Publications by A Mercorio

Publications by authors named "A Mercorio"

Int J Gynaecol Obstet

October 2024

The study investigates how adenomyosis may affect surgical outcomes for dyspareunia in patients with rectovaginal endometriosis, identifying significant challenges in treating this condition despite surgery.
Conducted from January 2020 to July 2023, it analyzed medical records of 94 patients who underwent surgery, comparing those with adenomyosis to those without, assessing pain levels and sexual quality of life before and after the procedure.
Results indicated that while pain significantly decreased and sexual quality of life improved in both groups, patients without adenomyosis exhibited greater improvements post-surgery.

Arch Gynecol Obstet

January 2024

* This study compared two surgical approaches for fibroid extraction— the ExCITE technique (Group A) and a minilaparotomy procedure (Group B)—analyzing outcomes such as postoperative pain, hospital stay duration, and patient satisfaction.
* Results showed that Group A experienced significantly less pain within 6 and 12 hours post-surgery, higher patient satisfaction (100% vs 67%), and shorter hospital stays compared to Group B, indicating the ExCITE technique as a favorable minimally invasive

Life (Basel)

May 2023

The study examines the effectiveness of minimally invasive surgical options, specifically laparoscopic ovarian drilling (LOD) and transvaginal hydrolaparoscopy (THL), for treating polycystic ovary syndrome (PCOS) in women who do not respond to medication and are trying to conceive.
Analyzed data from 17 studies revealed that over 50% of women experienced spontaneous ovulation post-surgery, with a delivery rate exceeding 40%, particularly higher after LOD; however, there were instances of ectopic pregnancies and miscarriages reported.
Overall, while evidence is limited and varied, the findings suggest that surgical interventions can be a viable and safe alternative for women with PCOS

Fertil Steril

September 2023

A 35-year-old woman diagnosed with stage II vaginal squamous cell carcinoma opted for fertility preservation before starting chemoradiotherapy.
Due to anatomical challenges and cancer-related risks, traditional oocyte retrieval methods were not feasible; thus, a laparoscopic approach was chosen under spinal anesthesia.
The procedure successfully retrieved and cryopreserved eight mature oocytes, marking a significant advance in fertility preservation techniques for women with vaginal cancer.

Front Surg

April 2023

- Adhesion formation after gynecological surgery is a persistent issue, particularly with procedures like myomectomy which is known to cause significant adhesions that can affect fertility.
- Minimally invasive surgical methods, along with adhesion-reducing substances, can lower the risk of adhesions but can't completely prevent them, necessitating careful consideration of the risks versus benefits during infertility surgeries.
- This review aims to assess the incidence and causes of adhesion formation and to explore the most effective preventive strategies to manage this complication.