Search

Objective: The purpose of this study is to evaluate the impact of loop electrosurgical excision procedure (LEEP) and cold-knife conization (CKC) active training model on the surgical education and confidence levels of gynecologists. Materials and Methods: The LEEP and CKC hands-on training model consists of sausage, which is 2.5 cm in diameter, as cervix; plastic cup as vagina; foam rubber as posterior and anterior fornices; and cotton plate as the leukoplakia area. In total, 34 participants performed LEEP and CKC procedures on the training model under the guidance of mentors after theoretical lessons about the transformation zone, indications, and surgical techniques of LEEP and CKC. Afterward, a web-based survey was conducted to measure the effectiveness of this surgical model, and participants graded their learning and confidence levels on the same. Results: We evaluated the educational levels of the course, which were based on the basic surgical steps of LEEP and CKC procedures, and the confidence levels of the participants with regard to the previous practice or expertise of LEEP and CKC. Importantly, participants in each group had similar learning gains irrespective of previous practice or expertise. Despite a significantly higher pre-course confidence level of participants who had previously performed LEEP (p

Serous borderline ovarian tumors (SBOT) generally occur in young women, present at early stages and are associated with an excellent prognosis. However, there are rare subtypes of SBOT which may exhibit a more aggressive course. In contrast with other types of SBOT, the micropapillary variant SBOT (SBOT-MP) tends to present at advanced stages. Herein, we present a rare case of a SBOT-MP that occurred in a 66-year-old woman, who had tumoral involvement on bilateral ovaries, sigmoid serosa and a positive peritoneal cytology. The currently recommended treatment options for these cases are also discussed.Seröz borderline over tümörleri (SBOT) genellikle genç kadınlarda ortaya çıkmakta, erken evrede tanı almakta ve çok iyi bir prognoza sahip olmaktadır. Ancak, SBOT’nin daha agresif bir seyir gösterebilen nadir alt tipleri mevcuttur. Diğer SBOT’lerin aksine, SBOT’nin mikropapiller varyantı (SBOT-MP) ileri evrelerde ortaya çıkma eğilimindedir. Bu yazıda, 66 yaşındaki postmenopozal bir kadında ortaya çıkan, bilateral overlerde ve sigmoid kolon serozasında tutuluma ve pozitif peritoneal sitolojiye sahip nadir bir SBOT-MP olgusu sunulmaktadır. Ayrıca, bu tip olgular için güncel tedavi önerileri de tartışılmaktadır.