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1.

001-es BibID:BIBFORM103390
035-os BibID:(cikkazonosító)1132 (Wos)000846594700001 (Scopus)84897012855
Első szerző:Buzzaccarini, Giovanni
Cím:Pain Management during Office Hysteroscopy : an Evidence-Based Approach / Buzzaccarini Giovanni, Alonso Pacheco Luis, Vitagliano Amerigo, Haimovich Sergio, Chiantera Vito, Török Péter, Vitale Salvatore Giovanni, Lagana Antonio Simone, Carugno Jose
Dátum:2022
ISSN:1010-660X 1648-9144
Megjegyzések:Background and Objectives: Hysteroscopy is a reliable technique which is highly useful for the evaluation and management of intrauterine pathology. Recently, the widespread nature of in-office procedures without the need for anesthesia has been requesting validation of practical approach in order to reduce procedure-related pain. In this regard, we performed a comprehensive review of literature regarding pain management in office hysteroscopic procedures. Materials and Methods: MEDLINE, EMBASE, The Cochrane Library (Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Cochrane Methodology Register), Global Health, Health Technology Assessment Database and Web of Science, other research registers (for example Clinical Trials database) were searched. We searched for all original articles regarding pain relief strategy during office hysteroscopy, without date restriction. Results have been collected and recommendations have been summarized according to the Appraisal of Guidelines for Research and Evaluation (AGREE) tool. Moreover, the strength of each recommendation was scored following the Grading of Recommendations Assessment (GRADE) system, in order to present the best available evidence. Results: Both pharmacological and non-pharmacological strategies for pain management are feasible and can be applied in office setting for hysteroscopic procedures. The selection of strategy should be modulated according to the characteristics of the patient and difficulty of the procedure. Conclusions: Accumulating evidence support the use of pharmacological and other pharmacological-free strategies for reducing pain during office hysteroscopy. Nevertheless, future research priorities should aim to identify the recommended approach (or combined approaches) according to the characteristics of the patient and difficulty of the procedure.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
anxiety
office hysteroscopy
outpatient hysteroscopy
pain
practical guidelines
Megjelenés:Medicina. - 58 : 8 (2022), p. 1-14. -
További szerzők:Alonso Pacheco, Luis Vitagliano, Amerigo Haimovich, Sergio Chiantera, Vito Török Péter (1975-) (szülész-nőgyógyász) Vitale, Salvatore Giovanni Laganà, Antonio Simone Carugno, Jose
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2.

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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3.

001-es BibID:BIBFORM097395
Első szerző:Lőrincz Judit (általános orvos)
Cím:Hystero-salpingo scintigraphy for fallopian tubal patency assessment : results from a prospective study / Lörincz Judit, Vitale Salvatore Giovanni, Barna Sándor Kristóf, Dinkó Fanni, Riemma Gaetano, Herman Tünde, Nagyházi Orsolya, Lampé Rudolf, De Franciscis Pasquale, Török Péter
Dátum:2022
ISSN:1364-5706
Megjegyzések:Objective: To evaluate the diagnostic accuracy of a bygone method, hystero-salpingo-scintig- raphy (HSSG), for tubal patency assessment of infertile women. Material and methods: Prospective cohort study involving women in the infertility workup at the University of Debrecen, Hungary. Seventy infertile patients were scheduled to either basic dynamic HSSG, post-purge dynamic HSSG, or post-purge dynamic HSSG followed by SPECT/CT for reducing tracer contamination. The primary endpoint was the evaluation of the diagnostic accuracy of HSSG for the three methods. Results: During the basic dynamic group, the examination yielded a sensitivity of 87.5%, with a specificity of 71.7%, while positive and negative predictive values were 31.8%, and 97.4% respectively. Using post purge dynamic HSSG, it resulted in a sensitivity of 87.5%, a specificity of 88.7%, a positive predictive value of 53.8%, and a negative predictive value of 97.9%. Adding SPECT/CT to post-purge dynamic HSSG increased diagnostic accuracy with 100% sensitivity and 88.7% specificity, while positive and negative predictive values were 57.1% and 100%, respectively. Conclusion: HSSG is a non-invasive and well-tolerated technique for tubal patency. It could be used initially to predict tubal patency in case of infertility. Its diagnostic accuracy is higher when it is carried out by adding SPECT/CT to the post-purge dynamic method.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
infertility
tubal patency
fallopian tube
scintigraphy
SPECT
radionuclides
Megjelenés:Minimally Invasive Therapy & Allied Technologies. - 31 : 5 (2022), p. 797-802. -
További szerzők:Vitale, Salvatore Giovanni Barna Sándor (1982-) (kutató orvos) Dinkó Fanni Riemma, Gaetano Herman Tünde (1979-) (orvos) Nagyházi Orsolya Lampé Rudolf (1983-) (szülész-nőgyógyász) De Franciscis, Pasquale Török Péter (1975-) (szülész-nőgyógyász)
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4.

001-es BibID:BIBFORM087601
Első szerző:Lőrincz Judit (általános orvos)
Cím:Predictive value of bubble sign for tubal patency during office hysteroscopy / Judit Lörincz, Szabolcs Molnár, Tünde Herman, Salvatore Giovanni Vitale, Singh Jashanjeet, Rudolf Lampé, László Kardos, Péter Török
Dátum:2020
ISSN:0301-2115
Megjegyzések:Objective: Our purpose was to investigate the predictive value of visible air bubble sign for real tubal patency during hysteroscopic procedures. Methods: In this cross-sectional study, clinical data of 61 infertile women who underwent diagnostic hysteroscopy and laparoscopy have been analysed. Results: Mean age of patients was 33.45 3.25 years. Bubble sign for the detection of patency demonstrated 73 % (95 % CI: 57?86 %) sensitivity, 70 % (95 % CI: 46?88 %) specificity, a positive predictive value of 83 % (95 % CI: 67?94 %), and a negative predictive value of 56 % (95 % CI: 35?76 %). Conclusions: A visible tubal "flow" of air bubbles during hysteroscopy was not accurate in the prediction of tubal patency.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Hysteroscopy
Bubble sign
Fallopian tubes
Tubal patency
Laparoscopy
Infertility
Megjelenés:European Journal of Obstetrics Gynecology and Reproductive Biology. - 253 (2020), p. 58-60. -
További szerzők:Molnár Szabolcs (1987-) (szülész-nőgyógyász szakorvos) Herman Tünde (1979-) (orvos) Vitale, Salvatore Giovanni Singh, Jashanjeet (1976-) (szülész-nőgyógyász szakorvos) Lampé Rudolf (1983-) (szülész-nőgyógyász) Kardos László (1970-) (megelőző orvostan és népegészségtan szakorvos) Török Péter (1975-) (szülész-nőgyógyász)
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5.

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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6.

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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7.

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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8.

001-es BibID:BIBFORM083362
Első szerző:Török Péter (szülész-nőgyógyász)
Cím:Fallopian tubal obstruction is associated with increased pain experienced during office hysteroscopy : a retrospective study / Péter Török, Szabolcs Molnár, Tünde Herman, Singh Jashanjeet, Rudolf Lampé, Gaetano Riemma, Salvatore Giovanni Vitale
Dátum:2020
ISSN:2038-131X 2038-3312
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Updates in Surgery. - 72 : 1 (2020), p. 213-218. -
További szerzők:Molnár Szabolcs (1987-) (szülész-nőgyógyász szakorvos) Herman Tünde (1979-) (orvos) Singh, Jashanjeet (1976-) (szülész-nőgyógyász szakorvos) Lampé Rudolf (1983-) (szülész-nőgyógyász) Riemma, Gaetano Vitale, Salvatore Giovanni
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9.

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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10.

001-es BibID:BIBFORM113253
035-os BibID:(scopus)85164501542 (WOS)001025575900001
Első szerző:Vitale, Salvatore Giovanni
Cím:Uterine cervical stenosis: from classification to advances in management. Overcoming the obstacles to access the uterine cavity / Vitale Salvatore Giovanni, De Angelis Maria Chiara, Della Corte Luigi, Saponara Stefania, Carugno Jose, Lagana Antonio Simone, Török Péter, Tinelli Raffaele, Pérez-Medina Tirso, Ertas Sinem, Urman Bulent, Angioni Stefano
Dátum:2024
ISSN:0932-0067 1432-0711
Megjegyzések:Background To date hysteroscopy is the gold standard technique for the evaluation and management of intrauterine pathologies. The cervical canal represents the access route to the uterine cavity. The presence of cervical stenosis often makes entry into the uterine cavity difficult and occasionally impossible. Cervical stenosis has a multifactorial etiology. It is the result of adhesion processes that can lead to the narrowing or total obliteration of the cervical canal. Purpose In this review, we summarize the scientific evidence about cervical stenosis, aiming to identify the best strategy to overcome this challenging condition. Methods The literature review followed the scale for the quality assessment of narrative review articles (SANRA). All articles describing the hysteroscopic management of cervical stenosis were considered eligible. Only original papers that reported data on the topic were included. Results Various strategies have been proposed to address cervical stenosis, including surgical and non-surgical methods. Medical treatments such as the preprocedural use of cervical-ripening agents or osmotic dilators have been explored. Surgical options include the use of cervical dilators and hysteroscopic treatments. Conclusions Cervical stenosis can present challenges in achieving successful intrauterine procedures. Operative hysteroscopy has been shown to have the highest success rate, particularly in cases of severe cervical stenosis, and is currently considered the gold standard for managing this condition. Despite the availability of miniaturized instruments that have made the management of cervical stenosis more feasible, it remains a complex task, even for experienced hysteroscopists
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Cervical stenosis
Hysteroscopy
Infertility
Therapy
Megjelenés:Archives Of Gynecology And Obstetrics. - 309 : 3 (2024), p. 755-764. -
További szerzők:De Angelis, Maria Chiara Della Corte, Luigi Saponara, Stefania Carugno, Jose Laganà, Antonio Simone Török Péter (1975-) (szülész-nőgyógyász) Tinelli, Raffaele Perez-Medina, Tirso Ertas, Sinem Urman, Bulent Angioni, Stefano
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11.

001-es BibID:BIBFORM110695
035-os BibID:(cikkazonosító)102588 (Scopus)85153232429 (WoS)000990464300001
Első szerző:Vitale, Salvatore Giovanni
Cím:Endometrial Biopsy : Indications, Techniques and Recommendations. An Evidence-Based Guideline for Clinical Practice / Vitale Salvatore Giovanni, Buzzaccarini Giovanni, Riemma Gaetano, Pacheco Luis Alonso, Sardo Attilio Di Spiezio, Carugno Jose, Chiantera Vito, Török Peter, Noventa Marco, Haimovich Sergio, De Franciscis Pasquale, Perez-Medina Tirso, Angioni Stefano, Lagana Antonio Simone
Dátum:2023
ISSN:2468-7847
Megjegyzések:This practice guideline provides updated evidence for the gynecologist who performs endometrial biopsy (EB) in gynecologic clinical practice. An international committee of gynecology experts developed the recommendations according to AGREE Reporting Guideline. An adequate tissue sampling is mandatory when performing an EB. Blind methods should not be first choice in patients with suspected endometrial malignancy. Hysteroscopy is the targeted-biopsy method with highest diagnostic accuracy and cost-effectiveness. Blind suction techniques are not reliable for the diagnosis of endometrial polyps. In low resources settings, and in absence of the capacity to perform office hysteroscopy, blind techniques could be used for EB. Hysteroscopic punch biopsy allows to collect only limited amount of endometrial tissue. grasp biopsy technique should be considered first choice in reproductive aged women, bipolar electrode chip biopsy should be preferred with hypotrophic or atrophic endometrium. EB is required for the final diagnosis of chronic endometritis. There is no consensus regarding which endometrial thickness cut-off should be used for recommending EB in asymptomatic postmenopausal women. EB should be offered to young women with abnormal uterine bleeding and risk factors for endometrial carcinoma. Endometrial pathology should be excluded with EB in nonobese women with unopposed hyperestrogenism. Hysteroscopy with EB is useful in patients with abnormal bleeding even without sonographic evidence of pathology. EB has high sensitivity for detecting intrauterine pathologies. In postmenopausal women with uterine bleeding, EB is recommended. Women with sonographic endometrial thickness > 4mm using tamoxifen should undergo hysteroscopic EB.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Hysteroscopy
Practical guidelines
Endometrium
Endometrial biopsy
Megjelenés:Journal of Gynecology Obstetrics and Human Reproduction. - 52 : 6 (2023), p. 1-7. -
További szerzők:Buzzaccarini, Giovanni Riemma, Gaetano Pacheco, Luis Alonso Sardo, Attilio Di Spiezio Carugno, Jose Chiantera, Vito Török Péter (1975-) (szülész-nőgyógyász) Noventa, Marco Haimovich, Sergio De Franciscis, Pasquale Perez-Medina, Tirso Angioni, Stefano Laganà, Antonio Simone
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12.

001-es BibID:BIBFORM108374
035-os BibID:(cikkazonosító)339 (WoS)000929385200001 (Scopus)85147813463
Első szerző:Vitale, Salvatore Giovanni
Cím:Hysteroscopic Endometrial Ablation : from Indications to Instrumentation and Techniques - A Call to Action / Salvatore Giovanni Vitale, Luigi Della Corte, Michał Ciebiera, Josè Carugno, Gaetano Riemma, Ricardo Bassil Lasmar, Bernardo Portugal Lasmar, Ilker Kahramanoglu, Bulent Urman, Mislav Mikuš, Carlo De Angelis, Péter Török, Stefano Angioni
Dátum:2023
ISSN:2075-4418
Megjegyzések:The development of minimally invasive techniques has led to the creation of innovative alternatives in cases where traditional methods are not applicable. In modern gynecology, hysteroscopy has become the gold standard for the evaluation and treatment of intrauterine pathology. Endometrial ablation (EA) is a procedure that uses different types of energy to destroy the endometrium and is currently used as an alternative technique in cases of heavy menstrual bleeding when medical treatment has failed and uterine preservation is desired. The aim of this review was to evaluate the feasibility, safety, and clinical outcomes of hysteroscopic EA as an alternative in patients with abnormal uterine bleeding. A detailed computerized search of the literature was performed in the main electronic databases (MEDLINE, EMBASE, Web of Science, PubMed, and Cochrane Library), from 1994 to June 2022, to evaluate the outcomes in patients with abnormal uterine bleeding (AUB) undergoing EA using hysteroscopic and non-hysteroscopic techniques. Only scientific publications in English were included. Twelve articles on the current use of endometrial ablation were included. Data on patient symptoms, tools used for EA, primary outcomes, and adverse events were recorded. EA should be considered an effective and safe approach in the management of patients with abnormal uterine bleeding caused by benign pathology, in whom medical treatment has failed or is contraindicated. Due to the lack of evidence, it would be interesting to determine whether EA would also have a role in the treatment of women with premalignant lesions, avoiding invasive surgical procedures or medical treatment in those patients for whom hysterectomy or the use of hormonal treatment is contraindicated.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
hysteroscopy
endometrium
ablation
endometrial ablation
hysterectomy
abnormal uterine bleeding
heavy menstrual bleeding
myoma
polyp
resectoscope
Megjelenés:Diagnostics. - 13 : 3 (2023), p. 339-. -
További szerzők:Della Corte, Luigi Ciebiera, Michał Carugno, Jose Riemma, Gaetano Lasmar, Ricardo Bassil Lasmar, Bernardo Portugal Kahramanoglu, Ilker Urman, Bulent Mikuš, Mislav De Angelis, Carlo Török Péter (1975-) (szülész-nőgyógyász) Angioni, Stefano
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