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  1. Challenging the cervix: Strategies to overcome the anatomic impediments to hysteroscopy: Analysis of 31,052 office hysteroscopies
    Autor*in: Bettocchi, Stefano ; Bramante, Silvia ; Spinelli, Marialuigia ; Ceci, Oronzo ; Fascilla, Fabiana Divina ; BIFULCO, GIUSEPPE ; DI SPIEZIO SARDO, ATTILIO
    Erschienen: 2016

    OBJECTIVE: To report our experience on 10,156 cases of cervical stenosis (CS) diagnosed at office hysteroscopy. DESIGN: Retrospective study. SETTING: Ambulatory clinics of diagnostic and operative hysteroscopy of two university teaching hospitals... mehr

     

    OBJECTIVE: To report our experience on 10,156 cases of cervical stenosis (CS) diagnosed at office hysteroscopy. DESIGN: Retrospective study. SETTING: Ambulatory clinics of diagnostic and operative hysteroscopy of two university teaching hospitals (Naples and Bari). PATIENT(S): A total of 31,052 patients undergoing office hysteroscopy. INTERVENTION(S): All of the paper and electronic reports of the office hysteroscopies performed from January 1996 to September 2014 were reviewed. Hysteroscopies were classified as successful (i.e., when access to and visualization of the entire uterine cavity was possible during the same procedure), incomplete (i.e., when access to uterine cavity was possible, but the entire uterine cavity could not be examined), or failed (i.e., when access to uterine cavity was not possible). CS was classified on the basis of localization: stenosis of external cervical ostium (ECO; type I); stenosis of distal third of cervical channel and the internal cervical ostium (ICO; type II); stenosis of the ICO (type III), and combined stenosis of ECO and ICO (type IV). MAIN OUTCOME MEASURE(S): The success rate at overpassing CS (including both successful and incomplete hysteroscopies) was the primary outcome measure. Secondary outcome measures were frequency and localization of CS in fertile and postmenopausal women and the frequency of use of technical maneuvers and/or miniaturized mechanical or bipolar instruments to overcome them. RESULT(S): All hysteroscopies were performed with the use of a 5- or 4-mm rigid continuous-flow office operative hysteroscope by operators with different levels of expertise. The hysteroscopy technique used was standardized between the two centers and among all of the surgeons throughout the years. An access to the uterine cavity with a complete evaluation of the whole endometrial surface was possible in 93.9% of cases (29,152 patients). The main reasons of the 1,320 (4.3%) incomplete and 580 (1.9%) failed hysteroscopies were pain and CS, respectively. CS was identified in ...

     
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    Quelle: BASE Fachausschnitt Germanistik
    Sprache: Englisch
    Medientyp: Aufsatz aus einer Zeitschrift
    Format: Online
    Schlagworte: Anatomic impediment; Cervical stenosi; Miniaturized instrument; Office hysteroscopy; Obstetrics and Gynecology; Reproductive Medicine
  2. The Thessaloniki ESHRE/ESGE consensus on diagnosis of female genital anomalies
    Autor*in: Grimbizis, Grigoris F ; Saravelos, Sotirios H. ; Gordts, Stephan ; Exacoustos, Caterina ; Van Schoubroeck, Dominique ; Bermejo, Carmina ; Amso, Nazar N. ; Nargund, Geeta ; Timmerman, Dirk ; Athanasiadis, Apostolos ; Brucker, Sara ; De Angelis, Carlo ; Gergolet, Marco ; Li, Tin Chiu ; Tanos, Vasilios ; Tarlatzis, Basil ; Farquharson, Roy ; Gianaroli, Luca ; Campo, Rudi ; DI SPIEZIO SARDO, ATTILIO
    Erschienen: 2016

    STUDY QUESTION: What is the recommended diagnostic work-up of female genital anomalies according to the European Society of Human Reproduction and Embryology (ESHRE)/European Society for Gynaecological Endoscopy (ESGE) system? SUMMARY ANSWER: The... mehr

     

    STUDY QUESTION: What is the recommended diagnostic work-up of female genital anomalies according to the European Society of Human Reproduction and Embryology (ESHRE)/European Society for Gynaecological Endoscopy (ESGE) system? SUMMARY ANSWER: The ESHRE/ESGE consensus for the diagnosis of female genital anomalies is presented. WHAT IS KNOWN ALREADY: Accurate diagnosis of congenital anomalies still remains a clinical challenge because of the drawbacks of the previous classification systems and the non-systematic use of diagnostic methods with varying accuracy, some of them quite inaccurate. Currently, a wide range of non-invasive diagnostic procedures are available enriching the opportunity to accurately detect the anatomical status of the female genital tract, as well as a new objective and comprehensive classification system with well-described classes and sub-classes. STUDY DESIGN, SIZE, DURATION: The ESHRE/ESGE CONgenital UTerine Anomalies (CONUTA) Working Group established an initiative with the goal of developing a consensus for the diagnosis of female genital anomalies. The CONUTA working group and imaging experts in the field have been appointed to run the project. PARTICIPANTS/MATERIALS, SETTING, METHODS: The consensus is developed based on: (i) evaluation of the currently available diagnostic methods and, more specifically, of their characteristics with the use of the experts panel consensus method and of their diagnostic accuracy by performing a systematic review of evidence and (ii) consensus for the definition of where and how to measure uterine wall thickness and the recommendations for the diagnostic work-up of female genital anomalies, based on the results of the previous evaluation procedure, with the use of the experts panel consensus method. MAIN RESULTS AND THE ROLE OF CHANCE: Uterine wall thickness is defined as the distance between the interostial line and external uterine profile at the midcoronal plane of the uterus; alternatively, if a coronal plane is not available, the mean anterior and ...

     
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  3. The comprehensiveness of the ESHRE/ESGE classification of female genital tract congenital anomalies: A systematic review of cases not classified by the AFS system
    Autor*in: DI SPIEZIO SARDO, ATTILIO ; Campo, R. ; Gordts, S. ; Spinelli, M. ; Cosimato, C. ; Tanos, V. ; Brucker, S. ; Li, T. C. ; Gergolet, M. ; De Angelis, C. ; Gianaroli, L. ; Grimbizis, G.
    Erschienen: 2015

    STUDY QUESTION How comprehensive is the recently published European Society of Human Reproduction and Embryology (ESHRE)/European Society for Gynaecological Endoscopy (ESGE) classification system of female genital anomalies? SUMMARY ANSWER The... mehr

     

    STUDY QUESTION How comprehensive is the recently published European Society of Human Reproduction and Embryology (ESHRE)/European Society for Gynaecological Endoscopy (ESGE) classification system of female genital anomalies? SUMMARY ANSWER The ESHRE/ESGE classification provides a comprehensive description and categorization of almost all of the currently known anomalies that could not be classified properly with the American Fertility Society (AFS) system. WHAT IS KNOWN ALREADY Until now, the more accepted classification system, namely that of the AFS, is associated with serious limitations in effective categorization of female genital anomalies. Many cases published in the literature could not be properly classified using the AFS system, yet a clear and accurate classification is a prerequisite for treatment. STUDY DESIGN, SIZE AND DURATION The CONUTA (CONgenital UTerine Anomalies) ESHRE/ESGE group conducted a systematic review of the literature to examine if those types of anomalies that could not be properly classified with the AFS system could be effectively classified with the use of the new ESHRE/ESGE system. An electronic literature search through Medline, Embase and Cochrane library was carried out from January 1988 to January 2014. Three participants independently screened, selected articles of potential interest and finally extracted data from all the included studies. Any disagreement was discussed and resolved after consultation with a fourth reviewer and the results were assessed independently and approved by all members of the CONUTA group. PARTICIPANTS/MATERIALS, SETTING, METHODS Among the 143 articles assessed in detail, 120 were finally selected reporting 140 cases that could not properly fit into a specific class of the AFS system. Those 140 cases were clustered in 39 different types of anomalies. MAIN RESULTS AND THE ROLE OF CHANCE The congenital anomaly involved a single organ in 12 (30.8%) out of the 39 types of anomalies, while multiple organs and/or segments of Müllerian ducts (complex ...

     
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  4. Homunculus
    der Mensch aus der Phiole ; Symposium der Goethe-Gesellschaft Heidelberg
    Autor*in:
    Erschienen: 2003
    Verlag:  Ed. Mnemosyne, Neckargemünd

    Standort:
    Berlin-Brandenburgische Akademie der Wissenschaften, Akademiebibliothek
    Signatur:
    GWb
    Fernleihe:
    keine Fernleihe
    Link zum Verbundkatalog:
    Gemeinsamer Bibliotheksverbund (GBV)

    Standort:
    Staats- und Universitätsbibliothek Hamburg Carl von Ossietzky
    Signatur:
    Rep 020/ 10
    Fernleihe:
    keine Fernleihe
    Standort:
    Staats- und Universitätsbibliothek Hamburg Carl von Ossietzky
    Signatur:
    A 2004/3739
    Fernleihe:
    uneingeschränkte Fernleihe, Kopie und Ausleihe
    Link zum Verbundkatalog:
    Gemeinsamer Bibliotheksverbund (GBV)

    Standort:
    Heidelberger Akademie der Wissenschaften, Bibliothek
    Signatur:
    sowi.V.13
    Fernleihe:
    keine Ausleihe von Bänden, nur Papierkopien werden versandt
    Link zum Verbundkatalog:
    Südwestdeutscher Bibliotheksverbund (SWB)

    Standort:
    Universitätsbibliothek Heidelberg
    Signatur:
    2003 A 7927
    Fernleihe:
    uneingeschränkte Fernleihe, Kopie und Ausleihe
    Standort:
    Germanistisches Seminar der Universität, Bibliothek
    Signatur:
    T 1843,4
    Fernleihe:
    keine Ausleihe von Bänden, nur Papierkopien werden versandt
    Standort:
    Universitätsarchiv Heidelberg, Bibliothek
    Signatur:
    VIII BB 13
    Fernleihe:
    keine Ausleihe von Bänden, nur Papierkopien werden versandt
    Standort:
    HeiBIB - Die Heidelberger Universitätsbibliographie
    Fernleihe:
    uneingeschränkte Fernleihe, Kopie und Ausleihe
    Link zum Verbundkatalog:
    Südwestdeutscher Bibliotheksverbund (SWB)

    Standort:
    Thüringer Universitäts- und Landesbibliothek
    Signatur:
    GER:CS:5431:::2003
    Fernleihe:
    uneingeschränkte Fernleihe, Kopie und Ausleihe
    Link zum Verbundkatalog:
    Gemeinsamer Bibliotheksverbund (GBV)

    Standort:
    Badische Landesbibliothek
    Signatur:
    103 A 10538
    Fernleihe:
    uneingeschränkte Fernleihe, Kopie und Ausleihe
    Link zum Verbundkatalog:
    Südwestdeutscher Bibliotheksverbund (SWB)

    Standort:
    Otto-von-Guericke-Universität, Universitätsbibliothek
    Signatur:
    2013.02045:1
    Fernleihe:
    uneingeschränkte Fernleihe, Kopie und Ausleihe
    Link zum Verbundkatalog:
    Gemeinsamer Bibliotheksverbund (GBV)

    Standort:
    Universitätsbibliothek Mannheim
    Signatur:
    309 XC 2805 O85
    Fernleihe:
    keine Fernleihe
    Link zum Verbundkatalog:
    Südwestdeutscher Bibliotheksverbund (SWB)

    Standort:
    Württembergische Landesbibliothek
    Signatur:
    53/15804
    Fernleihe:
    uneingeschränkte Fernleihe, Kopie und Ausleihe
    Link zum Verbundkatalog:
    Südwestdeutscher Bibliotheksverbund (SWB)

    Standort:
    Klassik Stiftung Weimar / Herzogin Anna Amalia Bibliothek
    Signatur:
    CC 7264 O85
    Fernleihe:
    uneingeschränkte Fernleihe, Kopie und Ausleihe
    Link zum Verbundkatalog:
    Gemeinsamer Bibliotheksverbund (GBV)
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    Hinweise zum Inhalt
    Quelle: Herzogin Anna Amalia Bibliothek
    Beteiligt: Osten, Manfred; Mancino, Letizia (Hrsg.)
    Sprache: Deutsch
    Medientyp: Buch (Monographie)
    Format: Druck
    ISBN: 9783934012172; 3934012175
    RVK Klassifikation: XC 2805
    Auflage/Ausgabe: 1. Aufl.
    Schriftenreihe: Reihe "GegenSatz" ; 6
    Schlagworte: Ethics, Medical; Medicine rn Literatur; Reproductive Medicine
    Weitere Schlagworte: Medicine rn Literatur; Ethics, Medical; Reproductive Medicine
    Umfang: 283 S., Ill., 21 cm
    Bemerkung(en):

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