Cerrahi kongresi kongre biLİmsel programi ve biLDİRİ Özetleri

POSTER 
BİLDİRİLERİ

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21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
 www.minimalinvazivjinekolojikcerrahi.org
P-01
The use of tamoxifen or aromatase inhibitor in patients with postmenopausal breast 
cancer; menopause duration and endometrial thickness
Ali Doğukan Anğın
1
, Hüsnü Gökaslan
2
, Ferhat Ekinci
3
, Resul Karakuş
4
, Pınar Anğın
5
, Ismet Gün
1
, 
Muzaffer Seyhan Çıkman
1
, Önder Sakin
1
1
Gynecology and Obstetrics, University of Health Sciences Dr. Lutfi Kırdar Kartal Training and 
Reasarch Hospital, Istanbul, Turkey
2
Gynecology and Obstetrics, Marmara University Pendik Training and Reasarch Hospital, Turkey
3
Family Medicine, Bursa Provincial Health Directorate, Bursa, Turkey
4
Gynecology and Obstetrics, University of Health Sciences Zeynep Kamil Women’s and Children’s 
Training and Reasarch Hospital, Istanbul, Turkey
5
Gynecology and Obstetrics, University of Health Sciences Umraniye Training and Reasarch 
Hospital, Istanbul, Turkey
OBJECTIVE: To evaluate the relationship of endometrial thickness in asymptomatic patients 
using tamoxifen or aromatase inhibitor due to breast cancer during menopause in the 
postmenopausal period.
 
DESIGN: In this study, 62 patients with postmenopausal breast cancer, gynecologically 
asymptomatic and using tamoxifen or aromatase inhibitor for at least six months were included 
in Marmara University Pendik Training and Research Hospital between December 2011 and 
March 2012. Endometrial thicknesses of all patients were measured as sagittal planar bilayers 
using a vaginal probe. Patients were divided into 3 groups. Group 1; Menopause duration of 
maximal 2 years, Group 2; Menopause lasting 3-5 years and Group 3; Menopause age> 5 years.  
SPSS 16.0 for windows (Microsoft Corp) program was used for statistical analysis. One way 
variance analysis (ANOVA) and Kruskal Wallis test (nonparametric alternative) were used to 
compare the mean of numerical data obtained from more than two independent groups. 
METHODS: A total of 62 patients were included in the study. There were 11 patients in group 1, 
15 patients in group 2, and 36 patients in group 3. The average age of the patients included in 
the study was 55.9 (41-71; ± 7.8), the mean time after menopause was 8.8 years (1-28; ± 6.5) and 
the mean duration of medication was 24.7 months -60; ± 18,3). The mean endometrial thickness 
measurements after transvaginal ultrasonography were statistically significant between the 
groups and were 7.1 ± 3.7mm in Group 1, 5.9 ± 3.1mm in Group 2 and 4.6 ± 2.1mm in Group 3, 
respectively (p = 0.021). 
 
CONCLUSION: The endometrial thickness in asymptomatic patients using tamoxifen or 
aromatase inhibitor due to breast cancer in the postmenopausal period is significantly decreases 
when the duration of menopause prolongs. Therefore, a larger number of studies are needed to 
establish border endometrial thickness curves according to menopause duration.
 
Keywords: tamoxifen, aromatase, menopause, endometrial, thickness, breast

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 www.minimalinvazivjinekolojikcerrahi.org
21 - 25 Şubat 2018
Wyndham Grand İstanbul Levent • İstanbul
MİNİMAL İNVAZİV JİNEKOLOJİK
CERRAHİ KONGRESİ
P-02 
Laparoscopic repair of ureter injuries after laparoscopic hysterectomy
Yigit Akin
1
, Isil Basara Akin
2
1
Department of Urology, Izmir Katie Celebi University, Izmir, Turkey
2
Department of Radiology, Dokuz Eylul University, Izmir, Turkey
OBJECTIVE: The most frequent cause of ureteral injuries are iatrogenic ones. Because of 
anatomic position of the ureter is close proximity of female genital organs. The iatrogenic 
injuries specifically occurs when performing homeostasis and/or controlling uterin artery.  
We would like to present the clinical diagnosis steps and correction of ureter injury in a 49 
years-old-woman due to huge myoma uteri during laparoscopic hyterectomy, by laparoscopic 
ureteroneocystostomy with psoas hitching in early post operative period (7th day of surgery).
 
MATERIAL-METHODS: She admitted outpatient clinic with chief symptoms of right flank pain 
and continuous vaginal discharge. In Ultrasonography, there was right ureterohydronephrosis. 
Intravenous pyelography prooved this and the right ureter was ended lateral of bladder. 
Under general anaestehesia, ureteroscopy was performed in lithotomy position. The right 
transected ureter was seen at level of sacroiliac crossing. The she was positioned to supin. Optic 
trocar was placed in open fashion according to Hasson technique. Pneumoperitoneum was 
created. The other working trocars were placed under direct vision. The omentum was moved 
on the riht ureter. Blunt and sharp dissections were performed to find and to dissect right ureter. 
Then, ureter was hanged and transected as possible as to its end. The ureter was transected 
and urine come was seen. After than bladder was dissected and Psoas hitching was performed. 
The jj stent was placed after ureter was spatulated. Then ureteroneocystostomy was performed 
successfully. 
 
RESULTS: The bladder is fulled with saline and anastomosis was checked for water resistance. A 
drain was located in operation field. 
The patient was discharged on the 3rd day of surgery. The jj stent was taken out on 30th day of 
surgery. 
 
CONCLUSION: The ureter injury which can occur during laparospic operations can be safely 
corrected by laparoscopic surgical techniques, in early post operative period.
 
Keywords: complication, hysterectomy, laparoscopy, ureteroneocystostomy
 
 

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