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  • 1. Angeles Martinez-Maestre, Maria
    et al.
    Gambadauro, Pietro
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Obstetrik & gynekologi.
    Gonzalez-Cejudo, Carmen
    Torrejon, Rafael
    Total Laparoscopic Hysterectomy With and Without Robotic Assistance: A Prospective Controlled Study2014Inngår i: Surgical Innovation, ISSN 1553-3506, E-ISSN 1553-3514, Vol. 21, nr 3, s. 250-255Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background. Hysterectomies are very common, and most of them are still performed abdominally. The minimally invasive alternatives are perceived as difficult by gynecologists. Robotic assistance is thought to facilitate laparoscopic surgery. The aim of this study was to compare the surgical outcomes of robotic-assisted and conventional total laparoscopic hysterectomy. Methods. Patients, candidate to hysterectomy for benign indications, were allocated to either robotic or conventional laparoscopy in a quasi-randomized fashion. Patients were operated following a standardized surgical protocol. Main outcome measures were total surgical time, conversions to laparotomy, blood loss, hospital stay, and complications. Results. Fifty-one patients underwent robotic hysterectomy (mean age = 46.59 years) and 54 conventional laparoscopy (mean age = 50.02 years). The groups were homogeneous in body mass index and uterine weight. Robotic-assisted hysterectomies were significantly shorter (154.63 +/- 36.57 vs 185.65 +/- 42.98 minutes in the control group; P =.0001). Patients in the robotic group also had a significantly smaller reduction in hemoglobin (9.69% +/- 8.88% vs 15.29% +/- 8.39% in controls; P =.0012) and hematocrit (10.56% +/- 8.3% vs 14.89% +/- 8.11%; P =.008). No intraoperative conversions to laparotomy were required. Complication rate was low and similar in both groups. All patients were fully recovered at 1-month follow-up outpatient visit. Conclusions. Significantly lower operative times and blood loss indicate that robotic assistance can facilitate surgery already during the learning curve period. Nevertheless, proficiency can be reached in conventional laparoscopy through training, and the cost-effectiveness of robotic hysterectomy for benign conditions is yet to be confirmed.

  • 2. Campo, S.
    et al.
    Campo, V.
    Gambadauro, P.
    Short-term and long-term results of resectoscopic myomectomy with and without pretreatment with GnRH analogs in premenopausal women2005Inngår i: Obstetrical and Gynecological Survey, Vol. 60, nr 12Artikkel i tidsskrift (Fagfellevurdert)
  • 3. Campo, S
    et al.
    Campo, V
    Gambadauro, Pietro
    Bilateral tubal pregnancy following in vitro fertilization and embryo transfer2003Inngår i: European Journal of Obstetrics, Gynecology, and Reproductive Biology, ISSN 0301-2115, E-ISSN 1872-7654, Vol. 110, nr 2, s. 237-9Artikkel i tidsskrift (Fagfellevurdert)
  • 4. Campo, S
    et al.
    Campo, V
    Gambadauro, Pietro
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Obstetrisk och reproduktiv hälsoforskning.
    Is a positive family history of endometriosis a risk factor for endometrioma recurrence after laparoscopic surgery?2014Inngår i: Reproductive Sciences, ISSN 1933-7191, E-ISSN 1933-7205, Vol. 21, nr 4, s. 526-31Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A total of 148 patients were followed up for an average of 30.1 ± 17 months following to laparoscopic excision of ovarian endometriomas by a single surgical team. Bivariate and multivariate analyses were used to investigate the association between endometrioma recurrence and several factors, age, body mass index, family history, cyst diameter, number and location, adhesions or peritoneal implants, occurrence of spillage, postoperative treatment with gonadotropin-releasing hormone agonist, or pregnancies. The overall recurrence rate of the endometriomas was 18.2%. At bivariate analysis, recurrence rate was significantly higher in patients with a positive family history of endometriosis (40% vs 14.8%). Recurrence was also more frequent, albeit nonsignificantly, in patients with a history of dysmenorrhea, intraoperative spillage, and postoperative hormonal suppression. At multivariate analysis with logistic regression, a positive family history of endometriosis was the only variable independently associated with endometrioma recurrence following laparoscopic removal (odds ratio 3.245; 95% confidence interval: 1.090-9.661).

    Keywords endometrioma, endometriosis, laparoscopy, recurrence, family history

    Fulltekst (pdf)
    fulltext
  • 5. Campo, S
    et al.
    Campo, V
    Gambadauro, Pietro
    Reproductive outcome before and after laparoscopic or abdominal myomectomy for subserous or intramural myomas2003Inngår i: European Journal of Obstetrics, Gynecology, and Reproductive Biology, ISSN 0301-2115, E-ISSN 1872-7654, Vol. 110, nr 2, s. 215-9Artikkel i tidsskrift (Fagfellevurdert)
  • 6. Campo, S
    et al.
    Campo, V
    Gambadauro, Pietro
    Short-term and long-term results of resectoscopic myomectomy with and without pretreatment with GnRH analogs in premenopausal women2005Inngår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 84, nr 8, s. 756-60Artikkel i tidsskrift (Fagfellevurdert)
  • 7. Campo, S
    et al.
    Campo, V
    Zannoni, G F
    Gambadauro, Pietro
    Simultaneous ovarian and endometrial osseous metaplasia - A case report2007Inngår i: Journal of reproductive medicine, ISSN 0024-7758, E-ISSN 1943-3565, Vol. 52, nr 3, s. 241-2Artikkel i tidsskrift (Fagfellevurdert)
  • 8. Campo, S
    et al.
    Marone, M
    Gambadauro, Pietro
    DeCicco, F
    A comparison between laparoscopic and laparotomic myomectomy2000Inngår i: Human Reproduction, ISSN 0268-1161, E-ISSN 1460-2350, Vol. 15, s. 211-211Artikkel i tidsskrift (Fagfellevurdert)
  • 9. Campo, S
    et al.
    Marone, M
    Gambadauro, Pietro
    Garcea, N
    Laparoscopic conservative excision of a rare asymptomatic 11-cm ovarian dermoid cyst containing a mandible with seven teeth2000Inngår i: Gynecological Endoscopy, ISSN 0962-1091, E-ISSN 1365-2508, Vol. 9, nr 1, s. 65-68Artikkel i tidsskrift (Fagfellevurdert)
  • 10. Chapman, L
    et al.
    Sharma, M
    Papalampros, P
    Gambadauro, Pietro
    Polyzos, D
    Papadopoulos, N
    A new technique for temporary ovarian suspension - Temporarily displacing the ovaries anterior to the uterus facilitates pelvic side wall access in the laparoscopic treatment of endometriosis2007Inngår i: American Journal of Obstetrics and Gynecology, ISSN 0002-9378, E-ISSN 1097-6868, Vol. 196, nr 5, s. 494.e1-3Artikkel i tidsskrift (Fagfellevurdert)
  • 11. Cleverly, K
    et al.
    Gambadauro, Pietro
    Navaratnarajah, R
    Paraneoplastic anti-N-methyl-D-aspartate receptor encephalitis: have you checked the ovaries?2014Inngår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 93, nr 7, s. 712-5Artikkel i tidsskrift (Fagfellevurdert)
  • 12.
    Gambadauro, Pietro
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Obstetrik & gynekologi.
    Dealing with uterine fibroids in reproductive medicine2012Inngår i: Journal of Obstetrics and Gynaecology, ISSN 0144-3615, E-ISSN 1364-6893, Vol. 32, nr 3, s. 210-216Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Women who wish to conceive are nowadays more likely to present with uterine fibroids, mainly because of the delay in childbearing in our society. The relationship between uterine fibroids and human reproduction is still controversial and counselling patients might sometimes be challenging. This paper is to assist those involved in the management of patients of reproductive age presenting with uterine fibroids. The interference of fibroids on fertility largely depends on their location. Submucous fibroids interfere with fertility and should be removed in infertile patients, regardless of the size or the presence of symptoms. Intramural fibroids distorting the cavity reduce the chances of conception, while investigations on intramural fibroids not distorting the cavity have so far given controversial results. No evidence supports the systematic removal of subserosal fibroids in asymptomatic, infertile patients. Myomectomy is still the 'gold standard' in fibroid treatment for fertility-wishing patients. In experienced hands, hysteroscopic myomectomy is minimally invasive, safe, and effective. Abdominal and laparoscopic myomectomy might be challenging, but potential risks could be reduced by new strategies and techniques.

  • 13.
    Gambadauro, Pietro
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Obstetrisk och reproduktiv hälsoforskning.
    The reproductive prognosis of women considering fertility preservation for early stage endometrial cancer.2019Inngår i: Archives of Gynecology and Obstetrics, ISSN 0932-0067, E-ISSN 1432-0711, s. 1-2Artikkel i tidsskrift (Fagfellevurdert)
  • 14. Gambadauro, Pietro
    Why is age a major determinant of reproductive outcomes after myomectomy in subfertile women?2015Inngår i: Journal of Obstetrics and Gynaecology, ISSN 0144-3615, E-ISSN 1364-6893, Vol. 35, nr 6Artikkel i tidsskrift (Fagfellevurdert)
  • 15. Gambadauro, Pietro
    et al.
    Campo, V
    Campo, S
    How Predictable Is the Operative Time of Laparoscopic Surgery for Ovarian Endometrioma?2015Inngår i: Minimally Invasive Surgery, ISSN 2090-1445, E-ISSN 2090-1453, Vol. 2015Artikkel i tidsskrift (Fagfellevurdert)
  • 16.
    Gambadauro, Pietro
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Obstetrisk och reproduktiv hälsoforskning.
    Campo, V.
    Campo, S.
    Laparoscopic myomectomy using endoscopic loops under progressive tension2010Inngår i: Gynecological Surgery, Vol. 7, nr 4, s. 347-352Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The Authors describe a novel technique for laparoscopic myomectomy of fibroids with a subserosal component which involves the use of endoscopic loops under progressive tension to avoid bleeding, facilitate enucleation and possibly reduce the need of conventional sutures. Data analysis from a series of 34 consecutive operations shows that the use of endoloops helps achieving a good haemostasis, and no case of haemorrhage from the fibroid bed was ever recorded. Moreover, the need of diathermy was reduced, and the enucleation of the fibroids resulted facilitated by a bloodless field and the squeezing effect induced by the progressive tension on the loops. Although a reduction of number of traditional suturing was recorded, we do not recommend this technique to surgeons who are not familiar with conventional laparoscopic suturing. Overall, the suggested use of endoscopic loops seems to facilitate laparoscopic myomectomy on fibroids with at least a partial subserosal component. We believe that this method deserves comparative studies in order to furtherly demonstrate its safety and efficacy. © 2010 Springer-Verlag.

  • 17. Gambadauro, Pietro
    et al.
    Campo, V
    Campo, S
    Spontaneous pregnancy following multiple laparoscopic myomectomy in a sterile patient with unilateral ovarian agenesis2005Inngår i: European Journal of Obstetrics, Gynecology, and Reproductive Biology, ISSN 0301-2115, E-ISSN 1872-7654, Vol. 118, nr 2, s. 270-1Artikkel i tidsskrift (Fagfellevurdert)
  • 18. Gambadauro, Pietro
    et al.
    Carli, V
    Hadlaczky, G
    Sarchiapone, M
    Apter, A
    Balazs, J
    Banzer, R
    Bobes, J
    Brunner, R
    Cosman, D
    Farkas, L
    Haring, C
    Hoven, C W
    Kaess, M
    Kahn, J P
    McMahon, E
    Postuvan, V
    Sisask, M
    Värnik, A
    ZadravecSedivy, N
    Wasserman, D
    Correlates of sexual initiation among European adolescents2018Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 13, nr 2Artikkel i tidsskrift (Fagfellevurdert)
  • 19.
    Gambadauro, Pietro
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Obstetrisk och reproduktiv hälsoforskning.
    Carli, Vladimir
    National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Department of Learning, Informatics, Management and Ethics (LIME), Karolinska Institutet, Stockholm, Sweden.
    Hadlaczky, Gergö
    National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Department of Learning, Informatics, Management and Ethics (LIME), Karolinska Institutet, Stockholm, Sweden.
    Depressive symptoms among women with endometriosis: a systematic review and meta-analysis.2019Inngår i: American Journal of Obstetrics and Gynecology, ISSN 0002-9378, E-ISSN 1097-6868, Vol. 220, nr 3, s. 230-241Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To evaluate whether endometriosis is associated with depressive symptoms, and whether the association is modulated by pelvic pain.

    DATA SOURCES: PubMed, Embase, PsychINFO, and the Cochrane Library, were systematically searched through September 2017.

    STUDY ELIGIBILITY CRITERIA: The following eligibility criteria applied: full-text original article; quantitative data about depressive symptoms or depression; comparison of women with and without endometriosis, or women with endometriosis with and without pelvic pain. Articles reporting duplicated data were excluded.

    STUDY APPRAISAL AND SYNTHESIS METHODS: Two reviewers selected and reviewed the studies. Disagreements were resolved through discussion or a third opinion. Qualitative synthesis was performed through tabulation and assessment using a modified version of the Newcastle-Ottawa Scale. Effect sizes were pooled through meta-analysis, and moderator analyses were performed to identify potential confounders with several variables: region of the sample, method of ascertainment of endometriosis, method of measurement of depression, year of publication, and quality score.

    RESULTS: A meta-analysis of 24 studies (99,614 women) showed higher levels of depression among women with endometriosis compared to controls (standardized mean difference [SMD], 0.22, 95% confidence interval [CI], 0.13-0.32). The heterogeneity in this analysis (I2 = 68%) was not explained by any of the moderating variables. When only healthy controls were considered, a larger endometriosis-depression effect was found (11 studies, SMD, 0.49; 95% CI, 0.24-0.73; I2 = 69%). Endometriosis patients reporting pelvic pain had significantly higher levels of depression compared to those without pain (4 studies; SMD, 1.01; 95% CI, 0.71-1.31; I2 = 0%). No significant difference was found between women with pelvic pain and endometriosis and those with pelvic pain but without endometriosis (11 studies, SMD, -0.11; 95% CI, -0.25 to 0.04; I2 = 0%).

    CONCLUSION: The association between endometriosis and depressive symptoms is largely determined by chronic pain but may also be modulated by individual and context vulnerabilities. Awareness of the complex relationship between endometriosis and depressive symptoms informs tailored care and patient-centered research outcomes.

  • 20.
    Gambadauro, Pietro
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Obstetrisk och reproduktiv hälsoforskning.
    Gudmundsson, Johannes
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Obstetrisk och reproduktiv hälsoforskning.
    Torrejón, R
    Intrauterine Adhesions following Conservative Treatment of Uterine Fibroids2012Inngår i: Obstetrics and Gynecology International, ISSN 1687-9589, E-ISSN 1687-9597, Vol. 2012Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Uterine fibroids are common in women of reproductive age and various conservative treatments are available. In order to achieve a successful conservative treatment of fibroids, functional integrity of the uterus is as important as tumor removal or symptoms relief. In this context, intrauterine adhesions must be recognized as a possible complication of conservative management of uterine fibroids, but diagnostic pitfalls might justify an underestimation of their incidence. Hysteroscopic myomectomy can cause adhesions as a result of surgical trauma to the endometrium. The average reported incidence is around 10% at second-look hysteroscopy, but it is higher in certain conditions, such as the case of multiple, apposing fibroids. Transmural myomectomies also have the potential for adhesion, especially when combined with uterine ischemia. Uterine arteries embolization also carries a risk of intracavitary adhesions. Prevention strategies including bipolar resection, barrier gel or postoperative estradiol, might be useful, but stronger evidence is needed. In view of current knowledge, we would recommend a prevention strategy based on a combination of surgical trauma minimization and identification of high-risk cases. Early hysteroscopic diagnosis and lysis possibly represents the best means of secondary prevention and treatment of postoperative intrauterine adhesions.

    Fulltekst (pdf)
    fulltext
  • 21.
    Gambadauro, Pietro
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa. Karolinska Inst, Dept Learning Informat Management & Eth LIME, Stockholm, Sweden.
    Iliadis, Stavros I
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Gynekologisk endokrinologi.
    Bränn, Emma
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Obstetrisk forskning.
    Skalkidou, Alkistis
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Obstetrisk forskning.
    Conception by means of in vitro fertilization is not associated with maternal depressive symptoms during pregnancy or postpartum2017Inngår i: Fertility and Sterility, ISSN 0015-0282, E-ISSN 1556-5653, Vol. 108, nr 2, s. 325-332Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To study whether conception by means of in vitro fertilization (IVF) is associated with maternal depressive symptoms during pregnancy or postpartum.

    Design: Longitudinal observational study. Setting: University hospital.

    Patient(s): A total of 3,283 women with singleton pregnancies receiving antenatal care and delivering in Uppsala from 2010 to 2015.

    Intervention(s): A web-based self-administered structured questionnaire including sociodemographic, clinical and pregnancy-related items, and the Edinburgh Postnatal Depression Scale (EPDS) was delivered at 17 and 32 gestational weeks and at 6 weeks and 6 months postpartum.

    Main Outcome Measure(s): Prevalence of significant depressive symptoms (EPDS >= 12) and EPDS scores.

    Result(s): A total of 167 women (5%) had conceived via IVF and 3,116 (95%) had a spontaneous pregnancy. IVF mothers were more frequently >= 35 years of age (46.1% vs. 22.6%) and primiparous (71.7% vs. 49.9%) and had a higher cesarean delivery rate (22.4% vs. 14.2%). Demographic and clinical characteristics were otherwise similar between the two groups. Significant depressive symptoms were reported by 12.8%, 12.4%, 13.8%, and 11.9% of women at 17 and 32 gestational weeks and 6 weeks and 6 months postpartum, respectively. The prevalence of depressive symptoms and the EPDS scores during pregnancy and postpartum were similar between women conceiving spontaneously or through IVF. The mode of conception was not associated with significant depressive symptoms at any time point, even when adjusting for several possible confounders in multivariable logistic regression analysis.

    Conclusion(s): Despite the psychologic distress characterizing subfertility and its treatment, conception by means of IVF is not associated with maternal depressive symptoms during pregnancy or postpartum.

  • 22.
    Gambadauro, Pietro
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Obstetrisk och reproduktiv hälsoforskning.
    Johannes, Gudmundsson
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Obstetrisk och reproduktiv hälsoforskning.
    Endometrial cancer in a woman undergoing hysteroscopy for recurrent IVF failure2017Inngår i: Gynecological Surgery, ISSN 1613-2076, E-ISSN 1613-2084, Vol. 14, nr 1, artikkel-id 4Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Abstract

    Background: Hysteroscopy, despite being the undisputed gold standard for the examination of the uterine cavity, is controversial as a routine procedure in infertile women. However, benign intrauterine conditions are common in women suffering repeated in vitro fertilization (IVF) failure, and growing evidence suggests a unique diagnostic and therapeutic role for hysteroscopy. Endometrial malignancy, on the contrary, is unreported by large published series of women with repeated IVF failures undergoing hysteroscopy, and its impact on fertility, for obvious reasons, has not been studied. Results: An unsuspected endometrial cancer was diagnosed in an asymptomatic 38-year-old woman undergoing hysteroscopy because of several repeated failures of in vitro fertilization and embryo transfer. Conclusions: Endometrial cancer can be found at hysteroscopy in young women with repeated IVF failures. The possibility of repeatedly unsuccessful fertility treatments should be taken into account when counseling infertile women about conservative treatment of endometrial cancer.

    Fulltekst (pdf)
    fulltext
  • 23.
    Gambadauro, Pietro
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Obstetrisk och reproduktiv hälsoforskning.
    Magos, A
    Digital video recordings for training, assessment, and revalidation of surgical skills2010Inngår i: Surgical technology international, ISSN 1090-3941, Vol. 20, s. 36-9Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Surgical training is undergoing drastic changes, and new strategies should be adopted to keep quality standards. The authors review and advocate the use of surgical recordings as a useful complement to current training, assessment, and revalidation modalities. For trainees, such recordings would promote quality-based and competence-based surgical training and allow for self-evaluation. Video logbooks could be used to aid interaction between trainer and trainee, and facilitate formative assessment. Recordings of surgery could also be integrated into trainees' portfolios and regular assessments. Finally, such recordings could make surgeons' revalidation more sensible. The routine use of records of surgical procedures could become an integral component of the standard of care. This would have been an unattractive suggestion until recently, as analogue recording techniques are inconvenient, cumbersome, and time consuming. Today, however, with the advent of inexpensive digital technologies, such a concept is realistic and is likely to improve patient care.

  • 24. Gambadauro, Pietro
    et al.
    Magos, A.
    Digital video technology and surgical training2007Inngår i: European Clinics in Obstetrics and Gynaecology, Vol. 3, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    For several reasons, surgical training is suffering important reductions in terms of time and opportunities. New approaches to surgical training are required, and new training strategies should be proposed to maintain surgical standards. Affordable technologies allowing digital capture and recording of surgical procedures are now widely available, and we believe that the use of such technologies could play a role in the surgical training. Digital videos are useful to surgeons involved in teaching, because they are much easier to edit and share. In the operating theatre, the use of real-time digitised video during operations performed by trainees has different useful applications. A computer screen, with the use of a mouse cursor, can enhance the interaction between trainees and supervisors and can provide valuable information for observers. Recordings can be used for self-assessment, audit and as a basis for digital logbooks. Finally, digital videos can be sent real-time on network connections, allowing for several different telemedicine applications. Every physician involved with surgical teaching and training should be aware of the potential applications of digital videos and eventually become familiar with them. © European Board and College of Obstetrics and Gynaecology 2007.

  • 25. Gambadauro, Pietro
    et al.
    Magos, A
    NEST (network enhanced surgical training): A PC-based system for telementoring in gynaecological surgery2008Inngår i: European Journal of Obstetrics, Gynecology, and Reproductive Biology, ISSN 0301-2115, E-ISSN 1872-7654, Vol. 139, nr 2, s. 222-5Artikkel i tidsskrift (Fagfellevurdert)
  • 26. Gambadauro, Pietro
    et al.
    Magos, A
    Office 2.0: a web 2.0 tool for international collaborative research2008Inngår i: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 371, nr 9627, s. 1837-8Artikkel i tidsskrift (Fagfellevurdert)
  • 27.
    Gambadauro, Pietro
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Obstetrik & gynekologi.
    Magos, Adam
    Endoscopic loops for laparoscopic myomectomy2011Inngår i: Fertility and Sterility, ISSN 0015-0282, E-ISSN 1556-5653, Vol. 95, nr 2, s. E12-E12Artikkel i tidsskrift (Fagfellevurdert)
    Abstract
  • 28.
    Gambadauro, Pietro
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Obstetrik & gynekologi.
    Magos, Adam
    Pain control in hysteroscopy: Finesse, not local anaesthesia2010Inngår i: BMJ. British Medical Journal, E-ISSN 1756-1833, Vol. 340, s. c2097-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract
  • 29.
    Gambadauro, Pietro
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Obstetrik & gynekologi.
    Magos, Adam
    Surgical Videos for Accident Analysis, Performance Improvement, and Complication Prevention: Time for a Surgical Black Box?2012Inngår i: Surgical Innovation, ISSN 1553-3506, E-ISSN 1553-3514, Vol. 19, nr 1, s. 76-80Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Conventional audit of surgical records through review of surgical results provides useful knowledge but hardly helps identify the technical reasons lying behind specific outcomes or complications. Surgical teams not only need to know that a complication might happen but also how and when it is most likely to happen. Functional awareness is therefore needed to prevent complications, know how to deal with them, and improve overall surgical performance. The authors wish to argue that the systematic recording and reviewing of surgical videos, a "surgical black box," might improve surgical care, help prevent complications, and allow accident analysis. A possible strategy to test this hypothesis is presented and discussed. Recording and reviewing surgical interventions, apart from helping us achieve functional awareness and increasing the safety profile of our performance, allows us also to effectively share our experience with colleagues. The authors believe that those potential implications make this hypothesis worth testing.

  • 30. Gambadauro, Pietro
    et al.
    Magos, Adam
    Watching the screen during hysteroscopy: a patient choice2009Inngår i: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, E-ISSN 1471-0528, Vol. 116, nr 7, s. 1006-7Artikkel i tidsskrift (Fagfellevurdert)
  • 31. Gambadauro, Pietro
    et al.
    Martínez-Maestre, M A
    Torrejón, R
    When is see-and-treat hysteroscopic polypectomy successful?2014Inngår i: European Journal of Obstetrics, Gynecology, and Reproductive Biology, ISSN 0301-2115, E-ISSN 1872-7654, Vol. 178, s. 70-3Artikkel i tidsskrift (Fagfellevurdert)
  • 32. Gambadauro, Pietro
    et al.
    Martínez-Maestre, M Á
    Schneider, J
    Torrejón, R
    Endometrial polyp or neoplasia?: A case-control study in women with polyps at ultrasound2015Inngår i: Climacteric, ISSN 1369-7137, E-ISSN 1473-0804, Vol. 18, nr 3, s. 399-404Artikkel i tidsskrift (Fagfellevurdert)
  • 33. Gambadauro, Pietro
    et al.
    Martínez-Maestre, M Á
    Schneider, J
    Torrejón, R
    Malignant and premalignant changes in the endometrium of women with an ultrasound diagnosis of endometrial polyp2014Inngår i: Journal of Obstetrics and Gynaecology, ISSN 0144-3615, E-ISSN 1364-6893, Vol. 34, nr 7, s. 611-5Artikkel i tidsskrift (Fagfellevurdert)
  • 34. Gambadauro, Pietro
    et al.
    Milenkovic, M
    Hadlaczky, G
    Simulation for Training and Assessment in Hysteroscopy: A Systematic Review2018Inngår i: Journal of minimally invasive gynecology, ISSN 1553-4650, E-ISSN 1553-4669, Vol. 25, nr 6, s. 963-973Artikkel i tidsskrift (Fagfellevurdert)
  • 35. Gambadauro, Pietro
    et al.
    Navaratnarajah, R
    Reporting of embryo transfer methods in IVF research: a cross-sectional study2015Inngår i: Reproductive Biomedicine Online, ISSN 1472-6483, E-ISSN 1472-6491, Vol. 30, nr 2, s. 137-43Artikkel i tidsskrift (Fagfellevurdert)
  • 36. Gambadauro, Pietro
    et al.
    Navaratnarajah, R
    Carli, V
    Anxiety at outpatient hysteroscopy2015Inngår i: Gynecological Surgery, ISSN 1613-2076, E-ISSN 1613-2084, Vol. 12, nr 3, s. 189-196Artikkel i tidsskrift (Fagfellevurdert)
  • 37.
    Gambadauro, Pietro
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Obstetrik & gynekologi.
    Olovsson, Matts
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa.
    Persson, Pär
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa.
    Unusually rapid growth of bilateral endometriomas and acute bilateral hydronephrosis2011Inngår i: Gynecological Endocrinology, ISSN 0951-3590, E-ISSN 1473-0766, Vol. 27, nr 11, s. 948-950Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Ultrasonography can detect ovarian endometriomas, but negative findings cannot exclude other localizations of endometriosis, especially in symptomatic patients. We describe a case of sudden development of large bilateral endometriomas after a series of negative ultrasound scans, causing bilateral hydronephrosis. Our patient is a 32-year-old nulligravida with long-lasting dysmenorrhea, urinary symptoms, and familiarity for endometriosis, who had voluntarily discontinued oral contraceptives. Various pelvic scans had not shown pathological findings. Five months following the last negative scan, she presented with pain and increase of abdominal girth. Ultrasonography and computed tomography showed large ovarian cysts (16 cm right - 10 cm left) and hydronephrosis bilaterally. She underwent conservative surgery followed by GnRH analogs. At a 6-months follow-up, she was symptom-free and ultrasonography showed no recurrence. Endometriosis has still an unknown mechanism of proliferation and its clinical behavior or progression is highly unpredictable. Severe uropathy is commonly related to direct ureteral involvement, but can also depend on an ab-extrinseco compression by large, rapidly growing endometriomas. Women at risk of endometriosis, who are not receiving empirical medical treatment, should be adequately and regularly assessed via pelvic ultrasonography and/or submitted to diagnostic laparoscopy in order to prevent serious consequences such as silent renal loss.

  • 38.
    Gambadauro, Pietro
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Obstetrik & gynekologi.
    Torrejon, Rafael
    The "tele" factor in surgery today and tomorrow: implications for surgical training and education2013Inngår i: Surgery today (Print), ISSN 0941-1291, E-ISSN 1436-2813, Vol. 43, nr 2, s. 115-122Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    New technological developments in the field of telecommunications have allowed a wide range of potentially novel surgical applications. The introduction of the World Wide Web in 1991 has been followed by a steep rise of the relevance of telemedicine, as it is witnessed in the latest scientific literature. There has been a consistent, positive trend in publications dealing, respectively, with telemedicine and the Internet. This article reviews telemedicine and other surgery-related innovations that benefit from telecommunication advances, and presents data from a quantitative bibliographic analysis. A number of applications, such as telementoring, teleproctoring and robotic telesurgery are described and their huge potentials are discussed. The integration between surgery and telecommunications could constitute one of the major achievements of modern medicine, and its safe integration into clinical practice should be a priority for modern surgeons.

  • 39.
    Gambadauro, Pietro
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Obstetrisk och reproduktiv hälsoforskning.
    Torrejón, Rafael
    The relevance of endometrial polyps: A bibliometric study2013Inngår i: Gynecological Surgery, Vol. 10, nr 2, s. 103-108Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    © Springer-Verlag Berlin Heidelberg 2013. The aim of this study was to explore and describe the status and trends of scientific literature on endometrial polyps. We have conducted a systematic search for publications related to endometrial polyps from 1982 to 2012 using Scopus. The original search was refined with the additional keywords: “infertility”, “bleeding”, and “cancer”. We have collected and analyzed quantitative data on number of publications, journals, language, and origin of each article. Descriptive statistics and charts were used to analyze data and provide information on publication trends. Out of a database of 12,125,345 articles published in the past 30 years, our systematic search retrieved 1,144 relevant publications. The amount of articles/year related to endometrial polyps has been significantly growing throughout the study period (1982-1996, 14±11.988; 1997-2012, 58.38± 11.506; p < 0.0001). A similar positive trend is observed for relative number of yearly publications (% retrieved/indexed; 1982-1996, 0.0044 %±0.0035; 1997-2012, 0.0127 %±0.0025; p < 0.0001). The proportion of articles related to “infertility” and “bleeding” has been growing more than that of papers related to “cancer”. English is the dominant language (79 %), and the USA is the most prolific country (19 %), followed by Italy (8 %) and the UK (7,8 %). During the last 5 years, Gynecological Surgery has been the journal with the highest proportion of publications on endometrial polyps (2.11 % of all its articles). In conclusion, the publications related to endometrial polyps have increased steadily during the last 30 years, particularly those related to bleeding and infertility. Not all the journals publishing regularly on “endometrial polyps” are indexed in Medline/Pubmed. Scholars interested in this field should consider comprehensive bibliographic search strategies.

  • 40. Horcajadas, J A
    et al.
    Goyri, E
    Higon, M A
    Martinez-Conejero, J A
    Gambadauro, Pietro
    Garcia, G
    Meseguer, M
    Simon, C
    Pellicer, A
    Endometrial receptivity and implantation are not affected by the presence of uterine intramural leiomyomas: A clinical and functional genomics analysis2008Inngår i: Journal of Clinical Endocrinology and Metabolism, ISSN 0021-972X, E-ISSN 1945-7197, Vol. 93, nr 9, s. 3490-8Artikkel i tidsskrift (Fagfellevurdert)
  • 41.
    Iliadis, Stavros
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Obstetrik & gynekologi.
    Gudmundsson, Johannes
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Obstetrik & gynekologi.
    Gambadauro, Pietro
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Obstetrik & gynekologi.
    Pelvic abscess following frozen embryo transfer2013Inngår i: Journal of Obstetrics and Gynaecology, ISSN 0144-3615, E-ISSN 1364-6893, Vol. 33, nr 6, s. 633-+Artikkel i tidsskrift (Fagfellevurdert)
  • 42. Magos, A
    et al.
    Gambadauro, Pietro
    Desktop search engines: a modern way to hand search in full text2005Inngår i: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 366, nr 9481, s. 203-4Artikkel i tidsskrift (Fagfellevurdert)
  • 43. MeleroCortés, L M
    et al.
    MartínezMaestre, M Á
    VieitesPérez-Quintela, M B
    Gambadauro, Pietro
    Ovarian Sertoli-Leydig cell tumours: How typical is their typical presentation?2017Inngår i: Journal of Obstetrics and Gynaecology, ISSN 0144-3615, E-ISSN 1364-6893, Vol. 37, nr 5, s. 655-659Artikkel i tidsskrift (Fagfellevurdert)
  • 44. Papadopoulos, N
    et al.
    Polyzos, D
    Gambadauro, Pietro
    Papalampros, P
    Chapman, L
    Magos, A
    Do patients want to see recordings of their surgery?2008Inngår i: European Journal of Obstetrics, Gynecology, and Reproductive Biology, ISSN 0301-2115, E-ISSN 1872-7654, Vol. 138, nr 1, s. 89-92Artikkel i tidsskrift (Fagfellevurdert)
  • 45. Papalampros, P
    et al.
    Gambadauro, Pietro
    Papadopoulos, N
    Polyzos, D
    Chapman, L
    Magos, A
    The mini-resectoscope: A new instrument for office hysteroscopic surgery2009Inngår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 88, nr 2, s. 227-30Artikkel i tidsskrift (Fagfellevurdert)
  • 46. Polyzos, D
    et al.
    Papadopoulos, N
    Chapman, L
    Papalampros, P
    Varela, V
    Gambadauro, Pietro
    Magos, A
    Where is the aorta?: Is it worth palpating the aorta prior to laparoscopy?2007Inngår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 86, nr 2, s. 235-9Artikkel i tidsskrift (Fagfellevurdert)
1 - 46 of 46
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