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Dur R, Demirdag E, Yucel Celik O, Karahanoglu E, Dur G, Ozdemir CY, Yucel A, Moraloglu Tekin O. Adnexal masses and pregnancy: a single-center experience of 9 years. Arch Gynecol Obstet 2024:10.1007/s00404-024-07527-w. [PMID: 38704757 DOI: 10.1007/s00404-024-07527-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 04/21/2024] [Indexed: 05/07/2024]
Abstract
PURPOSE This study aims to analyze the experience of a tertiary health center about the management of adnexal masses that have been diagnosed during pregnancy or detected accidentally during cesarean delivery. METHODS This is a retrospective review of 160 women who underwent concurrent surgery for adnexal mass during cesarean section, 24 women who delivered vaginally and subsequently had surgery due to the prenatal diagnosis of adnexal mass and 10 women who underwent surgery for adnexal mass during pregnancy. Corresponding to the delivery and surgery times, 200 women who had no diagnosis of pregnancy-associated adnexal mass served as controls. RESULTS The women in the control group and study groups had statistically similar gestational age at delivery, birth weight and preterm delivery (p > 0.05 for all). Miscarriage was significantly more frequent in women undergoing surgery for adnexal mass during pregnancy (p = 0.001). The women who had surgery for adnexal mass during pregnancy, at the time of cesarean section and following delivery were statistically similar with respect to surgery type and histopathological diagnosis (p > 0.05 for both). Malignancy was detected in none of the patients who underwent surgery for adnexal mass during pregnancy. Acute abdomen was the indication for the emergency surgery in six patients (3.5%) who had surgery for adnexal mass during pregnancy. Four patients (2.4%) had surgery for adnexal mass during pregnancy due to the high index of suspicion for malignancy. CONCLUSION The risk of malignancy was relatively lower in this cohort of adnexal masses detected during pregnancy and cesarean delivery. Surgical management of adnexal masses should be postponed to postpartum period as such management leads to an increased risk of miscarriage. Unless there is a need for emergent surgery or cancer staging, vaginal delivery should be encouraged in women diagnosed with adnexal mass during pregnancy.
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Affiliation(s)
- Rıza Dur
- Department of Obstetrics and Gynecology, Afyonkarahisar Health Sciences University Hospital, Afyonkarahisar, Turkey.
- Zafer Sağlık Külliyesi Dörtyol Mahallesi, 2078 Sokak No: 3, Afyonkarahisar, Turkey.
| | - Erhan Demirdag
- Department of Obstetrics and Gynecology, Gazi University Hospital, Ankara, Turkey
| | - Ozge Yucel Celik
- Department of Perinatology, Van Training and Research Hospital, Van, Turkey
| | | | - Gamze Dur
- Department of Family Medicine, Afyonkarahisar Health Sciences University Hospital, Afyonkarahisar, Turkey
| | - Cem Yagmur Ozdemir
- Department of Obstetrics and Gynecology, Afyonkarahisar Health Sciences University Hospital, Afyonkarahisar, Turkey
| | - Aykan Yucel
- Department of Obstetrics and Gynecology Obstetrics, Ankara City Hospital, Ankara, Turkey
| | - Ozlem Moraloglu Tekin
- Department of Obstetrics and Gynecology Obstetrics, Ankara City Hospital, Ankara, Turkey
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Baser E, Ozdemirci S, Uysal D, Karahanoglu E, Sivaslioglu A. Effects of Surgical Anatomical Correction of Pelvic Anterior Compartment Defect on Lower Urinary Tract Symptoms. Low Urin Tract Symptoms 2017; 10:277-280. [PMID: 28921924 DOI: 10.1111/luts.12180] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2017] [Accepted: 03/07/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVE To evaluate the effects of surgical anatomical correction on lower urinary tract symptoms (LUTS) in patients with a pelvic anterior compartment defect (PACD). METHODS This prospective study was carried out on 30 women who had stage II-IV PACD. The women were questioned regarding LUTS symptoms such as urgency, urge incontinence, frequency, hesitancy, abnormal emptying, nocturia and dysuria pre and postoperatively. After a 7-month follow up, the comparison of LUTS symptoms with respect to their healing, existence or de novo appearance was performed using the McNemar and Bowner and Wilcoxon signed-rank tests. RESULTS For the repair of ACD, 15, 8 and 7 women were operated on using site-specific surgery, transvaginal mesh placement and anterior colporrhaphy, respectively. Surgery has significantly improved the LUTS: urgency (100 vs 26.7%, urge incontinence (70 vs 16.7%), frequency (76.7 vs 13.3%), abnormal emptying (56.7 vs 10%), hesitancy (30 vs 6.7%), nocturia (83.3 vs 60%) and dysuria (30 vs 6.7%). The differences were statistically significant (P < 0.05). CONCLUSIONS The correctional surgery on anterior compartment defects not only maintains the anatomy but also significantly heals the LUTS.
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Affiliation(s)
- Emre Baser
- Department of Obstetrics and Gynecology, Obstetrics Clinic, Etlik Zubeyde Hanim Women's Health Education and Research Hospital, Ankara, Turkey
| | - Safak Ozdemirci
- Perinatology & High-Risk Pregnancy Clinic, Etlik Zubeyde Hanim Women's Health Education and Research Hospital, Ankara, Turkey
| | - Dilek Uysal
- Department of Obstetrics and Gynecology, Obstetrics Clinic, Izmir Katip Celebi University Ataturk Education & Research Hospital, Izmir, Turkey
| | - Ertugrul Karahanoglu
- Perinatology & High-Risk Pregnancy Clinic, Etlik Zubeyde Hanim Women's Health Education and Research Hospital, Ankara, Turkey
| | - Akın Sivaslioglu
- Department of Obstetrics and Gynecology, Medical Faculty Hospital, Mugla Sitki Kocman University, Mugla, Turkey
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Akpinar F, Yilmaz S, Karahanoglu E, Ozelci R, Coskun B, Dilbaz B, Tekin ÖM. Intimate partner violence in Turkey among women with female infertility. Sexual and Relationship Therapy 2017. [DOI: 10.1080/14681994.2017.1327711] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Funda Akpinar
- Department of Obstetrics and Gynecology, University of Health Sciences Ankara Etlik Zubeyde Hanim Health Practice Research Center, Ankara, Turkey
| | - Saynur Yilmaz
- Department of Obstetrics and Gynecology, University of Health Sciences Ankara Etlik Zubeyde Hanim Health Practice Research Center, Ankara, Turkey
| | - Ertugrul Karahanoglu
- Department of Obstetrics and Gynecology, University of Health Sciences Ankara Etlik Zubeyde Hanim Health Practice Research Center, Ankara, Turkey
| | - Runa Ozelci
- Department of Obstetrics and Gynecology, University of Health Sciences Ankara Etlik Zubeyde Hanim Health Practice Research Center, Ankara, Turkey
| | - Bora Coskun
- Department of Obstetrics and Gynecology, University of Health Sciences Ankara Etlik Zubeyde Hanim Health Practice Research Center, Ankara, Turkey
| | - Berna Dilbaz
- Department of Obstetrics and Gynecology, University of Health Sciences Ankara Etlik Zubeyde Hanim Health Practice Research Center, Ankara, Turkey
| | - Özlem Moraloğlu Tekin
- Department of Obstetrics and Gynecology, University of Health Sciences Ankara Etlik Zubeyde Hanim Health Practice Research Center, Ankara, Turkey
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Karahanoglu E, Altinboga O, Akpinar F, Demirdag E, Ozdemirci S, Akyol A, Yalvac S. Nifedipine increases fetoplacental perfusion. J Perinat Med 2017; 45:51-55. [PMID: 27387329 DOI: 10.1515/jpm-2016-0072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/29/2016] [Accepted: 06/03/2016] [Indexed: 11/15/2022]
Abstract
AIM Our aim is to evaluate the effect of nifedipine on fetoplacental hemodynamic parameters. METHODS A retrospective study was conducted at a tertiary center with 30 patients for whom nifedipine treatment was used as a tocolytic therapy for preterm labor. Initiation of this treatment was at 31.6±2.5 weeks of gestation. We combined the pulse Doppler imaging parameters with grayscale imaging via the Bernoulli theorem, which is called the "continuity equation", to get the fetoplacental perfusion (FPP). Evaluated parameters were the resistance index (RI), the pulsatility index (PI), systole/diastole ratios (S/D), the velocity-time integral of the umbilical artery (VTI), the radius of the umbilical artery, the peak systolic velocity and the mean pressure gradient in the umbilical artery. From these parameters, the FPP was acquired. RESULTS We found that the RI, the PI and the S/D ratio did not change after treatment with nifedipine. The mean pressure gradient, the VTI and the peak systolic velocity increased after treatment with nifedipine. Nifedipine increases FPP from 166±73.81 beat.cm3/min to 220±83.3 beat.cm3/min. DISCUSSION Although nifedipine had no effect on the PI, the RI or the S/D, it increased the mean pressure gradient, the VTI and FPP.
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Esinler D, Aldemir OB, Alici Davutoglu E, Karahanoglu E, Salihoglu KN, Kuzu E, Yerebasmaz N, Kandemir O, Yalvac S. A new mathematical formula to predict the foetal weight in twin pregnancies: A comparison of it with 19 different formulas. J OBSTET GYNAECOL 2016; 37:53-57. [PMID: 27924666 DOI: 10.1080/01443615.2016.1209171] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
One hundred and seventy-two twin-pregnant patients were enrolled. The estimated foetal weight was calculated using 19 different formulas. Ong's formula (0.954 (95%CI = 0.938/0.966)), which was designed specifically for twins, produced the highest Cronbach's alpha value followed by Hadlock II (0.952 (95%CI = 0.935/0.965)), Hadlock I (0.952 (95%CI = 0.935/0.964)), Hadlock III (0.952 (95%CI = 0.935/0.964)), Hadlock IV (0.952 (95%CI = 0.935/0.964)) and our formula (0.952 (95%CI = 0.935/0.964)), which produced the same Cronbach's alpha values for twin A. For twin B, our formula produced the highest Cronbach's alpha value (0.961 (95%CI = 0.948/0.972) followed by Hadlock II (0.960 (95%CI = 0.946/0.971)), Hadlock I (0.960 (95%CI = 0.946/0.970)), Hadlock III (0.960 (95%CI = 0.946/0.970)) and Hadlock IV (0.960 (95%CI = 0.946/0.970)). In conclusion, our formula (AC, FL) performed well in predicting the foetal weights in twin pregnancies (>24 weeks) in our study. However, it should be tested in other populations. Hadlock II (AC, FL) produced a comparable performance to Hadlock I (BPD, HC, AC, FL), Hadlock III (BPD, AC, FL) and Hadlock IV (HC, AC, FL). Hadlock II may be preferable in twin pregnancies since it is based on AC and FL only.
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Affiliation(s)
- Deniz Esinler
- a Department of Obstetrics and Gynecology, Division of Maternal and Fetal Medicine , Etlik Zubeyde Hanim Maternity Hospital , Ankara , Turkey
| | - Oya Bircan Aldemir
- a Department of Obstetrics and Gynecology, Division of Maternal and Fetal Medicine , Etlik Zubeyde Hanim Maternity Hospital , Ankara , Turkey
| | - Ebru Alici Davutoglu
- a Department of Obstetrics and Gynecology, Division of Maternal and Fetal Medicine , Etlik Zubeyde Hanim Maternity Hospital , Ankara , Turkey
| | - Ertugrul Karahanoglu
- a Department of Obstetrics and Gynecology, Division of Maternal and Fetal Medicine , Etlik Zubeyde Hanim Maternity Hospital , Ankara , Turkey
| | - Kerime Nazli Salihoglu
- a Department of Obstetrics and Gynecology, Division of Maternal and Fetal Medicine , Etlik Zubeyde Hanim Maternity Hospital , Ankara , Turkey
| | - Ebru Kuzu
- a Department of Obstetrics and Gynecology, Division of Maternal and Fetal Medicine , Etlik Zubeyde Hanim Maternity Hospital , Ankara , Turkey
| | - Neslihan Yerebasmaz
- a Department of Obstetrics and Gynecology, Division of Maternal and Fetal Medicine , Etlik Zubeyde Hanim Maternity Hospital , Ankara , Turkey
| | - Omer Kandemir
- a Department of Obstetrics and Gynecology, Division of Maternal and Fetal Medicine , Etlik Zubeyde Hanim Maternity Hospital , Ankara , Turkey
| | - Serdar Yalvac
- a Department of Obstetrics and Gynecology, Division of Maternal and Fetal Medicine , Etlik Zubeyde Hanim Maternity Hospital , Ankara , Turkey
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Akpinar F, Dilbaz B, Cırık DA, Yilmaz S, Kiykac S, Karahanoglu E, Mollamahmutoglu L. The significance of anthropometric and endocrine parameters in ovulation induction with clomiphene citrate in women with polycystic ovary syndrome. Saudi Med J 2016; 37:1272-1275. [PMID: 27761570 PMCID: PMC5303809 DOI: 10.15537/smj.2016.11.15006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Objectives: To investigate factors associated with the response to ovarian stimulation in patients with polycystic ovary syndrome. Methods: The records of patients with polycystic ovary syndrome and infertility who underwent ovulation induction with clomiphene citrate were reviwed between January 2011 and December 2014 in Etlik Zübeyde Hanim Women’s Health Training and Research Hospital Ankara, Turkey. The anthropometric and endocrine factors of patients who were resistant to treatment at a dose of 150 mg/day (n=84) were compared with those who responded with growth of at least one graaffian follicle at a dose of 50 mg/day (n=342). Results: Of the parameters examined, body mass index, luteinizing hormone level, and luteinizing hormone/follicle stimulating hormone ratio were significantly higher in the clomiphene citrate-resistant group compared with the responsive group. Conclusion: Reproductive treatment in patients with polycystic ovary syndrome show different outcomes. Significantly higher body mass index, luteinizing hormone level, and luteinizing hormone/follicle stimulating hormone ratio observed in clomiphene citrate resistant group can be a possible explanation for this impedance.
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Affiliation(s)
- Funda Akpinar
- Department of Obstetrics and Gynecology, Etlik Zübeyde Hanım Women's Health Training and Research Hospital, Ankara, Turkey. E-mail.
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Gultekin IB, Altınboga O, Karahanoglu E, Dogan NG, Icer B, Alkan A, Kucukozkan T. To what extent do the presentation of fetus, amniotic fluid index and fetal weight at term affect the cardiac axis? J Electrocardiol 2016; 49:560-3. [DOI: 10.1016/j.jelectrocard.2016.04.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Indexed: 10/21/2022]
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Akpinar F, Yerebasmaz N, Unlubilgin E, Karahanoglu E, Kayikcioglu F, Dede S. Total Laparoscopic versus Vaginal Hysterectomy: The experience of a Training Hospital. Ginekol Pol 2016; 87:111-5. [PMID: 27306287 DOI: 10.17772/gp/61548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2016] [Indexed: 11/12/2022] Open
Affiliation(s)
- Funda Akpinar
- Etlik Zubeyde Hanim Women's Health Training and Research Hospital.
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Karahanoglu E, Akpinar F, Demirdag E, Yerebasmaz N, Ensari T, Akyol A, Ulubas Isik D, Yalvac S. Obstetric outcomes of isolated oligohydramnios during early-term, full-term and late-term periods and determination of optimal timing of delivery. J Obstet Gynaecol Res 2016; 42:1119-24. [DOI: 10.1111/jog.13024] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2015] [Revised: 02/08/2016] [Accepted: 03/11/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Ertugrul Karahanoglu
- Etlik Zubeyde Hanim Women's Health Education and Research Hospital; Ankara Turkey
| | - Funda Akpinar
- Etlik Zubeyde Hanim Women's Health Education and Research Hospital; Ankara Turkey
| | - Erhan Demirdag
- Etlik Zubeyde Hanim Women's Health Education and Research Hospital; Ankara Turkey
| | - Neslihan Yerebasmaz
- Etlik Zubeyde Hanim Women's Health Education and Research Hospital; Ankara Turkey
| | - Tugba Ensari
- Etlik Zubeyde Hanim Women's Health Education and Research Hospital; Ankara Turkey
| | - Aysegul Akyol
- Etlik Zubeyde Hanim Women's Health Education and Research Hospital; Ankara Turkey
| | - Dilek Ulubas Isik
- Etlik Zubeyde Hanim Women's Health Education and Research Hospital; Ankara Turkey
| | - Serdar Yalvac
- Etlik Zubeyde Hanim Women's Health Education and Research Hospital; Ankara Turkey
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Karahanoglu E, Ozdemirci S, Esinler D, Fadıloglu E, Asiltürk S, Kasapoglu T, Yalvac ES, Kandemir NO. Intrapartum, postpartum characteristics and early neonatal outcomes of idiopathic polyhydramnios. J OBSTET GYNAECOL 2016; 36:710-714. [DOI: 10.3109/01443615.2016.1148126] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Bilge M, Ozdemirci S, Esinler D, Karahanoglu E, Esinler I, Aksu T. Assessment of follicular and serum VEGF and IGF-1 in ICSI patients: hMG vs rFSH. CLIN EXP OBSTET GYN 2015. [DOI: 10.12891/ceog1896.2015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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Bilge M, Ozdemirci S, Esinler D, Karahanoglu E, Esinler I, Aksu T. Assessment of follicular and serum VEGF and IGF-1 in ICSI patients: hMG vs rFSH. CLIN EXP OBSTET GYN 2015; 42:576-579. [PMID: 26524801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
PURPOSE To investigate the effect of recombinant follicular stimulating hormone (r-FSH) and human menopausal gonadotropin (hMG) on follicular microenvironment via assessment of follicular and serum vascular endothelial growth factor (VEGF) and insulin-like growth factor-1 (IGF-1) levels in intracytoplasmic sperm injection (ICSI) cycles. MATERIALS AND METHODS Designed as a prospective cohort study. Twenty-five patients underwent controlled ovarian hyperstimulation (COH) with r-FSH and 20 patients underwent with hMG. RESULTS Both groups were comparable regarding the women's mean age and body mass index (BMI). The amount of VEGF (pg/ml) in serum and follicular fluid in the group I and II were comparable (275 ± 135.3 vs 330.7 ± 190.0; p > 0.05 and 2,081.1 ± 1095.1 vs 1,971.1 ± 975.6; p > 0.05, respectively). The amount of IGF-1 (ng/ml) in serum and follicular fluid in the group I and II were also comparable (225.3 ± 69.3 vs 204.1 ± 56.3, p > 0.05 and 176.1 ± 67.2 vs 185.8 ± 48.7, p > 0.05, respectively). Pregnancy rates were also comparable between groups. CONCLUSIONS The hMG and r-FSH in COH produced comparable follicular microenvironment regarding follicular VEGF and IGF-l.
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Ozdemirci S, Karahanoglu E, Esinler D, Gelisen O, Kayıkcıoglu F. Influence of threatened miscarriage on pregnancy and early postpartum period: a case-control report. J Matern Fetal Neonatal Med 2014; 28:1186-9. [PMID: 25053196 DOI: 10.3109/14767058.2014.947577] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE To evaluate the influence of threatened miscarriage on obstetric complications during pregnancy and early postpartum period. METHODS In this case-control study, hospital records of 12,050 first-trimester patients between January 2011 and December 2012 at the Research and Educational Hospital in Ankara, Turkey, were used. Of the 12,050 patients, 481 threatened miscarriage patients were evaluated. The control group was formed by age- and body mass index-matched cases without first trimester bleeding. Abortion, intrauterine foetal demise, preterm birth, preeclampsia, antenatal haematoma, uterine atony placental abruption and low birth-weights were compared between the study and the control group. RESULTS When compared with the control group, the risk of having a preterm birth (p = 0.014; OR: 1.95; 95% CI: 1.15-3.24), low-birth-weight infant (p = 0.001; OR: 2.33; 95% CI: 1.45-3.83) and abortion (p = 0.00; OR: 2.55; 95% CI: 1.62-3.91) increased in cases of threatened miscarriage. However, the risk of uterine atony was decreased (p = 0.006; OR: 0.09; 95% CI: 0.12-0.7) in the threatened miscarriage group when compared with the control group. Threatened miscarriage did not increase the risk of placenta praevia, placental abruption or intrauterine foetal demise. CONCLUSION Increased complications after threatened miscarriage is probably due to the persistence of a triggering mechanism. As preterm birth and abortion rate increased, whilst uterine atony rate decreased, one of the mechanisms causing threatened miscarriage might be increased uterine contractility.
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Affiliation(s)
- Safak Ozdemirci
- a Etlik Zubeyde Hanim Women's Health Education and Research Hospital , Ankara , Turkey
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Karahanoglu E, Adanir I, Boyraz G, Sahin N, Tuncer ZS. Preoperative serum leptin levels in patients with endometrial cancer and its correlation with prognostic variables. EUR J GYNAECOL ONCOL 2012; 33:278-280. [PMID: 22873099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
PURPOSE OF INVESTIGATION Since leptin is believed to be a key player in carcinogenesis, a study has been designed to investigate the relationship between leptin levels and endometrial cancer. METHODS A study including 30 patients with endometrial cancer and 30 healthy controls was carried out between November 2008 and July 2009 in Hacettepe University Hospital. All patients with endometrial cancer underwent a complete surgical staging procedure including lymphadenectomy. Preoperative leptin levels of endometrial cancer patients and healthy controls were compared. The relationships between leptin levels and stage, grade, histological type and lymph node status of endometrial cancer cases were evaluated. RESULTS The mean serum leptin levels were 16.9 ng/ml among endometrial cancer cases and 19.0 ng/ml among controls (p = 0.32). Of endometrial cancer cases, the mean leptin level was found to be 15.8 ng/ml for Stage I and 18.5 ng/ml for Stage II-IV disease (p = 0.34). The figure was 17.7 ng/ml for endometrioid and 13.2 ng/ml for non-endometrioid type of tumor (p = 0.24). The mean leptin levels of 16.3 ng/ml for grade 1 and 19.9 ng/ml for grade 2-3 tumors were observed (p = 0.07). The cases with positive and negative lymph nodes had leptin levels of 20.2 ng/ml and 16.1 ng/ml, respectively (p = 0.30). CONCLUSIONS Serum leptin levels in endometrial cancer patients were similar to healthy controls. Leptin did not show any significant correlation with stage, grade, histological type and node metastases in endometrial cancer.
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Affiliation(s)
- E Karahanoglu
- Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, Ankara, Turkey
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