The actual role of robotics in the management of endometriosis.
Authors: Cela V, Obino ME, Sergiampietri C, Simi G, Papini F, Pinelli S, Freschi L, Artini PG
Abstract
The advent of robot-assisted laparoscopy (RAL) represents an important innovation and has opened new perspectives for treatment of endometriosis, in particular in deep infiltrating endometriosis (DIE). RAL could offer several technical advantages in treating this complex disease, such as 3D vision, tremor filtration and better surgical ergonomy, would be able to improve surgical performances without increasing in surgical time, blood loss, intra- and postoperative complications and it reduces the rates of...
Source: Minerva Ginecologica - March 10, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
An update on the biological markers of endometriosis.
CONCLUSIONS: CA 125 remains the most recommended marker for suspicion of endometriosis and follow-up. Other markers, such as CA 19-9, CA 72-4, and endometrial cells in peripheral blood, have more value for differentiating endometriosis from other pathologies, while circulating micro-RNA could help clarify the endometrial stem cell's implication in its pathogeny. Finally, other new urinary markers could be used in early diagnostic and screening strategies.
PMID: 28271701 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - March 10, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Update on endometriosis pathogenesis.
Authors: Czyzyk A, Podfigurna A, Szeliga A, Meczekalski B
Abstract
Endometriosis is a chronic, inflammatory, condition of high incidence and serious reproductive and general health consequences. Understanding the pathogenesis of endometriosis is crucial for proper diagnostic and ordering the most effective treatment. Even though there is a large body of data regarding this pathology our understanding of the pathogenesis of this disease remains incomplete. The aim of this review is to summarize contemporary data regarding pathogenesis of endometriosis. Current data regarding endometrial origin, metaplastic ...
Source: Minerva Ginecologica - March 10, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Is there a role of single port laparoscopy in the treatment of endometriosis?
CONCLUSIONS: Currently, it has been shown that most of the gynecologic operations are feasible using the LESS approach. So, this approach has a role to play in the treatment of endometriosis too, especially concerning the most common manifestations of the disease. However, more extensive research is required to properly evaluate single port access techniques to conventional minimally invasive ones in the treatment of the different manifestations of endometriosis, concerning short term as well as long term outcomes of the treatment, including the ones associated to fertility.
PMID: 28263049 [PubMed - as supplied by ...
Source: Minerva Ginecologica - March 7, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Endometrial sampling before or after saline infusion sonography (ESPRESSO Trial): a national survey and a study protocol of a multicentre RCT.
DISCUSSION: The results will give insight whether the quality of the Pipelle is influenced by the SIS or not.
PMID: 28252269 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - March 4, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Abdominal wall endometriosis following cesarean section: a study of the growth rate of parietal endometriosis implants.
CONCLUSIONS: AWE natural history was characterized by inter- and intra- individual variability, independently of the contraception used.
PMID: 28244302 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - March 1, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Minimally invasive hysterectomy for benign indications: an update.
This article will review the different routes of MIH. Perioperative considerations will be discussed, as will the advantages and disadvantages of each minimally invasive approach.
PMID: 28177208 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - February 9, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
The association between the regular use of early-term labor induction and improved birth outcomes: new evidence from an Italian hospital.
CONCLUSIONS: Exposure to high levels of early term preventive labor induction was associated with a lower group cesarean delivery rate and improvement in several other major birth outcomes. An adequately powered randomized controlled trial is needed to further explore this alternative method of care.
PMID: 28177209 [PubMed - as supplied by publisher] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - February 9, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
[Pregnancy after bariatric surgery].
Authors: Pepe F, DE Luca F, Stracquadanio M, Garraffo C, Santonocito VC, Privitera A
Abstract
Pregnancy after bariatric surgery has some peculiarities related to obesity, type of surgery, amount of weight loss, time elapsed from the surgery and adherence to medical prescriptions. Pregnant woman is at risk of nutritional deficiencies and it is unclear whether there is an increased incidence of intestinal complications during pregnancy after bariatric surgery and whether this kind of complications are more frequent during cesarean section. The fetus is at high risk of prematurity and fetal growth restriction...
Source: Minerva Ginecologica - February 4, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
PET/CT guided surgical excision of small abdominal wall metastases in morbidly obese endometrial cancer patients.
Authors: Papadia A, Nirgianakis K, Gasparri ML, Grandi G, Bolla D, Klaeser B, Mueller MD
PMID: 28150928 [PubMed - in process] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - February 4, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Early hCG administration as an alternative prevention strategy of ovarian hyperstimulation syndrome during an IVF cycle.
Authors: Son WY, Dahan MH, Monnier P, Holzer H, Nayot D
PMID: 28150929 [PubMed - in process] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - February 4, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Steroids use in late preterm period: a critical analysis.
Authors: Sisti G
PMID: 28150930 [PubMed - in process] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - February 4, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Robotic sacrocolpopexy for posthysterectomy vaginal vault prolapse: a case series of 31 patients by a single surgeon with a long term follow-up.
CONCLUSIONS: This series demonstrates optimal outcomes at long-term follow-up. RALS may provide the same long-term durability of open sacrocolpopexy with the benefit of a minimally invasive approach.
PMID: 28116884 [PubMed - in process] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - January 26, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Lower complication rates with office-based D & C under ultrasound guidance for missed abortion.
CONCLUSIONS: We observed very low complications rate in Office-based D&C under USG, lower than those reported in the literature with unguided D&C.
PMID: 28116885 [PubMed - in process] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - January 26, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
Normalization of cardiovascular risk factors in peri-menopausal women with Pycnogenol ®.
CONCLUSIONS: The supplementation with Pycnogenol® improved the quality of life of perimenopausal women and normalized a series of cardiovascular risk factors, especially factors connected to cardiovascular events, as homocysteine and CRP.
PMID: 28116886 [PubMed - in process] (Source: Minerva Ginecologica)
Source: Minerva Ginecologica - January 26, 2017 Category: OBGYN Tags: Minerva Ginecol Source Type: research
