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Öğe Ectopic Pregnancy in a Cesarean Section Scar: Successful Management Using Vacuum Aspiration under Laparoscopic Supervision-Mini Review of Current Literature(HINDAWI LTD, 2016) Koplay, Mustafa; Dogan, Nasuh Utku; Sivri, Mesut; Erdogan, Hasan; Dogan, Selen; Celik, CetinA cesarean scar ectopic pregnancy (CSEP) is a fairly uncommon presentation wherein the conceptus is implanted deep in the myometrium and at the exact scar site of the previous cesarean section. There are various CSEP management options that range from medical treatment to surgical interventions such as dilatation and curettage, laparoscopic excision, resection by laparotomy, or, sometimes, a combination of these modalities. Establishing a diagnosis of CSEP can be challenging. Given the relatively rare incidence of CSEP, its management is controversial and current standards of therapy have been derived from data obtained from a limited number of patients. Herein, we present transvaginal ultrasonography (TVUS) imaging findings and management strategies used in a case of CSEP along with the short review of current literature.Öğe The effect of long interpregnancy interval on labor characteristics and pregnancy outcomes: A tertiary maternity hospital experience(DRUNPP-SARAJEVO, 2012) Dogan, Nasuh Utku; Cicek, Mahmut Nedim; Uygur, Dilek; Dogan, Selen; Erol, NidaObjective: We evaluated effect of long interpregnancy intervals (IPI) on the length of labor and perinatal outcomes. Materials and methods: In this retrospective study, 249 women with uncomplicated vaginal delivery were divided into three groups (Nulliparous women was first group, multiparous women with IPI shorter than 3 years second group and women with IPI longer than 6 years the last group). Results: Nulliparous women had longer total delivery time than multiparous women (p< 0.01). But admission to NICU (p = 0.30) and meconium stain rates (p= 0.74) were similar. Total delivery time meconium stain and NICU admission rates for multiparous women in short IPI group (<3 years) were similar to women with a longer IPI (> 6 years). But more women in longer IPI group needed oxytocin augmention (p=0.031). Conclusion: Multiparous women with prolonged IPI might be evaluated in the same way as women with shorter IPIs with favorable perinatal outcomes. But obstetrician should be more cautious with the potential risks of labor augmentation with oxytocin in this group of patients.Öğe Pelvic radiotherapy does not deteriorate the quality of life of women with gynecologic cancers in long-term follow-up: A 2 years prospective single-center study(MEDKNOW PUBLICATIONS & MEDIA PVT LTD, 2017) Yavas, Guler; Yavas, Cagdas; Dogan, Nasuh Utku; Ilhan, Tolgay Tuyan; Dogan, Selen; Karabagli, Pinar; Ata, OzlemPurpose: To evaluate the emotional, sexual and health-related quality of life (HRQoL) concerns of the women with gynecologic malignancy treated with curative radiotherapy (RT). Patients and Methods: A 100 women with diagnosis of gynecologic malignancy were prospectively enrolled. HRQoL at baseline, at the end of RT and during follow-up was assessed using European Organization for Research and Treatment of Cancer QoL Questionnaire-C30 (EORTC QLQ-C30), EORTC QLQ-cervical cancer module 24, and Hospital Anxiety and Depression Scale. Results: The appetite loss, diarrhea, fatigue, dyspnea, insomnia, nausea and vomiting, pain scores, and sexual activity and sexual enjoyment scores were deteriorated after RT (P = 0.02 for pain scores and P < 0.001 for all other). Body image scores were higher in patients with endometrial cancer (P < 0.01). The emotional function, nausea and vomiting, body image and symptom experience scores were higher in patients who underwent chemotherapy (P = 0.04 and P = 0.01). All the complaints of patients improved during follow-up period. The global health status scores and the level of depression deteriorated in patients with locoregional recurrent disease and distant metastasis. The anxiety (P = 0.001) and depression (P = 0.007) levels were higher in basal and after-RT visits but then decreased through the subsequent follow-up visits. Conclusion: Although pelvic RT deteriorated HRQoL in patients with gynecologic malignancy, HRQoL improved during the follow-up period. The progressive disease had a negative impact on HRQoL.