Browsing by Author "Elçi, E."

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Histopathological and Mechanical Properties of Different Meshes in a Rat Model of Pelvic Prolapse Surgery
(Yuzuncu Yil Universitesi Tip Fakultesi, 2017) Elçi, G.G.; Elçi, E.; Kaya, C.; Çim, N.; Kolusarı, A.; Erten, R.; Bulut, G.
Different types of mesh materials are used to support pelvic structures in urogynecologic procedures. Our aim was to compare histopathological and mechanical effects of Prolene®, UltraPro®, Vypro II®, and Permacol® meshes used in pelvic organ prolapse. Thirty Sprague-Dawley rats were randomized into five groups. Group 1 served as a sham-operated control (n=6); Prolene® was used in group 2 (n=6), UltraPro® in group 3 (n=6), Vypro II® in group 4 (n=6), and Permacol® in group 5 (n=6). A 0.5 × 1 cm mesh was placed between the paravaginal tissue and bladder. After 12 weeks, the rats were reoperated and meshes were excised. Histopathological tissue reactions were compared. The muscle penetration rate was 67% in the Prolene® group, which was significantly higher than that in the other groups (p=0.026). Minimum preserved postoperative surface area was seen with Prolene® at 0.31 cm2 and maximum with UltraPro® at 0.45 cm2, which was statistically significant. UltraPro® had the most preserved postoperative surface area and less shrinkage than the other meshes. The mesh materials cause an inflammatory reaction in surrounding tissue. Prolene® mesh had superior muscle penetration and tensile strength compared to the other materials. © 2017, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Trends and Causes of Maternal Mortality in Eastern Province of Turkey
(Yuzuncu Yil Universitesi Tip Fakultesi, 2017) Çim, N.; Elçi, E.; Sayan, S.; Elçi, G.G.; Aksin, Ş.; Yıldızhan, R.
We aimed to analyse causes of maternal mortality cases in Eastern province of Turkey. Maternal mortality cases were retrospectively investigated. The cases were evaluated for age, gravida, age at first birth, gestational week, postpartum death time, educational status, illnesses in their history, high risk pregnan cies, pregnancy termination type, delivery methods and death causes. The distribution of these cases by type of death and years is examined. In addition, the causes of death were compared among groups according to their death pattern and years. A total of 69 maternal deaths were detected between January 2010 and December 2016. The maternal mortality rate was 20.1 per, 100000 livebirths. The mean age of the cases was 30.4 ± 7.6 and they had their first births when they were 20.9 ± 5.1 years old. Mean number of gravida was 3.9 ± 2.8. These cases were 32.3 ± 7.4 in the week of gestation when mortality occurred. The mean number of pregnancy follow-ups was 4.24 ± 4.0, postpartum direct maternal mortality time was 13.7 ± 25.5 days. The number of maternal mortality according to the years was respectively; 6, 12, 15, 16, 7, 13. When the causes of maternal mortality are examined; 26.1% of the cases had preeclamptic diseases, 15.9% had hemorrhage, 10.1% committed suicide, 8.7% had pulmonary embolism, 7.2% had cerebrova scular disease, 5.8% had heart disease, 5.8% had amnion fluid embolism, 4.3% had sepsis, 4.3% had traffic accidents, 4.3% had firearm injuries, 2.9% had malignancy, 1.4% had pneumonia, 1.4% had multiple organ failure, and 1.4% had died due to electric sho ck. Among the direct causes of death; preeclamptic diseases, hemorrhage and pulmonary embolism were the most common and among the causes of indirect death; cerebrovascular diseases, heart diseases and sepsis were the most common. Maternal mortality is an important obstetric complication that needs to be paid attention to. Preeclamptic diseases and hemorrhage continue to be the most common cause of maternal mortality. © 2017, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.