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  • Küçük Resim Yok
    Öğe
    İnguinal endometrioma: Vaka sunumu
    (2014) Uysal, Ahmet; Mun, Semih; Taner, Cüneyt Eftal; Uysal, Fatma
    Endometriozis uterus dışında aktif olarak büyüyen ve fonk siyon gösteren stromal veya glandüler endometriyal doku olarak tanımlanmaktadır. En sık gözlenen implantasyon alanları pelvik organlar ve peritondur. Endometrial implantasyon için inguinal bölge veya periosteum seyrek gözlenen bölgelerdir. Bu bölgedeki endometriozisin klinik prezentasyonu ise siklik olarak ağrılı hassas inguinal nodül dür. En iyi tedavi yöntemi ise komplet eksizyondur. Biz vakamızda, periosta invaze olduğu için girişimsel olmayan medikal tedaviyi tercih ettik. Bu vaka sunumunda, pubik kemik üzerine fikse endometrioma odağı klinik ve patolojik özellikleri ile beraber sunuldu.
  • Küçük Resim Yok
    Öğe
    Perioperative complications and short-term outcomes of abdominal sacrocolpopexy, laparoscopic sacrocolpopexy, sacrospinous ligament fixation, and iliococcygeus fixation procedures
    (2018) Biler, Alper; Ertaş, İbrahim Egemen; Tosun, Gökhan; Hortu, İsmet; Demir, Ahmet; Taner, Cüneyt Eftal; Şendağ, Fatih
    Background/aim: This study aimed to investigate differences in perioperative complications and short-term outcomes of patients who underwent abdominal sacrocolpopexy/sacrohysteropexy, laparoscopic sacrocolpopexy/sacrohysteropexy, sacrospinous ligament fixation (SSLF), and iliococcygeus fixation due to apical prolapse. Materials and methods: the present retrospective cohort study included 145 patients who underwent apical prolapse surgery performed by the same surgeons between 1/1/2011 and 30/6/2017. There were 68 abdominal sacrocolpopexies (44 sacrocolpopexies and 24 sacrohysteropexies), 13 laparoscopic sacrocolpopexies (10 sacrocolpopexies and 3 sacrohysteropexies), 57 SSLFs, and 7 iliococcygeus fixations. Patients’ short-term outcomes, perioperative complications, blood loss, operative time, and hospital stay were analyzed. Results: the mean operating time in the laparoscopic sacrocolpopexy group was 179.6 min versus 122.8, 117.3, and 107.1 min in the SSLF, abdominal sacrocolpopexy, and iliococcygeus fixation groups, respectively (P < 0.01). the hospital stay was significantly shorter in the iliococcygeus fixation group (1.86 days) when compared with that of other groups (P < 0.01). During a 6-month follow-up period, no prolapse recurrence or mesh exposure was observed in any groups. Wound complications were more frequent in the abdominal sacrocolpopexy group. However, the overall complication rate of each group did not differ significantly (P = 0.332). Conclusion: Overall, complication rates and short-term outcomes for the abdominal, laparoscopic, and vaginal surgical procedures were not statistically significantly different. However, minimally invasive approaches were associated with reduced procedural-related morbidity.