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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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001-es BibID:	BIBFORM079929
Első szerző:	Marín-Buck, Alejandro
Cím:	Minimally Invasive Myomectomy : an Overview on the Surgical Approaches and a Comparison with Mini-Laparotomy / Alejandro Marín-Buck, Erbil Karaman, Juan J. Amer-Cuenca, Juan F. Lisón, Péter Török, Onur Karaaslan, Gaetano Valenti, Gabriella Zito, Antonio Biondi, Benito Chiofalo
Dátum:	2021
ISSN:	0894-1939
Megjegyzések:	Uterine fibroids (UFs) are the most common benign solid tumors of the female genital tract manageable by surgical of pharmacological approach. When the medical management is ineffective or surgery is primarily requested, several surgical approaches can be used. Among these, minimally invasive surgery might be preferred. Myomectomy is the standard surgical treatment when fertility sparing is claimed. It can be performed via laparoscopy, robotic surgery and hysteroscopy and the choice depend on UFs features and surgeon's skill. Alongside these minimally invasive options, mini-laparotomy has been proposed as a less invasive surgical approach comparable to the well-established minimally invasive options. The aim of this review is to describe the most recent advances in minimally invasive techniques to perform myomectomy, comparing them with mini-laparotomy approach.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban laparoscopic myomectomy mini-laparotomy myomectomy uterine myomas uterine fibroids
Megjelenés:	Journal Of Investigative Surgery. - 34 : 4 (2021), p. 443-450. -
További szerzők:	Karaman, Erbil Amer-Cuenca, Juan J. Lisón, Juan F. Török Péter (1975-) (szülész-nőgyógyász) Karaaslan, Onur Valenti, Gaetano Zito, Gabriella Biondi, Antonio Chiofalo, Benito
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM083734
Első szerző:	Vitale, Salvatore Giovanni
Cím:	Ulipristal Acetate Before Hysteroscopic Myomectomy : a Systematic Review / Salvatore Giovanni Vitale, Simone Ferrero, Salvatore Caruso, Fabio Barra, Alejandro Marín-Buck, George Angelos Vilos, Amerigo Vitagliano, Péter Török, Michal Ciebiera, Antonio Cianci
Dátum:	2020
ISSN:	0029-7828
Megjegyzések:	Purpose: The aim of this review is to provide an overview of the literature about the effects of ulipristal acetate (UPA) administration prior to hysteroscopic myomectomy. Methods: We performed a systematic literature search in PubMed/MEDLINE and Embase for original studies written in English (registered in PROSPERO - CRD42018092201), using the terms 'hysteroscopy' AND 'ulipristal acetate' published up to September 2018. Original articles about UPA treatment prior to hysteroscopic myomectomy (randomized, observational, retrospective studies) were considered eligible. Results: Our literature search produced 32 records. After exclusions, 4 studies were included showing the following results: a) hysteroscopic myomectomy is not negatively affected by UPA pretreatment; b) UPA increases the probability of successfully performing complete myomectomy even in highly complex procedures; c) UPA pretreatment decreases the duration of the procedure and improves patient satisfaction at 3-months post-surgery. Conclusions: UPA pretreatment does not seem to be associated with negative outcomes of hysteroscopic myomectomy and it can improve the surgical outcomes in difficult cases. Once the concerns on the potential hepatotoxicity of UPA are resolved, high-quality prospective randomized controlled trials should be implemented to investigate its efficacy and benefits in a larger patient cohort.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Hysteroscopy Myomectomy Ulipristal acetate Uterine fibroids
Megjelenés:	Obstetrical & Gynecological Survey. - 75 : 2 (2020), p. 127-135. -
További szerzők:	Ferrero, Simone Caruso, Salvatore Barra, Fabio Marín-Buck, Alejandro Vilos, George Vitagliano, Amerigo Török Péter (1975-) (szülész-nőgyógyász) Ciebiera, Michał Cianci, Antonio
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