Publications by authors named "M Maletta"
Background: The inferior hypogastric plexus (IHP) is a crucial structure for female continence and sexual function. A nerve-sparing approach should be pursued to reduce the risk of pelvic plexus damage during retroperitoneal pelvic surgery.
Objectives: To analyse the relationship between the female IHP and several pelvic anatomical landmarks.
Background: Although hysteroscopy with endometrial biopsy is the gold standard in the diagnosis of endometrial pathology, the gynecologist experience is crucial for a correct diagnosis. Deep learning (DL), as an artificial intelligence method, might help to overcome this limitation. Unfortunately, only preliminary findings are available, with the absence of studies evaluating the performance of DL models in identifying intrauterine lesions and the possible aid related to the inclusion of clinical factors in the model.
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- Vaginal natural orifice transluminal endoscopic surgery (vNOTES) is a new surgical method that combines vaginal access with laparoscopic tools, resulting in less postoperative pain and shorter hospital stays due to no abdominal incisions.
- Ovarian tissue cryopreservation is a technique to safeguard the reproductive health of young women at risk of premature ovarian insufficiency from cancer treatments, involving the removal and freezing of ovarian tissue for future transplant after cancer remission.
- This study details the use of vNOTES for performing ovarian biopsies for cryopreservation, although the technique has not yet been applied for this purpose in clinical practice.
Article Synopsis
- * A study compared the prevalence of certain molecular signatures associated with cancer prognosis in patients with and without adenomyosis.
- * No significant differences were found in molecular signatures between the two groups, suggesting that adenomyosis may not influence prognosis through molecular factors, warranting further research.
Article Synopsis
- The study aimed to compare two techniques of manual vaginal morcellation (contained vs. free) after total laparoscopic hysterectomy (TLH) in women at low risk for uterine cancer, focusing on their feasibility and safety.
- The researchers conducted a retrospective analysis of 271 patients, finding that contained morcellation (using a retrieval bag) led to significantly shorter operation times compared to free morcellation.
- Results showed no major differences in complications, blood loss, or recovery time between the two methods, indicating that contained morcellation is a safer and more efficient option.