Neonatal uterine bleeding at birth and endometriosis later in life

Neonatal uterine bleeding at birth and endometriosis later in life By Selma Oransay

In the first few days after birth, some female newborns bleed from the vaginal route, and this is called newborn uterine bleeding. The overt and occult neonatal uterine bleeding prevalence rates are 3-5% and 25-60% retrospectively. The causative risk factors for…

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Deep infiltrating endometriosis and postoperative pregnancy outcomes

Deep infiltrating endometriosis and postoperative pregnancy outcomes  By Selma Oransay

Although the current ESHRE guidelines state that there is no strong evidence to support surgical intervention to improve the spontaneous pregnancy rate in women with deep infiltrating endometriosis and advise Assisted reproduction technology irrespective of the severity of endometriosis, several studies…

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Comparison of two different surgical approach to deep colorectal endometriosis in terms of postoperative outcomes.

Comparison of two different surgical approach to deep colorectal endometriosis in terms of postoperative outcomes. By Selma Oransay

Deep colorectal endometriosis affects one-fifth of women with endometriosis, which is commonly associated with more pelvic pain and severe gastrointestinal symptoms. Three surgical approaches for deep colorectal endometriosis are segmental colorectal resection, full-thickness discoid resection, and shaving operation. Choosing the…

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A new classification called ENDOGRADE to rate surgical complexity in deep endometriosis.

A new classification called ENDOGRADE to rate surgical complexity in deep endometriosis. By Selma Oransay

Correlation with patient outcomes could not be identified in most endometriosis classification systems including the commonly used revised ASRM. Therefore, in addition to grading the depth and invasion pattern of the lesions, there is a need for a classification system to…

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Postoperative outcomes of laparoscopic rectosigmoid resection for bowel endometriosis.

Postoperative outcomes of laparoscopic rectosigmoid resection for bowel endometriosis. By Selma Oransay

Rectosigmoid endometriosis comprises 80-85% of all bowel endometriosis cases and can be localized in the rectovaginal septum, uterosacral ligaments, retro-cervical region, and parametrium. Symptoms of rectosigmoid endometriosis include abdominal bloating, constipation-diarrhea, lower-back pain, dyschezia, and sometimes cyclic rectal bleeding. Minimally…

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Which surgery for deep endometriosis? Laparoscopic shaving or rectal resection?

 Which surgery for deep endometriosis? Laparoscopic shaving or rectal resection? By Selma Oransay

This keynote lecture entitled "Deep endometriosis: The place of laparoscopic shaving" was presented by Dr. Jacques Donnez, the director of the infertility research unit at the Catholic University of Louvain, Brussels, Belgium, at the Annual International Medical Conference of the Endometriosis Foundation…

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Ultrasonographic Presurgical Staging and Classification of Endometriosis

 Ultrasonographic Presurgical Staging and Classification of Endometriosis By Selma Oransay

Laparoscopic surgery is the gold standard for diagnosing endometriosis, but a preoperative imaging procedure is strongly recommended. Transvaginal sonography by a skilled examiner is not inferior to MRI diagnostics regarding sensitivity and specificity in predicting the extension of deep endometriosis.  …

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Postoperative outcomes of deep intestinal endometriosis surgery.

 Postoperative outcomes of deep intestinal endometriosis surgery. By Selma Oransay

Invasion of endometriotic lesions to the bowels' mucosal and/or muscular levels is called intestinal deep endometriosis. These lesions are most frequently found in the rectosigmoid colon, followed by the rectum, ileum,  appendix, and caecum. The optimal surgical approach to intestinal deep…

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Diaphragmatic endometriosis

Diaphragmatic endometriosis By Selma Oransay

Diaphragmatic endometriosis is a rare clinical condition that may show signs and symptoms like chest pain, right upper quadrant abdominal pain, shoulder pain, pleuritic pain, hemothorax, pneumothorax, hemoptysis, and thoracic endometriosis syndrome while the major part of the patients is…

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Complex Relation Between Body mass index and endometriosis

Complex Relation Between Body mass index and endometriosis By Selma Oransay

This research aimed to find the relationship between BMI and endometriosis especially related to surgical phenotype and lesion location. An observational cohort study was led by  Holdsworth-Carson et al, from Australia. The article was recently published in "RBMO" . Many earlier studies report…

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Limits of endometrioma surgery in infertility patients - Liselotte Mettler, MD, PhD

Limits of endometrioma surgery in infertility patients - Liselotte Mettler, MD, PhD By Selma Oransay

The removal of endometrioma may affect ovarian reserve because healthy follicles near endometrioma could also be excised during this procedure. Another concern about the ovarian reserve is that it may be already low before the surgery. Anti Mullerian Hormone (AMH)…

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