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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
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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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
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
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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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
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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