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001-es BibID:BIBFORM085289
Első szerző:Di Guardo, Federica
Cím:Evaluation and treatment of the infertile women with Asherman syndrome: an updated review focusing on the role of hysteroscopy / Di Guardo Federica, Della Corte Luigi, Vilos George Angelos, Carugno Jose, Török Péter, Giampaolino Pierluigi, Manchanda Rahul, Vitale Salvatore Giovanni
Dátum:2020
ISSN:1472-6483
Megjegyzések:Asherman syndrome is a rare acquired clinical condition resulting in the obliteration of the uterine cavity due to the presence of partial or complete fibrous intrauterine adhesions involving at least two-thirds of the uterine cavity potentially obstructing the internal cervical os. Common reported symptoms of the disease are alterations of the menstrual pattern with decreased menstrual bleeding leading up to amenorrhea and infertility. Hysteroscopy is currently considered the gold standard diagnostic and therapeutic approach of patients with intrauterine adhesions. However, an integrated approach including preoperative, intraoperative and postoperative therapeutic measures are warranted due to the complexity of the syndrome. This review aims to summarize the most recent evidence on the recommended preoperative, intraoperative and postoperative procedures to restore the uterine cavity and a functional endometrium, as well as on the concomitant use of adjuvant therapies to achieve optimal fertility outcomes.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Asherman's syndrome
Hysteroscopy
Infertility
Intrauterine adhesions
Synechiae
Megjelenés:Reproductive Biomedicine Online. - 41 : 1 (2020), p. 55-61. -
További szerzők:Della Corte, Luigi Vilos, George Carugno, Jose Török Péter (1975-) (szülész-nőgyógyász) Giampaolino, Pierluigi Manchanda, Rahul Vitale, Salvatore Giovanni
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001-es BibID:BIBFORM078339
Első szerző:Di Guardo, Federica
Cím:Management of women affected by endometriosis : are we stepping forward? / Federica Di Guardo, Mohsin Shah, Maria Cecilia Cerana, Antonio Biondi, Erbil Karaman, Péter Török, Daniela A. Yela, Pierluigi Giampaolino, Alejandro Marín-Buck, Antonio Simone Laganà
Dátum:2019
ISSN:2284-0265 2284-0273
Megjegyzések:Endometriosis is an estrogen-dependent chronic disease defined by the presence of endometrial-like tissue, glands and stroma in ectopic areas. Among all the pathogenic theories proposed to explain the origin of the disease, a pivotal role for immune, hormonal, and epigenetic disbalances have been hypothesized. Endometriosis affects up to 10%-15% of women in reproductive age and represents one of the most common gynecological causes of severe pelvic pain. The main symptoms reported by patients are dysmenorrhea and deep dyspareunia. Although the histological confirmation has been commonly considered mandatory, to date the possibility offered by the improvement in imagining techniques allows to make a proper diagnosis of the disease in most of the cases. Medical therapy represents only a symptomatic treatment and not the definitive solution. The aim of the hormonal therapy is to abolish the menstrual flow using progestin, oral contraceptives, and gonadotropin-releasing hormone agonists to reduce pelvic pain. Surgical treatment consisting of laparoscopy has the goal of abolishing pain and may be conservative or radical in nature depending on the patients' desire of spontaneous conception in the future. Radical surgery seems to be associated with a higher percentage of pain relief as well as higher recurrence rates. Due to the worldwide acceptance and the ongoing evolution of minimally invasive surgery to treat both benign and malignant diseases, future investigations may be conducted to consider this approach to save the function of all the organs involved by the disease and to reduce post-operative discomfort and psychological impact.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Endometriosis
infertility
dysmenorrhea
pathogenesis
treatment
minimally invasive surgery
Megjelenés:Journal of Endometriosis and Pelvic Pain Disorders. - 11 : 2 (2019), p. 77-84. -
További szerzők:Shah, Mohsin Cerana, Maria Cecilia Biondi, Antonio Karaman, Erbil Török Péter (1975-) (szülész-nőgyógyász) Yela, Daniela A. Giampaolino, Pierluigi Marín-Buck, Alejandro Laganà, Antonio Simone
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