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001-es BibID:BIBFORM122260
035-os BibID:(scopus)85196622246
Első szerző:Etrusco, Andrea
Cím:Impact of surgery on reproductive outcomes in women with deep endometriosis and proven presurgical infertility : facts and controversies / Etrusco Andrea, Chiantera Vito, Serra Pietro, Stabile Guglielmo, Margioula-Siarkou Chrysoula, Della Corte Luigi, Giampaolino Pierluigi, Török Péter, Baldini Giorgio Maria, Ghezzi Fabio, D'Amato Antonio, Lagana Antonio Simone
Dátum:2024
ISSN:1521-6934
Megjegyzések:In women with proven infertility and deep endometriosis (DE), optimal management is controversial. To date, there is no clear evidence on the association between infertility and different stages of rASRM, nor is there clear guidance from leading scientific societies for surgical treatment of DE patients. A comprehensive literature search was conducted on the main databases for English-language trials describing the effectiveness of surgery for DE in patients with proven infertility; 16 studies were deemed eligible for inclusion in this systematic review (CRD42024498888). Quantitative analysis was not possible because of the heterogeneity of the data. A descriptive summary of the results according to location of pathology, surgical technique used, and whether assisted reproductive technology (ART) was needed or not was provided. A total of 947 infertile women were identified, 486 of whom became pregnant, with an average pregnancy rate of 51.3%. Our review suggests that surgery can be of valuable help in improving reproductive outcomes by improving the results of ART. It has not been possible to reach robust conclusions on the outcomes of surgery based on the location of DE because of the heterogeneity of evidence available to date. Overall, although some data encourage first-line surgical management, further investigation is needed to determine its effective application before or after ART failure.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Deep endometriosis
Laparoscopic surgery
Infertility
Pregnancy outcomes
Assisted reproductive technology
Megjelenés:Best Practice & Research In Clinical Obstetrics & Gynaecology. - 96 (2024), p. 1-15. -
További szerzők:Chiantera, Vito Serra, Pietro Stabile, Guglielmo Margioula-Siarkou, Chrysoula Della Corte, Luigi Giampaolino, Pierluigi Török Péter (1975-) (szülész-nőgyógyász) Baldini, Giorgio Maria Ghezzi, Fabio Damato, Antonio L. Laganà, Antonio Simone
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DOI
Intézményi repozitóriumban (DEA) tárolt változat
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2.

001-es BibID:BIBFORM113217
035-os BibID:(WoS)001028126600001 (Scopus)85165067689
Első szerző:Pecorino, Basilio
Cím:Evaluation of Borderline Ovarian Tumor Recurrence Rate after Surgery with or without Fertility-Sparing Approach : Results of a Retrospective Analysis / Pecorino Basilio, Lagana Antonio Simone, Mereu Liliana, Ferrara Martina, Carrara Grazia, Etrusco Andrea, Di Donna Mariano Catello, Chiantera Vito, Cucinella Giuseppe, Barra Fabio, Török Péter, Scollo Paolo
Dátum:2023
ISSN:2227-9032
Megjegyzések:Borderline ovarian tumors (BOTs) comprise 15?20% of primary ovarian neoplasms and represent an independent disease entity among epithelial ovarian cancers. The present study (ClinicalTrial ID: NCT05791838) aimed to report a retrospective analysis of the management and outcomes of 86 consecutive BOTs patients, 54 of which were at a reproductive age. All patients with BOTs undergoing surgical treatment from January 2010 to December 2017 were included. Data were retrospectively reviewed. High levels of Ca-125 were observed in 25.6% of the FIGO stage I patients and 58.3% of the advanced disease patients. Fertility-sparing surgery and comprehensive surgical staging were performed in 36.7% and 49.3% of the patients, respectively. Laparotomy was the most frequent surgical approach (65.1%). The most common diagnosis at frozen sections was serous BOT(50.6%). Serous BOTs have significantly smaller tumor diameters than mucinous BOTs (p < 0.0001).The mean postoperative follow-up was 29.8 months (range 6?87 months). Three patients experienced are currence, with an overall recurrence rate of 3.5% (10% considering only the patients who underwent fertility-sparing treatment). BOTs have low recurrence rates, with excellent prognosis. Surgery with proper staging is the main treatment. Conservative surgery is a valid option for women with reproductive potential
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
borderline ovarian tumors
conservative surgery
micropapillary patterns
surgicalstaging
fertility-sparing surgery
Megjelenés:Healthcare (Switzerland). - 11 : 13 (2023), p. 1-12. -
További szerzők:Laganà, Antonio Simone Mereu, Liliana Ferrara, Martina Carrara, Grazia Etrusco, Andrea Di Donna, Mariano Catello Chiantera, Vito Cucinella, Giuseppe Barra, Fabio Török Péter (1975-) (szülész-nőgyógyász) Scollo, Paolo
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
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