Oktay Kadayifçi

Labial Fusion in a Pubertal Girl: A Case Report

An 18-year-old virgin, pubertal girl was treated for abnormal menses and dysmenorrhea. She had no history of trauma, sexual infection, or abuse. Occlusion of the introitus of the vagina had been first diagnosed 10 years earlier. The patient presented with fusion of the labia minora in the midline, posteriorly. Her physical examination, ultrasonographic laboratory examination, and intravenous pyelogram were all normal. Following surgical treatment, she had no problems at the time of postoperative follow-up.

Laparoscopic microsurgical tubal reanastomosis: a preliminary study

Objective: To determine the effect of laparoscopic reversal of tubal sterilization on pregnancy rate. Methods: Eight patients who underwent laparoscopic tubal reversal between March 1999 and 31 December 2001 were evaluated. Results: Four of eight patients who had had laparoscopic tubal reversal became pregnant. Three have delivered; pregnancy in the fourth woman is ongoing. To date, the other four patients are still not pregnant. Two of these four cases have tubal patency but have not achieved pregnancy; in the other two cases, the operation was unsuccessful and tubal patency did not occur. Conclusion: In our preliminary study, the pregnancy rate was 50%.

A new device to facilitate the chorion villus sampling

Abstract No abstract available

Ethical and legal aspects of abortion

The Angels asked God: Is there a solution for the abortion debate? God: Yes, of course my Angels. It will be resolved. The Angels: When? God: Not in my lifetime. (Oktay Kadayifci) The abortion debate is an emotional, sensitive and complicated issue that interests society and religion. Our intention is not to convince you to accept either side of the debate, but to help with an understanding of both sides. As a health care provider, our mission is to reduce unwanted pregnancies and provide a loving home for all children. Whatever our efforts as a medical health care provider, they have not been successful in meeting the needs. One of the available methods is pregnancy termination, but the main issue is whether pregnancy termination is a method or not. Pro-life and pro-choice proponents have their strong and reasonable views. In this paper, we try to clarify the claims of both sides without any intervention.

A unilateral tubal twin pregnancy.

Ann Saudi Med 2006;26(4):333 A 20-year-old woman, primigravida, with a last menstrual period 8 weeks ago, presented with lower abdominal pain for two days and vaginal bleeding for one day. The gynecological examination found vaginal bleeding, no enlargement in uterine size, and a painful mass 4 centimeters in diameter in the right adnexal region. The serum β-HCG level was 8200 mIU/mL. Transvaginal ultrasonography revealed no gestational sac in the uterine cavity, but there were two gestational sacs in the right fallopian tube (Figures). A unilateral tubal twin pregnancy

The effect of tubal ligation scoring and sterilization counseling on the request for tubal reanastomosis.

Objective The aim of this study is to emphasize the role of counseling methods that are meant to decrease the request for tubal ligation reversal, such as tubal ligation scoring. Method This study covers 389 patients who were admitted for tubal sterilization to Çukurova University, Faculty of Medicine, Obstetrics and Gynecology Department, between 1 January 1990 and 31 December 1999. We have used the ‘Tubal ligation score’ on these 389 patients. Four hundred and seventeen patients who underwent bilateral Pomeroy type tubal ligation during cesarean section without having undergone tubal ligation scoring in the same time interval, were accepted as the control group. Results Laparoscopic tubal ligation (with a Yoon ring) was performed on 368 patients who had a score of 6 or higher. Twenty-one patients who got a score of 6 or lower were recounseled and another family planning method was prescribed to them. None of the 368 patients to whom tubal ligation scoring was done previous to laparoscopic tubal ligation returned to our clinic for tubal reanastomosis. Fifteen of the 417 patients (3.6%) in the control group returned to our clinic for tubal reanastomosis. ConclusionTubal ligation scoring may decrease the ratio of patients who request a tubal ligation reversal.

OP25.03: The usefulness of 3D ultrasonography in determining the level of open spina bifida in the second trimester

Objectives: The prognosis of infants with open spina bifida depends upon the location and extent of the lesion. This study aimed to determine the effectiveness of the 3D sonography on the prediction of upper pole of spina bifida during second trimester anomaly scan. Methods: Fetuses with spina bifida diagnosed during the second trimester from the October 2009 to the April 2010 were analyzed in two referral centers. Volumes were acquired starting from a midsagittal scan. The upper level of spina bifida was identified in multiplanar mode and maximum mode by comparing axial and sagitttal views, using as reference either the last rib (corresponding to T12) or the sacroiliac joint (S1). The diagnosis made on 3D was confirmed with pathological examination of aborted specimens and postnatal magnetic resonance imaging. Results: Fourteen fetuses were analyzed and the mean gestational age were 20.14 ± 2.11 (17–24). Six fetuses had thoracic spina bifida, six had lumbar defects and two had purely sacral defects. All had cranial signs of Arnold-Chiari malformation including lemon sign, banana sign and ventriculomegaly. Talipes was present in 12/14. Multiplanar mode was superior to the maximum mode in the identification of spina bifida level. This was correctly diagnosed in 10/14 (71, 43%). In the four remaining cases the sonographic estimate was within one vertebral segment (28, 57%). Conclusions: 3D sonography with multiplanar mode is an accurate tool in the diagnosis of open spina bifida level.

P165: Ultrasonographic diagnosis of fetal urinary system abnormalities

Results: Among the six cases evaluated, three had early prenatal diagnoses (14 to 20 wks; first signs: ‘‘OEIS’’ at 14 wks; ‘‘omphalocele’’ at 14, LBW complex at 19 wks; ‘‘cystic tumor’’ at 14 wks); two were terminated, one had an IUD at 17 wks. Three were recognised at 19–25 wks and diagnosed correctly at 26–29 wks; pregnancies continued to near term, and all neonates survived with varying handicaps. Conclusion: There is a spectrum of anomalies in OEIS that can be diagnosed prenatally. Early detection is possible, but failure to do so can lead to acceptable outcome.