No abstract

Uterine inversion is a rare complication of the postpartum period, but it is an even rarer complication of the non-puerperal period. A 49-year-old nulliparous woman was admitted to the hospital with the following complaints: abnormal vaginal bleeding, pain, anuria and a mass protruding from the vulva. The mass was removed by twisting and a laparotomy was required for massive bleeding due to the inversion. The diagnosis of complete inversion was made during the laparotomy. Total abdominal hysterectomy and bilateral salpingo-oophorectomy was performed and the pathological examination revealed a leiomyosarcoma. Uterine inversion in the non-puerperal period is an extremely rare event and it should be kept in mind that the cause of the inversion may be a malignant disease, like leiomyosarcoma.

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No abstract

We designed this prospective, randomized, double-blind study to compare the analgesic effectiveness and side effects of IV patient-controlled morphine, pethidine, and tramadol for postoperative pain management. One-hundred-twenty-six ASA physical status I or II patients undergoing abdominal hysterectomy were randomly allocated to receive IV-patient controlled morphine (M), pethidine (P), or tramadol (T) for postoperative analgesia. The cumulative analgesic consumption over 24 h was 25.7 +/- 9.5 mg for morphine, 266 +/- 90 mg for pethidine, and 320 +/- 10 mg for tramadol. The average supplementary fentanyl dose used was significantly higher in group T than in groups M and P (P < 0.05). In conclusion, morphine, pethidine, and tramadol resulted in equivalent pain scores and side effects, but tramadol group T required more rescue analgesic doses of fentanyl.

No abstract

TPS5598 Background: Ovarian cancer (OC) is the leading cause of death from gynecologic cancers in US women. Despite high response rates to first-line treatment, ~70% of patients (pts) relapse within 3 years and then remain largely incurable. First-line treatment needs to be improved to achieve long-term remission in pts and improve the cure rate. The Phase III SOLO1 trial showed a meaningful clinical benefit for olap maintenance therapy in newly diagnosed OC pts with a BRCA mutation (Moore et al N Engl J Med 2018). Preliminary data suggest that combining a PD-L1 inhibitor, anti-angiogenic and PARP inhibitor (triplet therapy) may achieve a synergistic antitumor effect. The DUO-O study (NCT03737643) evaluates the efficacy and safety of treatment combinations involving standard-of-care platinum-based chemotherapy (chemo), VEGF inhibitor bev, anti-PD-L1 antibody durva and PARP inhibitor olap, in women with newly diagnosed advanced OC. Methods: Eligible pts for this double-blind, randomized, Phase III study must have newly diagnosed, advanced, high-grade epithelial OC and either have completed primary surgery or plan to have interval debulking surgery. Depending on their tumor BRCA mutation (tBRCAm) status (determined by central test), pts will join one of two independent cohorts. Pts in the non-tBRCAm cohort (n~906) will be randomized (1:1:1) before cycle 2 to: a) chemo + bev + placebo (for 6 cycles) followed by bev (15 mg/kg [total 15 months]) + placebo maintenance treatment (IV and tablets); b) chemo + bev + durva (6 cycles) followed by bev + durva (1120 mg q3w [total 15 months]) + placebo (tablets) maintenance treatment; or c) chemo + bev + durva (6 cycles) followed by bev + durva + olap (300 mg bd tablets [24 months]) maintenance treatment. Pts in the open-label tBRCAm cohort (n~150) will receive 6 cycles of chemo + durva followed by durva + olap maintenance therapy, with optional use of bev. The primary endpoint of progression-free survival will be assessed by modified RECIST 1.1. Key secondary endpoints include overall survival, overall response rate and duration of response. Enrollment began in January 2019. Clinical trial information: NCT03737643.

Ö ÖZ ZE ET T A Am ma aç ç: : Hu man papillomavirus (HPV) ser vi kal kan ser ile iliş ki si gös te ril miş ma jör et yo lo jik ajan dır. Ser vi kal kan ser tüm dün ya da ka dın lar ara sın da en yay gın ikin ci kan ser dir. Bu ça lış ma da Çu-ku ro va Üni ver si te si Tıp Fa kül te si Has ta ne si ne baş vu ran ka dın lar da hu man papillomavirus enfeksiyonu nun pre va lan sı nın araş tı rıl ma sı amaç lan mış tır. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : Top lam 460 ser vi kal si to lo ji ör ne ği 20-68 yaş ara sı ka dın lar dan top lan mış tır. HPV DNA tes pi ti için MY09/11 ve GP5+/6+ pri mer le ri ile ya pı lan kon sen sus PCR (poly me ra se cha in re ac ti on) tes ti kul la nıl mış tır. HPV DNA pozi tif ör nek ler HPVpU-1M/pU-2R ve HPVpU-31B/pU-2R pri mer le ri ile sı ra sıy la yük sek risk li (HR; high risk) ve dü şük risk li (LR; low risk) tip ler ola rak iden ti fi ye edil miş tir. Ay rı ca HPV DNA po zitif bu lu nan ör nek ler ser vi kal kan ser de en yay gın gö rü len HR HPV tip le ri olan HPV 16, 18, 31 ve 45 için tip spe si fik PCR ile ge no tip len di ril miş tir. B Bu ul l g gu u l la ar r: : Top lam 460 ör nek ten 24 (%5.2)'ü HPV DNA için po zi tif bu lun muş tur. HPV DNA po zi tif 24 ka dın dan 14'ün de (%3) tek ve ya mul tip le enfeksiyon şek lin de HR HPV ti pi ve 10'un da (%2.2) ise tek ba şı na LR HPV po zi tif li ği tes pit edil miş -tir. HPV DNA po zi tif 30 yaş ve üs tü olan 24 ka dın da %33.3 ora nı ile en sık gö rü len HR HPV ti pi HPV tip 16 olup bu nu sı ra sıy la HPV 45 (%20.8), HPV 18 (%4.2) ve HPV 31 (%4.2) iz le miş tir. S So o n nu uç ç: : Çu ku ro va Üni ver si te si Tıp Fa kül te si Has ta ne sine baş vu ran ka dın lar da ge ni tal HPV enfeksiyon pre va lan sı %5.2 bu lun muş tur. HPV enfeksiyonu nun epi de mi yo lo jik araş tır ma la rı nın ser vi kal kan ser ta ra ma stra te ji le ri nin ge liş ti ril me si ve HPV aşı la rı nın uy gun lu ğu nun gös te ril me si için ge lecek te de sür dü rül me si öne ril mek te dir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : İnsan papillomavirusü 16; in san papillomavirusü 18; po li me raz zin cir re ak si yo nu; ute rin ser vi kal tü mör ler; pre va lans A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : Hu man pa pil lo ma virüs (HPV) is the ma jor eti o lo gic agent for cer vi cal cancer. Cer vi cal can cer is the se cond most pre va lent can cer among wo men in the world. In this study, we ai med to in ves ti ga te the pre va len ce of HPV in fec ti on among wo men ad mit ted to Hos pi tal of Çu -ku ro va Uni ver sity Fa culty of Me di ci ne. M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : A to tal num ber of 460 cer vi cal smears we re ob ta i ned from wo men aged bet we en 20-68 ye ars. Con sen sus poly me ra se cha in re ac ti on (PCR) as say using MY09/11 and GP5 + /6 + pri mers we re used to de tect HPV DNA. HPV DNA po si ti ve samp les we re furt her stra ti fi ed as high risk (HR) and low risk (LR) by using HPVpU-1M/pU-2R and HPVpU-31B/pU-2R pri mers, res pec ti vely. HPV DNA po ...