Yazar "Yavuz, Mustafa" seçeneğine göre listele

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  • Küçük Resim
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    Bilateral hypogastric artery ligation: A tertiary center experience
    (Harran Üniversitesi Tıp Fakültesi, 2019) Peker, Nurullah; Yavuz, Mustafa; Aydın, Edip; Ege, Serhat; Bademkıran, Muhammet Hanifi; Turan, Gökçe; Karaçor, Talip; Gül, Talip
    Background: The aim of this study was to evaluate the obstetric characteristics and maternal outcomes of patients undergoing bilateral hypogastric artery ligation (BHGAL) for primary postpartum hemorrhage (PPH). Materials and Methods: Digital records and hospital archives of patients who underwent BHGAL in the postpartum period after vaginal delivery (VD) or during or after cesarean section (C/S) in a tertiary center between May 2005 and May 2018 were reviewed retrospectively. Demographic characteristics, parity, gestational week, duration of operation, hospitalisation time, estimated blood loss, laboratory values, transfused blood volume, previous C/S history, and intensive care requirement of the patients were evaluated. The efficacy of BHGAL in controlling bleeding, indications, concomitant surgeries, and intraoperative and postoperative complications were evaluated. Results: There were 276.008 deliveries in our hospital in the specified period. Of the patients with PPH, 41 patients underwent BHGAL after VD and 19 patients underwent BHGAL during or after C/S. In 25 of 28 patients with PPH due to atony, bleeding was controlled by BHGAL, while 3 patients underwent hysterectomy together with BHGAL. While the effectiveness of BHGAL in uterine atony was 89.2%, the success rate was 33.3% when all cases were considered. The most common cause of indication for BHGAL was atony and disseminated intravascular coagulation (DIC) was the most common complication in patients undergoing BHGAL. Iliac vein injury was detected in one patient due to the procedure itself. Conclusions: BHGAL is more effective on controlling PPH due to atony compared to the control of other PPH causes. Most of the complications in these patients are not related to the procedure but are due to the complications of PPH. Therefore, BHGAL continues to be a life-saving method when applied by centers with adequate surgical knowledge and equipment.
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    Öğe
    Evaluation of postoperative sexual function in patients after trans-obturator-tape operation
    (Aves Press Ltd, 2016) Agacayak, Elif; Basaranoglu, Serdar; Yavuz, Mustafa; Tunc, Senem Yaman; Sak, Sibel; Turgut, Abdulkadir; Deregozu, Aysegul
    Introduction: In this study, we aimed to evaluate postoperative sexual function of patients, who had undergone colporraphy anterior and transobturator tape operation due to cystocele and stress urinary incontinence. Materials and Methods: In our study, 52 patients with cystocele and stress urinary incontinence that were admitted to Dicle University, School of Medicine, Department of Obstetrics arid Gynecology between January 2009 and January 2014, were included in the study. Patients with previous hysterectomy, patients who had rectocele repair during operation, patients in menopause were excluded from the study. Patients completed the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire-12 before and after under going surgery. Results: Mean age of the patients in our study was 42.04 +/- 7.50, average body mass index of the patients was 30.1 +/- 3.7 kg/m(2). Average follow-up time was 31.5 +/- 11.3 months. 22 (42.3%) patients did not completely recovery the postoperative complaints. 2 (3.8%) patients had increased postoperative complaints. The positive correlation between postoperative complaints with dyspareunia was observed (r= 0.355 **p: 0.010). 5 (9.6%) patients developed postoperative complications. These complications, urinary comfortable inability in 2 (%3.8) patients, mesh erosion in 1(%1.9) patient, developed de novo urinary incontinence in 2 (%1.9) patients. The total result according to Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire-12 was observed significant improvement in sexual function (p= 0.000). Conclusion: Urinary incontinence negatively affects the sexual life of women. We observed improvement in sexual function of women that had went transobturator tape operation for urinary incontinence.
  • Küçük Resim
    Öğe
    Factors associated with complications of vaginal hysterectomy in patients with pelvic organ prolapse - a single centre's experience
    (Via Medica, 2019) Peker, Nurullah; Aydın, Edip; Yavuz, Mustafa; Bademkıran, Muhammed Hanifi; Ege, Serhat; Karaçor, Talip; Ağaçayak, Elif
    Objectives: The study aimed to examine the predisposing factors that play a role in the development of complications in patients undergoing vaginal hysterectomy. Material and methods: This retrospective analysis was performed on data provided from 239 patients who underwent vaginal hysterectomy due to uterine prolapse at a single centre between January 2008 and August 2018. Complications were defined according to Clavien-Dindo classification of complications. The patients were divided into two groups: with and without complications. We built a model using multivariable logistic regression to examine the relationships between complications and five candidate predictors. Results: Intra/postoperative complications developed in 30 patients, and the complication rate was found to be 12.5%. 87.2% of the reported complications were classified as Grade ≤2 according to Clavien-Dindo system. It was found that complications were associated with factors such as intraoperative concurrent salpingo-oophorectomy [Odds ratio (OR): 1.24 (1.1.1.4)], low preoperative haemoglobin [OR: 0.96 (0.94.0.98)], uterine weight [OR: 2.69 (2.62.2.76)], and long operation time [OR: 1.04 (1.02.1.07)]. History of pelvic surgery was not found to increase complication rate [OR: 1.11 (0.96.1.27), p = 0.13]. Our multiple logistic regression model correctly classified 74% of participants within the Receiver Operating Characteristic (ROC) curve. Conclusions: Preoperative anaemia, large uterus and concomitant adnexectomy were found to be factors associated with complications during and after vaginal hysterectomy for pelvic organ prolapse.
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    Öğe
    Risk factors for relaparotomy after cesarean section due to hemorrhage: a tertiary center experience
    (Taylor & Francis Ltd, 2020) Peker, Nurullah; Yavuz, Mustafa; Aydin, Edip; Ege, Serhat; Bademkiran, Muhammed Hanifi; Karacor, Talip
    Aim: This study aimed to examine the risk factors for relaparotomy after cesarean section (RLACS) due to bleeding. Material and methods: In this retrospective descriptive case-control study, women who underwent RLACS only for bleeding between 2008 and 2019 at a single tertiary center were examined (the center oversees approximately 25,000 deliveries per year). Maternal characteristics, postoperative findings, and surgical features were compared with a control group that included non-complicated cesarean sections (CS). Multivariable logistic regression analysis was used to identify the risk factors for relaparotomy. Results: Relaparotomy complicated 0.07% (n?=?40) of CS during the study period (n?=?58,095). When compared with the control group, age, parity, estimated blood loss (EBL), postoperative pulse, blood replacement, and length of hospital stay were statistically higher in patients undergoing relaparotomy, whereas their postoperative systolic and diastolic blood pressure were found to be low. A history of pelvic surgery, the need for intensive care, and complications were more frequent in patients undergoing relaparotomy. When CSs were grouped according to 8-h periods of the day, it emerged that relaparotomies were mostly performed on the patients who underwent CS after working hours. Time interval during the day of the CS [OR: 2.59 (1.10?6.12)] and high postoperative pulse rate [OR: 1.58 (1.28?1.96)] were found to be independent risk indicators for RLACS (AUC: 0.97). Conclusions: Monitoring vital signs in the postoperative period and increasing the number of physicians and nurses during off-hours in hospitals working with on-call duty procedures as determined by the Ministry of Health will reduce the incidence rate of relaparotomy, maternal morbidity, and mortality due to hemorrhage.
  • Küçük Resim
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    Rudimentary horn pregnancy-ten years of experience
    (Via Medica, 2020) Ağaçayak, Elif; Peker, Nurullah; Yavuz, Mustafa; Fındık, Fatih Mehmet; Evsen, Mehmet Sıddık; Gül, Talip
    Objectives: This study aimed to evaluate data on early diagnosis and therapeutic management of rudimentary horn pregnancy (RHP). Material and methods: Patients diagnosed with RHP at a tertiary center between for two periods of 2008-2012 and 2013-2018 were analysed retrospectively. We obtained information of patients from hospital electronic archive registration system. Data on demographic characteristics, clinical presentation, gestational age at presentation, presenting symptoms, diagnostic methods, and therapeutic management were noted and analysed by descriptive statistical method. Demographic datas, the complaint of patient's admission to hospital, history of cesarean section, preliminary diagnosis and intraoperative diagnosis were compared between periods of 2008-2012 and 2013-2018. Results: A total of 14 RHP patients were included. Eight (57.1%) of these patients were diagnosed between 2008-2012 (Group 1), whereas six patients (42.9%) were diagnosed between 2013-2018 (Group 2). Rudimentary horn was non-communicating in 13 patients (92.8%). Communicated form was observed in 1 patient in group 1. RHP was diagnosed on the left side in nine patients (64.2%). Six of these patients were observed in group 1 and 3 were in group 2. The pre-rupture diagnosis was made in 10 (71.4%) patients. Six (100%) of 10 patients were in group 2. In addition, in group 1, four patients (50%) experienced intraoperative RHP rupture. RHP was diagnosed before rupture in 2 (33.3%) patients in group 2. Conclusions: It is an indication of advanced ultrasonographic technology as well as increased carefulness on the physician side and raised alertness on the patient side that today both RHP and preoperative rupture of RHP are less frequent. Still, further awareness is required among physicians of the necessity of excision of a rudimentary horn that is detected at the time of C-section.
  • Küçük Resim
    Öğe
    Spinal veya genel anestezi ile yapılan elektif sezeryanlar ve anestezi verilmeyen normal doğumların neonatal sonuçlarının karşılaştırılması
    (Dicle Üniversitesi Tıp Fakültesi, 2019) Ağaçayak, Elif; Yavuz, Mustafa; Tunç, Senem Yaman; Akın, Gamze; Ertuğrul, Sabahattin; Yıldırım, Zeynep Baysal; Gül, Talip
    Amaç: Bu çalışmada amacımız normal doğum hastalarını kontrol grubu olarak alarak anestezinin fetüs üzerine kısa dönem etkilerini araştırmak, spinal ve genel anestezinin karşılaştırılmasını yapmaktır. Yöntemler: Bu çalışmaya …… Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum kliniğine doğum yapmak için başvurmuş, herhangi bir risk faktörü olmayan 50 normal doğum ve 50 spinal, 50 genel anestezi olmak üzere elektif olarak yapılan sezeryanlar dahil edildi. Hastaların yaşları, gravide, pariteleri, gebelik haftaları, doğum kilosu, 1.dakika ve 5.dakika apgarları kaydedildi. Doğum sonrası balon-valv-maske ihtiyacı olan ve yenidoğanın geçici taşipnesi olan bebekler kaydedildi. Bulgular: Çalışmamızda, her iki anestezi tipi ve normal doğum hastaları karşılaştırıldığında 1. dk apgar skorları arasında istatistiksel olarak anlamlı bir farklılık yoktu (p>0.05). 5.dk apgar skorları genel anestezi grubunda spinal anestezi grubuna göre anlamlı olarak daha düşük bulundu (p=0.018). Spinal anestezi grubundaki hastaların 50 (%100)’si, genel anestezi yapılan hastaların 45 (%90)’i, normal doğum yapılan hastaların 48 (%96)’sının 5 dakika apgar skorları>7 üzerinde olup spinal ve genel anestezi grupları arasında anlamlı bir farklılık izlendi (p:0.022). Gruplar arasında balon-valv-maske uygulanması ve yenidoğanın geçici taşipnesi açısından anlamlı bir farklılık izlenmedi (p>0.05). Sonuç: Sonuç olarak spinal anestezi erken dönem neonatal sonuçlar açısından daha iyi olup hangi anestezi yönteminin uygulanacağına her iki yöntemin avantaj ve dezavantajları, hastada mevcut olan patolojiler, operasyonun aciliyeti gibi faktörler, anestezistin deneyimi ve hastanın tercihi göz önünde bulundurularak karar verilmelidir. Genel anestezi yapılma zorunluluğu varsa tercih edilecek ilaçlar açısından fetüse depresan etkisi en az olanlar tercih edilmelidir.
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    Öğe
    Stres üriner inkontinans tedavisinde transobturator tape operasyonu etkinliğinin değerlendirilmesi ve uzun dönem sonuçları
    (2016) Yavuz, Mustafa; Ağaçayak, Elif
    Amaç: Stres üriner inkontinansın tedavisinde birçok cerrahi yöntem tanımlanmıştır. Ancak altın standart yöntem belirlenememiştir. Bu çalışmanın amacı stres tipte idrar kaçırması olan kadın hastalarda transobturator tape prosedürünün etkinliğini incelemek, intraoperatif ve postoperatif komplikasyon sıklığını belirlemek, hastaların objektif ve sübjektif kür sonuçlarını belirlemektir. Hastalar ve Yöntem: Çalışmamıza Ocak 2010-Aralık 2014 tarihleri arasında Dicle Üniversitesi Tıp Fakültesi Hastanesi Kadın Hastalıkları ve Doğum Kliniğine üriner inkontinans şikayeti ile başvuran ve SÜİ veya MÜİ tanısı ile TOT operasyonu geçiren 46 hasta dahil edildi. Hastaların yaş ortalaması 46,35±9,27 (26-67) idi. Hastaların operasyon öncesi demografik özellikleri, fizik ve pelvik muayene bulguları, Q tip testi, stres testi, yaşam kalite anket skorları (İncontinence İmpact Questionnaire (IIQ-7) ve Urinary Distres İnventory (UDI-6)) kaydedilmişti. İntraoperatif komplikasyonları, erken postoperatif ve geç postoperatif komplikasyonları kaydedilmişti. Ortalama takip süresi 32,13±12,038 ay (12-60) olan hastalar telefonla aranarak çalışma hakkında bilgi verildi. Çalışmaya katılmayı kabul eden hastalar çağrıldı. Hastalar stres test, hasta şikayetleri, pelvik muayene, Q tip test, yaşam kalite skorları ve komplikasyonlar açısından tekrar değerlendirildi. Operasyon öncesi ve sonrası sonuçlar karşılaştırıldı. Bulgular: Operasyona alınan 46 hastadan 30'unda (%65,2) stres üriner inkontinans, 16'sında (%34,8) ise mikst üriner inkontinans mevcuttu. Hastaların hiçbirisinde mesane ya da üretrada yaralanma ya da vasküler yaralanmaya bağlı istenmeyen etkiler gözlenmemişti. Geç postoperatif dönemde ise 1 hastada (%2,2) denova urge inkontinans, 1 hastada (%2,2) vajinal erozyon gelişmişti. Ortalama izlem süresi 32,13±12,038 ay'dı (12-60). Hastalar şikayet bazında değerlendirildiğinde, 1 (%2,2) hastanın şikayetlerinde artma gözlendi. Hastalardan 4'ünün (%8,7) şikayetlerinde herhangi bir değişiklik olmamıştı. Hastaların 22'sinin (%47,8) şikayetlerinde azalma olmuştu. Hastaların 19'u (%41,3) ise şikayetlerinin tamamen geçtiğini ifade etti. Hastaların 41'inde (%89,1) operasyonun başarılı olduğu, 5'inde (%10,9) ise operasyonun başarısız olduğu tespit edildi. Preop ve postop yapılan değerlendirmede, IIQ-7 ve UDI-6 anketlerindeki tüm sorular için verilen cevaplarda anlamlı iyileşme olduğu görüldü. Sonuç: Sonuç olarak, transobturator yaklaşım uzun dönem sonuçları ve düşük morbidite sonuçları ilestres üriner inkontinans tedavisinde etkili ve güvenilir bir yöntemidir. Retropubik yaklaşıma iyi bir alternatif olarak, transobturator yaklaşımı destekleyecek literatürde yeterli veri vardır ve transobturator yaklaşım stres üriner inkontinans tedavisinde yeni altın standart olma potansiyeline sahiptir.