Browsing by Author "Aslancan, Reyhan"

Now showing 1 - 5 of 5

Citation Count: 0
Ambiguus Genitalya ve Böbrek Agenezisi ile Birlikte Görülen Heterofagusun en Nadir Formu Olan İskiofagus Vakası
(2020) Çalışkan, Eray; Haqverdiyev, Emin; Akar, Bertan; Gümüştaş, Gokhan; Aslancan, Reyhan
Parazit iki kiz parsiyel olarak rezorbe olmuş ve normal fetus üzerinde yerleşmiş inkomplet fetüsü tariflemek için kullanılan bir terimdir. İskiofagus normal fetuse ileumdan bağlanmış parazitik fetüsü ifade edip parazit ikiz vakalarının en nadir görülen formudur. Bu vakada on üç haftalık fetus birinci trimester ultrasonografik incelemesinde iskiofagus, ambiguus genitalya ve böbrek agenezisi tanısı almıştır. Ailenin kararı sonucu terminasyon uygulanmıştır. Parazitik ikiz vakaları eşlik edebilecek multisistemik anomaliler açısından dikkatli incelenmelidir. Aileyi fetüsün durumunun yaşamla bağdaşırlığı açısından bilgilendirmek gereksiz terminasyonları önlemek açısından önemlidir.
Citation Count: 17
Aspirin, low molecular weight heparin, or both in preventing pregnancy complications in women with recurrent pregnancy loss and factor V Leiden mutation
(Taylor & Francis Ltd, 2020) Karadag, Cihan; Akar, Bertan; Gonenc, Gokcenur; Aslancan, Reyhan; Yilmaz, Nagihan; Caliskan, Eray
Objective: The aim of this study was to compare the effects of low molecular weight heparin (LMWH), LMWH plus low dose aspirin, or low dose aspirin only on pregnancy outcomes in recurrent pregnancy loss (RPL) patients with factor V Leiden mutation (FVLM). Materials and methods: A total of 2764 RPL patients were evaluated in for the etiology of RPL. Mutations in factor V Leiden homozygous and heterozygous were determined. Subsequently, 196 of these patients were diagnosed with FVLM and included in the study; of these 174 completed the study. At the sixth week of gestation of subsequent pregnancy participants were randomly distributed into three groups. Group A (n?=?61) was composed of patients with an oral dose of 100?mg aspirin daily, Group B (n?=?59) consisted of patients using 40?mg enoxaparin and 100?mg orally aspirin daily, and Group C (n?=?54) included patients using 40?mg enoxaparin daily during pregnancy. Results: Among the 174 patients who completed the study, the live birth and miscarriage rates were similar for the three groups (p?=?.843 and p?=?.694, respectively). There was no significant difference among the groups in rates of eclampsia, placental abruption, intrauterine fetal growth restriction and gestational diabetes mellitus. The number of preeclamptic patients was significantly higher in Group A than Groups B and C. The levels of preterm birth was significantly higher in Group A than Groups B and C. Conclusion: Using low dose aspirin, LMWH plus aspirin, or LMWH alone yielded comparable live birth rates in RPL patients with FVLM. However, LMWH decreased the risk of preeclampsia in this group of patients. LMWH might therefore have a preventive role regarding preeclampsia.
Citation Count: 0
Ciddi Asherman Sendromunun Histeroskopik Tedavisi Sonrası Ivf Gebeliklerde Görülen İnce Endometrium Zemininde Gerçekleşen Plasenta İnvazyon Anomalileri: Olgu Serisi
(2020) Çalışkan, Eray; Yalçınkaya, Leylim; Akar, Bertan; Haqverdiyev, Emin; Gümüştaş, Gokhan; Aslancan, Reyhan
Geçirilmiş uterin cerrahi, plasenta invazyon anomalileri için en önemli nedenlerden olan Asherman sendromu için önemli bir risk faktörüdür. Bu çalışmada ciddi intra uterin adhezyonların tedavisi için yapılan histeroskopik adhezyolizis sonrası persiste eden ince endometriyum (<7 mm) zemininde gerçekleşen üç IVF gebeliğinin sonuçları sunulmaktadır. Değişik seviyelerde plasenta invazyon anomalileri sezaryen doğum sırasında tespit edilmiştir. Konservatif yaklaşımla kontrol edilemeyen ilk iki plasenta perkreata vakası sezaryen histerektomi ile sonlandırılırken, daha azinvazyon gözlenen üçüncü vaka da uterus koruyucu cerrahi tercih edilmiştir. Ciddi uterus adhezyonları sebebiyle histeroskopik adhezyolizis geçirmiş hastaların gebelikleri yüksek riskli gebelik Kabul edilmeli ve bu riskli durumdan ötürü yakından takip edilmelidir
Citation Count: 1
The Effect of Hands-On Cadaver and Live Surgery Practice on Surgeons' Performance in Urogynecologic Operations: One-Year Follow-Up
(Mary Ann Liebert, inc, 2020) Akar, Bertan; Aslancan, Reyhan; Dogan, Ozan; Basbug, Alper; Sivaslioglu, Akin; Caliskan, Eray
Objective: Surgical procedures need a combination of theoretical knowledge and practical experience to be performed properly. Postresidency education programs provide opportunities to practice new surgical techniques. This article evaluates 2 different educational strategies for learning new techniques in the field of urogynecology. One of the strategies is commonly practiced theoretical education plus observation of live surgeries, and the other strategy is a threefold approach of theoretical education, as well as cadaver training and performing live surgery. Materials and Methods: The study was designed as a prospective cohort study. The occupational experiences of 58 obstetricians and gynecologists were documented prior to the educational interventions. Two groups were created, based on the participants' preferences. Group 1 had theoretical education followed by observation of live surgery through broadcasting. Group 2 had theoretical education, plus a 1-day cadaver-based surgery course, as well as assisting tutors in hands-on operations. At a 1-year follow up, different types of surgeries performed throughout the year by each surgeon were recorded and analyzed using SPSS. Results: Prior to the course, both groups had similar experiences in urogynecologic operations (p > 0.05). In Group 2, significantly more surgeons began to perform tension-free vaginal tape (TVT) interventions regularly after the course (p < 0.001), a procedure considered more technically demanding. Surgeons utilizing any of the midurethral slings including TVT, transobturator tape, or mini-slings increased by 20% in Group 2, a statistically significant increase (p = 0.03). Conclusion: A threefold approach of theoretical education, cadaver practice, and live surgery significantly increases surgeon adaptation to utilization of midurethral slings, compared to exclusively theoretical education with observation of live surgery. (J GYNECOL SURG 20XX:000)
Citation Count: 3
Treatment methods for vulvovaginal candidiasis in pregnancy
(Masson Editeur, 2021) Bender, Rukiye Ada; Caliskan, Seyda; Onal, Burak; Aslancan, Reyhan; Caliskan, Eray
Introduction: Vulvovaginal candidiasis (VVC) is one of the three most common vaginal infections of women. Our goal is to check which treatment method (vaginal or vaginal combined with oral) is more effective for each trimester to treat VVC. Materials and Method: A retrospective analysis was performed and vaginal culture results after treatment of 61 pregnant women who were treated with vaginal or vaginal plus oral antifungals, were collected. Women were grouped according to the method were treated and the trimester they were in. Patients who had used vaginal 750 mg metronidazole + 200 mg miconazole nitrate were determined as the vaginal treatment group. Patients who had used vaginal 750 mg metronidazole + 200 mg miconazole nitrate and oral 150 mg fluconazole were determined as the vaginal plus oral treatment group. Results: When the patients were grouped according to treatment method, there were no significant differences in demographic characteristics except previous antibiotic use. Previous antibiotic use was significantly higher in the vaginal treatment group (p<0.05). There were no statistically significant differences between the recurrence of VVC in the vaginal and vaginal plus oral treatment group in the first, second, and third trimesters. Discussion: The results of the study showed that the efficiency of the vaginal treatment was the same as the vaginal plus oral treatment in all three trimesters in the aspect of VVC recurrence. Local treatment of VVC has several advantageous features when compared with oral therapy including a low rate of adverse events, safe utilization during pregnancy, and breastfeeding. (C) 2021 Elsevier Masson SAS. All rights reserved.