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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
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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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DOI
Intézményi repozitóriumban (DEA) tárolt változat
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