Browsing by Author "Güngör, Mete"

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    Case Report; Laparoscopy in the Management of Internal Herniation of Adnexa
    (Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2018-09-01) Takmaz, Özgüç; Özbaşlı, Esra; Güngör, Mete
    Abstract Broad ligament herniation is defined as protrusion of viscera through the pelvic peritoneum. It accounts 5% of internal hernias. We report, a 17 year-old woman presenting with a 5cm adnexal anechoic cyst and episodic pelvic pain who has no remarkable medical history. After 8 hours of follow-up, clinical picture persisted and evaluation with laparoscopy. It was noted that right adnexa with 5cm cyst was herniated through broad ligament intraoperatively. Ovarian cyst was excised and hernia was repaired laparoscopically. Clinical findings were resolved after surgery and patient discharged the day after surgery. In conclusion, adnexal hernia through broad ligament should be thought in differential diagnosis of female acute pelvic pain. Laparoscopy is an effective procedure for the diagnosis and treatment of adnexal hernia.Abstract Broad ligament herniation is defined as protrusion of viscera through the pelvic peritoneum. It accounts 5% of internal hernias. We report, a 17 year-old woman presenting with a 5cm adnexal anechoic cyst and episodic pelvic pain who has no remarkable medical history. After 8 hours of follow-up, clinical picture persisted and evaluation with laparoscopy. It was noted that right adnexa with 5cm cyst was herniated through broad ligament intraoperatively. Ovarian cyst was excised and hernia was repaired laparoscopically. Clinical findings were resolved after surgery and patient discharged the day after surgery. In conclusion, adnexal hernia through broad ligament should be thought in differential diagnosis of female acute pelvic pain. Laparoscopy is an effective procedure for the diagnosis and treatment of adnexal hernia.
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    Transvaginal Specimen Extraction in Minimally Invasive Colorectal Resections: Initial Experience of a Tertiary Referral Hospital
    (Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2019-10-01) Bayraktar, Onur; Esen, Eren; Bengür, Fuat Barış; Erenler Bayraktar, İlknur; Aytaç, Erman; Bilgin, İsmail Ahmet; Baca, Bilgi; Güngör, Mete; Karahasanoğlu, Tayfun; Hamzaoğlu, İsmail
    ABSTRACT Purpose: The aim of the present (this) study is to present the initial experience of a single team on specimen extraction from the vagina after laparoscopic or robotic colorectal resections. Patients and methods: Between January 2010 and April 2015, ten female patients whose resection specimens had been extracted transvaginally after robotic or laparosopic colorectal resections were evaluated in terms of short and mid term postoperative outcomes. Results: 10 cases were included. The operations were robotic rectal resections for cancer (n=6), laparoscopic total colectomy for transverse colon tumor (n=1), single port laparoscopic transumbilical right colectomy for Crohn’s disease (n=1), laparoscopic rectal resection for endometriosis (n=2). In one patient, a vaginal bleeding occurred on postoperative day 7 and a vaginal tampon was inserted and the bleeding was stopped. One patient had a urinary tract infection, it was treated with proper antibiotic therapy. The median postoperative hospital stay was 5 (4-9) days. No mortality occurred. Conclusion: Transvaginal specimen extraction is feasible after colorectal resection and could prevent additional skin incision and its potential complications.