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1.

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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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:BIBFORM085726
035-os BibID:(WoS)000534935500001 (Scopus)85085286678
Első szerző:Manchanda, Rahul
Cím:Distension media delivery systems in hysteroscopy : past, present and future / Manchanda Rahul, Valenti Gaetano, Rathore Aayushi, Carugno Jose, Török Péter, Riemma Gaetano, De Angelis Maria Chiara, Vilos George Angelos, Pacheco Luis Alonso, Vitale Salvatore Giovanni
Dátum:2022
ISSN:1364-5706
Megjegyzések:To examine the uterine cavity and/or to perform hysteroscopic surgery, one has to access the uterine cavity through the cervix, distend the cavity with a fluid (liquid or gas) to visualize it with a telescope and/or a camera system and use energy (mechanical or thermal) to affect and/or remove tissue. Distension of the uterine cavity then is an important component of hysteroscopy, and during the last century, numerous attempts have been made to achieve an undistorted and unobstructed panoramic view of the uterine cavity. In order to achieve this goal, the uterine cavity has been distended with fluids using a variety of techniques, including gravity-assisted systems, pressure cuffed systems, and electronic pumps. Excessive fluid intravasation during hysteroscopy can lead to significant complications, and hence, automated fluid delivery systems have been developed recently to provide a safe and more efficient method of fluid delivery. This review aims to describe the evolution of distension media delivery systems chronologically from the 1900s to the present day.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Minimally Invasive Therapy & Allied Technologies. - 31 : 1 (2022), p. 1-12. -
További szerzők:Valenti, Gaetano Rathore, Aayushi Carugno, Jose Török Péter (1975-) (szülész-nőgyógyász) Riemma, Gaetano De Angelis, Maria Chiara Vilos, George Pacheco, Luis Alonso Vitale, Salvatore Giovanni
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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: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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6.

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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7.

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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8.

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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