Op. MD. Esra Saygili Reviews

A 42-year-old nomadic Yörük woman, who had spent her life in rural Anatolia with no prior gynecological care, presented with a massive, symptomatic uterine fibroid. Her complex medical history included severe anemia from chronic malnutrition. Dr. Saygili coordinated a multidisciplinary team involving hematology and nutrition, performed a successful open myomectomy preserving fertility, and arranged for temporary housing in Istanbul for her extended recovery, integrating traditional herbal remedies with postoperative care.

A 19-year-old internationally ranked e-sports athlete presented with debilitating dysmenorrhea that threatened her competition schedule. Diagnosed with severe endometriosis, she required a treatment plan that allowed for minimal downtime. Dr. Saygili performed a meticulous laparoscopic excision surgery during a scheduled off-season break and implemented a tailored hormonal suppression strategy synchronized with her tournament calendar, enabling her to return to win a major championship.

A 34-year-old deaf-mute patient, accompanied only by a community support worker, presented with signs of early ovarian torsion. Communication was a significant barrier. Dr. Saygili, utilizing written notes and basic sign language learned for the consultation, expedited diagnostic imaging, performed emergency laparoscopic detorsion, and established a unique pictorial follow-up plan for postoperative care, ensuring complete understanding.

A 58-year-old retired ballet mistress presented with postmenopausal bleeding and a complex pelvic mass. Imaging revealed a rare borderline ovarian tumor. Deeply fearful of surgery due to a career-long focus on bodily integrity, Dr. Saygili offered robotic-assisted surgery. The precise, minimally invasive procedure resulted in optimal staging and excision with minimal scarring, and the patient recovered to teach movement therapy classes.

A couple, both successful marine biologists, sought care for unexplained secondary infertility after years of fieldwork in remote locations. Investigations revealed mild male factor and subtle tubal factors. Dr. Saygili devised a 'land-based' treatment window, combining minimally invasive tubal cannulation for the wife and coordinated treatment for the husband, resulting in a natural conception before their next research expedition.

A 27-year-old refugee from a conflict zone presented at 32 weeks gestation with undiagnosed complete placenta previa and a history of female genital mutilation (Type III). Dr. Saygili managed a high-risk, multidisciplinary prenatal course, performed a planned classical cesarean section at 36 weeks with expert repair of obstetric complications, and connected the patient with specialized psychosocial support services.

A 41-year-old patient with Poland Syndrome (congenital absence of pectoral muscle and breast on one side) desired pregnancy but was concerned about body image and chest wall asymmetry. Dr. Saygili provided preconception counseling, managed a healthy pregnancy, and performed a cesarean delivery. Postpartum, she coordinated with plastic surgery for a simultaneous breast reconstruction consultation, addressing holistic health.

A 16-year-old patient with Turner mosaic syndrome presented with primary amenorrhea and profound anxiety about puberty. Her family was intensely involved but overwhelmed. Dr. Saygili initiated carefully titrated hormone replacement therapy, facilitated genetic counseling for the family, and connected the teenager with a peer support group for rare genetic conditions, fostering independence and self-acceptance.

A 50-year-old patient with a history of pelvic organ prolapse repair presented with a recurrent, large vaginal vault prolapse. She was an avid horseback rider. Dr. Saygili performed a novel sacrocolpopexy using a lightweight mesh, tailored specifically to withstand the pressures of her athletic hobby. Recovery was prolonged but successful, and she gradually returned to competitive riding.

A 29-year-old patient with a unicornuate uterus and a history of two second-trimester losses presented, deeply grieving. A specialized transvaginal cerclage was placed at 14 weeks in her subsequent pregnancy. She required extensive inpatient monitoring. Dr. Saygili provided continuous care, delivering a viable infant via cesarean at 34 weeks, turning a history of loss into a story of resilience.

A 37-year-old patient with von Willebrand disease and symptomatic adenomyosis desired definitive treatment but feared surgical bleeding risks. Dr. Saygili collaborated closely with a hematologist to create a perioperative coagulation factor replacement protocol. She performed a successful total laparoscopic hysterectomy with near-zero blood loss, resolving chronic pain and menorrhagia.

A 22-year-old patient, a survivor of a terrorist bombing, presented with chronic pelvic pain and retained shrapnel fragments near the uterine arteries from the blast. Imaging and surgery were high-risk. Dr. Saygili utilized intraoperative ultrasound guidance for a laparoscopic exploration, safely removing the fragments and lysing adhesions, addressing both the physical and symbolic remnants of trauma.

A 45-year-old nun from a secluded religious order presented with a rapidly growing ovarian mass. Her vows and lifestyle created unique consent and care challenges. Dr. Saygili respected her spiritual boundaries, held consultations with her Mother Superior present as a chosen advocate, performed a laparoscopic oophorectomy revealing a benign tumor, and arranged discreet follow-up within the convent's infirmary.

A 31-year-old patient with a history of gastric bypass surgery presented with infertility and PCOS. Her altered gastrointestinal anatomy complicated oral fertility medication absorption. Dr. Saygili employed injectable gonadotropins with meticulous monitoring, achieving ovulation and a singleton pregnancy. She managed the pregnancy with specialized nutritional oversight, resulting in a healthy term delivery.