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Öğe Anatomical landmarks regarding sacrospinous colpopexy operations performed for vaginal vault prolapse(Elsevier Sci Ireland Ltd, 2002) Sağsöz, N.; Ersoy, M.; Kamaci, M.; Tekdemir, I.Aim: To investigate the anatomical relationships of the structures and the topographic anatomy or the sacrospinous ligament and validate Current anatomic knowledge of this area. Materials: Nine embalmed half female cadaver pelvises were dissected to reveal the anatomy of the sacrospinous ligament. Results: The average length of the sacrospinous ligament was measured to be 43.04 +/- 6.58 mm. The inferior gluteal complex emerges from the infrapiriform foramen at a distance of 17.02 +/- 3.08 mm from the ischial spine and courses to inferior laterally with a slight curve. During this course, it passes close to the upper-lateral half of the sacrospinous ligament. The pudendal complex passes above the spine in six of the nine cases (66.6%) and lies maximum of 5.5 mm medial to the spine. Oil average the sciatic nerve is measured to he 25.14 +/- 3.94 mm lateral to the ischial spine. Conclusion: Placing the suture inferomedially and close to sacrum, the risk of complication will be minimal. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.Öğe Anxiety and depression before and after the menopause(Springer-Verlag, 2001) Sağsöz, N.; Oğuztürk, O.; Bayram, M.; Kamaci, M.Objective: Our purpose was to investigate the anxiety and depression at postmenopausal women. Methods: We studied 32 postmenopausal and 32 premenopausal patients aged between 40-55 years in Kirikkale University Medical Faculty Obstetric and Gynecology Department. We performed Beck depression scale and State Trait Anxiety Inventory (STAI)I and II on those patients. Blood samples were taken from each patient. We used students t test, pearson correlation analysis. Results: Beck depression test results were 21.3 +/- 6.7 and 15.1 +/- 5.6 in postmenopausal and premenopausal women respectively (p < 0.001). STAI-I were 50.4 +/- 9.1 and 47.5 +/- 8.5 in this 2 groups (p = 0.19) and STAI-II values were 47.5 +/- 9.1 and 45.4 +/- 7.5 (p = 0.33. We could not find a correlation between anxiety-depression and blood FSH, LH and E-2 levels We found a correlation between parity and depression (r = 0.423 p = 0.01). There were positive correlations between anxiety and depression tests (r = 0.489 p = 0.01 for STAI-I and r = 0.398 p = 0.01 for STAI-II). Conclusion: Depression rate is significantly higher in menopausal women.