Browsing by Author "Kamaci, M"

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Anatomical Landmarks Regarding Sacrospinous Colpopexy Operations Performed for Vaginal Vault Prolapse
(Elsevier Sci Ireland Ltd, 2002) Sagsoz, N; Ersoy, M; Kamaci, M; Tekdemir, I
Aim: To investigate the anatomical relationships of the structures and the topographic anatomy or the sacrospinous ligament and validate Current anatomic knowledge of this area. Materials: Nine embalmed half female cadaver pelvises were dissected to reveal the anatomy of the sacrospinous ligament. Results: The average length of the sacrospinous ligament was measured to be 43.04 +/- 6.58 mm. The inferior gluteal complex emerges from the infrapiriform foramen at a distance of 17.02 +/- 3.08 mm from the ischial spine and courses to inferior laterally with a slight curve. During this course, it passes close to the upper-lateral half of the sacrospinous ligament. The pudendal complex passes above the spine in six of the nine cases (66.6%) and lies maximum of 5.5 mm medial to the spine. Oil average the sciatic nerve is measured to he 25.14 +/- 3.94 mm lateral to the ischial spine. Conclusion: Placing the suture inferomedially and close to sacrum, the risk of complication will be minimal. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.
Association of Fibrinogen and C-Reactive Protein With Severity of Preeclampsia
(Elsevier Ireland Ltd, 2005) Üstün, Y; Engin-Üstün, Y; Kamaci, M
Objective: The aim of this study was to determine the levels of plasma fibrinogen and C-reactive protein (CRP) in preeclampsia and their association with the severity of the disease. Study design: CRP and plasma levels of fibrinogen were investigated in 26 cases of normal pregnant women, 26 cases with mild preeclampsia and 26 cases with severe preeclampsia in the third trimester of pregnancy. Mean arterial pressure (MAP) was used as an indicator of the severity of the disease. Analysis of variance with the Kruskal-Wallis test was used when three groups were compared. For correlations, Spearman's rank correlation tests were used. A receiver operating characteristic curve was constructed to evaluate the sensitivity and specificity of CRP. Results: Plasma CRP and fibrinogen levels in mild and severe preeclampsia patients were markedly higher than that of normal third trimester pregnant women. There were significant correlations between MAP and CRP (r = 0.515, p = 0.0001) and MAP and fibrinogen parameters (r = 0.383, p = 6.005) in pregnancies complicated with preeclampsia. Conclusion: We found higher levels of fibrinogen and CRP and presence of good correlation between CRP and MAP in preeclampsia. (c) 2004 Elsevier Ireland Ltd. All rights reserved.
Maternal Serum Ceruloplasmin in Preectampsia
(Wiley, 2005) Engin-Üstün, Y; Üstün, Y; Kamaci, M; Sekeroglu, R
Ovarian Hemangioma With Elevated Ca125 and Ascites Mimicking Ovarian Cancer
(I R O G Canada, inc, 2006) Erdemoglu, E; Kamaci, M; Özen, S; Sahin, HG; Kolusari, A
We report a case of a very rare tumor of the ovary with an unusual presentation; an ovarian hemangioma with massive ascites and elevated CA125. A 57-year-old woman presenting with elevated CA125, massive ascites and a left solid adnexal mass of 60 x 47 mm, with calcification and increased blood flow at Doppler examination, was submitted to laparotomy. Frozen section was inconclusive and a staging procedure which complicated the patient was performed. Pathologic examination revealed cavernous hemangioma which is an extremely rare tumor of the ovary. Although it is very unusual, an ovarian hemangioma may present with ascites and elevated CA125 and the differential diagnosis from ovarian cancer should be considered.
Peripartum Hysterectomy in a Teaching Hospital in the Eastern Region of Turkey
(Elsevier Science Bv, 2005) Zeteroglu, S; Ustun, Y; Engin-Ustun, Y; Sahin, G; Kamaci, M
Objectives: The aim of this study was to find the incidence and clinical implications of peripartum hysterectomy in our hospital at the Eastern region of Anatolia. Study design: We analyzed retrospectively all cases of peripartum hysterectomy performed at YYU Medical Faculty Hospital between January 1995 and April 2003. Emergency peripartum hysterectomy was performed for hemorrhage which cannot be controlled with other conventional treatments within 24 h of a delivery. There were 24 cases of emergency peripartum hysterectomy performed. Results: The incidence of emergency peripartum hysterectomy was 5.09 per 1000 deliveries. Half of the hysterectomies followed cesarean section. Eleven patients were referred to our clinics from other hospitals. Uterine atony (45.8%) was the most common indication and placenta accreta (25.0%) was the second most common. Eighteen patients (75%) had subtotal hysterectomy. Bladder injury was seen ill three cases, Re-exploration was performed in three cases ( 12.5%). Seventeen patients stayed in hospital over 7 days. There were four ( 16.7%) maternal deaths all of whom were referred from other hospitals. Conclusion: The mortality and morbidity of performing a peripartum hysterectomy is elevated, especially if performed in critical patients referred from other hospitals. (c) 2004 Elsevier Ireland Ltd. All rights reserved.