No abstract

The aim of this study was to evaluate the effect of an electromagnetic field (EMF), generated close to the ovaries, on primordial follicles. A total of 16 rats were used in this study. The study group consisted of rats exposed to an EMF in the abdominal region for 15 min/d for 15 days. Both the study and control group were composed of eight rats. After the treatment period of 15 days, the ovaries of the rats were extracted, and sections of ovarian tissue were taken for histological evaluation. The independent samples t test was used to compare the two groups. In the study group, the means of the right and left ovarian follicle numbers were 34.00 ± 10.20 and 36.00 ± 10.53, respectively. The average total ovarian follicle number was 70.00 ± 19.03. In the control group, the means of the right and left ovarian follicle numbers were 78.50 ± 25.98 and 71.75 ± 29.66, respectively, and the average total ovarian follicle number was 150.25 ± 49.53. The comparisons of the means of the right and left ovarian follicle numbers and the means of the total ovarian follicle numbers between the study and control groups indicated that the study group had significantly fewer follicles (p < 0.001, p = 0.011, and p = 0.002, respectively). This study found a significant decrease in the number of ovarian follicles in rats exposed to an EMF. Further clinical studies are needed to reveal the effects of EMFs on ovarian reserve and infertility.

Uterine preservation is an important issue when managing PPH. BBT is an effective, easy to use, and safe procedure for massive PPH that can minimize recourse to hysterectomy after failed medical treatment.

In abdominal sacrocolpopexy operations in which polypropylene meshes are used, stage 3 or 4 prolapse, concomitant hysterectomy and three or more additional procedures increase the risk of mesh exposure development.

Araştırma ÖZET Amaç: Bu çalışmada, vücut kitle indeksinin term gebelerde metarnal ve fetal sonuçlara etkisini belirlemeyi amaçladık. Gereç ve Yöntem: Çalışmaya prospektif olgu kontrol çalışması olarak, hastanemiz kadın hastalıkları ve doğum ünitesine baş-vurmuş ve doğumu hastanemizde gerçekleşmiş olan Conclusion:According to data revealed from our study, maternal obesity seems to be an important factor increasing pregnancy complications and fetal-neonatal morbidity.

We observed no differences in outcomes between single- or double-layer vaginal closure techniques with barbed sutures.

Aims: To determine and compare the effectiveness, peri- and postoperative outcomes of mid-urethral sling (MUS) operations for urinary incontinence, using 2 different patient positions during surgery. Methods: In this study, 146 patients underwent MUS surgery in a urogynecology clinic. Of them, 72 patients underwent the intraoperative surgical procedure of reverse trendelenburg patient positioning for tape adjustment (group 1) and the remaining 74 patients had the routine surgical procedure of MUS surgery (group 2). The primary outcome was the evaluation of postoperative urine leaks, using the stress test, and secondary outcomes were quality of life, using the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF, Turkish version) and complication rates. Results: There were no significant differences in demographic variables between the 2 groups. The overall cure rates for incontinence in the lithotomy position was 97.22 and 85.13% for groups 1 and 2, respectively, in which group 1 had a statistically significant decrease in urine leak postoperatively (p < 0.05; OR 3.08, 95% CI 2.78-22.14). The postoperative ICQ-SF scores showed no significant difference between the 2 groups (p = 0.19). Conclusion: Applying a 45-degree reverse trendelenburg position for tape adjusting during MUS operation results in a greater objective cure rate compared with the typical dorsolithotomy position; however, there was no difference in the subjective outcome.

Yaşam süresi uzadıkça pelvik taban bozuklukları ön plana çıkmakta, giderek artan tıbbı ve sosyal bir sorun haline gelmektedir. Kadınların % 10'undan fazlası yaşamlarının bir kısmında pelvik organ prolapsusu veya inkontinans için cerrahi operasyon geçirmekte, bunların % 30'u başarısızlık nedeniyle tekrar opere olmaktadır. Bu bölümde pelvik organ prolapsusu anatomik temeller ve patofizyolojik mekanizmalar ışıgında ele alınmış; anterior, posterior ve apikal prolapsus olarak anatomik kompartmanlara göre sınıflandırılmış, cerrahi tedavi metodları ele alınırken literatürdeki başarı oranları ve komplikasyonlar belirtilmeye çalışılmıştır.