Publications by authors named "Dimitrios Efthimios Vlachos"

Objectives: Lower uterine segment (LUS) involvement is encountered in a small proportion of endometrial cancer patients and is associated with aggressive histological features. Despite the available evidence, there seems to be a lack of consensus concerning its actual impact on disease related survival.

Study Design: The search strategy involved the Medline, Scopus, Clinicaltrials.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the impact of the chemotherapy response score (CRS) on survival rates in ovarian cancer patients, comparing those who received debulking surgery to those who did not.
  • Significant differences in progression-free survival (PFS) and overall survival (OS) were found among CRS-stratified groups, with all surgical patients faring better than non-surgical ones.
  • The findings suggest that CRS is a key factor for predicting survival outcomes and could inform personalized treatment strategies for ovarian cancer patients.
View Article and Find Full Text PDF

Malnutrition significantly impacts the post-operative process of gynecological cancer patients. A prominent variable for determining perioperative morbidity is the Prognostic Nutritional Index (PNI). To investigate PNI's predictive value on the risk of post-operative infections, we conducted a prospective cohort study involving women who underwent surgery for gynecological malignancies.

View Article and Find Full Text PDF

Objective: To demonstrate the technique of discoid excision of bowel endometriosis followed by closure of the bowel defect using sutures, without the application of the transanal stapler device.

Design: Stepwise demonstration of the technique with narrated video footage.

Setting: Bowel endometriosis is a common pattern of deep endometriosis [1].

View Article and Find Full Text PDF

Advances in modern medicine have allowed patients with early stage cervical cancer (stages Ia - IIai) to preserve their fertility with oncologic efficacy comparable to previous radical treatments. A variety of conservative-fertility sparing procedures, also known as Fertility Sparing Surgeries (FSS) have been proposed. The present review aimed to provide the current evidence on obstetric outcomes and the prematurity rates as well as to discuss the management modalities of these high-risk pregnancies.

View Article and Find Full Text PDF