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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
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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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3.

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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Intézményi repozitóriumban (DEA) tárolt változat
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