Browsing by Author "Zeteroglu, S."

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Case Report: Treatment With Arterial Embolization in a Destroyed Cervical Pregnancy
(2003) Harman, M.; Zeteroglu, S.; Etlik, O.; Arslan, I.
Cervical pregnancy is a rare form of ectopic pregnancy. It is frequently associated with extensive hemorrhage, which, in severe cases, may be stopped only by hysterectomy. We report a case of a destroyed cervical pregnancy simulating cervical cancer. The patient was conservatively managed with simple selective uterine artery embolization without methotrexate administration. Her vaginal bleeding ceased after embolization. No additional treatment was given. The patient resumed normal menstruation two months after embolization.
The Comparison of Misoprostol and Oxytocin Efficacy in the Prevention of Postpartum Hemorrhage Related To Uterine Atony
(2000) Gul, A.; Zeteroglu, S.; Karayel, M.; Sahin, G.; Kocar, M.; Surucu, R.
OBJECTIVE: To compare the efficacy of misoprostol and oxytocin in the prevention of early postpartum hemorrhage related to uterine atony. STUDY DESIGN: Ninenty-nine women with normal pregnancy in active phase of labor were enrolled in to this study between January 1999 and May 1999. Pregnancy malpresentation, multiple gestations, toxemia of pregnancy and placental abnormality were excluded. Patients were divided into two groups. In the group 1, only one dose of 600 μg misoprostol (Cytotec® 200 μg tb, Ali Raif) was administered by oral route at the end of second phase of the labor in 50 cases. In the group 2, 20 IU oxytocin in 1000 cc 0.9 % NaCl and was administered as intravenous infusion at a dose of 10 cc/min for the first five minutes and continued at a dose of 2 cc/min. Cases were followed up for duration of third phase of labor, early postpartum hemorrhage (≥500 cc), antepartum and postpartum values of hemoglobin and hematocrit, and adverse effects swoh as nausea, vomiting, diarrhea and trembling. The weight of all neonates was recorded. RESULTS: There was no statistically significant difference between two groups in terms of maternal age, weight, gravida antepartum and postpartum levels of hemoglobin and hematocrit, body temperature, gestational age and neonatal weight. The mean duration of third phase of labor in group 1 and in group 2 were 7.32±3.77 min (1-15 min) and 20.85±4.46 min (12-36 min), respectively. Statistically significant difference was detected between the two groups (p<0.05). The mean decrease of hemoglobin level at postpartum period with respect to antepartum level in group 1 and group 2 was 0.3 g/dL and 0.50 g/dL, respectively, and there was no statistically significant difference between two groups (p>0.05). The rate of early postpartum hemorrhage was 4 % (n=2) in group 1 and 14.29 % (n=7) in group 2, and statistically significant difference was detected between the two groups (p<0.05). The occurrence of trembling in group 1 and group 2 was 82 % (n=41) and 20.4 % (n=1), respectively, and statistically significant difference was detected between the two groups. Mean body temperature at the postpartum first hour were 37.10±0.11°C (36.60-37.60°C) in group 1 and 36.60±0.86°C (35.50-36.80°C) in group 2, and there was statistically significant difference between the two groups (p<0.05). CONCLUSION: We concluded that misoprostolis more effective in the prevention of early postpartum hemorrhage, in decreasing blood loss, and in shorthening the third phase of labor. Although, misoprostol has some transient and unimportant side effects, it can be used as an alternative to oxytocin.
Contraceptive Health Services Provided in the Region of Van During 1998
(1999) Zeteroglu, S.; Gul, A.; Sahin, G.
Objective: The aim of this study was to asses the health services provided for contraception in the center of Van during 1998. Study design: The health services provided for contraception during 1998 was studied retrospectively by collecting data from Yuzuncu Yil University Faculty of Medicine Research Hospital, Maternal and Children Health-Family Planning Center, Maternal Hospital of Van, Family Planning Center of Social Security Services Hospital and Obstetric and Gynecology Department of the Military Hospital. Results: According to data collected from the health centers, the services for contraception were given to a total of 2535 couples. Oral contraceptives and condom were used by 461 (18.2%) and 221 (8.72%) couples respectively. Long acting injectable hormone contraceptive was given to 456 (18%) couples. Four hundred and twenty five of them started to use this method one year before (in 1997), whereas only 31 women started to use it in 1998. Intrauterine devices (IUD's) and tubal ligation were applied to 946 (37.3%) and 237 (35.1%) women, respectively. There was only one vasectomy operation which was performed in Yuzuncu Yil University Faculty of Medicine. Dilatation and curettage was performed to 165 (6.51%) women for pregnancy termination and in our opinion more than that rate was performed in private offices. Conclusion: Only 19.31% of women who need contraception admitted to health centers for information. From this point view, a more wide spread health service for contraception is warrented. In our region, due to increased rate of grand multiparities and difficulties in readmitting to health personel tubal ligation must be encouraged as a contraception method. Long acting injectable hormonal contraception and IUD should also become one of the first choices of contraception.
Effect of Small Endometriomas on Ivf-Icsi Cycles
(Oxford Univ Press, 2003) Pabuccu, R.; Kucuk, T.; Duru, N. K.; Goktolga, U.; Zeteroglu, S.; Yenen, M. C.
Eight Years' Experience of Uterine Rupture Cases
(2005) Zeteroglu, S.; Ustun, Y.; Engin-Ustun, Y.; Sahin, H.G.; Kamaci, M.
Ruptured uterus is a serious obstetric emergency with a high maternal and perinatal mortality. It is a preventable and common obstetric problem in developing countries. The objective of this study was to review the incidence, methods of diagnosis and maternal and perinatal morbidity and mortality associated with uterine rupture. Case notes were reviewed for all patients with a ruptured uterus at Yüzüncü Y1l University Medical Faculty Department of Obstetrics and Gynaecology from January 1995 to August 2003. Relevant data relating to the clinical characteristics of labour, operative procedures, maternal and perinatal outcome were assessed. There were 20 cases of ruptured uteri. The incidence was 0.40%. When patients referred from other hospitals were excluded, the revised ratio was 0.12%. There were 13 (65%) complete and seven (35%) incomplete ruptures. Nine (45%) cases occurred in patients with scarred uteri. Ten (50%) cases were grand multiparous. Subtotal abdominal hysterectomy was performed in five (25%) cases, total abdominal hysterectomy was performed in two (10%) cases and the remaining 13 (65%) cases had uterine rupture repair. There were two (10%) maternal deaths. Both of them were referred from other hospitals. There were seven (35%) perinatal deaths attributable to uterine rupture. Occurrence of uterine rupture is significantly associated with grand multiparity, scarred uterus, lack of antenatal care, unsupervised labour at home and low socioeconomic status of the patients. These factors are largely preventable. © 2005 Taylor & Francis.
Uterine Leiomyoma Embolization: Role of Power Doppler Ultrasonography
(2003) Harman, M.; Zeteroglu, S.; Sengül, M.; Etlik, O.; Arslan, H.
PURPOSE: The vascularity of uterine leiomyoma was evaluated by power Doppler ultrasonography (PDUS) before and after bilateral uterine artery embolization (UAE) in order to establish the efficacy of the procedure and contribution to the treatment. MATERIALS AND METHODS: UAE was performed in 20 symptomatic patients with uterine leiomyoma. In addition to MRI and gray scale US, patients were evaluated by PDUS to assess the vascularity of the uterus and leiomyomas before and 6 months after the embolization and the findings were compared with angiography. Vascularity was categorized into 3 groups as mild (5 cases), moderate (7 cases) and marked (8 cases). Relationship between the findings of PDUS and treatment results were analyzed statistically by one-way ANOVA and post-hoc Tukey tests. RESULTS: In PDUS except their calcified and degenerated regions leiomyomas displayed more vascularity peripherally than centrally, before the embolization. Six months after the embolization, a decrease of 37%, 44% and 59% was observed in the mass of the leiomyomas that had revealed mild, moderate and marked vascularity before the embolization. Greater mass reduction occurred in leiomyomas with high pre-embolization vascularity (p < 0.05). CONCLUSION: PDUS gives important information about the vascularity of uterine leiomyomas before and after uterine artery embolization, which became a widespread treatment option in recent years. It can be helpful in the selection of patients for uterine artery embolization by revealing the vascularity of the leiomyomas. Also it is a non-invasive and cheap method in the determination of the efficacy of the procedure in the early and late periods after embolization.