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  1. Article: An Unusual Case of Genital Lesion: A Vulvar Syringoma.

    Algeri, Paola / Rodella, Rosita / Manfredini, Cinzia / Algeri, Maurizio

    Journal of family & reproductive health

    2021  Volume 15, Issue 1, Page(s) 70–73

    Abstract: Objective: ...

    Abstract Objective:
    Language English
    Publishing date 2021-07-14
    Publishing country Iran
    Document type Case Reports
    ISSN 1735-8949
    ISSN 1735-8949
    DOI 10.18502/jfrh.v15i1.6080
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: A fetus and its gestational sac out of the uterus: a tomography description of unscarred uterus rupture.

    Algeri, Paola / Seca, Marta / Patelli, Gianluigi / D'Oria, Patrizia

    Journal of the Turkish German Gynecological Association

    2023  Volume 24, Issue 4, Page(s) 287–288

    Language English
    Publishing date 2023-12-06
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 2425806-4
    ISSN 1309-0380 ; 1303-9695 ; 1309-0399
    ISSN (online) 1309-0380 ; 1303-9695
    ISSN 1309-0399
    DOI 10.4274/jtgga.galenos.2023.2023-4-12
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: A Laparoscopic Conservative Surgery Approach to Puerperium Complicated by Uterine Prolapse After Vaginal Delivery: A Case Series.

    Seca, Marta / Algeri, Paola / Colonna, Laura / Mastrocola, Nunzia / Von Wunster, Silvia

    Journal of family & reproductive health

    2023  Volume 17, Issue 1, Page(s) 58–61

    Abstract: Objective: In fertile women, hysterocele is a rare condition. Genital prolapse can be treated conservatively with laparoscopic hysterosacropexy. It is objected to present a successful case series of laparoscopic hysteropexy for patients with hysterocele ...

    Abstract Objective: In fertile women, hysterocele is a rare condition. Genital prolapse can be treated conservatively with laparoscopic hysterosacropexy. It is objected to present a successful case series of laparoscopic hysteropexy for patients with hysterocele after vaginal delivery.
    Case report: We presented a successful case series of three patients with III or IV degrees of hysterocele who were treated conservatively with an uncomplicated laparoscopic hysteropexy within a year of delivery. Given our patients' young ages and the fact that they all have infant children at home, we chose a conservative surgery performed laparoscopically due to the lower surgical impact and quicker return to normal life. All surgical procedures were successfully performed, without complications, with a prompt recovery of all women and with a regular subsequent follow-up, without recurrence nowadays.
    Conclusion: For young women who have not terminated their desire to bear children, laparoscopic hysterepexy may be a safe and effective surgical option.
    Language English
    Publishing date 2023-06-27
    Publishing country Iran
    Document type Case Reports
    ISSN 1735-8949
    ISSN 1735-8949
    DOI 10.18502/jfrh.v17i1.11980
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The contraceptive choice at the time of a surgical and pharmacological abortion: a possible and effective option thanks to a dedicate counselling.

    Algeri, Paola / Colonna, Laura / Savoldi, Vanda / Imbruglia, Laura / Mastrocola, Nunzia / Von Wunster, Silvia

    The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception

    2023  Volume 28, Issue 5, Page(s) 263–267

    Abstract: The percentage of repeat abortion in Italy is about 25%. It is therefore important to implement the strategies that can facilitate the adoption of the most effective contraceptive methods. Long-acting reversible contraceptive methods are currently ... ...

    Abstract The percentage of repeat abortion in Italy is about 25%. It is therefore important to implement the strategies that can facilitate the adoption of the most effective contraceptive methods. Long-acting reversible contraceptive methods are currently considered the most effective and with the highest rates of 12-months continuation, with a reported reduction of recurrent abortion. Our study has the aim to evaluate the contraceptive choice of women requesting abortion, when an accurate and dedicate counselling is offered and the availability of a LARC method is given immediately after pregnancy termination, both in case of surgical and medical abortion. LARC methods were chosen both in case of surgical and medical abortion, by an high percentage of patients. We reported no differences between the surgical and pharmacological groups on the choice of LARC and SARC. Our observational study shows the feasibility to perform an accurate, dedicate, and personalised counselling on contraception at time of abortion. This approach has enabled a high number of women to have a LARC method inserted at the time of abortion, as a valid strategy to prevent the risk unplanned pregnancy.
    MeSH term(s) Pregnancy ; Humans ; Female ; Abortion, Induced ; Contraception/methods ; Pregnancy, Unplanned ; Contraceptive Agents, Female ; Counseling ; Abortion, Habitual
    Chemical Substances Contraceptive Agents, Female
    Language English
    Publishing date 2023-08-17
    Publishing country England
    Document type Observational Study ; Journal Article
    ZDB-ID 1397560-2
    ISSN 1473-0782 ; 1362-5187
    ISSN (online) 1473-0782
    ISSN 1362-5187
    DOI 10.1080/13625187.2023.2245095
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Scar pregnancy treated with double cervical balloon, with the guide of peak of systolic velocity at colorDoppler examination.

    Algeri, Paola / D'Oria, Patrizia / Clemente, Francesco / Seca, Marta / Pelucchi, Arianna / Spinetti, Giovanna / Ciammella, Massimo

    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians

    2023  Volume 36, Issue 2, Page(s) 2223711

    MeSH term(s) Pregnancy ; Female ; Humans ; Cicatrix/diagnostic imaging ; Pregnancy, Ectopic/diagnostic imaging ; Pregnancy, Ectopic/therapy ; Uterine Hemorrhage ; Cervix Uteri ; Blood Flow Velocity
    Language English
    Publishing date 2023-06-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2077261-0
    ISSN 1476-4954 ; 1057-0802 ; 1476-7058
    ISSN (online) 1476-4954
    ISSN 1057-0802 ; 1476-7058
    DOI 10.1080/14767058.2023.2223711
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  6. Article: Indocyanine green fluorescence imaging: an effective method to find inguinal sentinel lymph node in a case of vulvar carcinoma.

    Wunster, Silvia Von / Algeri, Paola / Colonna, Laura / Slompo, Maria Chiara / Bergamelli, Silvia / Imbruglia, Laura / Pina, Maria Enrica

    Journal of the Turkish German Gynecological Association

    2023  Volume 24, Issue 4, Page(s) 291–292

    Abstract: The aim was to demonstrate that the technique of near infrared range/indocyanine green (NIR/ICG) could aid the detection of inguinal sentinel lymph nodes in patients with vulvar cancer, in addition to technetium-99m (Tc-99m) scanning. We present a case ... ...

    Abstract The aim was to demonstrate that the technique of near infrared range/indocyanine green (NIR/ICG) could aid the detection of inguinal sentinel lymph nodes in patients with vulvar cancer, in addition to technetium-99m (Tc-99m) scanning. We present a case report of sentinel lymph node detection in a patient with vulvar cancer with two methods: Tc-99m scan and NIR/ICG. The video showed that bilateral inguinal lymph nodes were detected both by Tc gamma probe and NIR/ICG. NIR/ICG may be a safe and effective alternative method for identifying sentinel lymph nodes in cases of early-stage vulvar cancer, although more evidence is required.
    Language English
    Publishing date 2023-12-01
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 2425806-4
    ISSN 1309-0380 ; 1303-9695 ; 1309-0399
    ISSN (online) 1309-0380 ; 1303-9695
    ISSN 1309-0399
    DOI 10.4274/jtgga.galenos.2023.2023-4-11
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Levonorgestrel intrauterine device with absence of threads: don't take expulsion for granted! A case series of possible errors in ultrasound evaluation, in case of "lost IUDs".

    Algeri, Paola / Spazzini, Maria Donata / Pinna, Nina / Biancotti, Luciana / Mariuzzo, Federica / Tomaselli, Tiziana / Mantegazza, Priscilla / Von Wunster, Silvia / Villa, Antonella

    Journal of ultrasound

    2023  

    Abstract: Levonorgestel intrauterine devices are safe contraceptive methods, with even medical indications. However, they may present rare, but severe complications such as perforation and abdominal dislocation. Ultrasound assessment may be limited if a medicate ... ...

    Abstract Levonorgestel intrauterine devices are safe contraceptive methods, with even medical indications. However, they may present rare, but severe complications such as perforation and abdominal dislocation. Ultrasound assessment may be limited if a medicate intrauterine device is lost, due to its particular echogenicity. We report cases complicated by loss of intrauterine devices. Based on this experience we believe that ultrasound should always be associated to an X-ray examination to prevent misdiagnosis, especially in case of loss of a levonorgestrel device. Although our conclusions are not innovative and the cases are limited, we believe they can be a reminder in clinical practice to avoid not so infrequent complications and clinical errors. We would also like to recall the limitations of ultrasound in locating levonorgestrel intra uterine devices and stress that one should never take for granted the expulsion of the device in case of lost its threads.
    Language English
    Publishing date 2023-07-29
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2365426-0
    ISSN 1876-7931 ; 1971-3495
    ISSN (online) 1876-7931
    ISSN 1971-3495
    DOI 10.1007/s40477-023-00807-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: About uterine enhanced myometrial vascularity: Doppler ultrasound could reduce misdiagnosed life-threatening vaginal bleeding after pregnancy and guide the management.

    Algeri, Paola / Spazzini, Maria Donata / Seca, Marta / Garbo, Stefano / Villa, Antonella

    Journal of ultrasound

    2022  Volume 26, Issue 3, Page(s) 695–701

    Abstract: Enhanced myometrial vascularity is a rare entity in which an abnormal communication between vessels of the myometrial wall, potentially derived from all pregnancies, increases bleeding risk. Spontaneous regression is possible, but often, it is not ... ...

    Abstract Enhanced myometrial vascularity is a rare entity in which an abnormal communication between vessels of the myometrial wall, potentially derived from all pregnancies, increases bleeding risk. Spontaneous regression is possible, but often, it is not foreseeable in which cases it's better to adopt a waiting behaviour and in which others a treatment is required. We reported three cases of enhanced myometrial vascularity: two occurring after vaginal delivery, and the third one after a scar pregnancy. The first case was successfully treated by embolization, the second one was subjected to curettage complicated by uterine perforation; the third one underwent embolization as well, but subsequently required hysterctomy for persistent methrorragia. As we treated these similar cases in three different ways, we decided to perform a mini review of the literature in the aftermath. Considering literature data, we strongly believe that the detection of peak systolic speed by colour-Doppler ultrasound together with a careful evaluation of clinical symptoms, could be a good guide to the best treatment of each patient.
    MeSH term(s) Pregnancy ; Female ; Humans ; Uterus/diagnostic imaging ; Myometrium/diagnostic imaging ; Uterine Hemorrhage/diagnostic imaging ; Uterine Hemorrhage/etiology ; Uterine Hemorrhage/therapy ; Ultrasonography, Doppler ; Diagnostic Errors/adverse effects
    Language English
    Publishing date 2022-10-25
    Publishing country Italy
    Document type Review ; Journal Article
    ZDB-ID 2365426-0
    ISSN 1876-7931 ; 1971-3495
    ISSN (online) 1876-7931
    ISSN 1971-3495
    DOI 10.1007/s40477-022-00734-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: A uterine malformation diagnosed in the shock room: a case report which helps to identify how to avoid a potentially preventable life-threatening event.

    Algeri, Paola / Spazzini, Donata Maria / Seca, Marta / Garbo, Stefano / Villa, Antonella

    Journal of ultrasound

    2022  Volume 26, Issue 1, Page(s) 151–154

    Abstract: An Indian wonen at her second pregnancy, with a previous preterm labour at 34.5 weeks, presented to the emergency room at 15.6 weeks, shocked due to massive hemoperitoneum. During the urgent surgery, a Mullerian malformation was detected, and a uterine ... ...

    Abstract An Indian wonen at her second pregnancy, with a previous preterm labour at 34.5 weeks, presented to the emergency room at 15.6 weeks, shocked due to massive hemoperitoneum. During the urgent surgery, a Mullerian malformation was detected, and a uterine rupture was diagnosed as the cause of the hemoperitoneum. Ultrasound and pelvic magnetic resonance results confirmed the malformation, determining that a unicornuate uterus with a rudimental horn within the pregnancy had taken place. We decided to report our case to underline that Mullerian malformation must be taken into consideration and evaluated at each routinary gynaecological visit or, at least, at the first pregnancy appointment, especially in the cases of women with previous adverse obstetric outcomes. The 2D abdominal ultrasound associated with trans-vaginal evaluation is an adequate procedure to test for suspected uterine malformations (if the operator keeps it in mind and is trained to check this kind of alteration), which is fundamental to reducing the risk of life-threatening events.
    MeSH term(s) Humans ; Pregnancy ; Infant, Newborn ; Female ; Hemoperitoneum/etiology ; Hemoperitoneum/complications ; Uterus/diagnostic imaging ; Uterus/surgery ; Ultrasonography/adverse effects ; Urogenital Abnormalities/complications ; Urogenital Abnormalities/diagnostic imaging ; Urogenital Abnormalities/surgery
    Language English
    Publishing date 2022-08-27
    Publishing country Italy
    Document type Case Reports ; Journal Article
    ZDB-ID 2365426-0
    ISSN 1876-7931 ; 1971-3495
    ISSN (online) 1876-7931
    ISSN 1971-3495
    DOI 10.1007/s40477-022-00706-y
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  10. Article ; Online: Placenta Accreta Spectrum Disorders: How to reduce maternal transfusion? A center experience on extraperitoneal retrograde hysterectomy.

    Simonetti, Francesca Maria / Algeri, Paola / Ferrante, Ilaria / Pirola, Serena / Carnelli, Marco / Patanè, Luisa / Fierro, Giulia / Frigerio, Luigi

    European journal of obstetrics, gynecology, and reproductive biology

    2023  Volume 287, Page(s) 148–154

    Abstract: Objective: Placenta Accreta Spectrum disorders (PASd) refer to the range of pathologic adherence of placenta associated with high maternal morbidity and mortality due to severe and sometimes life-threatening hemorrhage at the time of delivery. The aim ... ...

    Abstract Objective: Placenta Accreta Spectrum disorders (PASd) refer to the range of pathologic adherence of placenta associated with high maternal morbidity and mortality due to severe and sometimes life-threatening hemorrhage at the time of delivery. The aim of this study is to describe the surgical technique of extraperitoneal retrograde hysterectomy, which has allowed a reduction of blood transfusions compared to patients who underwent classical post-partum hysterectomy.
    Study design: We collected data from twelve patients with antenatal diagnosis of PASd treated between 2018 and 2021 with an extra-peritoneal hysterectomy using a posterior retrograde approach and we compared them to patients who underwent classical hysterectomy for suspected PASd, treated between 2007 and 2017.
    Results: The classical hysterectomy group presented a higher frequency of blood and plasma transfusion compared to the extraperitoneal hysterectomy group. In particular, classical hysterectomy resulted in an independent risk factor for transfusion, with an increment of 6.6 times of risk.
    Conclusion: Even if future studies are required, we think that extraperitoneal hysterectomy could be a safe option in case of PASd, considering that classical hysterectomy compared to this approach increases, in our population, the risk of blood and plasma transfusion.
    MeSH term(s) Pregnancy ; Female ; Humans ; Cesarean Section/methods ; Blood Component Transfusion ; Placenta Accreta/surgery ; Placenta Accreta/diagnosis ; Plasma ; Hysterectomy/methods ; Retrospective Studies
    Language English
    Publishing date 2023-06-14
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 190605-7
    ISSN 1872-7654 ; 0301-2115 ; 0028-2243
    ISSN (online) 1872-7654
    ISSN 0301-2115 ; 0028-2243
    DOI 10.1016/j.ejogrb.2023.06.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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