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1.

001-es BibID:BIBFORM080714
Első szerző:Fichera, Michele
Cím:Vitamin D, reproductive disorders and assisted reproduction : evidences and perspectives / Fichera Michele, Török Péter, Tesarik Jan, Della Corte Luigi, Rizzo Gianluca, Garzon Simone, Carlea Annunziata, Di Angelo Antonio Silvia, Zito Gabriella, Panella Marco Marzio
Dátum:2020
ISSN:0963-7486
Megjegyzések:Vitamin D is an important nutrient involved in many fundamental health outcomes. However, its influence on female reproductive function remains ambiguous. Cholecalciferol seems to have a role in the reproductive processes and in the patients affected by polycystic ovary syndrome, endometriosis, uterine myomas and premature ovarian failure. Moreover, it may play an important role in the assisted reproductive techniques, given that it is capable of influencing oocyte quality, but also an adequate preparation of the endometrium for embryonic implantation. Although promising, available evidence is based on a limited number of in vitro, in vivo and clinical studies. We provide an overview of the association between vitamin D and female infertility reporting the most recent data published in the literature. Nevertheless, properly randomised clinical trials are mandatory to achieve more conclusive results about the promising role of vitamin D in the management of female assisted reproduction.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
vitamin D
infertility
assisted reproduction
PCOS
endometriosis
fibroids
Megjelenés:International Journal Of Food Sciences And Nutrition. - 71 : 3 (2020), p. 276-285. -
További szerzők:Török Péter (1975-) (szülész-nőgyógyász) Tesarik, Jan Della Corte, Luigi Rizzo, Gianluca Garzon, Simone Carlea, Annunziata Di Angelo Antonio, Silvia Zito, Gabriella Panella, Marco Marzio
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2.

001-es BibID:BIBFORM092069
Első szerző:Manchanda, Rahul
Cím:Classification systems of Asherman's syndrome. An old problem with new directions / Rahul Manchanda, Aayushi Rathore, Jose Carugno, Luigi Della Corte, Jan Tesarik, Péter Török, George Angelos Vilos, Salvatore Giovanni Vitale
Dátum:2021
ISSN:1364-5706
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Minimally Invasive Therapy & Allied Technologies. - 30 : 5 (2021), p. 304-310. -
További szerzők:Rathore, Aayushi Carugno, Jose Della Corte, Luigi Tesarik, Jan Török Péter (1975-) (szülész-nőgyógyász) Vilos, George Vitale, Salvatore Giovanni
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3.

001-es BibID:BIBFORM100559
035-os BibID:(cikkazonosító)102350
Első szerző:Riemma, Gaetano
Cím:The role of hysteroscopy in reproductive surgery : today and tomorrow / Riemma Gaetano, Vitale Salvatore Giovanni, Manchanda Rahul, Rathore Aayushi, Török Péter, De Angelis Carlo, Urman Bulent, Sareri Marco Iraci, La Verde Marco, Carugno Jose, De Franciscis Pasquale, Tesarik Jan
Dátum:2022
ISSN:2468-7847
Megjegyzések:During the last decades, the number of couples with reproductive issues has substantially increased. Many different factors are implicated in reproductive failure, including uterine factors. Endometrial pathologies, such as endometrial polyps, hyperplasia, endometritis, and Mullerian anomalies, can also hinder embryo implantation. Hysteroscopy remains the gold standard for the evaluation and treatment of intrauterine pathology. Over the last few years, advances in hysteroscopic instrumentations and surgical techniques have significantly evolved, the refinement in technology, miniaturization of instruments, and improved image quality have rendered hysteroscopy a more patient and user-friendly procedure that has enhanced its use in reproductive medicine. Nowadays, hysteroscopy is essential in the evaluation and treatment of women with infertility. This article underscores the major technological breakthroughs achieved over the last few years with emphasis on the role of artificial intelligence, augmented reality, and 3D hysteroscopy, which can set new benchmarks in hysteroscopy applied to reproductive medicine.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Hysteroscopy
portable hysteroscope
tissue retrieval system
3D hysteroscopy
clinical pregnancy
IVF
Megjelenés:Journal of Gynecology Obstetrics and Human Reproduction. - 51 : 4 (2022), p. 1-5. -
További szerzők:Vitale, Salvatore Giovanni Manchanda, Rahul Rathore, Aayushi Török Péter (1975-) (szülész-nőgyógyász) De Angelis, Carlo Urman, Bulent Sareri, Marco Iraci La Verde, Marco Carugno, Jose De Franciscis, Pasquale Tesarik, Jan
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4.

001-es BibID:BIBFORM081628
Első szerző:Rizzo, Gianluca
Cím:Vitamin D and Gestational Diabetes Mellitus : is there a link? / Gianluca Rizzo, Simone Garzon, Michele Fichera, Marco Marzio Panella, Ursula Catena, Antonio Schiattarella, Pasquale de Franciscis, George Vilos, Jan Tesarik, Péter Török, Giuseppe Grosso
Dátum:2019
ISSN:2076-3921
Megjegyzések:Gestational diabetes mellitus (GDM) is a very common condition among pregnant women worldwide with important metabolic implications on the mother and the o spring. Vitamin D status has been suggested to potentially play a role in GDM risk with no documented consequences for the offspring. The purpose of this article was to review currently available evidence on the relationship between vitamin D and GDM. Current evidence shows an association between vitamin D blood levels and risk of GDM, despite heterogeneity of results across studies limit the conclusions. Moreover, data from randomized controlled trials is scarce and resulting in null findings. Among the limitations to be noted, improving the standardization of dosages, the characteristics of individuals in the sample, and the appropriate outcome measurement could provide a more effective approach in understanding the relationship between vitamin D and GDM. In conclusions, despite observational studies may suggest that adequate vitamin D levels may decrease the risk of GDM compared to deficiency status, evidence from clinical trials is inadequate to draft any definitive conclusion regarding its supplementation. Future better designed randomized clinical trials taking into account a more integrated approach could provide clearer and definitive data on the outcomes of such a multifactorial condition.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
vitamin D
gestational diabetes mellitus
pregnancy
nutrition
supplements
antenatal care
food fortification
Megjelenés:Antioxidants. - 8 : 11 (2019), p. 1-13. -
További szerzők:Garzon, Simone Fichera, Michele Panella, Marco Marzio Catena, Ursula Schiattarella, Antonio De Franciscis, Pasquale Vilos, George Tesarik, Jan Török Péter (1975-) (szülész-nőgyógyász) Grosso, Giuseppe
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5.

001-es BibID:BIBFORM119026
035-os BibID:(Scopus)85185787111
Első szerző:Vitale, Salvatore Giovanni
Cím:Risk of Endometrial Cancer in Asymptomatic Postmenopausal Women in Relation to Ultrasonographic Endometrial Thickness : Systematic Review and Diagnostic Test Accuracy Meta-analysis / Vitale Salvatore Giovanni, Riemma Gaetano, Haimovich Sergio, Carugno Jose, Pacheco Luis Alonso, Perez-Medina Tirso, Parry John Preston, Török Peter, Tesarik Jan, Corte Luigi Della, Cobellis Luigi, Sardo Attilio Di Spiezio, De Franciscis Pasquale
Dátum:2024
ISSN:0029-7828
Tárgyszavak:Orvostudományok Klinikai orvostudományok hozzászólás
folyóiratcikk
Megjelenés:Obstetrical & Gynecological Survey. - 79 : 2 (2024), p. 94-96. -
További szerzők:Riemma, Gaetano Haimovich, Sergio Carugno, Jose Pacheco, Luis Alonso Perez-Medina, Tirso Parry, John Preston Török Péter (1975-) (szülész-nőgyógyász) Tesarik, Jan Corte, Luigi Della Cobellis, Luigi Sardo, Attilio Di Spiezio De Franciscis, Pasquale
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6.

001-es BibID:BIBFORM103064
035-os BibID:(WoS)000911496500001 (Scopus)85136295331
Első szerző:Vitale, Salvatore Giovanni
Cím:Risk of endometrial cancer in asymptomatic postmenopausal women in relation to ultrasonographic endometrial thickness : systematic review and diagnostic test accuracy meta-analysis / Vitale Salvatore Giovanni, Riemma Gaetano, Haimovich Sergio, Carugno Jose, Pacheco Luis Alonso, Perez-Medina Tirso, Parry John Preston, Török Peter, Tesarik Jan, Della Corte Luigi, Cobellis Luigi, Di Spiezio Sardo Attilio, De Franciscis Pasquale
Dátum:2023
ISSN:0002-9378
Megjegyzések:Objective: To evaluate the risk of endometrial carcinoma (EC) and atypical endometrial hyperplasia (AEH) in asymptomatic postmenopausal women in relation to the endometrial thickness (ET) measured by transvaginal ultrasonography (TVS) stratified by threshold categories used for performing subsequent endometrial sampling and histologic evaluation. Data sources: MEDLINE, Scopus, ClinicalTrials.gov, Scielo, EMBASE, the Cochrane Library at the CENTRAL Register of Controlled Trials, LILACS, conference proceedings and international controlled trials registries were searched without temporal or geographical or language restrictions. Study eligibility criteria: Studies were selected if they had a cross-over design evaluating the risk for AEH and EC in postmenopausal asymptomatic women and calculated the diagnostic accuracy of TVS thresholds (at least 3.0 mm) confirmed by histopathological diagnosis. Study appraisal and synthesis methods: We conducted a systematic review and diagnostic test accuracy meta-analysis according to PRISMA-DTA and SeDATE guidelines. ET thresholds were grouped as follows: from 3.0 mm to 5.9 mm; between 6.0 and 9.9 mm; between 10.0 and 13.9 mm; and equal or greater than 14.0 mm. Quality assessment was performed using QUADAS-2 tool. Publication bias was quantified by Deek funnel plot test. Co-primary outcomes were risk for AEH or EC according to ET and diagnostic accuracy of each threshold group. Results: A total of 18 studies provided the data of 10,334 women who were all included in the final analysis. Overall, at an ET threshold of at least 3.0 mm, the risk for AEH or EC was increased three-fold relative to women below the cut-off (relative risk (RR) 3.77, 95% confidence interval (CI) 2.26 to 6.32, I2=74%). Similar degrees of risk were reported for thresholds between 3.0 and 5.9 mm (RR 5.08, 95% CI 2.26 to 11.41, I2=0%), 6.0 and 9.9 mm (RR 4.34, 95% CI 1.68 to 11.23, I2=0%), 10.0 and 13.9 mm (RR 4.11, 95% CI 1.55 to 10.87, I2=86%) and over 14.0 mm (RR 2.53, 95% CI 1.04 to 6.16, I2=78%) with no significant difference among subgroups (p=0.885). Regarding diagnostic accuracy, the pooled sensitivity decreased from thresholds below 5.9 mm (0.81, 95% CI 0.49 to 0.85) to above 14.0 mm (0.28 95% CI 0.18 to 0.40) Meanwhile, specificity increased from 0.70 (95% CI 0.61 to 0.78) for ET between 3.0 mm and 5.9 mm to 0.86 (95% CI 0.71 to 0.94) when the ET is 14.0 mm or greater. For 3.0-5.9 mm and 10.0-13.9 mm thresholds, the highest diagnostic odds ratio of 10 (95% CI 3 to 41) and 11 (95% CI 2 to 49), with an area under curve of 0.81 (95% CI 0.77 to 0.84) and 0.82 (95% CI 0.79 to 0.86) respectively were retrieved. The summary point analysis revealed that, compared to the other subgroups, the 3.0-5.9 mm cut off point was placed higher in the summary receiver operator curve space, indicating increased EC or AEH diagnosis using these cut-offs. Conclusions: Both low and high ET thresholds in postmenopausal asymptomatic women seem equally effective in detecting EC and AEH. However, although using a 3.0 to 5.9 mm cut off results in lower specificity, the offsetting improvement in sensitivity may justify using this cut off for further endometrial evaluation in patients with suspected endometrial malignancy.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Atypical Endometrial Hyperplasia
Cut-off
Endometrial cancer
Endometrial thickness
Transvaginal ultrasonography
Megjelenés:American Journal Of Obstetrics And Gynecology. - 228 : 1 (2023), p. 22-35.e2. -
További szerzők:Riemma, Gaetano Haimovich, Sergio Carugno, Jose Pacheco, Luis Alonso Perez-Medina, Tirso Parry, John Preston Török Péter (1975-) (szülész-nőgyógyász) Tesarik, Jan Della Corte, Luigi Cobellis, Luigi Di Spiezio Sardo, Attilio De Franciscis, Pasquale
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7.

001-es BibID:BIBFORM092068
035-os BibID:(WoS)000629266700001 (Scopus)85102502671
Első szerző:Vitale, Salvatore Giovanni
Cím:Virtual sonographic hysteroscopy in assisted reproduction : a retrospective cost-effectiveness analysis / Salvatore Giovanni Vitale, Antonio Simone Laganà, Péter Török, Ricardo Bassil Lasmar, Jose Carugno, Marco Palumbo, Jan Tesarik
Dátum:2022
ISSN:0020-7292
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:International Journal of Gynecology & Obstetrics. - 156 : 1 (2022), p. 112-118. -
További szerzők:Laganà, Antonio Simone Török Péter (1975-) (szülész-nőgyógyász) Lasmar, Ricardo Bassil Carugno, Jose Palumbo, Marco Tesarik, Jan
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8.

001-es BibID:BIBFORM083959
Első szerző:Vitale, Salvatore Giovanni
Cím:Management of anxiety and pain perception in women undergoing office hysteroscopy : a systematic review / Vitale Salvatore Giovanni, Caruso Salvatore, Ciebiera Michal, Török Péter, Tesarik Jan, Vilos George Angelos, Cholkeri-Singh Aarathi, Gulino Ferdinando Antonio, Kamath Mohan Shashikant, Cianci Antonio
Dátum:2020
ISSN:0932-0067 1432-0711
Megjegyzések:Purpose The aim of this review is to provide an overview of the literature about the perception and management of anxiety and pain in women undergoing an office hysteroscopic procedure. Methods We performed a systematic literature search in Embase, PubMed/MEDLINE, Cochrane Library and Web of Science for original studies written in English (registered in PROSPERO 2019-CRD42019132341), using the terms ♭hysteroscopy' AND ♭pain' AND ♭anxiety' published up to January 2019. Only original articles (randomized, observational and retrospective studies) about management of anxiety and pain related to the hysteroscopic procedure were considered eligible. Results Our literature search produced 84 records. After exclusions, 11 studies including 2222 patients showed the following results: (a) pain experienced during hysteroscopy is negatively affected by preprocedural anxiety; (b) pharmacological interventions seem to be help in reducing pain during hysteroscopy; (c) waiting time before the procedure is a significant factor affecting patients' anxiety; (d) music during the procedure may be helpful in reducing anxiety. Conclusions The utilization of office hysteroscopy is hampered by varying levels of anxiety and pain perceived by women who are candidates for the procedure. For these reasons, it is essential to identify effective pharmacological and non-pharmacological strategies to alleviate these factors. We recommend further studies especially focusing on non-pharmacological interventions to facilitate the dissemination of good clinical practices among hysteroscopists.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Pain management
Visual analog pain scale
Office hysteroscopy
Anesthesia
Local
Intracervical
Intrauterine
Megjelenés:Archives Of Gynecology And Obstetrics. - 301 : 4 (2020), p. 885-894. -
További szerzők:Caruso, Salvatore Ciebiera, Michał Török Péter (1975-) (szülész-nőgyógyász) Tesarik, Jan Vilos, George Cholkeri-Singh, Aarathi Gulino, Ferdinando Antonio Kamath, Mohan Shashikant Cianci, Antonio
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9.

001-es BibID:BIBFORM083182
Első szerző:Vitale, Salvatore Giovanni
Cím:From hysteroscopy to laparoendoscopic surgery : what is the best surgical approach for symptomatic isthmocele? A systematic review and meta-analysis / Salvatore Giovanni Vitale, Artur Ludwin, George Angelos Vilos, Péter Török, Jan Tesarik, Amerigo Vitagliano, Ricardo Bassil Lasmar, Benito Chiofalo
Dátum:2020
ISSN:0932-0067 1432-0711
Megjegyzések:Purpose To investigate the effectiveness and risks of different surgical therapies for isthmocele in symptomatic women with abnormal uterine bleeding, infertility, or for the prevention of obstetric complications, considering safety and surgical complications. Methods PubMed/MEDLINE, Scopus, Embase, Science Direct, and Cochrane Library were systematically searched (n? CRD4201912035) for original articles on the surgical treatment of isthmocele published between 1950 and 2018. Data synthesis was completed using MedCalc 16.4.3. The body of evidence was assessed using the GRADE methodology. Results We retrieved 33 publications: 28 focused on a single surgical technique, and five comparing different techniques. Meta-analysis showed an improvement of symptoms in 85.00% (75.05?92.76%) of women after hysteroscopic correction, 92.77% (85.53?97.64%) after laparoscopic/robotic correction, and 82.52% (67.53?93.57%) after vaginal correction. Hysteroscopic surgery was associated with the lowest risk of complications (0.76%, 0.20?1.66%). Conclusions We found adequate evidence supporting the use of surgery for the treatment of symptomatic isthmocele, as it was found to improve the bleeding symptoms in more than 80% of patients. Differently, we found a lack of evidence regarding the role of surgery with the purpose of improving fertility or reducing the risk of obstetric complications in women with asymptomatic isthmocele. The hysteroscopic correction of isthmocele may be the safest and most effective strategy in those patients with adequate residual myometrial thickness overlying the isthmocele. Laparoscopic and vaginal surgeries may be the preferred options for patients with a thinner residual myometrium over the defect (< 2.5 mm) and when hysteroscopic treatment is inconclusive.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Vaginal repair
Niche
Laparoscopy
Isthmocele
Hysteroscopy
Caesarean scar defect
Megjelenés:Archives of Gynecology And Obstetrics. - 301 : 1 (2020), p. 33-52. -
További szerzők:Ludwin, Artur Vilos, George Török Péter (1975-) (szülész-nőgyógyász) Tesarik, Jan Vitagliano, Amerigo Lasmar, Ricardo Bassil Chiofalo, Benito
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10.

001-es BibID:BIBFORM082687
Első szerző:Vitale, Salvatore Giovanni
Cím:Hysteroscopic endometrial resection vs. hysterectomy for abnormal uterine bleeding : impact on quality of life and sexuality. Evidence from a systematic review of randomized controlled trials / Salvatore G. Vitale, Simone Ferrero, Michal Ciebiera, Fabio Barra, Péter Török, Jan Tesarik, George A. Vilos, Antonio Cianci
Dátum:2020
ISSN:1040-872X
Megjegyzések:Objective: The aim of this systematic review is to summarize the current evidence regarding the effectiveness of hysterectomy and hysteroscopic endometrial techniques in improving quality of life, sexual function and psychological wellbeing of women affected from abnormal uterine bleeding (AUB). Methods: We performed a systematic literature search in PubMed/MEDLINE and Embase for original studies written in English (registered in PROSPERO - ?), using the terms "endometrial ablation", "endometrial destruction", "endometrial resection", "hysterectomy", "menorrhagia", "dysfunctional uterine bleeding", "quality of life", "sexuality" published up to April 2019. Results: Our literature search produced 159 records. After exclusions, 10 studies were included showing the following results: a) both types of treatments significantly improve quality of life and psychological wellbeing; b) hysterectomy is associated to higher rates of satisfaction; c) hysterectomy is not associated with a significant deterioration in sexual function. Conclusions: Hysterectomy is currently more advantageous in terms of improving AUB and satisfaction rates than endometrial destruction techniques. Furthermore, there are some evidence of a greater improvement in general health for women undergoing hysterectomy. However, high-quality prospective randomized controlled trials should be implemented to investigate the effectiveness of hysterectomy and endometrial ablation/resection in the improvement of quality of life outcomes in larger patient cohorts.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Abnormal uterine bleeding
endometrial ablation
endometrial resection
hysterectomy
quality of life
sexuality
Megjelenés:Current Opinion In Obstetrics & Gynecology. - 32 : 2 (2020), p. 159-165. -
További szerzők:Ferrero, Simone Ciebiera, Michał Barra, Fabio Török Péter (1975-) (szülész-nőgyógyász) Tesarik, Jan Vilos, George Cianci, Antonio
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