Hirsch M

STUDY OBJECTIVE: To determine the characteristics of adolescent and young adult patients undergoing surgery for severe endometriosis METHODS: We analyzed the British Society for Gynaecological Endoscopy (BSGE) database, a multicenter databa…

OBJECTIVE: Without standardized guidelines, the management of thoracic endometriosis syndrome (TES) continues to fuel debate. Previous reviews have reported poor outcomes but lack data on complications, hospital length of stay (LOS) and che…

BACKGROUND: Rectovaginal/colorectal endometriosis is severe form of endometriosis requiring complex surgery, where pre-operative gonadotrophin releasing hormone agonists (GnRHa) are used to improve the surgical outcomes but the evidence sup…

OBJECTIVE: To compare the effectiveness of endometriosis excision alone to excision plus hysterectomy, with and without bilateral oophorectomy, for endometriosis-related symptoms. DESIGN: Multicentre prospective cohort. SETTING: Eighty-si…

OBJECTIVE: To determine whether obstetric outcomes differ between women with endometriosis and those without, where all women undergo first-trimester screening for endometriosis. DESIGN: A prospective observational cohort study. SETTING: …

BACKGROUND: There is no agreed consensus on the optimal surgical treatment for pain associated with endometriosis. OBJECTIVES: To compare improvement in symptoms and quality-of-life in patients undergoing excisional endometriosis surgery (…

PURPOSE OF REVIEW: The use of hormonally suppressive medication to reduce levels of reproductive hormones around the time of surgery is widely used in the management of endometriosis. This review summarizes the current evidence concerning t…

PURPOSE OF REVIEW: Fibroids are benign pelvic masses and constitute the most common gynaecological condition. They create a significant health and social burden to many women because of heavy menstrual bleeding and fibroid pressure symptoms…

BackgroundThis systematic review aims to explore the prevalence of the impact of the COVID-19, MERS, and SARS pandemics on the mental health of pregnant women.MethodsAll COVID-19, SARS and MERS studies that evaluated the mental health of pr…

Transabdominal cerclage (TAC) is a recognised treatment for recurrent spontaneous late miscarriage or preterm birth due to cervical weakness. This can be performed via an open procedure before and during pregnancy, or a laparoscopic techniq…

PURPOSE OF REVIEW: Adenomyosis is a condition where endometrium-like tissue spreads within the myometrium. Although its prevalence in the general population is not exactly known, its clinical manifestations are well established and include …

Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV) is a respiratory disease which causes coronavirus and has given rise to the Middle East Respiratory Syndrome (MERS), SARS-CoV in Hong Kong and SARS-CoV-2 (COVID-19). COVID-19, to date…

PURPOSE OF REVIEW: To review the recent evidence around the treatment of infertility in patients with endometriosis. RECENT FINDINGS: The management of endometriosis associated infertility remains challenging. There have been an increasing…

STUDY OBJECTIVE: To retrospectively evaluate the ability of routinely collected preoperative ultrasound data to predict bowel resection during surgery for rectovaginal endometriosis. DESIGN AND SETTING: Patients at the University College L…

Background: Adenomyosis is a common benign gynaecological condition that has been associated with heavy and/or painful periods, subfertility and poor obstetric outcomes including miscarriage and preterm delivery. Studies evaluating treatmen…

BACKGROUND: It is important to evaluate sequalae for complex chronic health conditions such as endometriosis and mental health disorders. Endometriosis impacts 1 in 10 women. Mental health outcomes can be a primary determinant in many physi…

STUDY QUESTION: Which outcomes and outcome measures are reported in interventional trials evaluating the treatment of adenomyosis? SUMMARY ANSWER: We identified 38 studies, reporting on 203 outcomes using 133 outcome measures. WHAT IS KNOWN…

OBJECTIVES: This study evaluates current national opinions on screening, diagnosis, and management of thoracic endometriosis. BACKGROUND: Thoracic endometriosis is a rare but serious condition with four main clinical presentations: pneumoth…

OBJECTIVE: To develop a core outcome set for endometriosis. DESIGN: Consensus development study. SETTING: International. POPULATION: One hundred and sixteen healthcare professionals, 31 researchers and 206 patient representatives. METHO…

Study questionCan consensus definitions for the core outcome set for infertility be identified in order to recommend a standardized approach to reporting?Summary answerConsensus definitions for individual core outcomes, contextual statement…

The aim of this thesis is to investigate the diagnosis and management of endometriosis amongst women with pain or subfertility through a series of systematic reviews and primary studies. I will also evaluate the quality of information avail…

The aim of this thesis is to investigate the diagnosis and management of endometriosis amongst women with pain or subfertility through a series of systematic reviews and primary studies. I will also evaluate the quality of information avail…

The aim of this thesis is to investigate the diagnosis and management of endometriosis amongst women with pain or subfertility through a series of systematic reviews and primary studies. I will also evaluate the quality of information avail…

The aim of this thesis is to investigate the diagnosis and management of endometriosis amongst women with pain or subfertility through a series of systematic reviews and primary studies. I will also evaluate the quality of information avail…

The aim of this thesis is to investigate the diagnosis and management of endometriosis amongst women with pain or subfertility through a series of systematic reviews and primary studies. I will also evaluate the quality of information avail…