Publications by authors named "L Mereu"
Background: The advantages and disadvantages of Robotic Laparoscopic Surgery (RLS) compared to other minimally invasive surgical approaches are debated in the literature.
Objective: To evaluate the learning curves (LC) and their assessment methods for Robotic Laparoscopic Surgery (RLS) and Laparoscopic Surgery (LPS) in gynaecologic procedures.
Materials And Methods: A systematic review of the literature was performed including the English language observational or interventional studies reporting the absolute number of procedures needed to achieve competency in RLS and LPS gynaecologic procedures, along with an objective and reproducible LC assessment method.
Purpose: To identify and analyze the main surgical parameters affecting the operative time of hysteroscopic fibroid resection.
Methods: This retrospective observational study included 65 cases of outpatient hysteroscopic fibroid resection performed between March 2021 and May 2023 in outpatient office setting. Patients aged 18-50 with various indications such as infertility, recurrent pregnancy loss, or abnormal uterine bleeding (AUB) were included.
Evaluation of Ovarian Reserve and Recurrence Rate After DWLS Diode Laser Ovarian Endometrioma Vaporization (OMAlaser): A Prospective, Single-Arm, Multicenter, Clinical Trial.
J Minim Invasive Gynecol
October 2024
Study Objective: To evaluate the effectiveness of the Dual Wavelength Laser System (DWLS) diode laser on the treatment of ovarian endometrioma (OMA), with ablation and vaporization of the cystic capsule without performing the stripping technique, in terms of ovarian reserve and recurrence rate.
Design: Prospective, single-arm, multicenter, clinical trial.
Setting: Multicenter University Hospital.
Article Synopsis
- Mayer-Rokitanski-Kuster-Hauser (MRKH) syndrome is a congenital condition leading to the absence of the uterus and upper vagina, which can result in infertility and psychological issues related to sexual activity.
- Clinicians need proper evaluation methods to monitor patients and provide effective support for interventions like neovagina creation and uterus transplantation.
- Studies show that creating a neovagina can improve sexual satisfaction and reduce mental health issues; however, psychological assessments are crucial, especially since some patients may experience anxiety and lower quality of life outcomes post-surgery.
What is the impact of simulation on the learning of hysteroscopic skills by residents and medical students? A systematic review.
Minim Invasive Ther Allied Technol
December 2024
Article Synopsis
- - Hysteroscopy is an important gynecological procedure, but traditional training methods face ethical and safety concerns, increasing the need for simulation training to improve skills among medical students and residents.
- - A systematic review analyzed studies from January 2000 to December 2023, finding that simulation training, especially with virtual reality, significantly enhances hysteroscopic skills, although the long-term retention of these skills and the development of related non-technical skills need further investigation.
- - The findings suggest that simulation-based training is effective for skill improvement in hysteroscopy, but more rigorous research, including randomized trials, is crucial for confirming these benefits and exploring broader training outcomes.