Browsing by Author "Aytekin, Fatih"

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Comparing Trans Obturator Tension Free Vaginal Tape Surgery with Needleless Suburethral Sling
(2015) Bakay, Kadir; Aytekin, Fatih; Celik, Nilufer Yigit; 0000-0002-0300-0810; H-9018-2018
Aim: Urinary incontinence is described by the International Continence Society as an involuntary urinal discharge that can be objectively proved to cause hygenic and social problems. We aim to share our surgical experience in 51 patients in which trans obturator tension free vaginal tape procedure [TOT] is compared with needleless suburethral sling placement, also known as minisling. Material and Method: 51 patients complaining of genuine stress incontinence between December 2011 and December 2012 were retrospectively involved in the study group. All patients were examined and urodynamically tested for diagnosis. After getting positive results as genuine stress incontinence, surgery was planned. Patients were operated using outside-inside TOT technique and minisling technique, results were compared in terms of blood loss, operation time, and the surgical effectiveness of the technique. Results: Operation time was 27 +/- 6 minutes for TOT and 11 +/- 4 minutes for minisling respectively. Comparison of operation time and blood loss was in favor of the minisling group. Disscussion: TOT and minisling are both described as minimally invasive procedures that can be performed under regional anesthesia to an outpatient with minisling bearing all the advantages of TOT without needle complications.
Mechanical Bowel Preparation for Laparoscopic Hysterectomy, is It Really Necessary?
(2017) Bakay, Kadir; Aytekin, Fatih; 0000-0002-0300-0810; 28650683; H-9018-2018
In this prospective randomised single-blind case-controlled cohort study the aim was to compare the effects of mechanical bowel preparation (MBP) on field of vision and surgical comfort during total laparoscopic hysterectomy procedures. The study group was made of 102 patients that had undergone total laparoscopic hysterectomy (TLH), between July 2012 and June 2014. Statistical comparison was made between the means of durations of operation between the two groups divided by visual indexing (VI). The patients with a VI score of less than 2 and those with VI score of 2 or higher were compared in terms of operation duration in regard to the criteria described above. According to calculations, the p value is .664, therefore, making the result statistically not significant at p <= .05. In conclusion it can safely be reported that mechanical bowel preparation before laparoscopic hysterectomy was not found to be necessary in this study group. IMPACT STATEMENT Considering recent publications on the subject, the benefits of mechanical bowel preparation before gynaecologic laparoscopy is still a debateable subject and in that regard what we wish to share is that our study is based on an objective visual indexing tool not used before thus making our results reliable on deciding whether or not patients should receive mechanical bowel preparation prior to laparoscopic surgery for benign reasons.
Progesterone Supplement and Luteal Phase Deficiency in Unifollicular Intrauterine Insemination Cycles
(2015) Bakay, Kadir; Aytekin, Fatih; Celik, Nilufer Yigit; 0000-0002-0300-0810; H-9018-2018
Aim: Intrauterine insemination is a widely used technique with advantages of being a simple and less invasive method with a lower cost when compared to other assisted reproductive techniques. In the present prospective randomized controlled study we aim to prove that progesterone supplementation is a beneficial factor in pregnancies achieved with intra uterine insemination and also we want to emphasise that luteal phase deficiency does not always occur in multifollicular cycles but can be seen in unifollicular cycles as well. Material and Method: Patients diagnosed with unexplained infertility between December 2011 and December 2012 were admitted to the study group. 278 IUI cycles with COH using recombinant FSH induction were recorded. Results: The effect of progesterone supplement on achieving pregnancy was statistically significant (p<0.05) with a rate of 33.66% when compared to the non-receiving group that had a rate of 12.22%. Discussion: Progesterone supplementation, either in defective luteal phase or not has a chance of improving pregnancy rates in general and contrary to the notion that luteal phase deficiency mainly occurs in multifollicular cycles, it can be seen in unifollicular patients as well.
Tips and Tricks in Laparoscopic Surgery in Light of 172 Patients, From A Gynecological Point of View in Turkey
(2016) Bakay, Kadir; Aytekin, Fatih; Tunkiran, Ahmet
Aim: In this prospective study we aim to discuss and share our experience of what we have learned in laparoscopic surgery in general. Material and Method: Prospective case controlled study. Data obtained from 172 laparoscopic procedures performed in Baskent University Alanya hospital gynecology clinic were collected between April 2012 and March 2014. Results: Difference in abdominal wall elevation measurements with force applied during primary trocar entry ranged from 1cm to 3cm (mean: 2.13 +/- 1cm) when elevated manually and 0.5cm to 3cm (mean: 0.89 +/- 0.8cm) with the towel clips. The difference was statistically significant (p<0.05). Discussion: Laparoscopic surgery or minimally invasive surgery in general will undoubtedly dominate all fields of medicine in the near future, therefore it would be mandatory for almost every surgical branch to provide adequate training and skills for the operator in the both pre and post graduation period.