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Öğe Bilateral uterine and ovarian artery ligation in addition to B-Lynch suture may be an alternative to hysterectomy for uterine atonic hemorrhage(7847050 CANADA INC, 2012) Gezginc, K.; Yazici, F.; Koyuncu, T.; Mahmoud, A. S.Purpose of investigation: To evaluate the effectiveness of bilateral uterine arteries and ovarian artery ligation followed by B-Lynch compression suturing in controlling atonic postpartum hemorrhage. Methods: In this retrospective study, the data of eight patients that had uterine atony during cesarean section and treated by bilateral uterine and ovarian artery ligation followed by B-Lynch compression suturing during the period from February 2009 to September 2010 were collected and analyzed. Results: Eight cases were treated by the above protocol; the average age of the patients was 25.25 +/- 5.09 years, and the mean gestational age was 35.75 +/- 3.80 weeks. Seven of the patients were primiparous. They were hospitalized on average 5.25 +/- 2.31 days. The mean operation time was 61.25 +/- 24.60 minutes and mean estimated blood loss was 2787.5 +/- 1573.38 ml. Internal iliac artery ligation was necessary in one patient only. Hysterectomy was not performed in any of the patients. Five patients had intraoperative or postoperative blood transfusion. Conclusion: The addition of uterine artery and ovarian artery ligation to the B-Lynch suture may be considered as a major hemostatic step before proceeding to hysterectomy in cases of uterine atony bleeding, and all gynecologic surgeons should be familiar with it.Öğe A comparison of liquid-based cytology with conventional cytology(ELSEVIER IRELAND LTD, 2008) Celik, C.; Gezginc, K.; Toy, H.; Findik, S.; Yilmaz, O.Objective: To evaluate the 2 methods of cytologic screening to detect abnormalities of the cervical epithelium. Methods: This study with 3 groups of women was performed at Selcuk University Meram Medical School between January 2004 and March 2006. In one group (paired sample for specimen collection) women were screened with conventional cytology; in another group (paired sample for specimen collection) they were screened with liquid-based cytology; and in the third group (split sample for specimen collection) they were screened by both methods. Results: The rate of unsatisfactory results was lower in the liquid-based than in the conventional cytology group (6.1% vs. 2.6%; P < 0.05). More smears containing atypical squamous cells of undetermined significance were detected by the liquid-based method, but the difference was not statistically significant. Also, no statistically significant differences between liquid-based and conventional cytology were observed in the detection of other epithelial abnormalities (P > 0.05). Conclusion: The liquid-based and conventional cytology methods were found to be equivalent in the detection of cervical epithelial abnormalities. (c) 2007 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.Öğe Contraceptive efficacy and side effects of Implanon((R))(PARTHENON PUBLISHING GROUP, 2007) Gezginc, K.; Balci, O.; Karatayli, R.; Colakoglu, M. C.Objective To determine the efficacy and side effects of Implanon((R)) used for long-term contraception. Material and method Prospective study of 80 patients who used Implanon((R)) for long-term contraception between January 2004 and January 2006. Side effects, efficacy and removals were recorded. Results Amenorrhoea, infrequent bleeding and frequent bleeding were reported by 33 (41.25%), 19 (23.75%) and 14 patients (17.5%), respectively. Non-menstrual side effects comprised breast tenderness in 15 patients (18.75%), acne in eight (10%), headache and dizziness in three (3.75%); depressive mood disorders, pelvic pain and loss of libido were mentioned each by two of the women (2.5%). During the study period, Implanon R was removed from 20 participants. No problem was encountered during its placement or removal. Conclusion Patients considering use of Implanon((R)) must be carefully selected and informed about its expected side effects before placement.Öğe The effects of hormone replacement therapy on the myocardial velocities and myocardial performance index(OXFORD UNIV PRESS, 2007) Duzenli, M. A.; Ozdemir, K.; Sokmen, A.; Soylu, A.; Gezginc, K.; Celik, C.; Tokac, M.[Abstract not Available]Öğe The role of immunonutrition in gynecologic oncologic surgery(7847050 CANADA INC, 2009) Celik, J. B.; Gezginc, K.; Ozcelik, K.; Celik, C.Background: This study assesses the effect of immunonutrition on biochemical and hematological parameters, incidence of infection, postoperative complications, mortality rate and length of hospital stay. Material and Methods: A total of 50 patients operated on for gynecological malignancies were randomly assigned to two groups, each receiving two days preoperative and seven days postoperative enteral nutrition after intestinal movements started. The patients in group 1 were given 1000 kcal/d immun-enhancing enteral nutrition (IEN). The patients in group 2 received 1000 kcal/d standard enteral nutrition. The nutritional (albumin, prealbumin). immunologic (CRP, white blood cell (WBC) count, lymphocyte population) parameters, length of hospital stay (LOS) and clinical outcomes were examined. Results: The two groups did not differ in terms of demogaphic data, nutritional status, surgical status. mortality rate (p > 0.05). WBC count, lymphocyte population. CRP levels were significantly higher in group 1 compared with group 2 in the postoperative period (p < 0.05). Pulmonary and urinary tract infection rates were similar in both groups (p > 0.05) but Wound infection, and LOS rate were significantly lower in group 1 than group 2 (p < 0.05). Conclusion: Perioperative immunonutrition proved to be safe and useful in increasing the immunologic response. It may decrease postoperative complications and LOS in patients undergoing surgery for gynecological malignancy.
