Silvia Zermano

Selective versus routine preoperative testing in minor gynecologic surgical procedures: A two-center comparative cohort study of perioperative outcomes and resource utilization

Stefano Restaino, Alice Poli, Martina Arcieri, Federico Paparcura et autres

Background: Routine preoperative testing remains common in minor gynaecological surgery, offering opportunities to reduce costs by avoiding unnecessary tests. Objectives: To compare the clinical safety and cost impact of selective versus routine preoperative laboratory testing in women undergoing minor gynecologic surgical procedures. …

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Risk, Prevalence and Survival Outcomes of Ovarian Cancer in Women With Endometriosis: The Endocancer Systematic Review and Meta-Analysis

Ilaria Piacenti, Veronica Tius, Benedetta Gomba, Stefano Restaino et autres

OBJECTIVE: Endometriosis is linked to an increased risk of epithelial ovarian cancer (EOC), especially clear cell and endometrioid subtypes. The extent and prognostic significance of this link are still not fully understood. This systematic review and meta-analysis compiles existing evidence on ovarian …

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Central sensitization in women with endometriosis: a cross-sectional study

Anna Biasioli, Francesca Previtera, Ilaria Mazzera, Matilde Degano et autres

BACKGROUND: Pain is the primary symptom of endometriosis and may progress into a chronic, acyclic condition driven by neuroinflammatory mechanisms, leading to neuropathic and ultimately nociplastic pain. Central sensitization, a form of nociplastic pain, is associated with various chronic pain syndromes collectively …

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Unified Peripartum Database with Natural-Language-to-SQL Capabilities at Udine University Hospital: Design and Prototype

Doriana Armenise, Ginevra Battello, Andrea Brunello, Lorenza Driul et autres

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Combined Management of a Rare Case of an Incarcerated Intrauterine Device: Case Report and Review of the Literature

Stefano Restaino, Federico Paparcura, Elisa Rizzante, Silvia Zermano et autres

Background: Hormonal intrauterine systems are widely used for long-acting reversible contraception and for managing gynecological conditions such as heavy menstrual bleeding and endometrial hyperplasia. Although rare, complications such as uterine embedment and perforation can occur, potentially leading to device malfunction or injury …

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How to check correct position of fiducial markers on vaginal cuff for radiotherapy using transvaginal ultrasound

Stefano Restaino, Silvia Zermano, Giulia Pellecchia, Anna Biasioli et autres

The data that supports the findings of this study are available in the supplementary material of this article. Videoclip S1 Simple demonstration of how to assess placement of fiducial markers on vaginal cuff using transvaginal ultrasound in a patient following hysterectomy. Please …

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Role of Salivary MicroRNA as a Marker of Progesterone Resistance in Endometriosis: Preliminary Results from a Single-Institution Experience

Matilde Degano, Giorgia Vesca, Michela Bulfoni, Silvia Zermano et autres

This feasibility study explores the potential of salivary microRNAs (miRNAs) as non-invasive biomarkers for diagnosing endometriosis and assessing treatment response. Almost one-third of patients with endometriosis do not respond to the standard progestin treatment due to various mechanisms of progesterone resistance. MiRNAs, …

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Exploring Vascular Complications in Ovarian Cancer Surgery: A Narrative Literature Review with a New Management Proposal Algorithm

Matilde Degano, Martina Arcieri, Paolo Frigatti, Paola Scrivere et autres

BACKGROUND/OBJECTIVES: Vascular complications during ovarian cancer surgery are rare but potentially severe. The objective of this review was to underline the need to standardize and optimize the management of these rare complications within an evidence-based framework. METHODS: This review included the literature …

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Utility of routine preoperative laboratory testing for patients undergoing minor gynaecologic surgical procedures: interim analysis of their impact on intraoperative and postoperative complications

Ursula Catena, Anna Biasioli, Chiara Paglietti, Vincenzo Tarantino et autres

Background: Despite discouragement from many scientific societies, routine preoperative testing remains a common practice. Minor gynaecological surgery, being widely performed in everyday practice, represents an opportunity for implementing cost-reduction policies by avoiding unnecessary diagnostic assessments. Objectives: To assess whether performing routine preoperative …

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Prenatal Detection and Conservative Management of Uterine Scar Dehiscence in Patient with Previous Uterine Rupture and Multiple Surgeries—A Case Report

Silvia Zermano, Giuseppina Seminara, Nadia Parisi, Valentina Serantoni et autres

Uterine rupture is a rare and life-threatening condition. It usually occurs in patients with uterine scars (most commonly for a previous myomectomy or caesarean section), but it can also affect an unharmed uterus. This complication is more frequent in the third trimester …

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Does Sexual Function and Quality of Life Improve after Medical Therapy in Women with Endometriosis? A Single-Institution Retrospective Analysis

Anna Biasioli, Silvia Zermano, Francesca Previtera, Martina Arcieri et autres

BACKGROUND: Endometriosis is a gynecological condition affecting up to 10% of women of reproductive age and characterized by chronic pain. Pain is the major cause of the impairment of quality of life in all aspects of these patients. Previous studies have shown …

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Dynamic transvaginal ultrasound examination for assessing anatomy of parametrium

F. Moro, Silvia Zermano, Manuel Maria Ianieri, Alessandra De Cicco Nardone et autres

Data available on request from the authors We start by inserting the probe into the vaginal introitus. On the right of the screen, we can identify the urethra and the bladder with some fluid; in the center is the vaginal wall and …

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