşılaştırıldı. Bulgular: Gruplar, demografik, maternal ve antropometrik açıdan değerlendirildiğinde homojen yapıda oldukları izlendi. Yalnızca laparotomik grupta parite laparoskopik gruba göre istatiksel olarak anlamlı derecede fazlaydı, gravidalar arasında fark yoktu. Operasyon süreleri, tahmini kan kayıpları, preoperatif, postoperatif hemoglobin düzeyleri, intraoperatif, ve postoperatif komplikasyonlar açısından laparoskopi ve laparotomi arasında fark saptanmadı. Laparoskopi grubunda hastanede kalış süresi anlamlı olarak kısa saptandı. Lenf nodu disseksiyonunda çıkarılan lenf bezi sayısı laparotomik cerrahide daha fazlaydı. Sonuç: Laparoskopik cerrahi endometrium kanserinde güvenilir ve uygulanabilir bir cerrahi yöntemidir. Hastanede kalış süresini azaltması, günlük yaşama çabuk dönüş avantajı olarak gözükmektedir. Buna karşı daha agresif lenf nodu disseksiyonu gerektiren ileri evre, yüksek grade, agresif tip kanserlerde, daha az lenf nodu çıkarılması dezavantaj olabilir.
{"title":"Comparison of laparoscopy and laparotomy in endometrial carcinoma","authors":"Ali Oğuzhan Hati̇poğlu, Serhan İscan, İ. Güler, Haldun Güner","doi":"10.38136/jgon.1057879","DOIUrl":"https://doi.org/10.38136/jgon.1057879","url":null,"abstract":"Amaç: Endometrium kanseri; Türkiye, Amerika ve Avrupa'da kadınlarda en sık görülen jinekolojik malignensidir. Genel olarak kadınlar yaşamları boyunca endomertium kanserine yakalanma riski %3-4’tür. Tedavi ve evrelemesi cerrahi olarak yapılan endometrium kanserinde cerrahi olarak seçilen genel yöntem açık cerrahidir. Çalışma; endometrium kanserinin evreleme ve tedavisinde laparotomi ile laparoskopiyi karşılaştırmayı amaçlamaktadır. Gereç ve Yöntemler: Endometrium kanseri nedeniyle evreleme cerrahisi yapılan 57 hastanın 29’unda cerrahi laparoskopik olarak, 28’inde cerrahi laparotomik olarak gerçekleştirildi. Laparoskopi grubu ile laparotomi grubunun; yaş, vücut kitle indeksi, perioperatif ve postoperatif komplikasyonları, çıkarılan lenf nodu sayıları, operasyon süresi ve hastanede kalış süresi, cerrahiye giriş ve çıkış hemoglobin değerleri karşılaştırıldı. Bulgular: Gruplar, demografik, maternal ve antropometrik açıdan değerlendirildiğinde homojen yapıda oldukları izlendi. Yalnızca laparotomik grupta parite laparoskopik gruba göre istatiksel olarak anlamlı derecede fazlaydı, gravidalar arasında fark yoktu. Operasyon süreleri, tahmini kan kayıpları, preoperatif, postoperatif hemoglobin düzeyleri, intraoperatif, ve postoperatif komplikasyonlar açısından laparoskopi ve laparotomi arasında fark saptanmadı. Laparoskopi grubunda hastanede kalış süresi anlamlı olarak kısa saptandı. Lenf nodu disseksiyonunda çıkarılan lenf bezi sayısı laparotomik cerrahide daha fazlaydı. Sonuç: Laparoskopik cerrahi endometrium kanserinde güvenilir ve uygulanabilir bir cerrahi yöntemidir. Hastanede kalış süresini azaltması, günlük yaşama çabuk dönüş avantajı olarak gözükmektedir. Buna karşı daha agresif lenf nodu disseksiyonu gerektiren ileri evre, yüksek grade, agresif tip kanserlerde, daha az lenf nodu çıkarılması dezavantaj olabilir.","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130299856","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}
N. Akgün, Aybüke Kevser, Serap Yağcı, Çiğdem Ataman Hatipoğlu, Yusuf Ustun
Background: The aim was to evaluate the bacterial contamination rate of ultrasound probes and gels and the associated nosocomial infection risk. In this way, we aimed to assess whether our ultrasound probe disinfection protocols were effective in reducing the risk of hospital-wide infection. Material and Methods: Forty-eight swab samples were collected from the surfaces of transabdominal (TAP) and transvaginal ultrasound (TVP) probes and adhered to gel bottles, which were then cultured in the microbiology laboratory. In comparison, bacterial contamination of gynecology room door handles (12 swab cultures) was analyzed. These measurements were repeated every week for one month, so that each probe was cultured four times during the study period. Results: Non-pathogenic microorganisms (Staphylococcus epidermidis, S. hominis, S. haemolyticus, S. lugdunensis, Corynebacterium amycolatum, C. aurimucosum) common in human skin flora and the environment and two notable pathogens (Enterobacter cloacae, Escherichia coli) were isolated from the probe cultures. Non-pathogenic organisms (S. epidermidis, S. cohnii) were isolated from gel cultures. Also, no significant differences were also found between groups in contamination rates during various patient examinations and emergencies (p > 0.05). Conclusion: Bacterial contamination was found on ultrasound probes/gels in our department. Although the majority were non-pathogenic microorganisms, two pathogenic microorganisms were also identified. Hospital staff should remember that ultrasound probes can be a tool for bacterial infection and can lead to infectious complications. Decontamination of probes with dry, nonsterile paper towels is a cheap, simple, and effective method that does not damage the device and can also reduce bacterial exposure.
{"title":"Jinekoloji kliniklerinde ultrasonografi probları ve jeli, bakteriyel enfeksiyonların kaynağı olabilir mi?: Üçüncü basamak bir hastane deneyimi","authors":"N. Akgün, Aybüke Kevser, Serap Yağcı, Çiğdem Ataman Hatipoğlu, Yusuf Ustun","doi":"10.38136/jgon.1133977","DOIUrl":"https://doi.org/10.38136/jgon.1133977","url":null,"abstract":"Background: The aim was to evaluate the bacterial contamination rate of ultrasound probes and gels and the associated nosocomial infection risk. In this way, we aimed to assess whether our ultrasound probe disinfection protocols were effective in reducing the risk of hospital-wide infection. \u0000Material and Methods: Forty-eight swab samples were collected from the surfaces of transabdominal (TAP) and transvaginal ultrasound (TVP) probes and adhered to gel bottles, which were then cultured in the microbiology laboratory. In comparison, bacterial contamination of gynecology room door handles (12 swab cultures) was analyzed. These measurements were repeated every week for one month, so that each probe was cultured four times during the study period. \u0000Results: Non-pathogenic microorganisms (Staphylococcus epidermidis, S. hominis, S. haemolyticus, S. lugdunensis, Corynebacterium amycolatum, C. aurimucosum) common in human skin flora and the environment and two notable pathogens (Enterobacter cloacae, Escherichia coli) were isolated from the probe cultures. Non-pathogenic organisms (S. epidermidis, S. cohnii) were isolated from gel cultures. Also, no significant differences were also found between groups in contamination rates during various patient examinations and emergencies (p > 0.05). \u0000Conclusion: Bacterial contamination was found on ultrasound probes/gels in our department. Although the majority were non-pathogenic microorganisms, two pathogenic microorganisms were also identified. Hospital staff should remember that ultrasound probes can be a tool for bacterial infection and can lead to infectious complications. Decontamination of probes with dry, nonsterile paper towels is a cheap, simple, and effective method that does not damage the device and can also reduce bacterial exposure.","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134393828","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}
Deniz Yaşar, C. Geyik, Abdullah Yüksel, Oğuzhan Kayar, Nurdan DİNLEN FETTAH
Neonatal abstinence syndrome (NAS) is the withdrawal symptoms that occur in the baby shortly after birth from addicted mother. There are reviews about neonatal abstinence syndrome in the literatures but there is not enough study in Turkey. Literature is include just some case reports from our country. Signs and symptoms in the neonatal period are nonspecific and it is hard to make correct differential diagnosis for NAS without detail anemnesis. Doubt is the key for evaluation NAS. In this article, it is aimed to present the approach of NAS with update literature. We present the follow-up of the baby (born on 32 weeks according to Ballard score) with an unfollowed pregnancy from a heroin and cannabinoid addicted mother. In the treatment process, we mainly use morphine for the withdrawal symptoms. Our clinical approach is diccussed with the current articles.
{"title":"A case report: Neonatal Abstinence Syndrome with current literatures","authors":"Deniz Yaşar, C. Geyik, Abdullah Yüksel, Oğuzhan Kayar, Nurdan DİNLEN FETTAH","doi":"10.38136/jgon.1050664","DOIUrl":"https://doi.org/10.38136/jgon.1050664","url":null,"abstract":"Neonatal abstinence syndrome (NAS) is the withdrawal symptoms that occur in the baby shortly after birth from addicted mother. There are reviews about neonatal abstinence syndrome in the literatures but there is not enough study in Turkey. \u0000Literature is include just some case reports from our country. Signs and symptoms in the neonatal period are nonspecific and it is hard to make correct differential diagnosis for NAS without detail anemnesis. Doubt is the key for evaluation NAS. In this article, it is aimed to present the approach of NAS with update literature. We present the follow-up of the baby (born on 32 weeks according to Ballard score) with an unfollowed pregnancy from a heroin and cannabinoid addicted mother. In the treatment process, we mainly use morphine for the withdrawal symptoms. Our clinical approach is diccussed with the current articles.","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121503723","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}
Özge ŞEHİRLİ KINCI, Mehmet Ferdi Kıncı, Leyla Taştan, Ercan Saruhan, A. A. Sivaslıoğlu
Aim: We aimed to evaluate the outcomes of multiple pregnancies between January 2016 and December 2020 in our hospital, which is a tertiary center. Materials and Methods: 107 multiple pregnancies were included in the study among 6567 pregnant women who were delivered between January 2016 and December 2020 in Muğla University Training and Research Hospital Obstetrics and Gynecology Clinic. Of these retrospectively evaluated pregnant women, 106 were twins and 1 was triplet. Results: It was determined that 87 (80.18%) twin pregnancies were diamniotic-dichorionic, 11 (10.37%) were dichorionic-monoamniotic, and 8 (7.54%) were monochorionic-monoamniotic, respectively. 76 (71.69%) of the deliveries were with preterm delivery and 30 (28.3%) of the pregnant women were delivered at term. Twelve (11.1%) twin pregnancies were delivered by vaginal delivery, and 96 (88.9%) by cesarean section (C/S). No statistical difference was observed in terms of blood loss when the C/S and vaginal delivery groups were compared. When compared in terms of hospitalization time, it was found that the hospitalization period was shorter in the vaginal delivery group. Conclusion: The clinical results of our study are similar to the current literature. In our study, what we evaluated differently from the literature is blood loss and hospitalization time between C/S and vaginal delivery. There was no difference between C/S and vaginal delivery in terms of blood loss, and it was observed that the hospitalization period of patients who had vaginal delivery was shorter.
{"title":"Son Dört Yılda Üçüncü Basamak Hastanemizde Doğumu Gerçekleşen Çoğul Gebelik Sonuçlarının Değerlendirilmesi","authors":"Özge ŞEHİRLİ KINCI, Mehmet Ferdi Kıncı, Leyla Taştan, Ercan Saruhan, A. A. Sivaslıoğlu","doi":"10.38136/jgon.1094804","DOIUrl":"https://doi.org/10.38136/jgon.1094804","url":null,"abstract":"Aim: We aimed to evaluate the outcomes of multiple pregnancies between January 2016 and December 2020 in our hospital, which is a tertiary center. \u0000Materials and Methods: 107 multiple pregnancies were included in the study among 6567 pregnant women who were delivered between January 2016 and December 2020 in Muğla University Training and Research Hospital Obstetrics and Gynecology Clinic. Of these retrospectively evaluated pregnant women, 106 were twins and 1 was triplet. \u0000Results: It was determined that 87 (80.18%) twin pregnancies were diamniotic-dichorionic, 11 (10.37%) were dichorionic-monoamniotic, and 8 (7.54%) were monochorionic-monoamniotic, respectively. 76 (71.69%) of the deliveries were with preterm delivery and 30 (28.3%) of the pregnant women were delivered at term. Twelve (11.1%) twin pregnancies were delivered by vaginal delivery, and 96 (88.9%) by cesarean section (C/S). No statistical difference was observed in terms of blood loss when the C/S and vaginal delivery groups were compared. When compared in terms of hospitalization time, it was found that the hospitalization period was shorter in the vaginal delivery group. \u0000Conclusion: The clinical results of our study are similar to the current literature. In our study, what we evaluated differently from the literature is blood loss and hospitalization time between C/S and vaginal delivery. There was no difference between C/S and vaginal delivery in terms of blood loss, and it was observed that the hospitalization period of patients who had vaginal delivery was shorter.","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124482662","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}
K. Erdoğan, Inci Kahyaoglu, S. Dilbaz, Iskender Kaplanoglu, Oya Aldemir, Ceren Kamaci, Emine Utlu Özen, Nazlı Tunca Şanlier
Aim: Our aim was to investigate the value of serum estradiol (E2) on human chorionic gonadotrophin (hCG) trigger day in predicting pregnancy (ongoing pregnancy with live birth, abortion, iu ex, chemical pregnancy) outcomes and neonatal birth weight. Material-Methods: This retrospective study consisted of two groups: Group 1: Women who had live birth, labor after 22 gestational week (n= 417). Group 2: Women with clinical pregnancy: intrauterine ex, abortus, biochemical and anembryonic pregnancy (n=260). Demographic characteristics (maternal and paternal ages, body mass index (BMI), gravidity, abortion, and living child) were recorded. Clinical indications (male factor, diminished ovarian reserve...), duration of ovulation stimulation, day 3 (D3) E2, follicle stimulating hormone and luteinizing hormone levels, antral follicle count, total doses of stimulating agents, progesteron and estradiol levels on trigger day, number of oocytes retrieved, number of mature oocytes, endometrial thickness on trigger and oocyte pick-up day were compared between the two groups. Binary Logistic Regression, (Backward LR model) was used to determine the factors affecting the risk of not having a live birth. Results: Totally 677 pregnant women were included in the study. We found increased live birth rate in pregnant whom E2 level was higher on the trigger day. There was a statistically significant relation between E2 level on trigger day and newborn weight in live birth (p=0.005) It was determined that the male factor and age of the women are an important parameter that affect not having a live birth (p
{"title":"IVF/ICSI YAPILAN HASTALARDA GEBELİK VE YENİDOĞAN SONUÇLARININ ÖNGÖRÜLMESİNDE HCG TETİKLEME GÜNÜNDEKİ ESTRADİOL'ÜN DEĞERLENDİRİLMESİ: RETROSPEKTİF KOHORT ÇALIŞMASI","authors":"K. Erdoğan, Inci Kahyaoglu, S. Dilbaz, Iskender Kaplanoglu, Oya Aldemir, Ceren Kamaci, Emine Utlu Özen, Nazlı Tunca Şanlier","doi":"10.38136/jgon.1106410","DOIUrl":"https://doi.org/10.38136/jgon.1106410","url":null,"abstract":"Aim: Our aim was to investigate the value of serum estradiol (E2) on human chorionic gonadotrophin (hCG) trigger day in predicting pregnancy (ongoing pregnancy with live birth, abortion, iu ex, chemical pregnancy) outcomes and neonatal birth weight. \u0000Material-Methods: This retrospective study consisted of two groups: Group 1: Women who had live birth, labor after 22 gestational week (n= 417). Group 2: Women with clinical pregnancy: intrauterine ex, abortus, biochemical and anembryonic pregnancy (n=260). \u0000Demographic characteristics (maternal and paternal ages, body mass index (BMI), gravidity, abortion, and living child) were recorded. Clinical indications (male factor, diminished ovarian reserve...), duration of ovulation stimulation, day 3 (D3) E2, follicle stimulating hormone and luteinizing hormone levels, antral follicle count, total doses of stimulating agents, progesteron and estradiol levels on trigger day, number of oocytes retrieved, number of mature oocytes, endometrial thickness on trigger and oocyte pick-up day were compared between the two groups. \u0000Binary Logistic Regression, (Backward LR model) was used to determine the factors affecting the risk of not having a live birth. \u0000Results: Totally 677 pregnant women were included in the study. We found increased live birth rate in pregnant whom E2 level was higher on the trigger day. There was a statistically significant relation between E2 level on trigger day and newborn weight in live birth (p=0.005) It was determined that the male factor and age of the women are an important parameter that affect not having a live birth (p","PeriodicalId":119624,"journal":{"name":"Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129602219","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}
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