Browsing by Author "Erdemoglu, Evrim"

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Comparison of the Efficacy of Intrauterine Lidocaine, Paracervical Block and Oral Etodolac for Decreasing Pain in Endometrial Biopsy
(Galenos Yayincilik, 2010) Guler, Ayse; Sahin, H. Guler; Kucukaydin, Zehra; Erdemoglu, Evrim
Objective: To compare the effectiveness of paracervical block, intrauterine lidocaine and oral etodolac in decreasing the pain caused by pipelle endometrial sampling. A secondary goal of this study was to determine the adverse effects and compare possible effects of these methods on pulse and blood pressure. Material and Methods: The study was performed between April 2006 and October 2006 in the Obstetrics and Gynecology Department of Van Yriziincji Yil University Research Hospital. One-hundred twenty patients were randomized into four groups: 1. Group: Paracervical block was performed with 3 ml 2% prilocaine solution. 2. Group: Five ml of 2% lidocaine solution was instilled through the endocervix into the uterine cavity. 3. Group: Subjects received 400 mg oral etodolac tablet 1-1.5 hour before the procedure. 4. Group: No method of anesthesia was used in the control group. Endometrial sampling was performed with pipelle. Severity of pain during the procedure was scored by the subjects according to the "6-point Verbal Rating Scale (VRS)". Blood pressure and pulse rate were measured before, during and 30 minutes after the procedure. Results: Pain scores in intrauterine lidocaine group (2"d group) were found statistically significantly lower than the other three groups (p<0.05). Conclusion: Intrauterine lidocaine anesthesia technique decreases pain in endometrial sampling with pipelle more efficiently than paracervical block or oral etodolac. While indication of menorrhagia and endometrial thickness more than 5 mm increased pain scores, intrauterine lidocaine application or paracervical block decreased tyre scores significantly (p<0.05).
Complicated Vesico-Urethravaginal Fistula
(Galenos Yayincilik, 2008) Erdemoglu, Evrim; Ozman, Ekrem
We report a case of complicated urethravesicovaginal fistula of 15 years. A 50 year old woman presented with continous urine leakage after her last delivery 15 years previously and carried out at home. She had a small and contracted bladder with a urethravesicovaginal fistula. We developed a vaginal flap which was constructed as a tube to make a new urethra. The new urethra from vaginal tube was anastomosed to the repaired bladder base and the external urethral meatus. The reconstruction was supported by Martius flap. Simple anatomic repair of complicated fistulas are not promising and should be avoided. Vaginal flaps and labial flaps are useful for reconstructing urethra and bladder base.
Familial Imperforate Hymen
(Galenos Yayincilik, 2007) Erdemoglu, Evrim; Kolusari, Ali; Sahin, Guler; Kamaci, Mansur
Imperforate hymen, a rare obstructive anomaly of female genital tract, is accepted to be sporadic and isolated. We report an unusual case of familial imperforate hymen and discuss the possible inheritance mode. This is the fifth case to be reported. In our case, there were two affected sisters in a consanguineous marriage suggesting recessive mode of transmission. Imperforate hymen could be a familial condition and examination of family members is important to avoid late diagnosis and associated complications.
Major Vessel Injury During Gynecologic Laparoscopy: a Case Report
(Marmara Univ, Fac Medicine, 2009) Erdemoglu, Evrim; Yildizhan, Recep; Kurdoglu, Mertihan; Adali, Ertan; Kamaci, Mansur
Major vessel injuries rarely occur in gynecologic laparoscopic surgery. However, when they do occur, they present life-threatening complications. A left iliac artery injury occurring in a 15 year-old patient undergoing an elective laparoscopic surgery is presented together with summarized etiological factors and management principles in the light of the available current literature.