Emergency operations and adhesions increased complications.

No abstract

Background: Female genital mutilation/cutting (FGM/C) is a common sociocultural practice in many communities in Africa. Unfortunately, what females are forced to accept because they are helpless, in order to be an individual in social life and in the country they live in, is an important health issue that is not only harmful to the human body but also against human rights. Objectives: This study aimed to investigate the wishes, knowledge and attitude of Somali women regarding FMG/C. Methods: From 16 regions of Somalia, 356 women were randomly selected. A structured and interviewer-administered questionnaire was used to collect data. Results: Except for one, all women participating in the survey were circumcised. A significant proportion of women embraced the continuation of FGM/C (52%) and 54.2% of them were satisfied with being FMG/C. Their knowledge, attitude, and practices were shaped by their religion and traditions. However, the proportion of those who wanted to stop FGM/C was 91%. Conclusions: Further efforts and research from different countries, cultures, beliefs, organizations, and individuals focusing on knowledge, awareness, legalization, and the opinions of lay and religious individuals, particularly including women’s rights activists, and women with FGM/C, are needed to stop FGM/C, also known as female circumcision.

To the best of our knowledge, this study is the first to evaluate the effect of environmental factors on SG formation. Moreover, our study group is one of the largest in the published work. Environmental factors can affect the formation of striae gravidarum. Further studies with different ethnic groups are needed.

We determined the role of mean platelet volume (MPV) and platelet distribution width (PDW) in the prediction of placental abruption (PA) prior to caesarean section. Data obtained between January 2011 and July 2014 from patients (n = 33) with PA and healthy control subjects (n = 67) matched for age- and gestation-stage were analysed. Pre-operative and post-operative MPV and PDW were significantly different between the PA and control groups when cut-off values for MPV were set at 9.23; sensitivity at 87.8% and specificity at 46.2%; positive predictive value (PPV) at 48.3%; and negative predictive value (NPV) at 90.0%. When the cut-off value for PDW was set at 18.5, the sensitivity was 100% and specificity 71.6%, PPV 40.7% and NPV 59.3% for the prediction of PA. MPV and PDW levels were significantly higher in cases of PA. These results suggest that clinical evaluation of MPV and PDW displays reasonable sensitivity and specificity as a marker of PA, prompting the need for more research in this area of clinical study.

A total of 104 patients aged 20-55 years, with complaints of regular HMB, were enrolled in the study from January 2013 to June 2015. Ninety-eight women completed the study. The inclusion criteria were the presence of HMB, reproductive age, a completed family, failure of appropriate first-line oral medical therapy, normal Pap smear, no pelvic pathology on ultrasound, normal endometrial biopsy, and pictorial blood loss assessment chart scores of ≥100 (average of two consecutive cycles). The exclusion criteria were previous endometrial resection/ablation, any uterine pathology on scans or hysteroscopy, incompletely investigated abnormal uterine bleeding, and postmenopausal bleeding. The local ethics committee approved this study.Background/aim: This study aimed to compare the levonorgestrel intrauterine system (LNG-IUS) with abdominal hysterectomy (TAH) and total laparoscopic hysterectomy (TLH) as first-line treatments for heavy menstrual bleeding (HMB). Materials and methods:Ninety-eight patients aged 20-55 years who complained of regular heavy menstrual bleeding were enrolled in the study. The TAH group included 29 patients, the LNG-IUS group included 34, and the TLH group included 35. These groups were compared in terms of quality of life and the cost-effectiveness of the selected methods. Quality of life was assessed using the 36-Item Short Form (SF-36), and cost-effectiveness was assessed according to the current cost of each approach.

Objective: To evaluate the clinical and surgical outcomes of intestinal resection during primary debulking surgery for ovarian cancer. Results: A total of 22 patients with a mean age of 53.4 years were included in the study. Optimal cytoreduction was achieved in 14 (63%) patients. Transverse colectomy was the most common type of intestinal resection (63%). The most common postoperative complication was transfusion of blood products (63%). No postoperative mortality was observed. Conclusion:Intestinal resection is a crucial part of debulking surgery for advanced ovarian cancer, with acceptable complication rates. Despite the limited number of patients, the results obtained from the present study are comparable with previous reports.Keywords: Cytoreductive surgery, debulking surgery, intestinal resection, morbidity, ovarian cancer ABSTRACT Turk J Surg 2017; 33: 96-99

No abstract