Yazar "Yeniel Ö." seçeneğine göre listele

Listeleniyor 1 - 3 / 3
  • Küçük Resim Yok
    Öğe
    Heterotopic pregnancy after ovulation induction with clomiphene citrate: Case report [Klomifen sitratla ovülasyon i·ndüksiyonu sonrasi gelişen heterotopik gebelik]
    (2010) Yeniel Ö.; Ergenoglu M.; Zeybek B.; Ulukus M.
    Heterotopic pregnancy, simultaneous presence of intrauterine and extrauterine pregnancy, is a rare condition. Heterotopic pregnancy incidence is increasing with the use of assisted reproductive technologies and ovulation induction methods. The early diagnosis of heterotopic pregnancy is very important for maternal- fetal mortality and morbidity. A 12- week- pregnant woman with clomiphene citrate ovulation induction, admitted to our hospital with complaints of acute abdomen and weakness. Transabdominal and transvaginal ultrasanography (USG) revealed intraabdominal wide free fluid, intrauterine twin pregnancy with positive fetal cardiac activity. General surgery consultation was performed due to the history of peptic ulcer and gastrointestinal bleeding. The patient was also examined with magnetic resonance imaging (MRI). Laparotomy and left salpengectomy was performed. After the operation patient cured and up to now there was no adverse pregnancy outcome. As a result, if first trimester pregnants of asisted reproductive technologies and ovulation induction admit with complaints of abdominal pain, heterotropic pregnancy must be kept in mind. Copyright © 2010 by Türkiye Klinikleri.
  • Küçük Resim Yok
    Öğe
    Iatrogenic ectopic pregnancy: Case report
    (2010) Ergenoglu M.; Yeniel Ö.; Şahin Ç.; Kazandi M.
    Ectopic pregnancy is well known complication of pregnancy and during the past years there is an significant increase in the number of ectopic pregnancies. Approximately 1% of the pregnancies are ectopic, with the gestational sac usually implanted in the fallopian tube. Both uterine perforation and retained trofoblastic tissues are the most important complication of curettage for termination of the pregnancy. Trophoblastic tissue persistance has been described in the abdominal cavity after surgical treatment of ectopic pregnancy. More infrequently the cause of the ectopic trophoblast is linked to uterine perforation due to curettage for termination of pregnancy. Ultrasonographic images and clinical approach may suggest an ectopic pregnancy in this clinic presentation. A case of serosal trophoblastic tissue implantation following curettage for incomplet abortus of gestation was described in here. Copyright © 2010 by Türkiye Klinikleri.
  • Küçük Resim Yok
    Öğe
    Transperitoneal laparoscopic lymph node dissection on an experimental sheep model [Deneysel cerrahi koyun modelinde laparoskopik transperitoneal pelvik lenf bezi diseksiyonu]
    (2011) Yilmaz A.; Sanhal C.Y.; Yeniel Ö.; Ergenoglu M.; Terek M.C.; Öztekin M.K.
    Objective: To perform laparoscopy and laparoscopic transperitoneal lymph node dissection by creating an experimental sheep model. And also, to examine the laparoscopic pelvic lymph node dissection by measuring the operation duration and number of dissected lymph nodes. Material and Methods: The study was performed in the operating room of Experimental Surgery Department of Ege University. The main procedure was pelvic lymphadenectomy. Right pelvic lymph nodes were dissected by an experienced operator. Left pelvic lymph nodes were dissected by a resident who does not have any experience on lymph node dissection. Operation durations and the number of dissected lymph nodes were noted. Results: Duration to complete the dissection of pelvic lymph nodes on right side by the operator were 40, 45, 40, 30, 30, and 20 minutes for the first six sheep respectively . Sheep number seven were lost because of the intra-peritoneal anesthesia complication. And also duration to complete the dissection of pelvic lymph nodes on left side by the resident were 60 minutes for the sheep number one, and 30, 30 and 20 minutes for the sheep number three, four and five, respectively, and 30 minutes for sheep number seven. There was a pelvic venous damage at the time of dissection on sheep number two and were corrected by laparotomy. Sheep number six were also lost after the complication of anesthesia. Number of lymph nodes on right side which were dissected by the operator was 0, 3, 3, 3, 4 and 4 for the first six sheep respectively. Lymph node dissection were not performed at sheep number seven because of the complication of anesthesia. No lymph nodes could have been dissected from sheep number one and three. Number of lymph nodes on left side which were dissected by the resident was 3, 3 and 4 at sheep four, five and seven, respectively. Lymph node dissection were not performed at sheep number two and six because of the complications. Conclusion: Laparoscopic procedure durations of the experienced and inexperienced surgeons decreased with elevating procedure number, whereas the number of dissected lymph nodes increased. Experimental sheep model seems to be a useful in laparoscopic pelvic lymphadenectomy education and can reduce the complication rate of laparoscopy on human. Copyright © 2011 by Türkiye Klinikleri.