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    Important anatomical structures used in paravaginal defect repair: cadaveric study
    (Elsevier, 2004) Ersoy, M.; Sagsoz, N.; Bozkurt, M.C.; Apaydin, N.; Elhan, A.; Tekdemir, I.
    Objective: To examine the variations and the anatomical characteristics of the tendinous arch of pelvic fascia (TAPF), the tendinous arch of levator ani (TALA) and the obturator fascia (Ofa) that are important structures in paravaginal defect repair and their relations with important neurovascular structures. Study design: We carried our study on 10 pelvic halves of five female cadavers fixed in 10% formaldehyde. Results: TALA could show a very high location or a low location near to inferior edge of obturator internus. TAPF was not observed in four of the cases. It was examined as a quite weak structure in two of the cases. The location of obturator vessel-nerve bundle could show difference. Obturator artery (OA) and vein sometimes do not course parallel to obturator vein (OV) and make an inclination and extend to the obturator foramen (OF). The distance between TAPF and the pectineal ligament (PL) (Cooper ligament) was measured as 5 cm on average. The distance between TAPF and the entrance of obturator canal was measured as 3.2 cm on average. While the distance of pudendal vessel-nerve bundle from levator am (LA) at the anterior border of the spine was 0 mm, 2 cm anteriorly it was measured as 4.4 mm on average. Conclusion: Since TAPF does not develop in every case, it is not a safe structure to be used in surgery. If TALA develop downward as a variation, it could be difficult to distinguish from TAPE Since the obturator fascia is a thin membrane, it is not a strong structure for suture placement. The region that is 2 cm in front of the ischial spine (IS) is a dangerous zone for pudendal vessel-nerve bundle. (C) 2003 Elsevier Ireland Ltd. All rights reserved.
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    Personality profile in menopausal women
    (7847050 Canada Inc, 2019) Ogurturk, O.; Sagsoz, N.
    Purpose of Investigation: Different menopausal conditions may exhibit different personality traits. The Minnesota Multiphasic Personality Inventory (MMPI) responses between naturally menopausal women and surgically menopausal women may be different. The authors compared the personality characteristics of naturally and surgically menopausal women by using MMPI. Materials and Methods: Twenty-five surgically menopausal women and 54 natural menopausal women were included in the present study. Psychometric evaluation was established with the Turkish version of the MMPI. The patients were divided into two separate groups as the surgically menopausal women and naturally menopausal women. Results: Surgically menopausal women compared to naturally menopausal women had higher absolute scores on hypochondriasis (66.4 +/- 9.2 vs. 57.1 +/- 8.0, p = 0.001, respectively). Surgically menopausal women compared to naturally menopausal women had a higher rate of clinical elevation on both depression (40.0 vs. 13.0%, p = 0.007, respectively) and hypochondriasis (60.0 vs. 14.8 %, p = 0.001, respectively). Hypochondriasis t score in patients with menopause was associated with the presence of surgically menopausal status after adjusting for possible confounding factors in multivariate model. Conclusion: Surgical menopause may take the foreground hypochondriac personality traits because of its unique characteristics. Surgically menopausal women are relatively more overworked with their bodies, so they complain of chronic fatigue, pain, and weakness, indicating hypochondriacal personality features.