R Fernandes

OBJECTIVE: To evaluate the applicability of the Tinelli vascular score, originally developed for gynecologic oncology, as a preoperative risk stratification tool for vascular involvement in deep infiltrating endometriosis (DIE). SETTING: A…

Isthmocele is a discontinuation of the myometrium at the uterine scar site in a patient with a previous cesarian section (CS). The cause of isthmocele appears to be multifactorial. Poor surgical technique, low incision location, uterine ret…

Pudendal neuralgia (PN) is a rare and underestimated condition. The reported incidence by the International Pudendal Neuropathy Association is 1/100000. However, the actual rate may be significantly higher, with a propensity for women. It i…

Understanding the pathophysiology of endometriosis is changing our diagnosis and treatment. Endometriosis lesions are clones of specific cells, with variable characteristics as aromatase activity and progesterone resistance. Therefore the G…

STUDY OBJECTIVE: To demonstrate the importance of planning all the steps of laparoscopic myomectomy, including incision, techniques to reduce blood loss, and suturing. DESIGN: Step-by-step video demonstration of the technique, with narrati…

A endometriose é uma das doenças ginecológicas mais estudadas na atualidade. Muito dessas pesquisas são dedicadas a etiopatogenia da doença, assim como sua evolução, pois até os dias de hoje não se sabe quais seriam seus fatores decisivos. …

STUDY OBJECTIVE: To point out the relevant anatomy of the ureter and to demonstrate its rules of dissection. DESIGN: An educational video to explain how to use ureteral relevant anatomy and the principle of dissection to perform safe urete…

UNLABELLED: STUDY OBJECTIVE: To evaluate if laparoscopic treatment of ureteral endometriosis is feasible, safe, and effective and to determine if ureteral dilatation and/or the number of incisions increases complications. DESIGN: An instit…

STUDY OBJECTIVE: Urinary endometriosis accounts for 1% of all endometriosis where the bladder is the most affected organ. Although the laparoscopic removal of bladder endometriosis has been demonstrated to be effective in terms of symptom r…

OBJECTIVE: To evaluate and compare medium-term clinical outcomes and recurrence rates in the laparoscopic surgical management of bowel endometriosis comparing 3 different surgical techniques (shaving, discoid, and segmental resection). DES…

Endometriosis is a chronic, multifactorial disease, which can impact significantly on a women's quality of life. It is associated with pelvic pain, dyspareunia and intestinal disorders, and can lead to infertility. The use of laparoscopic s…