Maternal and Perinatal Outcomes of Acute Pancreatitis During Pregnancy

Objective: To investigate the maternal and perinatal mortality and morbidity due to acute pancreatitis during pregnancy by reviewing our experience over a ten-year period

Pregnancy and Toxoplasma Infection

Toxoplasmosis is an infectious disease caused by a protozoa named Toxoplasma gondii. It is a very important disease because it is related to fetal anomalies and poor perinatal outcomes like abortus and stillbirth. It spreads via uncooked meat and contaminated food. Timely and appropriate treatment and management of this infection prenatally reduces the risk of serious neurological sequelae. Therefore it is crucial that clinician who takes care of pregnant women know this infection deeply. In this review we aimed to summarize the prenatal diagnosis, complications and treatment of toxoplasma infection. [Archives Medical Review Journal 2016; 25(4.000): 457-466

Recurrent obturator abscess with spontaneous expulsion of the mesh after transobturator tape operation

The transobturator tape operation has been the most popular method of SUI surgery worldwide owing to its low complication rate and high success rate. However, erosions and abscesses secondary to transobturator tape have been observed. Here we report a 36-year-old woman referred to our unit with fever, persistent swelling in the left groin, difficulty in walking, and a tape that came through the vagina, 4 years after the transobturator tape operation. She had a history of ischiorectal abscess and rectovaginal fistula. A recurrent obturator abscess with fistula formation and spontaneous expulsion of the mesh was diagnosed. The patient underwent antibiotic therapy, incision through the fistula tract, drainage of the abscess, and removal of the necrotic material. Patients should be informed about risks of erosion and infection and that pain and foul smelling vaginal discharge might be the first signs of severe infectious morbidities after transobturator tape operation

Changes in Markers of Ovarian Reserve After Laparoscopic Ovarian Cystectomy

Study Objective: This study was conducted to determine the changes in ovarian reserve markers after laparoscopic ovarian cystectomy (LOC)

Significance of septa in first trimester increased nuchal translucency thickness

The objective of this study was to investigate perinatal outcome in cases of increased nuchal translucency (NT) with or without cystic hygroma (CH), and to determine whether first-trimester CH engenders a greater risk than simple increased NT

Prenatal diagnosis of persistent left superior vena cava: a retrospective study of associated congenital anomalies

WOS: 000462504300004PubMed ID: 31019836Objective: To evaluate persistent left superior vena cava (PLSVC) cases according to associated cardiac, extracardiac, and chromosomal anomalies in the prenatal period and to review their outcomes. Materials and Methods: The data of patients with a prenatal diagnosis of PLSVC between January 2013 and December 2017 were reviewed retrospectively. Results: Data of 32 cases were reviewed. Nineteen (60%) cases were associated with cardiac defects, 5 (15%) were associated with both cardiac and extracardiac defects, and 8 (25%) had no associated anomalies. Two fetuses had karyotype anomalies. All patients with isolated PLSVC survived. Among the cases associated with extracardiac anomalies, cardiac anomalies, and with both extracardiac and cardiac anomalies, the survival rate was 40%, 40%, and 25%, respectively. Outcome was more favorable in cases with isolated PLSVC (100% vs. 40%). Conclusion: Prenatally diagnosed PLSVC is associated with cardiac and extracardiac anomalies in the majority of cases. The prognosis is good in isolated cases, but worsens when accompanied by cardiac or extracardiac anomalies

The role of anti-mullerian hormone for determining the ovarian reserve of IVF patients

WOS: 000399405200003Purpose: The puspose of this study was to find the level of effectiveness and reliability of AMH (anti-mullerian hormone) in indicating the over reserve of IVF patients in comparison with other reserve indicators used. Materials and Methods: The study included 89 infertile couples ages between 18 and 45. Basal serum FSH, LH, E2, prolactin, fT3, fT4 and TSH, AMH levels of female patients were measured in the 3rd day of menstruation. Ovary volume and AFC(antral follicle count) were determined through transvaginal ultrasound. In our study, all patients were subjected to long protocol with GnRH agonist. Oocyte numbers equal to or higher than 4 were included in the " good response" group and oocyte numbers lower than 4 were included in the "poor response" group. Afterwards, the results obtained were statistically compared with other parameters used for determination of ovarian reserve. Results. Significant differences were present between two groups in terms of age, serum FSH, AMH levels, hCG day E2 levels, number of antral follicles, hCG day follicle numbers and mature oocyte numbers. When the cutoff value for AMH was taken to be 0,24 ng/ml, sensitivity and specifity were determined to be 82.1% and 72.7% respectively. Conclusion: There is a strong relationship between serum AMH level and the ovarian response of the patients. Besides, AMH levels were determined to be in relation with the pregnancy rate

Five years single institution retrospective analysis of the borderline ovarian tumors'

WOS: 000399391600006Purpose: The aim of this study was to evaluate the borderline ovarian tumor cases who were operated in our clinic Material and Methods: The last 5 years' pathology reports, computer records and archival files of the Cukurova University Medical Faculty Gynecologic Oncology Unit were retrospectively reviewed for the borderline ovarian tumor patients. A total of 41 cases were detected and included in the study. Patients' demographic characteristics, preoperative assessments, operation and pathological features were evaluated Results: Patients' mean age was 41 and 85% of them were premenopausal. Average of the tumor diameter was found to be 10cm in the preoperative ultrasound examination. Mean of the preoperative ca125 value was 120. While total hysterectomy + bilateral salpingo-oophorectomy was applied to 12 cases, unilateral salpingo-oophorectomy was performed in the remaining 29 patients. Lymphadenectomy was carried out in 41.5% of the patients. Serous borderline was the most common histology (70.7%). Majority of the cases was with stage I disease (90.2%). No recurrences were determined among the study population Conclusion: Borderline ovarian tumors have a favorable prognosis and therefore, unilateral salpingo-oophorectomy can be suggested to be a safely treatment approach for patients who desire to protect their fertilit

Prenatal Diagnosis of Persistent Left Superior Vena Cava and its Clinical Significance

Background: Persistent left superior vena cava (PLSVC) is a variant of systemic venous return which is observed in 0.3% of autopsies in the general population and in 4-8% of patients with congenital heart disease