Publications by authors named "G Restifo Pecorella"

Purpose: Despite the advent of the ERAS Program, recovery after urogynecological surgery is still a highly debated topic in clinical practice. The majority of gynecologic surgeons, in fact, continue to advise patients to home rest and to avoid lifting heavy objects after surgery. The aim of the present study was to verify the impact of a moderate-high physical activity and recovery after surgery on anatomical results after LSC, with a 2-year follow-up (FU).

View Article and Find Full Text PDF

Background: The term "fetal programming" refers to the effects of endogenous and exogenous corticosteroids, whether received from the mother or the fetus, on brain development and the hypothalamic-pituitary-adrenal axis reset. The authors of this narrative review examine the WHO's guidelines for prenatal corticosteroids in pregnant women who are at high risk of premature delivery. These guidelines are regarded as the best available for preventing late-life problems resulting from preterm.

View Article and Find Full Text PDF
Article Synopsis
  • Pelvic floor stability is affected by various biomechanical, anatomical, and physiological factors, crucial for treating conditions like pelvic organ prolapse (POP).
  • The review identifies the uterosacral ligament's strength as vital for pelvic support and explores both non-surgical treatments, like vitamin C supplementation, and innovative surgical techniques to enhance treatment outcomes.
  • The conclusions emphasize a multifaceted approach to treatment that integrates different factors affecting pelvic floor integrity, suggesting personalized strategies could improve outcomes for patients.
View Article and Find Full Text PDF

For surgeons and clinicians, nonobstetric surgery during pregnancy has certain difficulties and considerations. In order to aid in decision-making in these situations, this manuscript offers a thorough review of the guidelines currently in place from renowned obstetric and surgical societies, such as the American College of Obstetricians and Gynecologists, the Royal College of Obstetricians & Gynecologists, and others. Using AGREE II-S methodology, a comprehensive analysis of guidelines reveals differences in recommendations for anesthetics, surgical procedures, imaging modalities, and thromboembolic prophylaxis.

View Article and Find Full Text PDF
Article Synopsis
  • The review looks at the risks of pregnancy for women over 35 years old, called advanced maternal age (AMA).
  • While older moms can be more mature and financially stable, they also face many health challenges during pregnancy.
  • These challenges include higher chances of diabetes, high blood pressure, miscarriages, and problems for the baby like low birth weight and early birth.
View Article and Find Full Text PDF