Management of fibroids prior to in vitro fertilization/intracytoplasmic sperm injection: A pragmatic approach

Fibroids are relatively common in women undergoing in vitro fertilization (IVF) treatment due to their high prevalence in women. It is generally accepted that submucosal fibroids are deleterious to IVF outcomes and their removal is beneficial. Evidence from relatively low quality studies on the impact of intramural fibroids on IVF outcome is also suggestive of a detrimental impact. The majority of published studies included women with relatively small intramural fibroids and women with cavity-distorting fibroids were usually excluded, hence it is quite likely that the detected impact in the systematic reviews is an underestimation. Evidence of benefit is scarce for the removal of noncavity-distorting intramural fibroids. It is quite likely that numbers needed to treat for this purpose would be very high for small fibroids but lower for larger fibroids. This would need to be taken into account when decisions are made on myomectomy and potential benefits should be weighed against the associated morbidity, cost, and delay in fertility treatment. Whilst there is a need to perform prospective randomised studies in this field, a pragmatic approach that takes prognostic factors into account to estimate the magnitude of the possible impact of the fibroid(s) and potential benefit of removal is likely to lead to better reproductive outcomes

Tips and tricks for laparoscopic interval transabdominal cervical cerclage; a simplified technique

With the advance of laparoscopic surgery, several minimally invasive cervical cerclage techniques have been described and the outcomes of those have been promising. With this video article, we describe a simplified technique for laparoscopic interval transabdominal cervical cerclage. The suture material is a standard non-absorbable, braided polyester Mersilene tape, which is also used for transvaginal cerclage. The straightened needle is passed medial to the uterine vessels and lateral to the cervico-isthmic junction in anteroposterior direction on both sides, and pulled out above the uterosacral ligament. The knot is tied posteriorly, just above the uterosacral plate. The advantages of straightened needles are easy insertion into the abdominal cavity through the 5-mm ports, and more accurate direction of the suture in anteroposterior direction. In addition, posterior knots can be removed via colpotomy in the event of pregnancy failure in the second trimester, and this allows vaginal delivery

The effect of dyeing properties of fixing agent and plasma treatment on silk fabric dyed with natural dye extract obtained from Sambucus Ebulus L. Plant

Bu çalışma, 28-30 Mayıs 2015 tarihleri arasında İstanbul[Türkiye]’da düzenlenen World Conference on Technology, Innovation and Entrepreneurship’da bildiri olarak sunulmuştur.In this study, the natural dye extracted from the fruits of Sambucus Ebulus L. (Dwarf Elder) was used to dye silk fabric. Prior to the dyeing process, the samples were exposed to oxygen plasma pre-treatment at low frequency for 1 and 5 minutes. Following the plasma pre-treatment, the samples were dyed with the natural dye by the use of conventional and microwave dyeing methods. After dyeing procedure, the samples were treated with three different fixing agents. Finally, the effect of plasma pre-treatment and microwave energy, and type of fixing agent as a dyeing procedure on colour fastness to light, rubbing and washing and also the colour strength of the samples were investigated. According to the results, the increase on plasma treatment time and microwave energy increased the colour strength of samples. The fixing agent treatment did not affect much as the colour fastness properties of dyed samples