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Öğe Pyosalpinx caused by the tubal migration of an intrauterine device - a case report(TAYLOR & FRANCIS LTD, 2008) Oezdemir, Suna; Cihangir, Nalan; Goerkemli, Hueseyin; Emlik, DilekMigration of an intrauterine device (IUD) is a complication occurring at or following insertion. After having perforated the uterine wall, the IUD usually will settle into the peritoneal cavity. Tubal migration of an IUD is extremely rare and little is known about its mechanism. We describe a case of pyosalpinx caused by the tubal migration of a copper IUD. The tail of the device was embedded in the mesocolon.Öğe Repeated in vitro Fertilization Failure and Its Relation with Thrombophilia(KARGER, 2009) Simur, Aynur; Oezdemir, Suna; Acar, Hasan; Colakoglu, M. Cengiz; Goerkemli, Hueyin; Balci, Osman; Nergis, SueleymanBackground: The objective of this study was to determine the prevalence of some thrombophilic factors and its relation to in vitro fertilization (IVF)-embryo transfer failure in women who had had three or more previously failed IVF-embryo transfer cycles. Methods: The study group included 51 consecutive women with three or more previously failed IVF-embryo transfer cycles (group 1). The control group included 50 women who conceived spontaneously with at least one uneventful pregnancy and no previous history of miscarriage. All women were tested for the presence of factor V Leiden, prothrombin (G20210A), and methylenetetrahydrofolate reductase (C677T) mutations. Results: A similar prevalence of factor V Leiden, prothrombin, and methylenetetrahydrofolate reductase mutations was found in both groups. At least one inherited thrombophilic factor was detected in 62.7% of women with repeated IVF failure and in 53.9% of women in group 2. No association between repeated IVF failure and these thrombophilic factors was found statistically. Conclusion: These data suggest that factor V Leiden, methylenetetrahydrofolate reductase and prothrombin gene mutation do not have a significant role in IVF-embryo transfer implantation failure. Copyright (C) 2008 S. Karger AG, BaselÖğe Treatment of Angiokeratoma of Fordyce with Long-Pulse Neodymium-Doped Yttrium Aluminium Garnet Laser(WILEY-BLACKWELL PUBLISHING, INC, 2009) Oezdemir, Mustafa; Baysal, Ibrahim; Engin, Burhan; Oezdemir, SunaAngiokeratomas are typically asymptomatic, blue-to-red papules with a scaly surface located on the scrotum, shaft of penis, labia majora, inner thigh, or lower abdomen. The treatment of angiokeratomas may be necessary if they bleed and lead to patient anxiety. To determine the safety and effectiveness of long-pulse 1,064 neodymium-doped yttrium aluminium garnet (Nd:YAG) laser for the treatment of angiokeratomas of Fordyce. Ten consecutive patients with angiokeratoma of Fordyce were treated with long-pulse Nd:YAG laser in two to six sessions. The three authors independently assessed improvement of the lesion based on digital photographs taken before the treatment and 2 months after the end of the treatment. Significant (> 75%, < 100%) and moderate (> 50%, < 75%) improvement was seen in six and two patients, respectively. Complete improvement was achieved in one patient. Transient swelling, purpura, bleeding, and some pain in the treated area were noted in all patients as short-term side effects. There were no permanent side effects. The long-pulse Nd:YAG laser is a highly effective and safe treatment for angiokeratoma of Fordyce. The authors have indicated no significant interest with commercial supporters.