www.minimalinvazivjinekolojikcerrahi.org
21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
SS-09 [Laparoskopi]
Outcome of two cornual heterotopıc pregnancy after ın vıtro fertilizatıon by laparoscopıc
cornual repair
Nur
Dokuzeylül Güngör
1
, Tuğba Gürbüz
2
, Aynur Adeviye Ersahin
1
1
IVF Unit,BAU,Göztepe Medicalpark Hastanesi,Istanbul,Turkey
2
Obstetrics and Gyneacology,BAU,Göztepe Medicalpark Hastanesi,Istanbul,Turkey
STUDY OBJECTIVE: To determine the effects of heterotopic cornual pregnancy after in vitro
fertilization /embryo transfer and report on our experience of laparoscopic cornual repair..
DESIGN: Single –Center case report
SETTING:
Private Hospital
PATIENTS: Two women diagnosed with heterotopic pregnancy were managed by laparoscopic
cornual repair or salfenjectomy.
INTERVENTION: All two cases of heterotopic pregnancy were treated by laparoscopy.No patient
was converted to laparatomy.
MEASUREMENTS and MAIN RESULTS: The risk factors for heterotopic pregnancy included
tubal infertility,cleavage stage ET and frozen ET.Both of the patients gave live birth at the term.
The data was collected with medical records.Patients were managed according to hemodynamic
status by surgical cornual resection.
CONCLUSION: The incidence of heterotopic pregnancy has risen dramatically with the
widespread use of assisted reproductive technology.Early diagnosis and appropriate
management of heterotopic pregnancy may lead to a favorable prognosis.Laparoscopic cornual
repair appears to be an effective treatment in both cases.
Keywords: CORNUAL
PREGNANCY,İVF,HETEROTOPIC PREGNANCY
21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
www.minimalinvazivjinekolojikcerrahi.org
SS-10
Ultrasound guided tru-cut biopsy as a minimally invasive procedure in the management
of adnexal masses
Tufan Oge, Duygu Kayak Comert, Yusuf Cakmak, Omer Tarik Yalcin
Eskisehir Osmangazi Üniversitesi, Kadın Hastalıkları ve Doğum Anabilim Dalı
OBJECTIVE: We hypothesized that ultrasound guided tru-cut biopsy (UGTCB) is reliable and
effective method in the differential diagnosis of adnexal masses
and to begin testing this
hypothesis, we have evaluated the patients who underwent UGTCB in our gynecological
oncology department.
METHODS: For this retrospective study, we reviewed the medical records of 77 patients whom
underwent UGTCB in our gynecologic oncology department. Patients who have suspected
ovarian malignancy but not suitable for optimal debulking surgery, who may have higher rate
of morbidity and mortality because of poor performance status or suspected non gynecological
tumor and peritenal tuberculosis were the indications of UGTCB.
RESULTS: The indications for UGTCB were candidates for suboptimal cytoreduction (n=45,
58.4%), poor performance status (n=15, 19.4%), suspected non-gynecological tumor (n=17,
22%).
Of the patients, 55 of them underwent UGTCB abdominally and 22 patients vaginally.
Biopsy materials were to found be sufficient by the pathologist in 73 of 77 cases (94.8%).
Histopathologic evaluation revealed primary ovarian tumor in 50 (64.9%) patients. Tuberculosis
was found to be second common disease (n=12, 15.1%) among patients who underwent tru-
cut biopsy procedure. According to patients’ characteristics, there was no statistical difference
among patients who underwent vaginal or abdominal procedure, however primary peritoneal
cancer is more commonly diagnosed (p>0.05) and inadequate material is more commonly seen
in vaginal procedures (p>0.05).
CONCLUSIONS: Vaginal and/or abdominal UGTCB can be preferred as a minimally invasive
procedure in the management of adnexal mass and may be performed especially in advanced
ovarian cancer patients with high comorbidity who may benefit from neoadjuvant chemotherapy
and suspected non-gynecologic tumors including pelvic tuberculosis.
Keywords: abdominopelvic tumor,
advanced ovarian cancer, neoadjuvant chemotherapy,
peritoneal tuberculosis, try-cut biopsy, ultrasound
www.minimalinvazivjinekolojikcerrahi.org
21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
SS-11 [Laparoskopi]
Transumbilical versus lateral transabdominal retrieval of benign ovarian masses at
laparoscopy
Kemal Güngördük
1
, Osman Aşıcıoğlu
2
, Isa Aykut Özdemir
3
,
Varol Gülseren
4
, Muzaffer Sancı
4
1
Department of Gynecologic Oncology, Muğla Sıtkı Koçman University,Muğla,Turkey
2
Department of Gynecologic Oncology,
Healt Sciences Üniversity, Kanuni Sultan Süleyman
Education and Research Hospital, İstanbul,Turkey
3
Department of Gynecologic Oncology, Healt Sciences Üniversity,Sadi Konuk Education and
Research Hospital,İstanbul,Turkey
4
Department of Gynecologic Oncology, Healt Sciences Üniversity,Tepecik Education and
Research Hospital,Izmır,Turkey
OBJECTIVE: To compare transumbilical (TU) and lateral transabdominal (LTA) route for
retrieval of surgical specimens in women with ovarian masses undergoing laparoscopy.
Study Design: A total of 109 women receiving laparoscopic surgery of
a benign adnexal mass were
retrospectively evaluated between January 2014 and September 2017. Of these, 57 had adnexial
mass removed via TU route and 52 by a LTA. General anestesia and use of anesthetics were
standardized. Data on body mass index, parity, size of the ovarian mass, peri- and postoperative
complications, additional postoperative analgesic drug requirement, postoperative incisional
pain score that assessed by a 10-cm visual analog scalae (VAS) at 1,3,12, and 24 hours after
surgery, time to discharge and type of procedure were recorded.
RESULTS: There was no significant difference in BMI, parity, size of the ovarian mass, specimen
removal time, operation time, and type of procedure between the groups. The mean VAS score
at 1 hours (5.0 ± 1.7 vs. 6.3 ± 1.3; P<0.0001), at 12 hours (0.7 ± 0.8 vs. 1.2 ± 1.1; P=0.004), and at
24 hours (0.1 ± 0.3 vs. 0.7 ± 0.6; P<0.0001) were lower in the TU removal group. Furthermore,
additional postoperative analgesic drug requirement was significantly greater in the LTA removal
group ( 10 [19.2%] vs. 3 [5.3%]; P=0.03]. There was no major complications.
CONCLUSION: For laparoscopic surgery, removal of the ovarian mass
through an umbilical port
compared to through a lateral port causes less postoperative pain without increasing wound
complications such as infection or hernia.
Keywords: ovarian mass, laparoscopy, specimen retrieval