Management of Borderline Ovarian Tumours: Tertiary Centre Experience from Turkey.

This study aimed to analyse the management protocols, surgical approaches, and outcomes of the women with Borderline ovarian tumours (BOT) at Ankara Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Ankara, Turkey. One hundred and seventy-seven patients diagnosed with serous and mucinous BOT were enrolled in the study. Demographic, clinical, and pathological data were reviewed retrospectively from the medical records. The patients were divided into two groups according to surgical interventions: Laparoscopy group (n=50) and Laparotomy group (n=127). Treatment was conservative in 107 (60.5%) patients. Mean age at diagnosis (48.69 ± 12.52 vs. 41.1±11.66 years, p<0.001), tumour size (84.13 ± 51.85 mm vs. 67.1 ± 34.78 mm, p = 0.013), and number of postmenopausal patients (n = 55 vs. 9, p = 0.002) were significantly higher in the Laparotomy group. There were no significant differences in the rates of intraoperative cyst rupture (22% vs. 18%, p = 0.120) and recurrence (2.25% vs. 5.05%, p = 0.760). There was no difference between radical vs. conservative surgery and laparotomy vs. laparoscopy in terms of recurrences. In appropriate cases, the conservative treatment and laparoscopy may be preferred. Key Words: Borderline ovarian tumour, Laparoscopy, Laparotomy.

Assessment of Relationship between Hemodynamic Changes and Anxiety in Patients During Lower Third Molar Surgery.

OBJECTIVE: To investigate the relationship between anxiety and hemodynamic changes in patients who have undergone impacted third molar surgery under local anaesthesia. STUDY DESIGN: Observational clinical study. PLACE AND DURATION OF STUDY: Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gazi University, Ankara, Turkey, from January 2018 to December 2019. METHODOLOGY: Normotensive patients aged over 18 years, not using antidepressant medicine and ASA I included. A total of 83 patients were monitored and operated on for impacted third molar surgery. Blood pressure, pulse, and oxygen saturation values of the patients were noted at eight different stages during the surgery. Only the mesioangular impacted lower third molars of the patients were removed by a surgical operation. STAI forms were given before the operation. RESULTS: There is a significant difference between values of blood pressure, pulse, and oxygen saturation and gender (p<0.05). However, there was found to be an increased blood pressure in male patients while an increase in pulse and oxygen saturation was observed in female patients (p<0.05). CONCLUSION: Male patients were more concerned than female patients by having higher blood pressure which may cause longer postoperative bleeding. KEY WORDS: Anxiety, Impacted third molars, Dental surgery, Hemodynamic changes.