Mustafa Kara

Kliniğimizdeki sezaryen operasyonlarında görülen komplikasyonlar ve olası risk faktörlerinin değerlendirilmesi / Evaluation of risk factors and potential complications after cesarean operations in our clinic

Objective: The aim of the study is to evaluate the surgical complications after cesarean section in our clinic and its possible risk factors regarding the literature. Material and Methods: Records of 687 patients with caesarean sections in our department of Obstetrics and Gynecology between January 2007 and December 2009 were retrospectively studied. Cases were reviewed regarding the age, type of anesthesia, number of caesarean sections and complications, surgery time of intervention and leading factors. Results: The mean age of all patients included in the study was 25,1±5,8 years. Average gravidity: 2,3±1,4, parity: 1,1±2,1. In 54% cases, spinal anesthesia and in 46% cases, general anesthesia was performed. 513 patients (74,7%) were operated in emergency conditions and 174 patients (25,3%) in elective conditions. Caesarean section was performed in 448 patients for the first time and 239 patients had multiple caesarean sections. The rate of complications of caesarean sections was 11,2 % and the mean duration of hospitalization was 2,3±1,5 days. Conclusion: The most common complication after cesarean was bleeding. Overall complication rate was lower than the literature. Referral of high-risk patients to a reference center may play a role in low rate of complication.

Comparison of Transobturator Tape and Mini-Sling Tissue Fixation in Female Patients Who Had Stress Urinary Incontinence.

BACKGROUND Urinary incontinence is a significant medico-social problem and its incidence increases up to 70% in the postmenopausal period. OBJECTIVES We aimed to compare the efficacy and safety of transobturator adjustable tape (TOT) and mini sling in female urinary incontinence. MATERIAL AND METHODS A total of 69 patients were included in the study. Single surgeon applied TOT (n=56 with ISD) or 13 mini sling (n=13 with ISD). Patients were considered to have ISD identified by a Valsalva leak point pressure (VLPP) measurement<60 cm H2O with a volume of 150 mL in the bladder or by a maximum urethral closure pressure (MUCP) measurement<20 cm H2O with a volume of 200 mL in the bladder. The mean follow-up period was 25 months for TOT group and 24 months for mini sling group (p=0.72). RESULTS The cough test was negative in 48 of TOT group (86%) and 11 of mini sling group (84.6%). ICIQ-SF scores for the median value decreased from 14 (11-21) preoperatively to 3 (0-9) postoperatively (p<0.05) in the TOT group, and 15 (12-23) preoperatively to 4 (0-10) postoperatively (p<0.05) in the mini sling group. The difference in the decrease of the score between two groups was not statistically significant (p=0.42). There was not any significant complication to note. The mean hospital stay for TOT group was 2.1 days (1-5), and 1.4 days (1-3) for mini sling group (p=0.12). Operation time was was significantly lower in mini-sling group than TOT group (11.6 vs. 18.4, p<0.01). CONCLUSION Both TOT and mini-sling procedures are successful and safe procedures in the treatment of female stress urinary incontinence with ISD.

Contraceptive methods used by women living in Yozgat City

Aim. The aim of this study was to detect the knowledge levels and and type of contraceptive methods in women living in the center of Yozgat, a central Anatolian city. Methods. This study was done in 441 women who agreed to participate into the study attending Obstetrics and Gynecology Service between October 2010 and July 2011 by using a questionnaire application. The inquiries were filled out by a nurse with face to face conversation. Results. Of the 441 women in the study group, demographic parameters was as the following: the average age 34.27 ± 9.3 years, gravidity 2.70±1.86, parity 2.00±1.5, abortion 0.30±1.2, and number of live children 2.05±1.25. The rates of contraceptive method usage were 72.4%. The most common used contraceptive method was detected to be intrauterine device (41%). The second and third most common used methods were withdrawal (23%) and condom (19.5%), respectively. The percentage of the women who did not use any contraceptive method was 27.6% and the most common cause of this condition was child expectancy (63.9%). Conclusion. In our study, the rate of any family planning method usage is 72.4% and IUD is the most preferred method. Among the participants of the study, the level of knowledge about family planning is 88.2%.