Article
Obstetrics & Gynecology
Caroline K. Heres, Noah B. Rindos, Isabel R. Fulcher, Sarah E. Allen, Nathan R. King, Shana M. Miles, Nicole M. Donnellan
Summary: The study aimed to quantify postoperative opioid use after laparoscopic surgery for endometriosis or pelvic pain, and identify patient characteristics associated with greater postoperative opioid requirements. Results showed that most patients had a lower postoperative opioid requirement than prescribed, suggesting surgeons can prescribe fewer postoperative narcotics in this population. Patients with a previous surgery for pelvic pain, self-reported chronic pelvic pain syndrome, anxiety, and depression may represent a subset of patients with increased postoperative opioid requirements.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2022)
Review
Biochemistry & Molecular Biology
Soo Youn Song, Ye Won Jung, WonKyo Shin, Mia Park, Geon Woo Lee, Soohwa Jeong, Sukjeong An, Kyoungmin Kim, Young Bok Ko, Ki Hwan Lee, Byung Hun Kang, Mina Lee, Heon Jong Yoo
Summary: Endometriosis, a common gynecologic disease, often leads to various pain symptoms such as dysmenorrhea, dyspareunia, and chronic pelvic pain. Inflammatory responses, nervous system sensitization, and altered distribution of nerve fibers may contribute to chronic pain in these patients. Understanding these mechanisms is crucial in guiding treatment decisions for endometriosis-related pain symptoms.
Article
Medicine, General & Internal
Paola Ciriaco, Piergiorgio Muriana, Angelo Carretta, Jessica Ottolina, Massimo Candiani, Giampiero Negri
Summary: Menstrual-related catamenial pneumothorax (CP) can be the initial manifestation of thoracic endometriosis syndrome (TES) and pelvic endometriosis (PE). A multidisciplinary approach is crucial for optimal management of this disease.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Surgery
Stephanie I. Delgado, Tamisa Koythong, Mark A. Turrentine, Haleh Sangi-Haghpeykar, Xiaoming Guan
Summary: Patients undergoing robotic surgery for endometriosis used over two times as many opioids postoperatively compared to patients without endometriosis and had a higher perceived postoperative pain. Providers should be aware of this difference to provide better pain control for this patient population.
JOURNAL OF ROBOTIC SURGERY
(2022)
Review
Medicine, General & Internal
Marta Barba, Andrea Morciano, Tomaso Melocchi, Alice Cola, Alessandra Inzoli, Paolo Passoni, Matteo Frigerio
Summary: This study presented a case of superinfection of rectovaginal endometriosis and reviewed the literature on the superinfection of extra-ovarian endometriosis. Laparoscopic drainage was successful in managing the case, and ultrasound showed nodular or flat hypoechoic lesions with hyperechoic debris and peripheral positive color/power Doppler intensities. The goal of management is to drain the abscess and provide hormonal therapy to reduce recurrence.
Article
Obstetrics & Gynecology
Martin D. Laguerre, Brittany J. Arkerson, Matthew A. Robinson, Nash S. Moawad
Summary: This study found that laparoscopic surgery is an effective management tool for treating endometriosis, with low rates of reoperation and high efficacy in treating infertility caused by endometriosis.
JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2022)
Article
Medicine, General & Internal
Camran Nezhat, Ellie Armani, Hsuan-Chih Carolina Chen, Zahra Najmi, Steven R. Lindheim, Ceana Nezhat
Summary: Endometriosis is a common condition with significant impacts on individuals' quality of life. Delayed diagnosis emphasizes the need for non-invasive screening, and this study evaluated the utility of a mobile app called Endometriosis Risk Advisor (EndoRA) in screening for endometriosis in patients with chronic pelvic pain and unexplained infertility. The results showed that EndoRA had high sensitivity but low specificity in detecting endometriosis, suggesting it can be a valuable screening tool for high-risk individuals.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Sawsan As-Sanie, Marc R. Laufer, Stacey A. Missmer, Ally Murji, Katy Vincent, Samantha Eichner, Sarah Cross, Ahmed M. Soliman, Frank Tu
Summary: This study developed a patient-reported assessment tool called EndoWheel to visualize the multi-dimensional burden of endometriosis, facilitating improved communication between patients and healthcare providers. Through interviews and discussions, it was found that the tool can enable more comprehensive discussions about symptoms and impact areas, ultimately enhancing patient-provider communication.
CURRENT MEDICAL RESEARCH AND OPINION
(2021)
Article
Obstetrics & Gynecology
Raanan Meyer, Matthew Siedhoff, Mireille Truong, Kacey Hamilton, Shannon Fan, Gabriel Levin, Moshe Barnajian, Yosef Nasseri, Kelly Wright
Summary: This study aims to investigate the rate and risk factors for short-term postoperative complications of patients undergoing minimally invasive surgery (MIS) for endometriosis in the United States. The results showed that African American race, hypertension, bleeding disorders, and bowel surgery or hysterectomy were independent factors associated with increased risk of major complications.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2023)
Article
Obstetrics & Gynecology
M. Bourdon, V Antoine, U. Combes, L. Maitrot-Mantelet, L. Marcellin, C. Maignien, C. Chapron, P. Santulli
Summary: The study found no association between endometriosis and a history of childhood and/or adolescent sexual abuse, but there was a link between severe pelvic pain and sexual abuse.
HUMAN REPRODUCTION
(2023)
Editorial Material
Obstetrics & Gynecology
Mario Malzoni, Marianna Rasile, Marina Coppola, Domenico Iuzzolino, Lucia Casarella, Alessandra Di Giovanni, Francesca Falcone
Summary: This study demonstrated the surgical steps and outcomes of a totally laparoscopic segmental rectal resection in a 31-year-old woman with deep endometriosis. The operation was successful with no intraoperative or postoperative complications, and the patient was discharged on the fifth day postoperatively. Standardization of the surgical technique is crucial for ensuring surgical success.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2022)
Article
Medicine, General & Internal
Sophie Legendri, Marie Carbonnel, Anis Feki, Gaby Moawad, Gabrielle Aubry, Alexandre Vallee, Jean-Marc Ayoubi
Summary: This study demonstrates that minimally invasive surgery improves the quality of life for patients with painful deep infiltrating endometriosis (DIE) two years after surgery, and conservative surgery shows comparable results to total surgery.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Obstetrics & Gynecology
Adrian Zegrea, Emilia Ojala, Pia Suvitie, Pirita Varpe, Heikki Huhtinen, Johanna Makela-Kaikkonen, Tero Rautio, Paivi Harkki, Sinikka Salmenkyla, Mika Ukkonen, Maija Lavonius, Tarja Pinta
Summary: This study found that sacral neuromodulation (SNM) may be an effective treatment for refractory chronic pelvic pain in women with endometriosis. Patients experienced pain reduction and improved quality of life after SNM implantation.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2023)
Article
Obstetrics & Gynecology
Whitney Trotter Ross, Amanda Chu, Linda Li, Allen R. Kunselman, Gerald J. Harkins, Timothy A. Deimling, Andrea S. Benton
Summary: Women with chronic pelvic pain and/or endometriosis have an increased risk of appendiceal endometriosis, but modern appendectomy during gynecologic surgery is safe with no associated complications. Our findings support the consideration of appendectomy as part of comprehensive surgical management of endometriosis.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2021)
Article
Obstetrics & Gynecology
Shamen Gunawardena, Uri P. Dior, Claudia Cheng, Martin Healey
Summary: This study aimed to investigate the incidence of new diagnosis of endometriosis in women aged 40 and above with previously undiagnosed pelvic pain. The research found that the likelihood of diagnosing endometriosis in women aged 40 and above was lower, recommending careful consideration of the risks and yield of surgery in this age group.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2021)
Article
Medicine, Research & Experimental
Tarciana Guedes, Aline A. Santos, Felipe H. Vieira-Neto, Bianca Bianco, Caio P. Barbosa, Denise M. Christofolini
Summary: This study aimed to investigate the correlation between genetic variants, homocysteine levels, and assisted reproduction results. It was found that patients with endometriosis had specific genetic markers, lower levels of homocysteine, and a tendency towards better clinical pregnancy outcomes.
BIOMARKERS IN MEDICINE
(2022)
Review
Obstetrics & Gynecology
Danilo Budib Lourenco, Hugo Octaviano Duarte-Santos, Alexandre Dib Partezani, Saulo Borborema Teles, Bianca Bianco, Luis Augusto Seabra Rios, Gustavo Caserta Lemos, Arie Carneiro
Summary: This study conducted a systematic review and meta-analysis to investigate the urodynamic changes in patients undergoing surgical correction for pelvic organ prolapse (POP). The results showed that surgery improved bladder-emptying parameters and reduced the prevalence of detrusor overactivity (DO), while sling placement may enhance obstructive parameters.
INTERNATIONAL UROGYNECOLOGY JOURNAL
(2023)
Review
Endocrinology & Metabolism
Viviane Rosado Negreiros D'Assuncao, Erik Montagna, Luis Eduardo Negreiros D'Assuncao, Maria Madalena Pessoa Caldas, Denise Maria Christofolini, Caio Parente Barbosa, Ricardo Andre Medeiros Negreiros, Antonio Simone Lagana, Renato de Oliveira, Bianca Bianco
Summary: This study evaluated different gestational outcomes in euthyroid infertile women without autoimmune thyroid disease undergoing in vitro fertilization (IVF). Results showed that variation in TSH levels within the normal range was not associated with pregnancy and delivery rates.
FRONTIERS IN ENDOCRINOLOGY
(2022)
Letter
Dermatology
Cristina Marta Maria Laczynski, Carlos D'Apparecida Santos Machado Filho, Helio Amante Miot, Denise Maria Christofolini, Itatiana Ferreira Rodart, Paulo Ricardo Criado
ANAIS BRASILEIROS DE DERMATOLOGIA
(2023)
Article
Urology & Nephrology
Guilherme Miranda Andrade, Lucas Sesconetto, Rafael Benjamim Rosa da Silva, Gabriela Guimaraes Rodrigues dos Santos, Paulo Priante Kayano, Willy Baccaglini, Murilo Borges Bezerra, Bianca Bianco, Gustavo Caserta Lemos, Arie Carneiro
Summary: This retrospective study evaluated the oncologic results of prostate cancer patients before and during the COVID-19 pandemic. The results showed no significant differences in clinical staging, pathological outcomes, and postoperative complications between the two groups. The study concluded that the pandemic did not worsen the features of prostate cancer.
INTERNATIONAL BRAZ J UROL
(2023)
Article
Dentistry, Oral Surgery & Medicine
Augusto Garcia de Oliveira Junior, Erik Montagna, Victor Zaia, Caio Parente Barbosa, Bianca Bianco
Summary: This study assessed the impact of treatment for cleft lip and palate on the oral health-related quality of life in children and adolescents. The results showed that the overall oral health-related quality of life was slightly worse in patients with cleft lip and palate compared to the healthy control group, with the most affected domains being functional, emotional, and social.
Article
Obstetrics & Gynecology
Danilo B. Lourenco, Hugo O. D. Santos, Elizabeth Y. Hirakawa, Luis Augusto S. Rios, Gustavo C. Lemos, Bianca Bianco, Arie Carneiro
Summary: Pelvic organ prolapse surgery reduced the prevalence of urgency symptoms, and all questionnaires on urinary symptoms showed clinically significant improvement. Vaginal surgery for POP, even combined with MUS, significantly reduced PVR volume and improved urgency symptoms.
INTERNATIONAL UROGYNECOLOGY JOURNAL
(2023)
Article
Medicine, General & Internal
Bianca Bianco, Flavia Altheman Loureiro, Camila Martins Trevisan, Denise Maria Christofolini, Antonio Simone Lagana, Caio Parente Barbosa
Summary: This study found an association between the follicle-stimulating hormone subunit beta gene rs10835638 variant (c.-211G>T) and the development of minimal/mild endometriosis in Brazilian women.
EINSTEIN-SAO PAULO
(2023)
Review
Obstetrics & Gynecology
Ivana Zec, Marina Sprem Goldstajn, Krunoslav Kuna, Mislav Mikus, Guglielmo Stabile, Bianca Bianco, Giovanni Buzzaccarini, Antonio Simone Lagana
Summary: This review focuses on the alterations of redox homeostasis in the follicular fluid during female reproduction and its potential impact on IVF outcomes. Studies suggest a shift towards enhanced oxidizing modification and antioxidative consumption in the follicular fluid of women undergoing IVF treatment. However, the precise role of redox imbalance in oocyte competence and IVF outcomes remains uncertain.
MENOPAUSE REVIEW-PRZEGLAD MENOPAUZALNY
(2022)
Meeting Abstract
Obstetrics & Gynecology
Viviane Rosado Rosado Negreiros D'Assuncao, Caio Barbosa, Luis Eduardo Negreiros Negreiros D'Assuncao, Denise Christofolini, Ricardo Medeiros Negreiros, Renato Oliveira, Bianca Bianco
FERTILITY AND STERILITY
(2022)
Article
Medicine, General & Internal
Lucas Seiti Takemura, Alan Roger Gomes Barbosa, Breno Santos Amaral, Alvaro Alexandre Dias Bosco, Danilo Budib Lourenco, Marcelo Apezzato, Joao Arthur Brunhara Alves Barbosa, Eliney Ferreira Faria, Bianca Bianco, Gustavo Caserta Lemos, Arie Carneiro
Summary: This study analyzed the characteristics of public health services related to radical prostatectomy, focusing on hospital volume and academic/non-academic centers. The results showed that academic centers had shorter hospital stays, while high-volume centers had higher hospitalization costs. There were no significant differences in other aspects between centers with different surgery volumes and academic/non-academic centers.
EINSTEIN-SAO PAULO
(2022)
Meeting Abstract
Urology & Nephrology
Hugo Santos, Danilo Lourenco, Alexandre Partezani, Saulo Teles, Lucas Takemura, Felipe Gushiken, Guilherme Andrade, Bianca Bianco, Luis Rios, Gustavo Lemos, Arie Carneiro
JOURNAL OF UROLOGY
(2022)
Meeting Abstract
Urology & Nephrology
Marcelo Wroclawski, Lucas Takemura, Felipe Gushiken, Breno Amaral, Paulo Kayano, Ronaldo Baroni, Bianca Bianco, Arie Carneiro, Gustavo Lemos
JOURNAL OF UROLOGY
(2022)
Article
Medicine, General & Internal
Alan Roger Gomes Barbosa, Lucas Seiti Takemura, Breno Santos Amaral, Marcelo Langer Wroclawski, Wladimir Alfer, Antonio Otero Gil, Jose Monteiro, Danilo Budib Lourenco, Jonathan Doyun Cha, Marcelo Apezzato, Joao Arthur Brunhara Alves Barbosa, Bianca Bianco, Gustavo Caserta Lemos, Arie Carneiro
Summary: This study aimed to compare the number of surgeries, mortality rate, length of hospital stay, and costs between transurethral resection of the prostate and open prostatectomy for the treatment of benign prostatic hyperplasia. The findings suggest the importance of investing in specialized centers, which could be potential referral centers for surgical cases.
EINSTEIN-SAO PAULO
(2022)
Article
Medicine, General & Internal
Renata Garcia Olmos Fernandez, Caio Parente Barbosa, Denise Maria Christofolini, Luiz Vinicius de Alcantara Sousa, Renato de Oliveira, Bianca Bianco
Summary: This study aimed to assess the association between the level of progesterone on the day of human chorionic gonadotropin administration and clinical and laboratory characteristics in patients with a good prognosis for in vitro fertilization. The results showed weak positive correlations between progesterone levels and the number of follicles larger than 14mm, retrieved oocytes, and oocytes in metaphase II. However, there was no significant association with body mass index, stimulation protocols, embryo quality, or pregnancy rate.
EINSTEIN-SAO PAULO
(2022)
