Browsing by Author "Guldeniz, Aksan Desteli"

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Is the Loop Electrosurgical Excision Procedure Necessary for Minor Cervical Cytological Abnormalities?
(2014) Guldeniz, Aksan Desteli; Turkan, Gursu; Murat, Baykal Cem
Background: To investigate the indications of loop electrosurgical excision procedure (LEEP) and its overtreatment rates for the see and treat and three step strategies in cases of atypical squamous cells of undetermined cytology (ASC-US) and low grade intraepithelial neoplasia (LGSIL) cytology. Materials and Methods: We retrospectively analyzed colposcopy directed biopsy (CDB) and LEEP results of 176 paients with ASC-US or LGSIL cytologies who underwent colposcopic examination. Results: Initial cytologies were ASCUS in 120 women and LGSIL in 56. According to the see and treat approach immediate LEEP was performed for 38 women. Among the remaining 138 women, LEEP was performed for 32 whose CDB results revealed CIN2/3 lesions. In the see and treat group the recognition of CIN2/3 was found to be 39.4%. The overtreatment rate was 60% as compared to 25% in the three step group. In CDB group detection of CIN 2 or greater lesions increased with 3 or more biopsies. Conclusions: In patients with ASC-US/LGSIL cytologies CDB should be performed before LEEP to prevent overtreatment, with attention to all suspected areas and more than 2 biopsies taken.
Vaginal Birth or Cesarean Section: Recommendations of Women Who Delivered Via Both Methods
(2016) Guldeniz, Aksan Desteli; Turkan, Gursu
Aim: To determine which method is recommended by women who have delivered via both methods and their reasons for this recommendation. Material and Method: The study included 204 women, mean age was 42 +/- 7.6 years with history of both vaginal and cesarean delivery. A questionnaire was prepared about experiences with vaginal and caesarean delivery. Results: Reasons for cesarean section were maternal preference (40), and obstetric indications (164). Of the 204 women, 129 (63.2%) recommended vaginal delivery to other women. More participants who experienced difficult labor during vaginal delivery recommended cesarean delivery than those who considered their vaginal delivery "easy" (65.4% vs. 10.4%, p<0.01). Recommendation of cesarean section increased significantly with the level of education (p=0.011). The most frequent reason for recommend vaginal delivery was postpartum comfort (64.3%), for recommend cesarean delivery were easy labor (53.3%). Most women who delivered via cesarean section due to obstetric indications (69.6%) recommended vaginal route, whereas most who chose cesarean delivery (62.5%) recommended cesarean section. Discussion: Among women who had delivered via both methods, 63.2% of those recommended vaginal delivery due to primarily postpartum comfort. Patients who recommend cesarean section regarded it as easier primarily because of pain during vaginal delivery.