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Febo G, Tessarolo M, Leo L, Arduino S, Wierdis T, Lanza L. Surgical management of leiomyomata in pregnancy. CLIN EXP OBSTET GYN 1997; 24:76-8. [PMID: 9342467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
A review was made of the medical records of 26 patients with uterine myomas during pregnancy between 1983 and 1992 among 12,965 deliveries. Thirteen patients underwent myomectomies before pregnancy. In three patients myomectomy was performed during pregnancy between the 12th and the 19th week of pregnancy. In ten patients myomectomy was performed during cesarean section delivery to prevent necrobiosis. Myomectomy should remain exceptional during pregnancy and it must be performed only in selected cases but is frequently used towards the end of a cesarean section. Indications for hysterectomy, on the other hand, remain limited.
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Affiliation(s)
- G Febo
- Department B of Gynecology and Obstetric Institute, University of Turin, Italy
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Leo L, Arduino S, Febo G, Tessarolo M, Lauricella A, Wierdis T, Lanza A. Cervical cerclage for malformed uterus. CLIN EXP OBSTET GYN 1997; 24:104-6. [PMID: 9342477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The role of cervical cerclage was evaluated in six pregnant women with anomalous uterus. Early prophylactic cerclage according to the Shirodkar and McDonald technique was done on all cases of uterine malformation (except septate uterus) with or without cervical incompetence in association with progesterone and antispastic therapy. Improvement in obstetrical outcome was noted after cerclage. Even if no doubt exists as to the need for cerclage in cases of cervical incompetence, the concept of routine prophylactic cerclage in all cases of uterine anomalies should be considered.
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Affiliation(s)
- L Leo
- Department B of Gynecology and Obstetric Institute, University, Turin, Italy
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Leo L, Tessarolo M, Febo G, Farina C, Nuzzo L, Arduino S, Wierdis T, Lanza A. Tamoxifen and endometrial cancer: new data for an old problem. Review. EUR J GYNAECOL ONCOL 1997; 18:429-33. [PMID: 9378170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Tamoxifen, a nonsteroidal antiestrogen, is used for pre- and postmenopausal patients with breast cancer. Data on a possible association of endometrial pathologies with Tamoxifen treatment have been accumulating. The current literature and our experience are presented.
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Affiliation(s)
- L Leo
- Department B of the Gynecology and Obstetrics Institute, University of Torino, Italy
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Tessarolo M, Brizzolara M, Arduino S, Leo L, Febo G, Wierdis T, Lanza A. Grand multiparity: a study of 168 cases. CLIN EXP OBSTET GYN 1997; 24:41-3. [PMID: 9107458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The aim of this retrospective study was to consider the problem of grand multiparity in our female population to evaluate if grand multiparity represents a real risk factor for pregnancy, delivery and fetal well-being. From 1981 to 1989 the Gynaecology and Obstetrics Institute of Turin University together with St. Anna Hospital of Turin carried out a retrospective study on pregnancy course, delivery and fetal status in 168 women who had had four or more pregnancies and in 5320 multiparous women who had parity < 4. We analyzed the parity distribution in the different ages with the aid of the registry office and by consulting patient's obstetric clinical history. We evaluated the incidence of gestational complications in the multiparous group. Finally we studied the delivery modality and perinatal mortality in 72,907 births from 1981 to 1989.
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Affiliation(s)
- M Tessarolo
- Department B of Gynecology, University of Torino, Italy
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Arduino S, Leo L, Febo G, Tessarolo M, Wierdis T, Lanza A. Complications of pelvic and para-aortic lymphadenectomy in patients with endometrial cancer. EUR J GYNAECOL ONCOL 1997; 18:208-10. [PMID: 9174838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The International Federation of Gynecology and Obstetrics (FIGO) changed the staging criteria for endometrial cancer in 1988 and adopted a surgical-pathological staging involving also pelvic and/or para-aortic lymphadenectomy. A total of 236 patients were treated for endometrial adenocarcinoma at Department B of the Gynecologic and Obstetrics Institute, University of Turin, between January 1976 and December 1995. Our protocol for surgical staging always entails pelvic and para-aortic lymphadenectomy and a simple total hysterectomy and bilateral adnexectomy with removal of the upper third of the vagina. The aim of this study was to carry out a retrospective evaluation of the morbidity in patients with endometrial cancer after surgical treatment, either TAH-BSO alone or TAH-BSO with pelvic and para-aortic lymphadenectomy.
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Affiliation(s)
- S Arduino
- Department B of Gynecology and Obstetrics Institute, University of Torino, Italy
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Terzolo M, Piovesan A, Osella G, Torta M, Buniva T, Paccotti P, Wierdis T, Angeli A. Exogenous melatonin enhances the TRH-induced prolactin release in normally cycling women: a sex-specific effect. Gynecol Endocrinol 1991; 5:83-94. [PMID: 1656706 DOI: 10.3109/09513599109028431] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
The aim of the present study was to analyze the effects of exogenous melatonin (MT) upon pituitary and adrenal responsiveness to releasing hormones in different phases of the menstrual cycle. We evaluated the response of FSH and LH to 100 micrograms gonadotropin releasing hormone, of TSH and prolactin (PRL) to 200 micrograms thyrotropin releasing hormone (TRH), and of cortisol to 10 micrograms ACTH 1-17. We studied eight young women with normal ovulatory cycles in the early follicular (days 5-7) and luteal (days 22-24) phases. Stimulation tests were performed at 18.00 in baseline conditions as well as 1 h after oral intake of exogenous MT (2 mg as a gelatine capsule). We did not observe any significant change in FSH, LH, TSH and cortisol responses to their respective releasing hormones in either phase of the cycle. PRL response to TRH was higher after MT in the follicular phase, when evaluated in terms of net increment and integrated area of response (p less than 0.02 versus baseline conditions for both variables). In the luteal phase, we recorded larger interindividual variability and higher responses after MT were observed in five out of eight subjects. These results suggest that MT may play a facilitatory role in the TRH-induced PRL release in women of reproductive age.
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Affiliation(s)
- M Terzolo
- Università degli Studi di Torino, Dipartimento di Scienze Cliniche e Biologiche, Ospedale S. Luigi Gonzaga, Turin, Italy
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Surico N, Tavassoli K, Porcelli A, Wierdis T. Pelvic actinomycosis associated with the use of intrauterine devices. Diagnostic and therapeutic criteria. Panminerva Med 1987; 29:57-60. [PMID: 3601420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Surico N, Tavassoli K, Mora MS, Porcelli A, Wierdis T, Ferraris G. Cervical cerclage as pregnancy treatment in the presence of a malformed uterus. Clinical statistics on outcomes and neonatal survival. Panminerva Med 1987; 29:53-6. [PMID: 3601419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Surico N, Ragonesi G, Porcelli A, Marengo F, Wierdis T. [Hysteroscopic diagnosis during metrorrhagia]. Minerva Ginecol 1985; 37:519-21. [PMID: 4080245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Ragonesi G, Surico N, Porcelli A, Marengo F, Wierdis T. [Hysteroscopic diagnosis and treatment of Asherman's syndrome]. Minerva Ginecol 1985; 37:523-4. [PMID: 4080246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Surico N, Tavassoli K, Porcelli A, Lerro R, Wierdis T. [Risk of occurrence of pelvic inflammatory disease correlated with the duration of use of an intrauterine device]. Minerva Ginecol 1985; 37:105-8. [PMID: 4022437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Wierdis T, Griffero R, Margaria E, Surico N. [Anesthesia and resuscitation in major interventions in gynecologic surgery]. Arch Sci Med (Torino) 1982; 139:235-45. [PMID: 7138291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
A number of biohumoral parameters have been looked at pre-, intra- and post-operatively in patients subjected to radical hysterectomy according to Wertheim, with lymphadenectomy according to Meigs or Valle, in the Obstetric and Gynaecology Clinic of Turin University. Patients' ages were between 26 and 60. On the basis of the premise that during and after every surgical operation metabolic type changes relating to the quality and quantity of organic fluids, serous proteins and electrolytes, haemoglobin, clotting times and bilirubin production are observed, a treatment that enables prophylaxis to be carried out and cuts complications to the minimum is recommended.
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Wierdis T, Pagano G, Cavallo-Perin P, Surico N, Marengo F, Renzetti M, Miradoli P. [The lipid pattern of the newborn infant at birth in relation to the anamnestic-metabolic parameters of the parents]. Minerva Ginecol 1981; 33:1007-15. [PMID: 7036009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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14
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Campagnoli C, Fessia L, Peris C, Surico N, Wierdis T. [Voluminous gonadal cysts in a case of complete "androgen insensitivity syndrome". II. Endocrinological studies]. Minerva Ginecol 1980; 32:422-428. [PMID: 7393491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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15
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Campagnoli C, Fessia L, Peris C, Surico N, Wierdis T. [Voluminous gonadal cysts in a case of complete "androgen insensitivity syndrome". I. Clinical considerations]. Minerva Ginecol 1980; 32:417-21. [PMID: 7393490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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16
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Wierdis T, Surico N, Visentin L. [A case of primary carcinoma of the uterine tube. Notes on gynecological symptoms]. Minerva Ginecol 1980; 32:157-62. [PMID: 7375059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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17
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Morra C, Wierdis T, Lanza A, Rolfo A, Fedele M, Surico N. [Hormonal regulation of uterine contraction]. Arch Sci Med (Torino) 1979; 136:197-230. [PMID: 518278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
A personal method has been used to study spontaneous kinetic activity of the uterus in 50 women during puerperium following miscarriage between the VIIIth and XIIth weeks. Modifications induced were evaluated in several sessions (510 recordings) and at various periods of time, following administration of: 50 mg of 17B oestradiol, 200 mg natural progesterone, 500 mg of natural progesterone, 250 mg of 17 hydroxyprogesterone caproate and 500 mg of 17 hydroxyprogesterone caproate. In the case of some of the patients, hysterotonometry was evaluated following intravenous oxytocin loading. The results pointed to an activation of the uterine pacemaker after oestrogenic loading, and a clear-cut progestinic block of contractile activity.
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Gazzera G, Wierdis T, Surico N, Zagami L, Petruzzelli G, Comotti F, Pugnani M, Sacchi L. [Study of endometrial and exoendocervical pathology at various ages. Histomorphological aspects and clinico-statistical evaluations of results]. Minerva Ginecol 1978; 30:1101-10. [PMID: 740327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Wierdis T, Zanno C, Terzi I, Bruni B, Galimberti I. [Criteria of interpretation of the LH-RH test. Preliminary investigation in the study of amenorrhea in the course of diabetes mellitus]. Minerva Ginecol 1978; 30:695-706. [PMID: 360104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Wierdis T, Maffei S. [Valle's method of lumbo-pelvic lymphadenectomy]. Minerva Ginecol 1978; 30:340-1. [PMID: 673224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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21
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Wierdis T. [Therapeutic abortion: extensions and restrictions of current indications]. Minerva Ginecol 1976; 28:716-9. [PMID: 1012601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Wierdis T. [Preliminary note on the clinical significance of the radio-immunological determination of luteinizing hormone]. Minerva Ginecol 1976; 28:509-14. [PMID: 1018836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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23
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Wierdis T. [Current status of prevention of puerperal infection]. Minerva Ginecol 1966; 18:1012-8. [PMID: 6011512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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24
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Schettini F, Wierdis T, Lattanzi E, Violante N, Zimbalatti F. [Activity of the contact substance in thromboplastin formation in the full-term newborn infant]. Boll Soc Ital Biol Sper 1966; 42:1058-60. [PMID: 5969468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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25
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Wierdis T, Giannini V, Iaia E. Foetal and neonatal cerebrovascular disease. Early results of post-mortem carotid angiography. Panminerva Med 1965; 7:325-38. [PMID: 5890849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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