Cerrahi kongresi kongre biLİmsel programi ve biLDİRİ Özetleri

 www.minimalinvazivjinekolojikcerrahi.org
21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
Tablo 1. POP ve kontrol grupları arası demografik özellikler ve uterosakral ligament 
ADAMTS-2 ve kollajen tip-1 seviyelerinin karşılaştırılması
POP grubu 
(n=22)
Kontrol grubu 
(n=23)
p değeri
Yaş (yıl)
62.45±7.79
60.91±5.57
0.44
VKİ (kg/m2)
27.18±3.63
29.93±6.52
0.09
Menopoz süresi (yıl)
13.18±7.11
13.17±5.02
0.99
Gravida
6.18±3.63
4.95±3.21
0.23
Parite
4.63±2.88
4±2.79
0.45
Doğum şekli (n, %) 
NSVD 
C/S 
NSVD+C/S
20/22 (90.9%) 
0 
2/22 (9.1%)
15/23 (65.2%) 
3/23 (13%) 
5/23 (21.7%)
0.83
Aile öyküsü 
Annede POP öyküsü (n, %) 
Annede POP cerrahisi (n, %) 
Kardeşte POP öyküsü (n, %) 
Kardeşte POP cerrahisi (n, %) 
1° akrabalarda POP öyküsü+/cer-
rahisi (n, %)
8/22 (36.4%) 
5/22 (22.7%) 
6/22 (27.3%) 
5/22 (22.7%) 
11/22 (50%)
5/23 (21.7%) 
4/23 (17.4%) 
5/23 (21.7%) 
3/23 (13%) 
10/23 (47.6%)
0.27 
0.65 
0.66 
0.39 
0.66
ADAMTS-2 (ng/mg prt)
11.44±6.89
23.24±17.86
0.006
Kollagen tip-1 (µg/mg prt)
15.56±6.96
33.41±32.62
0.016
VKİ: Vücut kitle indeksi; NSVD: Normal spontan vaginal doğum; C/S: Sezeryan doğum; POP: Pelvik 
organ prolapsusu; ADAMTS-2: A disintegrin-like and metalloproteinase with thrombospondin type 
motifs. 
 

---

21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
 www.minimalinvazivjinekolojikcerrahi.org
Tablo 2. ADAMTS-2 ve kollajen tip-1 düzeyinin POP gelişiminde prediktif etkisi
B
p değeri
OR (%95 CI)
Kollajen tip-1 (µg/mg prt)
-0.093
0.01
0.91 (0.84-0.98)
Constant
1.85
0.01
6.37
Kovariatlar: Yaş, VKİ, gravida, doğum şekli. POP: Pelvik organ prolapsusu; VKİ: Vücut kitle indeksi; 
ADAMTS-2: A disintegrin-like and metalloproteinase with thrombospondin type motifs. 
 
Tablo 3. ADAMTS-1 ve kollajen tip-1 düzeyinin demografik veriler ve POP-Q skorları ile 
korelasyonu
Yaş
Menopoz 
süresi
Parite
POPQ 
skoru
ADAMTS-2 Kollajen 
tip-1
ADAMTS-2 (ng/mg prt)
r 
p
-0.16 
0.27
-0.2 
0.06
-0.02 
0.89
-0.09 
0.54
0.9 
<0.0001
Kollajen tip-1 (µg/mg prt) r p
-0.12 
0.42
-0.2 
0.12
0.01 
0.94
-0.19 
0.2
0.9 
<0.0001
POP: Pelvik organ prolapsusu; POP-Q: Pelvik organ prolapsusu ölçme sistemi; ADAMTS-2: A 
disintegrin-like and metalloproteinase with thrombospondin type motifs-2. 
 

---

 www.minimalinvazivjinekolojikcerrahi.org
21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
SS-02 
Single Incision Laparoscopic Surgery for Ovarian Torsion
Yetkin Karasu 
Ankara Training and Research Hospital
STUDY OBJECTIVE: To investigate the efficacy of single incision laparoscopic surgery (SILS) in 
ovarian torsion cases.
Design: A retrospective study (Canadian Task Force Classification III).
Setting: A university affiliated training and research hospital
Patients:16 patients with ovarian torsion were included in the study. All patients underwent SILS 
for ovarian torsion. 
MEASUREMENTS AND MAİN RESULTS: From August 2014 to November 2017, 16 patients 
underwent SILS for ovarian torsion at the Ankara Training and Research Hospital. The median 
age of the patients was 25 (min-max: 14-41). The most common complaint was abdominal pain, 
which was present in all patients. Procedures included ovarian detorsion and cystectomy (n=10), 
detorsion and cyst aspiration (n=2), detorsion only (n=2) and detorsion and ovarian fixation (n=2). 
The median operative time was 52.5 minutes (min-max: 30-70 min). No major intraoperative 
or postoperative complications were encountered, and there was no need for conversion to 
multiport laparoscopic surgery or open surgery. The most frequent pathologic result in patients 
undergoing cystectomy was benign follicular cyst (n = 7). 
 
CONCLUSION: SILS appears to be feasible, effective and safe in the treatment of ovarian torsion 
cases. However, there is a need for larger studies comparing SILS with conventional laparoscopy.
 
Keywords: Single incision laparoscopic surgery, Ovarian torsion, Minimally invasive surgery 
 
 
SILS configuration 
 
 
Operative findings of the patients

---

21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
 www.minimalinvazivjinekolojikcerrahi.org
Patient Surgery
Time 
(min)
Bleeding (ml) Htc Change Hospitali-
zation
Pathology
1.
Detorsion and 
cystectomy
47
20
5.0
1
Benign Folli-
cular Cyst
2.
Detorsion
55
30
0.9
1
-
3.
Detorsion and 
Cyst aspira-
tion
60
0
1.4
1
-
4.
Detorsion and 
cystectomy
30
0
5.4
1
Benign Folli-
cular Cyst
5.
Detorsion and 
ovarian fixa-
tion
70
30
2.6
1
-
6.
Detorsion and 
cystectomy
48
10
0.0
2
Dermoid Cyst
7.
Detorsion and 
cystectomy
44
0
0.7
1
Benign Folli-
cular Cyst
8.
Detorsion
38
10
4.7
1
-
9.
Detorsion and 
cystectomy
63
20
5.6
1
Dermoid Cyst
10.
Detorsion and 
cystectomy
50
20
3.2
1
Benign Folli-
cular Cyst
11.
Detorsion and 
cystectomy
60
20
1.6
1
Benign Folli-
cular Cyst
12.
Detorsion and 
ovarian fixa-
tion
55
50
0.2
2
-
13.
Detorsion and 
Cyst aspira-
tion
40
10
1.6
1
-
14.
Detorsion and 
cystectomy
60
0
0.9
1
Dermoid Cyst
15.
Detorsion and 
cystectomy
40
0
2.3
2
Benign Folli-
cular Cyst
16.
Detorsion and 
cystectomy
64
20
0.5
1
Benign Folli-
cular Cyst
 
 

---