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1.

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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2.

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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3.

001-es BibID:BIBFORM078274
Első szerző:Lőrincz Judit (általános orvos)
Cím:The effect of localization and histological verification of endometrial polyps on infertility / Judit Lőrincz, Szabolcs Molnár, Attila Jakab, Tünde Herman, Singh Jashanjeet, Péter Török
Dátum:2019
ISSN:0932-0067 1432-0711
Megjegyzések:Aim Our purpose is to investigate if transcervical resection of endometrial polyps improves the fertility in ovulatory infertile women, and whether polyp histology, intrauterine location, and the technique of polypectomy have any influence on the pregnancy rates. Methods In this retrospective study, clinical data of 87 ovulatory infertile women who underwent hysteroscopy and pol- ypectomy, and their 12-month follow-up have been analyzed. Subgroups according to the method of polyp removal (resec- toscope or curettage), the polyp localization (utero-tubal, anterior, posterior, lateral, multiple) and the histological result were interpreted. Results Meanageofpatientswas33.99?4.24years.TherewerenodifferencesintheBMIandbasalFSHlevelsbetweenthe subgroups. Pregnancy was recorded in 30 (34.5%) within the next 12 months without any difference between the subgroups of polypectomy method applied. Posterior wall polyp resection increased the pregnancy chance (OR 5.02), but no other dif- ferences were observed in 1-year pregnancy rates to other localizations. Removal of polyps which had normal endometrial histology had lower pregnancy rates as compared to that of polyps with hyperplasia or endometrial polyp histology results (OR 0.25). Conclusions Polypectomy improved the conception rate in the subsequent year regardless of the intrauterine localization and the method of its surgical removal. Therefore, we can conclude that polypectomy should be considered in infertile women.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
endometrium polyp
infertilitás
hiszteroskópia
reprodukció
Megjelenés:Archives of Gynecology and Obstetrics. - 300 : 1 (2019), p. 217-221. -
További szerzők:Molnár Szabolcs (1987-) (szülész-nőgyógyász szakorvos) Jakab Attila (1964-) (szülész-nőgyógyász, endokrinológus) Herman Tünde (1979-) (orvos) Singh, Jashanjeet (1976-) (szülész-nőgyógyász szakorvos) Török Péter (1975-) (szülész-nőgyógyász)
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4.

001-es BibID:BIBFORM104992
Első szerző:Lukács Luca (hallgató)
Cím:Out-patient selective tubal test with concomitant evaluation of the uterine cavity / Luca Lukács, Judit Lőrincz, Bence Boldogh, Márton György Lipták, Tünde Herman, Péter Török
Dátum:2022
Megjegyzések:Background Infertility is a common problem of couples with reproductive age. Tubal abnormality is an important cause of infertility, accounting for 25%?35% of female infertility. Tubal patency testing is important during infertility work-up before any assisted reproductive technique is performed. The relevance of diagnostic hysteroscopy, especially when performed in an outpatient "office" setting, in the evaluation process of infertility has increased in the last few years. During diagnostic hysteroscopy any morphological change of the uterine cavity or endometrium can be detected, not to mention the possibility for the tubal patency test. Our aim was to investigate the results of women who underwent selective pertubation with office hysteroscopy. Methods A total of 212 women were included in this retrospective study, who chose diagnostic office hysteroscopy during their infertility work-up. In each case before and after the procedure 3D ultrasound was used for evaluation of the uterine cavity. The selective pertubation with office hysteroscopy was performed in an outpatient setting, without general anaesthesia. Results Primary infertility (in 75 %), secondary infertility (in 22,17 %), repeated abortions (in 1,89 %), positive ultrasound results (in 0,94 % of the cases) made the indication for office hysteroscopy. The mean age of the patients was 33.1 ? 4.77. During the evaluation of uterine cavity 13 cases required polypectomy as well and 1 patient needed uterine myomectomy. Endometrial visualisation of 39 cases indicated biopsy as well during the evaluation with office hysteroscopy, this way 8 chronic endometritis were detected. Regarding the selective pertubation test, we detected positivity (tubal abnormality) in 61,32 % of the study, among them we explored unilateral occlusion in 43,08 % of the cases and bilateral occlusion in 56,92 % of the patients. No complications occurred during the 212 diagnostic office hysteroscopies. Conclusions Our results suggest this novel method, selective pertubation with office hysteroscopy, which is an effective, accurate, minimally invasive method to investigate tubal patency, in outpatient circumstances in order to choose proper assisted reproductive techniques. This way the complications of general anaesthesia or radiation (HSG) can be avoided. Moreover, with the examination of the uterine cavity, other factors, such as polyps, micropolyps, fibroids, chronic endometritis can be detected and treated so fertility can be improve as well.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idézhető absztrakt
folyóiratcikk
Megjelenés:Facts, views & vision in ObGyn. - 14 : 3 (2022), p. P124. -
További szerzők:Lőrincz Judit (1988-) (általános orvos) Boldogh Bence Zoltán (1995-) (Orvos) Lipták Márton György (1988-) (Orvos) Herman Tünde (1979-) (orvos) Török Péter (1975-) (szülész-nőgyógyász)
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5.

001-es BibID:BIBFORM075742
Első szerző:Török Péter (szülész-nőgyógyász)
Cím:Suprapubic pressure facilitates the procedure of office hysteroscopy : a randomized controlled trial / Péter Török, Tünde Herman, Judit Lorincz, Szabolcs Molnár, Rudolf Lampé, Róbert Póka
Dátum:2019
ISSN:1341-8076 1447-0756
Megjegyzések:Aim To minimize the experienced pain during office hysteroscopy, a number of technical approaches and maneuvers are used. The aim of the study was to assess the effect of suprapubic pressure (SuPuP) applied during hysteroscopy. The impact of this maneuver on experienced pain (assessed by visual analog scale [VAS]) and duration of passage through the cervical canal was measured and compared to a reference group with no SuPuP. Methods Hysteroscopy was performed in study subjects as part of their infertility work?up. Patients were randomized into two groups as part of a controlled trial. In group 1, SuPuP was applied while inserting the scope; in group 2, SuPuP was not applied. Pain experienced during the procedure was measured on a 0?10 VAS. Duration of passage through the cervical canal was measured by analyzing the video of the procedure. The effect of SuPuP was estimated by testing for between?groups differences in these outcomes. Results The number of patients included the study was 60. Mean (SD) VAS score was 3.40 (1.276) in group 1 compared to 3.33 (0.802) in group 2 (P?=?0.809). Mean (SD) time of passage through the cervical canal in group 1 was 30.5 (18.37) seconds compared to 43.0 (24.51) seconds in group 2 (P?=?0.029). Conclusion Applying suprapubic pressure could facilitate the procedure by significantly shortening the duration of the passage through the cervical canal, but significantly not reduces the pain experienced during hysteroscopy. Further studies are to be undertaken to investigate the advantages of suprapubic pressure during office hysteroscopy.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
fallopian tube
infertility
office hysteroscopy
pain
pertubation
Megjelenés:Journal of Obstetrics and Gynaecology Research. - 45 : 3 (2019), p. 640-644. -
További szerzők:Herman Tünde (1979-) (orvos) Lőrincz Judit (1988-) (általános orvos) Molnár Szabolcs (1987-) (szülész-nőgyógyász szakorvos) Lampé Rudolf (1983-) (szülész-nőgyógyász) Póka Róbert (1960-) (szülész-nőgyógyász, klinikai onkológus)
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