Browsing by Author "Okyay, T.Y."

Now showing 1 - 2 of 2

Evaluation of Peripartum Hysterectomy; Ten Years of Experience of a Tertiary Center
(Yuzuncu Yil Universitesi Tip Fakultesi, 2021) Dirik, D.; Karaman, E.; Okyay, T.Y.; Kucukbas, G.N.; Karaaslan, O.; Alkiş, I.; Kolusari, A.
The objective of this study is to assess the 10-year incidence of peripartum hysterectomy that was performed in the province of Van, Turkey, as well as its clinical results. In this study, we retrospectively examined all patients who underwent peripartum hysterectomy, which was performed at Van Yuzuncu Yil University Dursun Odabas Medical Center between 2010 and 2020. 99 patients who underwent hysterectomy due to severe bleeding, which could not be stopped despite conservative tre atments within 24 hours following the delivery, were included in the study. The overall rate of peripartum hysterectomy was 99 of 22242 or 4.4 per 1,000 deliveries. The mean maternal age was 31.98 ± 5.41 years. The most common indications for peripartum hysterectomy are placental adhesion disorders (70.7%), uterine atony (25.2%), and uterine rupture (4%). Ultimately, the most common indication for peripartum hysterectomy is placental adhesion disorders. The rise in the number of cesarean section might have increased the incidence of placental adhesion disorders. Thus, patients should be provided with healthcare in centers that have adequate equipment and staff. © 2021, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Premenarchal Ovarian Torsion: Ten Years of Experience of a Tertiary Center
(Yuzuncu Yil Universitesi Tip Fakultesi, 2021) Dirik, D.; Beger, B.; Okyay, T.Y.; Soysal, L.; Karaman, E.
Ovarian torsion is a surgical emergency, as it could lead to tissue necrosis and loss of fertility in the long term when diagnosis and intervention are delayed. In this study, the effectiveness of sonographic ovarian appearance in the decision of surgery and the clinical value of ovarian size in the diagnosis of torsion were investigated in premenarchal girls whose diagnosis of ovarian torsion was surgically verified. A retrospective cohort study design was utilized. Demographic characteristics, physical examination find ings, laboratory findings, ultrasonography findings, operation records, pathology reports of 20 premenarchal girls who were admitted to Van Yuzuncu Yil University Medical Faculty Emergency Service between 2010-2020 and who were surgically confirmed to have torsion scanned and recorded. The cases included in the study were divided into two groups: nine patients with normal ovarian torsion (group1) and eleven patients with mass or cystic ovarian torsion (group2). Regarding the duration passed between admissio n to the emergency department and undergoing surgery, the time was shorter in group 2 compared to group 1 (13.54 ± 6.02 hours and 77.0 ± 101.86 hours respectively; p=0.053). Conservative surgical treatment was realized in all patients in Group 1 (9/9; 100%) and 7 patients in Group 2 (7/11; 63.6%); patients in Group 2 underwent cystectomy. Furthermore, oophorectomy was performed on 4 patients in Group 2. In terms of the torsion side, right-sided torsion predominance was detected in the ovary in both groups (6 patients (66.6%) in Group 1 and 7 patients (63.6%) in Group 2. Ovarian volume and Doppler flow could be considered as a potential predictive variable for ovarian torsion. © 2021, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.