ÖzAmaç: Orta ve ciddi ovaryan hiperstimülasyon sendromunda (OHSS) kullanılan perkütan pigtail kateter uygulamasının, intrasitoplazmik sperm enjeksiyonu (ICSI) uygulaması sonucu oluşan gebelik sonuçlarına etkisini araştırmayı amaçladık.Gereç ve Yöntemler: Retrospektif olan bu çalışma 2006-2014 yılları arasında tersiyer bir in vitro fertilizasyon ünitesinde uygulanan ICSI sonucunda gelişen OHSS nedeniyle yatarak tedavi edilen 189 hastayı içermektedir.Bu hastalardan 63 hastaya pigtail kateteri uygulanmış, 126 hastaya uygulamaya gerek kalmamıştır.Yüz yetmiş üç hastanın obstetrik sonuçlarına ulaşılabilmiş,

Pigtail

Ovarian hyperstimulation syndrome

10.4274/tjod.33340

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Comparison of highly purified human menopausal gonadotropin and recombinant follicle stimulating hormone use in patients undergoing in vitro fertilization with progestin-primed ovarian stimulation protocol: a single center retrospective analysis

Archives of Gynecology and Obstetrics (2024)

Selçuk Yetkinel Pınar Çağlar Aytaç Gülşen Doğan Durdağ Didem Alkaş Yağınç Esra Bulgan Kılıçdağ

Progestin

Gonadotropin

10.1007/s00404-024-07756-z

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Pathological assessment of follicular loss in laparoscopic endometrioma excision: Effects of cyst size and surgeon's experience

Journal of Obstetrics and Gynaecology Research (2014)

Pınar Çağlar Aytaç Huriye Ayşe Parlakgümüş Fılız Bolat Tayfun Çok Bülent Haydardedeoğlu

We planned to histologically demonstrate unintentional ovarian harm caused by excision of endometriomas.One hundred and seven patients with 135 endometriomas had laparoscopic excision of endometriomas at a tertiary health-care clinic over a 6-year period. Records were obtained retrospectively and pathological specimens were reevaluated to demonstrate follicular loss. Tissue damage was scored morphologically and compared according to surgeons' experience and endometrioma size.Ovarian follicles were detected in 80% of endometrioma specimens near the cyst wall. Morphological scores of ovarian follicles were not affected by the surgeon's experience or endometrioma size.Surgical excision of endometriomas causes inevitable ovarian follicular loss. As observed in our study, this loss rate could not be traced to surgical experience or ovarian size.

Follicular Cyst

10.1111/jog.12529

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Follicular Flushing at Oocyte Retrieval in Medically Assisted Reproduction

Springer eBooks (2020)

Pınar Çağlar Aytaç Bülent Haydardedeoğlu

Flushing

10.1007/978-981-15-2377-9_84

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Sirenomelia: Case Report

Turkiye Klinikleri Journal of Gynecology and Obstetrics (2015)

Selçuk Yetkinel Tayfun Çok Hakan Kalaycı Halis Özdemir Pınar Çağlar Aytaç

Sirenomeli, alt ekstremitelerde füzyon, tek umbilikal arter, iskelet-kas anomalileri, ürogenital ve gastrointestinal sistem anomalileri ile karakterize, nadir görülen bir sendromdur. Bu malformatif bozukluğun en belirgin hâli, alt ekstremitelerin parsiyel veya total füzyon sonucu tek bir uzuv şeklinde izlenmesidir. Sonuçta, antik Yunan mitolojisindeki denizkızına benzer görünüm meydana gelmektedir. Bu çalışmada, kliniğimize ilk trimesterde başvuran ve tanısı konulan sirenomeli olgusu sunulmuştur. Otuz üç yaşında, yaşayan üç gebeliği ve yaşayan iki sağlıklı çocuğu bulunan gebe, 13. gebelik haftasında polikliniğimize başvurdu. Ultrasonografide baş popo mesafesi 52 mm, 12/5 hafta ile uyumlu ve fetal ense kalınlığı 1.95 mm olan fetüsün bilateral böbrekleri ve mesanesi izlenemedi. Tek umbilikal arter saptandı. Bilateral alt ekstremiteleri yapışık görünümde idi. Her iki femuru altta füzyone olmuş tek tibia ile devam ediyordu. Sirenomeli, ciddi renal anomaliler nedeni ile çoğunlukla yaşamla bağdaşmayan ölümcül bir anomalidir. Ultrasonografi ile erken tanı konulması, ebeveynlerin olası terminasyon kararı alması açısından büyük öneme sahip olacaktır. Sirenomelia is a relatively uncommon syndrome. Musculoskeletal disorders such as lower extremity fusion, urogenital and gastrointestinal system abnormalities could meet the criteria of this syndrome. By this article, a case of sirenomelia syndrome is presented. The most prominent yet inconstant feature of this malformative disorder is the complete or partial fusion of the lower limbs into a single lower limb . The resultant infant bears a resemblance to the mermaid of ancient Greek mythology. 33 year old woman whom has had two healthy and alive children from three preganancies was consulted to our perinatology clinic at 13 weeks of gestation. CRL measure of 52 mm corresponds to 12 weeks 5 days of gestation. Fetal nuchal translucency was 1,95 mm. Bilateral kidneys and bladder couldn't have seen by ultrasonography. Only one umblical artery has dedected. Bilateral femur bones has continued with fused tibial bones has observed. Because of accompained serious renal abnormalities, sirenomelia is a fatal syndrome. For this reason diagnosis time plays a substantial role in parents decision at pregnancy termination.

10.5336/gynobstet.2014-41393

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Single-center 4-year outcomes of patients underwent cervical cerclage to prevent preterm labor

Perinatal Journal (2016)

Tayfun Çok Halis Özdemir Hakan Kalaycı Selçuk Yetkinel Pınar Çağlar Aytaç

Cervical cerclage

Center (category theory)

Single Center

10.2399/prn.16.0241002

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The effect of suture materials with different absorption times on isthmocele: a retrospective study

Ginekologia Polska (2023)

Selçuk Yetkinel Pınar Çağlar Aytaç Hakan Kalaycı Tayfun Çok Gülşen Doğan Durdağ

With the increasing rate of cesarean operations, the formation of niches and related early and late complications have been observed more frequently. In this study, we examined the effects of using a suture material that can be absorbed faster than conventional sutures on the formation of niches.This study was designed as a retrospective study and completed with a total of 101 patients. During the cesarean operation, the uterus was closed with Rapide Vicryl® in 49 patients and Vicryl® in 52 patients. The uterine niche was measured with a sonohysterogram 6 months after the operation. The primary outcome of the study was determined as uterine niche formation and the secondary outcome was the post-menstrual spotting (PMS) rate.Duration of surgery, intraoperative/postoperative blood loss, and hospitalization time were similar between the two groups. Niche formation was significantly lower in the Rapide Vicryl group (22.4%) when compared to the Vicryl group (42.3%) (p = 0.046). Also, PMS was observed significantly lower in the Rapide Vicryl group (16.2% and 52.8% in Rapide Vicryl and Vicryl groups, respectively; p = 0.002).The formation of niches and associated PMS rates were less with suture materials that were absorbed faster.

Vicryl

10.5603/gp.a2023.0052

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Sildenafil as a Salvage Treatment for Ovarian Torsion: A Rat Model

Gynecology Obstetrics and Reproductive Medicine (2023)

Didem Alkaş Yağınç Huriye Ayşe Parlakgümüş Selçuk Yetkinel Pınar Çağlar Aytaç Esra Bulgan Kılıçdağ

OBJECTIVE: In this study, we aimed to investigate the effect of sildenafil, acting as an anti-oxidant on the ischemic rat ovarian torsion model by pointing out ovarian reserve via AMH levels which is the best marker for oocyte pool.STUDY DESIGN: This study is an experimental animal study conducted according to the principles of the Declaration of Helsinki. Twenty-seven rats were assigned into three groups, each consisting of nine individuals. Group 1: Sham operation (laparotomy only) was performed. Group 2: The torsion group had bilateral torsion and detorsion of the ovaries. Group 3: In Sildenafil and torsion group the rats received 0.7 mg/kg sildenafil (Viagra, Pfizer, New York, ABD) intraperitoneally one hour before torsion and detorsion operation. One month after the initial operation, blood was drawn via the intra-cardiac route, and serum antimullerian hormone (AMH) concentrations were studied.RESULTS: The mean weights of the rats were similar 224 g, 229 g, and 222 g for groups 1, 2, and 3 respectively. Only one rat from Group 2(T/D) died during the experiment leaving eight rats for analysis. The mean value for AMH was 24.9227±12.19124 ng/ml and the mean value for weight was 226.22±19.200. The differences in AMH groups were not statistically significant (p=0.873)CONCLUSIONS: As a result, as is shown in our study, the ovarian reserve may not be influenced by ischemia developed by ovarian torsion or any influences could not change AMH levels. Sildenafil which was given to the rats before detorsion to protect against reperfusion ischemia was found to be ineffective on ovary reserve according to AMH assessment.

Ovarian torsion

10.21613/gorm.2023.1433

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A novel approach for congenital absence of the uterine cervix: Office hysteroscopic versapoint canalization using real-time trans-abdominal sonography guidance

Journal of Turkish Society of Obstetric and Gynecology (2016)

Bülent Haydardedeoğlu Pınar Çağlar Aytaç

Bu olgu sunumunda gerçek zamanlı trans-abdominal sonografi rehberliğinde Versapoint kullanılarak ofis histeroskopi yoluyla servikal agenezi için

Cervical canal

Agenesis

10.4274/tjod.59219

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