Hysteroscopy

A special issue of Surgeries (ISSN 2673-4095).

Deadline for manuscript submissions: closed (20 June 2023) | Viewed by 1635

Special Issue Editor


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Guest Editor
Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, 95124 Catania, CT, Italy
Interests: obstetrics; gynaecology; infertility; hysteroscopy; in vitro fertilization; ultrasound
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Special Issue Information

Dear Colleagues,

Operative office hysteroscopy is an essential part of gynecologic practice. Hysteroscopy is a relatively safe procedure. However, as with any type of surgery, complications are possible. With hysteroscopy, complications occur in less than 1% of cases. Interest in the field of hysteroscopy is continuously increasing. We believe that there is a need for an update in hysteroscopy, safer and improve the effectiveness of hysteroscopy in the diagnosis and treatment of intrauterine pathologies. This Special Issue focuses on recent advances in hysteroscopy.

Dr. Ferdinando Antonio Gulino
Guest Editor

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Published Papers (1 paper)

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Research

7 pages, 415 KiB  
Communication
Early Cervical Cancer and Recurrence after Minimally Invasive Surgery without Uterine Manipulator
by Marco D’Asta, Ferdinando Antonio Gulino, Francesco Cannone, Carla Ettore, Giulia Bonanno and Giuseppe Ettore
Surgeries 2022, 3(4), 277-283; https://doi.org/10.3390/surgeries3040030 - 29 Sep 2022
Cited by 1 | Viewed by 1261
Abstract
Objective: Worldwide cervical cancer is the fourth most common cancer and is also the fourth leading cause of death among women, after breast cancer, colorectal cancer, and lung cancer. The aim of this study is to investigate the long-term oncological safety of laparoscopic [...] Read more.
Objective: Worldwide cervical cancer is the fourth most common cancer and is also the fourth leading cause of death among women, after breast cancer, colorectal cancer, and lung cancer. The aim of this study is to investigate the long-term oncological safety of laparoscopic treatment without the use of a uterine manipulator for patients with early stage cervical cancer. Materials and methods: A single-center retrospective study was conducted at the Department of Obstetrics and Gynecology of ARNAS Garibaldi Nesima on patients surgically treated for early cervical cancer from 2014 to 2017. Inclusion criteria included squamous or adenosquamous histotype, FIGO stage from Ia1 to Ib2, cancer size < 4 cm, ECOG status 0–1, and negative serum beta-HCG. The patients were divided into two groups: treatment with and without an intra-uterine manipulator. Results: Seventy patients were identified, but only thirty-one met the inclusion criteria and were enrolled. All patients underwent surgery: three patients with the uterine manipulator, twenty-eight without. Among the thirty-one patients enrolled, twelve women had cancer in situ (IA1), nineteen had an early stage cervical cancer, in particular two cases of cervical cancer stage IA2, ten cases of cervical cancer stage IB1, and seven cases of cervical cancer stage IB2, according to the FIGO classification. At follow-up, three cases of recurrence occurred, but the uterine manipulator was not used. Conclusion: After five years of follow-up, recurrence rates in patients treated with minimally invasive surgery are about 10%, but the use of a uterine manipulator is not related to a higher level of recurrence rates. Full article
(This article belongs to the Special Issue Hysteroscopy)
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