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Öğe COMPARISON OF SINGLE VERSUS DOUBLE INTRAUTERINE INSEMINATION(ELSEVIER SINGAPORE PTE LTD, 2008) Gezginc, Kazim; Goerkemli, Hueseyin; Celik, Cetin; Karatayli, Rengin; Cicek, M. Nedim; Colakoglu, M. CengizObjective: To compare the outcomes of single versus double intrauterine insemination. Materials and Methods: This prospective randomized study was carried out in 100 infertile patients. One intrauterine insemination was applied 36 hours after human chorionic gonadotropin (hCG) injection to 50 patients in the first group. To SO patients in the second group, two intrauterine inseminations were applied, of which the first was applied 24 hours after and the second 48 hours after the hCG injection. Results: In the First group, pregnancies were detected in eight patients (pregnancy rate per patient was 16%, pregnancy rate per cycle was 10.6%). In the second group, pregnancies were detected in five patients (pregnancy rate per patient was 10%, pregnancy rate per cycle was 6.4%). There was no statistically significant difference between the two groups (p > 0.05). Conclusion: Single intrauterine insemination can be considered to be more reasonable than double intrauterine insemination treatment, taking into consideration the economic cost and the psychologic trauma to the patients. However, further studies with larger sample sizes are needed in order to reveal any actual differences between the two methods. [Taiwan J Obstet Gynecol 20081-47(1):57-61]Öğe An incidental coexistence of Mayer-Rokitansky-Kuster-Hauser syndrome with pelvic ectopic kidney and perirenal endometrioma(SAUDI MED J, 2008) Balci, Osman; Karatayli, Rengin; Capar, MetinIn this case report, a Mayer-Rokitansky-Kuster-Hauser syndrome with pelvic ectopic kidney and a perirenal cyst with endometrial tissue inside is demonstrated. A 17 year old patient admitted with primary amenorrhea. Pubertal stages were completed. In pelvic ultrasonography; uterus could not be detected, a 6x11 cm sized cystic lesion was seen on the right adnexal area. A centrally located 5.5x9 cm sized ectopic pelvic kidney was detected. Hormones and tumor markers were normal. Laparoscopy was planned. In the laparoscopic observation, uterus and both tubes could not be detected, ovaries were normal. There was a 6x7 cm sized cyst located in the retroperitoneal area, the origin of the cyst could not be identified. Laparatomy was considered, retroperitoneal space was entered, an 8x11 cm sized smooth contoured perirenal cyst adjacent to the pelvic kidney was detected. Cyst was extirpated. The pathology result was reported to include endometrial tissue and hemorrhage inside.Öğe Management and outcomes of adnexal masses during pregnancy: A 6-year experience(WILEY-BLACKWELL, 2008) Balci, Osman; Gezginc, Kazim; Karatayli, Rengin; Acar, Ali; Celik, Cetin; Colakoglu, Mehmet C.Aim: To demonstrate adnexal masses detected during gestations in a 6-year period. Methods: A retrospective study of pregnancy with adnexal masses requiring surgery over a 6-year period at the Selcuk University Hospital, a tertiary referral center, between June 2000 and June 2006. Results: We detected 36 pregnancies with adnexal masses. The mean age of the patients was 26.6 years (range, 18-42). The mean gestational age at which adnexal masses were detected was 17 weeks (range, 5-36), and the mean gestational age at the time of surgery was 24 weeks (range, 6-41). Postoperative pathology results of the patients were functional ovarian cysts in 14 cases (41.1%), endometrioma in eight cases (23.5%), dermoid cyst in six cases (17.6%), serous cystadenoma in two cases (5.8%), mucinous cystadenoma in one case (2.9%), para-ovarian cyst in one case (2.9%), and borderline serous tumor in two cases (5.8%). Two patients operated on during the second trimester developed preterm birth risk (5.8%). Miscarriage occurred in only one patient (2.9%). Conclusion: In this report, we demonstrate a high rate of surgical intervention of adnexal masses at pregnancy which is secondary to the fact that our center works as a tertiary referral center. Most masses at pregnancies were benign in character and our malignity rate was low. We detected an acceptable complication rate due to surgery in pregnant women.Öğe A New Technique For the Treatment of Transverse Vaginal Septum by Foley Catheter(ELSEVIER SCIENCE INC, 2011) Gezginc, Kazim; Yazici, Fatma; Karatayli, Rengin; Acar, AliWe report a new surgical technique for the management of transverse vaginal septum in a 13-year-old girl who presented with abdominal pain. Imaging techniques yielded hematocolpos. The patient and her family refused vaginal surgery in order to preserve hymenal integrity for sociocultural beliefs. At laparotomy, a vertical incision was made on posterior vaginal wall. An artery forceps was introduced from the hymenal opening while preserving the hymenal integrity. The septum located on the upper third of vagina was perforated by the help of a forceps introduced from posterior vaginal wall via an abdominal route. A Foley catheter was introduced from the introitus toward the septal perforation and was held by the forceps. The balloon of the catheter was placed on the perforated septum and it was insufflated with 10 ml of fluid. The Foley catheter was in place for 2 weeks. After removal of the catheter, she received oral contraceptive pills for 3 months postoperatively. She had regular spontaneous menses on follow-up for 6 months duration.Öğe NONCARDIOGENIC PULMONARY EDEMA DUE TO RITODRINE USAGE IN PRETERM LABOR(ELSEVIER SINGAPORE PTE LTD, 2008) Gezginc, Kazim; Guel, Mehmet; Karatayli, Rengin; Cander, Baser; Kanat, Fikret[Abstract not Available]Öğe Ovarian cancer during pregnancy(ELSEVIER IRELAND LTD, 2011) Gezginc, Kazim; Karatayli, Rengin; Yazici, Fatma; Acar, Ali; Celik, Cetin; Capar, MetinObjective: To evaluate the clinical features, pregnancy outcome, and treatment of patients with ovarian cancer diagnosed during pregnancy. Methods: The present study was a retrospective review of 11 cases of ovarian cancer detected during pregnancy. The women were treated and followed up at Selcuk University, Meram Faculty of Medicine, Konya, Turkey, during 2006-2010. Results: Approximately half the patients were asymptomatic (5 [45.5%]) and diagnosed during cesarean delivery (6 [54.5%]). The histopathologic tumor categories comprised malignant epithelial ovarian tumor (4 [36.4%]), borderline tumor (4 [36.4%]), malignant germ cell tumor (2 [18.2%]), and sex cord stromal tumor (1 [9.1%]). Nine (81.8%) tumors were classified as stage I. Conservative surgery was performed in 10 (90.9%) patients. A patient with stage IIIC serous papillary adenocarcinoma underwent hysterectomy with bilateral salpingo-oophorectomy. A patient with dysgerminoma in stage IV died on follow-up. Three infants were born premature; they were followed up in the neonatal intensive care unit with satisfactory outcomes. Conclusion: Early diagnosis and appropriate treatment are crucial for patients with ovarian cancer diagnosed during pregnancy. Tumor staging is possible during pregnancy, but the appropriateness of surgery needs to be considered carefully. Ideally, the treatment strategy should be discussed and structured on an individual basis. (C) 2011 Intemational Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.Öğe PELVIC TUBERCULOSIS MIMICKING PERITONITIS CARCINOMATOSIS AND DIAGNOSED BY LAPAROSCOPY(ELSEVIER SINGAPORE PTE LTD, 2009) Balci, Osman; Karatayli, Rengin; Capar, Metin[Abstract not Available]Öğe Successful treatment of uterine prolapse by abdominal hysteropexy performed during cesarean section(SPRINGER HEIDELBERG, 2013) Karatayli, Rengin; Gezginc, Kazim; Kantarci, Ali Haydar; Acar, AliUterine prolapse complicating pregnancy is extremely rare. This report presents the surgical correction of uterine prolapse during cesarean section. We report a case of a 33-year-old woman with twin gestation who admitted to obstetric clinic with labor pain and total uterine prolapse at 33 weeks of gestation. An emergent cesarean section was performed for the indication of acute fetal distress. At the same operation, following cesarean delivery, abdominal hysteropexy using rectus fascia strips was performed successfully. On control performed 6 months later, patient was examined and it was detected uterine prolapse had regressed and babies were uneventful. This surgical method offers effective treatment of uterine prolapse.
