Yazar "Seckin, Kerem Doga" seçeneğine göre listele

Listeleniyor 1 - 4 / 4
  • Küçük Resim Yok
    Öğe
    Ectopic Mesenteric Deciduosis Imitating Peritoneal Carcinomatosis: a Case Report
    (Springer India, 2023) Goksu, Mustafa; Kadirogullari, Pinar; Seckin, Kerem Doga
    Ectopic deciduosis in the omentum and peritoneum is usually encountered incidentally during cesarean section and is a rare condition. It is usually not accompanied by any symptoms or complications and does not require treatment. Although the pathophysiology is not fully understood, it is accepted that peritoneal deciduosis develops as a result of progesterone-induced metaplasia of subserosal stromal cells during pregnancy. Pathological evaluation is very important because the lesions can be confused macroscopically with diseases such as peritoneal carcinomatosis or tuberculosis. This hormonal and physiological condition has a very good prognosis and resolves spontaneously after delivery. In this case, we present a clinical phenomenon of mesenteric deciduosis encountered during cesarean section and diagnosed pathologically after surgery.
  • Küçük Resim Yok
    Öğe
    The effect of uterine massage after vaginal delivery on the duration of placental delivery and amount of postpartum hemorrhage
    (Springer Heidelberg, 2023) Kadirogullari, Pinar; Cetin, Berna Aslan; Goksu, Mustafa; Arslan, Hale Cetin; Seckin, Kerem Doga
    Objective The aim of this study was to investigate the effects of uterine massage performed before placental delivery on the third stage of labor and postpartum hemorrhage after vaginal delivery. Materials and methods The study was designed as a prospective randomized controlled study. Between June 2018 and June 2019, 242 women who gave birth in Istanbul Kanuni Sultan Suleyman Training and Research Hospital were included in the study. The women were divided into two groups; group 1 received uterine massage after vaginal delivery before placental delivery (n: 128) and group 2 did not receive massage (n: 114). Demographic characteristics, delivery times of the baby and placenta, duration of uterine massage, amount of postpartum hemorrhage and postpartum hemoglobin values of both groups were recorded. Results Baseline characteristics were similar in both groups. Placental output time after delivery was 8.3 +/- 4.2 min in group 1 and 13.5 +/- 6.3 min in group 2. The third stage of labor was significantly shorter in group 1 (p = 0.012). The amount of blood loss of 500 mL or more after delivery was higher in group 2 but not statistically different (p > 0.05). Hemoglobin value measured within 12-24 h after delivery was significantly lower in group 2 (hemoglobin < 8 g/dL after 12- 24 h p = 0.003; hemoglobin < 10 g/dL after 12-24 h p = 0.001). Delta hb value was also significantly lower in group 2 (p = 0.03). With this result, it was determined that bleeding intense enough to require transfusion was more common in group 2. Conclusion In patients delivering vaginally, uterine massage before placental delivery shortens the placental delivery time and reduces postpartum hemorrhage. In addition to oxytocin and controlled cord traction to reduce postpartum blood loss, uterine massage should be routinely used in the active management of the third stage of labor.
  • Küçük Resim Yok
    Öğe
    Is dienogest a convenient treatment option for cesarean scar endometriosis or should it be treated surgically?
    (Elsevier, 2023) Seckin, Kerem Doga; Kadirogullari, Pinar
    Objectives: Endometriosis-related conditions such as subcutaneous endometriosis have been frequently seen in recent years, and dienogest or surgical excision is generally preferred as a treatment option. Our aim in this study is to determine which treatment option will be more effective in reducing the symptoms of patients with cesarean scar endometriosis.Study designThis prospective study was performed with 21 patients diagnosed with cesarean scar endometriosis. The de-mographic features of the patients, lesion sizes before and after medical and surgical treatment, VAS scores and Ca-125 levels were recorded. VAS scores and lesion sizes were compared before-after medical treatment and before-after surgery in same group.Results: A total of 18 women were identified, with a mean age of 32.3 +/- 5.7 years. No significant decrease in lesion size was observed in the 1st and 6th-month controls after the use of dienogest (p > 0,05), while a sig-nificant decrease in VAS scores was detected (p < 0,05). After surgery, the decrease in both lesion size and VAS scores was found statistically significant (p < 0,05).Conclusion: Dienogest, which is frequently used in the medical treatment of pelvic and ovarian endometriosis, reduces pain minimally in cesarean scar endometriosis but does not provide a change in lesion size. Therefore, surgical treatment of cesarean scar endometriosis seems to be more effective in reducing pain and decreasing the size of the lesions.
  • Küçük Resim Yok
    Öğe
    Osseous metaplasia of the endometrium and successful hysteroscopic resection: A video case and review of the literature
    (Wolters Kluwer Medknow Publications, 2022) Kadirogullari, Pinar; Seckin, Kerem Doga; Selcuki, Nura Fitnat Topbas
    Osseous metaplasia of the endometrium is defined by the presence of mature or immature bone tissue in the endometrium. Most of the cases are associated with secondary infertility after abortion, chronic endometritis, or the presence of foreign bodies in the endometrium. Some cases are asymptomatic; others have menstrual abnormalities such as menorrhagia or oligomenorrhea. Osseous metaplasia is mostly seen after recurrent abortions. Removing the bone tissue helps spontaneous conception. Intrauterine hyperechogenic lesion, suggesting calcification in transvaginal ultrasonography, creates suspicion in diagnosis. Here, we present a patient who underwent dilatation and curettage procedure following a missed abortion, and osseous metaplasia of endometrium was radiologically detected at a 1-month follow-up examination. White bony material was shown in the uterine cavity with hysteroscopy. The lesion was treated by hysteroscopic removal without any complications. Histology confirmed the diagnosis of endometrial osseous metaplasia. Thus, hysteroscopy was effective in the diagnosis and treatment of endometrial osseous metaplasia.