Volume 9, Issue 3

Management of Cases of Intrauterine Fetal Demise: A Retrospective Analysis

Background: To evaluate the management process and short-term maternal outcomes of women managed for intrauterine fetal demise (IUFD) and to compare maternal outcomes according to the mode of delivery. Materials and Methods: This single-center, retrospective, observational study included 115 women at ≥20 weeks of gestation…

Changes in Cesarean Section Rates Following a Multifaceted Institutional Obstetric Quality Improvement Strategy: A Robson Ten-Group Classification Analysis

Objective: To evaluate changes in overall and Robson group-specific cesarean section (CS) rates following implementation of a multifaceted institutional obstetric quality improvement strategy in a tertiary referral center. Methods: This single-center, retrospective, quasi-experimental before-and-after study included 13,595 deliveries: 11,238 before intervention (October 2023–November 2025) and…

Association of Intraoperative Low-Dose Lidocaine Infusion with Postoperative Tramadol Requirement After Laparoscopic Cholecystectomy: A Retrospective Analysis

Aim: Intravenous lidocaine infusion has been proposed as an opioid-sparing adjunct in multimodal analgesia; however, its efficacy following laparoscopic cholecystectomy remains controversial. This study evaluated the association between intraoperative low-dose lidocaine infusion, postoperative tramadol consumption, and hospital length of stay. Methods: Ninety-four patients undergoing elective…

The Effect of Resveratrol in Alleviating Cadmium Induced Rat Ovarian Damage

Aim: Cadmium (Cd) exposure leads to severe histological damage (follicular atresia, granulosa cell degeneration) and increased oxidative stress in rat ovarian tissue. This study investigates the protective potential of resveratrol (RES) against these toxic effects. Materials and Methods: Twenty-four adult female Wistar albino rats were…

Indocyanine Green Fluorescence Angiography as a Navigational Adjunct in Focused Parathyroidectomy: Does It Contribute to Surgical Outcomes?

Introduction: Indocyanine green (ICG) fluorescence angiography enables real-time visualization of hypervascular parathyroid tissue and has shown promise as an intraoperative navigational tool. However, its specific additive value in focused parathyroidectomy—beyond preoperative localization and naked-eye exploration—remains unclear, particularly regarding surgical cure rates. Materials and Methods: This…

Association Between Plasma Osmolality and Contrast-Induced Nephropathy in Patients With Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention

Objective: Contrast-induced nephropathy (CIN) is a clinically relevant complication of percutaneous coronary intervention (PCI), particularly in acute coronary syndrome (ACS). Calculated plasma osmolality (PO), derived from routine laboratory measurements, may reflect fluid and solute disturbances associated with renal vulnerability. This study evaluated the relationship between…

Age-Stratified Evaluation of ChatGPT Recommendations for Abnormal Uterine Bleeding: An Expert-Based Assessment of Guideline Adherence and Clinical Appropriateness

Background: Abnormal uterine bleeding (AUB) requires age-sensitive evaluation because endometrial hyperplasia or malignancy risk increases with age and after menopause. Large language models are increasingly used for health information, but their performance in age-dependent gynecologic triage remains unclear. Objective: To evaluate the clinical appropriateness, guideline…

Systemic Inflammatory and Immunonutritional Indices for Discriminating Ruptured From Non-Ruptured Endometriomas at Presentation: A Retrospective Study

Objective: Ruptured endometrioma is an uncommon but clinically important emergency that often mimics other causes of acute abdomen, making timely diagnosis challenging. This study aimed to assess whether readily available systemic inflammatory and immunonutritional indices measured at presentation could discriminate ruptured from non-ruptured endometriomas during…

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