Mesut Polat

Yüksek dereceli servikal intraepitelyal lezyonların tedavisinde LEEP ile soğuk konizasyon tekniklerinin karşılaştırılmasıÖZETAmaçYüksek dereceli servikal intraepiteliyal neoplazilerin tedavisinde yaygın olarak kullanılan LEEP ile soğuk konizasyon tekniklerinin etkinlik, başarı ve postoperatif erken dönem sonuçlarını karşılaştırmakMateryal ve MetodM...

Amaç: Bu çalışmamızda preterm prematür membran rüptürü (PPROM) ile komplikegebeliklerde spontan travaya giren olgularla çeşitli endikasyonlarla doğum indüksiyonu yapılanolguların perinatal sonuçlarını ve latent sürenin bu sonuçlara etkisini araştırmayı amaçladık.Materyel-metod: Ocak 2014-Ocak 2016 yılları arasında kliniğimizde 24-34 gebelik haftala...

ÖZET Giriş ve Amaç Adneksiyal kitlelerin preoperatif olarak malignite riskinin değerlendirilmesi, operasyonun yapılacağı merkeze ve ekibe karar verilmesi açısından önem arzetmektedir. Bu durum hastanın postoperatif prognozu ile doğrudan ilişkilidir. Bu çalışmada adneksiyal kitlelerin preoperatif değerlendirmesinde mevcut olan malignite riski belirl...

Objective: Comparison of extra-peritoneal cesarean (EPC) and intra-peritoneal cesarean (IPC) section in terms of postoperative pain, pulmonary function, fever, gastrointestinal function, and other maternal and fetal morbidities. Materials and Methods: Fifty patients were included in this prospective study. All patients' demographic data such as blo...

Aim: The aim of this study was to evaluate the risk factors and maternal-perinatal outcomes in patients with placental abruption attending a non-tertiary center. Methods: Fifty-three patients with placental abruption and 147 individuals with non-placental abruption were compared retrospectively. Age, gravidity, parity, concomitant medical problems...

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 secon...

Objective Postpartum urinary retention means the absence of spontaneous micturition more than 6 hours after birth or when residual volume after urination is less than 150 cc. If neglected, postpartum urinary retention may result in bladder denervation and detrusor muscle weakness requiring intermittent catheterization or permanent micturition dysfu...

Objective: The aim was to compare the perioperative and postoperative outcomes of total laparoscopic hysterectomy(TLH), total abdominal hysterectomy(TAH), and vaginal hysterectomy(VH) in a selected group of patients.Materials and Methods: Two hundred twenty-three hysterectomies were included in this study. The patients were separated into three gro...

Objective: The aim of the present study was to determine which of the umbilical entry routes for intraperitoneal access has a better cosmetic result. Material and methods: This was a prospective study (Canadian Task Force classification II-1). In total, 105 patients who underwent laparoscopic surgery were included. A vertical or transverse umbil...

Purpose of investigation: The objective of this study is to assess the approaches of last-year obstetrics and gynecology (Ob&Gyn) residents towards surgical treatment of uterine atony. Materials and Methods: A self-administered questionnaire was used for the data collection. The questionnaire was sent to final year residents in the period from Sept...

Objective Myomectomy performed during cesarean section is still controversial because of the potential for associated complications, especially with large myomas. Many obstetricians avoid performing cesarean myomectomy procedures because of the risk of uncontrollable hemorrhage. However, the prevalence of pregnant women with myomas is increasing, l...

Objective To describe the new surgical technique and report the safety and feasibility of vaginally-assisted laparoscopic sacrohysteropexy (VALSH). Materials and Methods Thirty-three women with stage 3 or more uterine prolapse underwent VALSH operation. Patients were followed up for 12 months for mesh-related complications and improvements of symp...

The objective of this study was to evaluate the vaginal position on magnetic resonance imaging (MRI) after bilateral abdominal sacral hysteropexy (BASH) and classical abdominal sacral hysteropexy (ASH) and to investigate which method keeps the vagina the most proximate to its original anatomical position. Ten patients, with 10 having BASH, 10 ASH a...

p> Objective: The aim of this study was to evaluate complete blood count parameters to predict ovarian torsion in cases presented with ovarian mass. Study Design: Pre-operative demographic data and complete blood count parameters of 72 patients, who were operated on preliminary adnexal torsion and diagnosed as adnexal torsion with a benign ovarian...

The aim of this study was to assess whether misinterpretation of frozen sections in endometrial cancer cases is associated with survival and determine the factors leading to mismatch. One hundred fifty endometrial cancer cases treated in Zeynep Kamil Maternity and Children's Health Training and Research Hospital between January 2010 and December 20...

Aim: The authors aimed to study larger intramural leiomyoma with a size of ≥ three cm on pregnancy outcome of singleton pregnancies compared with control group. Materials and methods: The hospital records of all pregnancies followed between years of 2009 and 2013 were searched for the diagnosis of intramural leiomyoma in the second trimester ult...

The aim of this study was to evaluate the obstetric and sonographic parameters associated with perinatal mortality and neonatal intensive care unit admission (NICU) in pregnancies affected by small for gestational age before 34 weeks gestation. Study recruited 313 singleton pregnancies who were referred if small fetal size was suspected due to clin...

p> OBJECTIVE: We aimed to assess the efficacy of gum chewing on intestinal functions after gynecological operations. STUDY DESIGN: A total of 86 women who underwent gynecological operation with different indications were randomly assigned to 2 groups: Group 1 was assigned to gum chewing after operation (n=52), while Group 2 was directed to routine...

OBJECTIVE: The aim of this study was to compare the effect of two different laparoscopic entry methods on postoperative gastrointestinal functions. STUDY DESIGN: A total of 108 women who underwent gynecological operation via laparoscopic approach with different indications were randomly assigned to 2 groups: In Group 1 pneumoperiteneum was achieved...

Purpose: The aim of this study was to assess the effects of preemptive and preclosure analgesia on postoperative pain intensity in patients undergoing different levels of laparoscopic surgery. Methods: Two hundred and twenty-six patients who underwent laparoscopic gynecological surgery were enrolled in this quasi-randomized, prospective, placebo...

Objective: The purpose of this study is to evaluate the clinical findings, tumor markers, surgical treatment ap­proaches and final pathological results of the dermoid cyst subjects treated at our hospital. Methods: The study was planned retrospectively. 114 subjects with dermoid cyst were included from our hos­pitals electronic log system. Along wi...

Aim: The aim of this study is to evaluate the effects of the number and timing of antenatal visits on the maternal-perinatal outcomes and related factors in a relatively low socio-economic population. Material and Method: A cross-sectional examination was made of 479 pregnant women. The antenatal records were examined. Pregnant women were divided i...

Postpartum hemorrhage due to inferior epigastric vein injury Objective: Postpartum hemorrhage is one of the leading causes of maternal mortality. Postpartum hemorrhage originates from the genital organs primarily as uterine atonia, and although extremely rare, it may also originate from reasons other than the genital organs. Inferior epigastric vas...

Objective: To evaluate emergency peripartum hysterectomy (EPH) cases over a 14-year period in a tertiary center in İstanbul, Turkey. Material and methods: In this retrospective descriptive study, the records of all cases of EPH performed at the Zeynep Kamil Women and Children's Training and Research Hospital between January 2000 and January 2014...

ZET Amaç: Servikal Pap smear test sonucu high grade servikal intraepiteliyal neoplazi saptanan hastalarda kolposkopi eşliğinde yapılan biyopsi ile servikal konizasyon sonuçlarını değerlendirmek. Gereç ve Yöntem: Çalışmamız Zeynep Kamil Kadın Hastalıkları ve Doğum Eğitim ve Araştırma Hastanesinde Ocak 2013 ile Ekim 2015 tarihleri arasında retrospekt...

Purpose: To assess the success rates of two step loop electrosurgical excision procedure (LEEP) compared with conventional cold conization procedures for decreasing positive surgical margins. Materials and methods: This study was conducted on 70 patients who underwent colposcopic evaluation in Zeynep Kamil Women and Children's Health Training an...

Extrauterine endometrial stromal sarcomas (ESSs) are quite rare tumors, and vagina is an unusual site for these tumors. This paper presents a very rare pathological entity of primary vaginal ESS. A 46-year-old woman with a complaint of postcoital vaginal bleeding, low abdominal pain, and constipation was admitted to the clinic. She had a mass of se...

Cornual ectopic pregnancy is described as the implantation of the gestational sac to the part of the fallopian tube within the myometrial part of the uterus. Because of the rare location of cornual pregnancy, both diagnosis and treatment are very challenging. Cornual ectopic pregnancy may lead to catastrophic hemorrhage and death because of advance...

Objectives: The effect of hysterectomy on vesicourethral and sexual functions remains controversial. The primary objective of this study was to compare the effects of a laparoscopic hysterectomy and a total abdominal hysterectomy on lower urinary tract function. The secondary aims were to compare the two surgeries in terms of postoperative vaginal...

Aims: To analyse the predictors of recurrence, disease free survival and overall survival in cases with endometrial cancer. Materials and methods: A total of 152 women diagnosed with endometrial cancer were screened using a prospectively collected database including age, smoking history, menopausal status, body mass index, CA125, systemic disord...

Objective: To assess some clinical characteristics of patients who were treated for adnexal torsion during pregnancy. Methods: Medical records of 14 pregnant women with adnexal torsion who were surgically treated at our hospital between 1st January 2011 to 30th October 2015 were screened. In addition to the demographic features obtained from medica...

Backgrounds/aims: The aim of this study was to investigate the effect of rectal and intrauterine anesthesia during vaginoscopic hysteroscopy. Methods: This was a randomized, double-blind, placebo-controlled study. Patients were randomized to rectal indomethacin, intrauterine lidocaine and placebo groups. Patients with conditions that could cause...

We aimed to assess the pregnancy rates after hysteroscopic polypectomy in infertility patients with endometrial polyps and to compare pregnancy rates among subgroups with polyps of different location, size and number. All patients who underwent hysteroscopic evaluation which revealed endometrial polyps were included. Patients with any intrauterine...

Fallopian tube cancer is usually asymptomatic and preoperative diagnosis is difficult. Due to its rarity and being detected mostly incidentally, the case mentioned below was evaluated as a case report and literature was reviewed. Patient who was 65-years-old applied to our clinic with ongoing post-menopausal vaginal bleeding for 5-6 months. In ultr...

Objective: The aim of this study is to evaluate whether neonatal respiratory disorders relate to the onset of labor or labor pain in patients with history of previous cesarean section. Methods: This prospective controlled study comprised 164 patients, grouped according to the presence of labor and related labor pain. All patients in both groups...

Background: To determine the impact of cervical length (CL) on the clinical outcome of patients undergoing peripartum hysterectomy due to placenta previa/percreta. Objective: To assess the association of CL with clinical outcomes in such patients. Methods: We analyzed the data of patients who were diagnosed with anterior placenta previa/percreta pr...

Objective To assess whether laporoscopic approach to endometrial cancer is associated with survival. Materials and Methods In total, 158 patients with endometrial cancer underwent staging surgery at a tertiary referral center, 30 of whom underwent laparoscopy, whereas the remainder received treatment with a conventional approach. Survival between...

The aim of this study was to assess the predictive value of neutrophil/lymphocyte and platelet/lymphocyte ratios for borderline, malignant ovarian tumors, and borderline cases with microinvasion. Totally 275 women with sonographically detected ovarian tumor were enrolled for this study. All subjects underwent gynecological surgery via endoscopic or...

The objective of the study was to evaluate the association of maternal plasma levels of 25-hydroxyvitamin D (25(OH)D) at late second and third trimester and the risk of pre-eclampsia. In this prospective cohort study; maternal plasma 25(OH)D levels were measured at late second and third trimester in 77 women who later developed preeclampsia (31 non...

In our case that 5 cm in diameter cervical myoma is totally prolapsed and complicated by hemorrhage after spontaneous vaginal delivery, on the 2nd postpartum day, myoma was excised and there were no complications in the postoperative period. In pregnancies complicated by fibroids, conservative approach should be chosen unless there are complication...

Objective: To evaluate the results of colposcopically directed biopsy and cervical conization in patients diagnosed with high grade cervical intraepithelial neoplasia according to Pap smear test. Material and Method: Our study was done in Zeynep Kamil Women’s Disease and Birth Training and Research Hospital between January 2015 and October 2015 ret...

Objective: The aim of the study is to compare the efficiency of trospium cloride and tolterodine in overactive bladder treatment. Material and Methods: The patients that applied to Zeynep Kamil Educational and Reseach Hospital Gynecology Clinic with one or more of following complains such as nocturia, poliuria (more than 8/day) and urodinamically o...

Objectives: Hysteroscopy is a safe and simple procedure which is performed for evaluation and also for treatment of abnormal uterine bleeding, infertility and recurrent pregnancy loss. In this study we aimed to evaluate the efficacy of the local anesthesia techniques for office hysteroscopy.Material and Methods: This randomised, double-blinded and...

Sertoli-Leydig cell tumors constitude 0.5% of all ovarian tumors. Sertoli-Leydig cell tumor has been diagnosed in four patients in the last 5 years period in our hospital. The ages ranged from 25 to 73 years, with a mean of 43 years. One patient presented with secondary amenorrhea and virilization, three of the four patients showing groin pain. His...

Trocar site hernia is a rare complication of laparoscopic surgery. It mainly occurs at 10-mm and larger port sites. Only a few cases of herniation through 5-mm port sites were reported in the literature, but none of them occured through Spigelian fascia. We reported an unusual presentation of an incarcerated Spigelian hernia through 5-mm lateral po...

The risk factors and perinatal outcomes of shoulder dystocia during delivery Objective: SD (shoulder dystocia) is an uncommon and unpredictable event complicating 0.2–3% of all vaginal deliveries. We sought to examine the current risk factors and perinatal outcomes of all cases of shoulder dystocia in a single institution over a five years period....

To evaluate the use of the Bakri balloon in postpartum hemorrhage (PPH) resistant to medical treatment. The Bakri balloon was applied to 45 women with PPH after failure of initial management. Bilateral internal iliac artery ligation (BIIAL) and hysterectomy were performed if necessary. The Bakri balloon was applied in 45 women; an additional BIIAL...

Aim : Aim of the report is discuss the case who was prenatally diagnosed as congenital mesoblastic nephroma and postnatal managenent. Case : We reported a case of 27 year old gravida 3, parity 1, abortion 1 referred to our clinic with the diagnosis of preterm labour and polihydramniosis at 34. gestational week. The ultrasonografic examination of th...

Sertoli-Leydig cell tumors constitude 0.5% of all ovarian tumors. Sertoli-Leydig cell tumor has been diagnosed in four patients in the last 5 years period in our hospital. The ages ranged from 25 to 73 years, with a mean of 43 years. One patient presented with secondary amenorrhea and virilization, three of the four patients showing groin pain. His...

Preeclampsia has been associated with increased platelet activation detected before disease onset. Platelets are involved in hemostasis and also directly initiate an inflammatory response of the vessel wall. Inappropriate activation of platelets may be involved in pathogenesis in preeclampsia by promoting coagulation and thrombosis, and also as a m...

The objective of this study was to compare pain status after microlaparoscopic tubal sterilization under local anesthesia with mild sedation and after conventional laparoscopic tubal sterilization under general anesthesia. Between March 2003 and January 2004, 100 women undergoing laparoscopic tubal sterilization were equally and prospectively divid...

Tamoxifen (TAM) is widely used in the treatment of breast cancer, and its paradoxical effects on female genital system are well known. During the past 10 years, many descriptions of nonepithelial uterine malignancies related to long-term TAM usage have been reported in the literature. Four uterine sarcoma patients who had history of TAM usage for p...

Tamoxifen (TAM) is widely used in the treatment of breast cancer, and its paradoxical effects on female genital system are well known. During the past 10 years, many descriptions of nonepithelial uterine malignancies related to long-term TAM usage have been reported in the literature. Four uterine sarcoma patients who had history of TAM usage for p...

Introduction The commonest fetal intracranial tumor is the teratoma. The prognosis is poor with death usually occurring shortly after birth. Modern high resolution ultrasound scanners facilitate examination of the cranial contents, allowing earlier diagnosis. Case report A fetus with a congenital intracranial teratoma presenting with a disproportio...

The objective of this study was to detect any ovarian changes in tamoxifen-treated breast cancer patients. In all, 51 patients with breast cancer were enrolled in the study, which was conducted in the SSK (Social Security Agency) Aegean Maternity Hospital between January 1999 and December 2002. The patients' demographic and medical data were review...

We tried to evaluate the demographic characteristics, treatment modalities and survival chances of the choriocarcinoma cases diagnosed in our hospital retrospectively. Eleven patients diagnosed with choriocarcinoma and treated in our department between January 1994 and December 2001 were used in this study. Seven cases (63.6%) had pulmonary metasta...

To explain the pathogenesis of preeclampsia with coagulation induction or a defective fibrinolysis, various hemostatic parameters were studied and different treatment modalities targeting these parameters were evaluated. Considering the role of TAFI in down-regulation of fibrinolysis, in our study we have investigated whether TAFI contributes to im...