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
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 
 

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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 
 

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 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 
 

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