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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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001-es BibID:	BIBFORM101150
Első szerző:	Buzzaccarini, Giovanni
Cím:	Predictors of Pain Development after Laparoscopic Adnexectomy : a Still Open Challenge / Buzzaccarini Giovanni, Török Péter, Vitagliano Amerigo, Petousis Stamatios, Noventa Marco, Hortu Ismet, Giannini Andrea, Laganà Antonio Simone
Dátum:	2022
ISSN:	0894-1939
Megjegyzések:	No abstract available
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk pain laparoscopy Adnexectomy
Megjelenés:	Journal Of Investigative Surgery. - 35 : 6 (2022), p. 1392-1393. -
További szerzők:	Török Péter (1975-) (szülész-nőgyógyász) Vitagliano, Amerigo Petousis, Stamatios Noventa, Marco Hortu, Ismet Giannini, Andrea Laganà, Antonio Simone
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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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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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