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    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.
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    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.
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    Cytotoxin associated gene A-positive Helicobacter pylori strains in dyspeptic pregnant women
    (Elsevier Sci Ireland Ltd, 2004) Noyan, V.; Apan, T.Z.; Yücel, A.; Sağsöz, N.
    Objective: The aim of the present study was to compare the Helicobacter pylori (HP) seropositivity and cytotoxin associated gene A (cagA) status in pregnant women with dyspeptic complaints and pregnant women with no gastrointestinal symptoms. Study design: Seventy-one consecutive pregnant women with gastrointestinal complaints and 72 age-matched pregnant women without any gastrointestinal symptoms or a history of gastrointestinal disease were included in the study. Demographic characteristics and H. pylori and cytotoxin associated gene A status of the groups were analysed. Results: The prevalence of H. pylori seropositivity was slightly but not significantly higher in patients with dyspeptic complaints compared to the controls (74.6% versus 63.8%, respectively, P > 0.05). The incidence of dyspeptic complaints were 53.5% in HP-seropositive and 40.9% in HP-seronegative women (P > 0.05). The prevalence of cytotoxin associated gene A positivity among H. pylori-seropositive women was significantly higher in dyspeptic pregnants compared to the controls (75.5% versus 45.7%, respectively, P = 0.002). Among HP-seropositive women, the incidence of dyspeptic complaints was significantly higher in cagA-positive patients compared to the cagA-negative ones (65.6% versus 34.2%, respectively, P = 0.002). When analysed according to the trimesters, the prevalence of cytotoxin associated gene A positivity among H. pylori-seropositive women was significantly higher in dyspeptic pregnants compared to the controls in the first trimester (68.0% versus 34.8%, respectively, P = 0.021). Conclusion: Cytotoxin associated gene A-positive, virulant H. pylori strains were found to be more frequently associated with dyspeptic complaints in pregnant women. (C) 2004 Elsevier Ireland Ltd. All rights reserved.