Giuseppe Matonti

Policlinico di Modena

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Valerio M. Jasonni

University of Modena and Reggio Emilia

Giovanni Scambia

Università Cattolica del Sacro Cuore

Eugenio Solima

University of Milan

Antonio La Marca

University of Modena and Reggio Emilia

A Capelli

Policlinico Umberto I

Vincenzo Vavalà

S. Naldi

University of Modena and Reggio Emilia

A. Monaco

S Alfieri

University of Bologna

Ludovico Muzii

Sapienza University of Rome

Cooperative Institutions

Università Cattolica del Sacro Cuore

Policlinico Umberto I

Istituti di Ricovero e Cura a Carattere Scientifico

Agostino Gemelli University Polyclinic

University of Modena and Reggio Emilia

University of Bologna

University of Pisa

Catholic University of America

Sapienza University of Rome

Fondazione IRCCS Istituto Nazionale dei Tumori

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Hysterosuspension through abdominal aponeurotic fascia flaps as conservative treatment of uterine prolapse

International Journal of Gynecology & Obstetrics (2000)

Vincenzo Vavalà A. Monaco Eugenio Solima Giuseppe Matonti Ludovico Muzii

10.1016/s0020-7292(00)81553-2

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Anatomical study of para-aortic and pelvic lymph nodes in gynecologic malignancies.

PubMed (1992)

Pierluigi Benedetti Panici Giovanni Scambia G. Baiocchi Giuseppe Matonti A Capelli

Between January 1986 and June 1990, systematic para-aortic and pelvic lymphadenectomy was performed in 208 women with untreated ovarian, endometrial, and cervical cancers. This study aimed to evaluate the median number of nodes collected from each pelvic and para-aortic group and to verify a new detailed nomenclature for the various lymph node groups. The para-aortic nodes were distinguished as paracaval, precaval, and retrocaval, depending on their relationship with the vena cava. Para-aortic, pre-aortic, and retro-aortic nodes were located close to the aorta. The nodes situated between the vena cava and aorta were designated intercavo-aortic. A median of 26 (range 15-48) para-aortic nodes were collected during ovarian or endometrial cancer operations. The lymphatic system of the pelvis was divided into six groups, depending on the relationship with the pelvic blood vessels. The pelvic nodes were distinguished as common, internal and external iliac, presacral, obturator, and parametrial. In cases of cervical cancer, the median number of pelvic nodes collected was 38 (range 20-88). Such anatomical study of the lymphatic system shows that a higher number of nodes than expected can be found in the retroperitoneum.

Aortic bifurcation

Lymphadenectomy

Internal iliac artery

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Gestione Delle Lesioni Iatrogene Ginecologiche di Pertinenza Urologica. Cause e Prevenzione Delle Complicanze: Il Parere del Ginecologo

Urologia Journal (2013)

Valerio M. Jasonni Giuseppe Matonti

Objective To detect and prevent urinary tract injuries in gynecological surgery. Methods A brief review of the literature about recognition and prevention of ureteral and bladder injuries. Results It is well known that factors as intra-operative bleeding, pelvic adhesions and infections, pelvic masses, endometriosis and obesity can make surgery difficult. For these reasons the study of the urinary tract and the use of ureteral catheters may be helpful when alterations of the urinary tract anatomy is suspected. However the surgeon should always operate under direct vision of the ureters with a judicious use of diathermy and taking care when separating bladder from the uterus where the blunt dissection is blind and dangerous. When there are some doubts about the integrity of ureters, the control with i.v. infusion of indigo-carmine or with ureteral catheters should be performed. The same applies for the bladder: the cystoscopy should be in the armamentarium of gynecological surgeons to control the ureteral efflux and the bladder integrity. To fill the bladder with methylene blue at the end of the surgery is also helpful in revealing, under the pressure, even very small lesions as well as partial thickness of the bladder that can cause a delayed fistula. Conclusions Surgeons' training is the most important factor in avoiding and detecting urinary tract injuries. This is important not only for the technique but also in the selection of patients, and then in planning the more appropriate pre-operative study and in recognizing the presence of injuries during surgery.

Diathermy

10.5301/ru.2013.10619

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Role of supracervical hysterectomy in the treatment of menorrhagia

International Journal of Gynecology & Obstetrics (2000)

V Vavalà Alexandra Monaco Eugenio Solima Giuseppe Matonti

Abdominal hysterectomy

10.1016/s0020-7292(00)81573-8

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The case of genital prolapse without urinary stress incontinence: urodynamic investigations can be avoided?

Journal of Chinese clinical medicine (2010)

Valerio M. Jasonni Giuseppe Matonti

Sex organ

Stress incontinence

Urodynamic studies

Urination disorder

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The Case of Pregnancies After Manchester-Fothergill Operation

Journal of Surgery (2017)

Valerio M. Jasonni Giuseppe Matonti S Alfieri

Background:The Manchester-Fothergill operation (MF) has largely been replaced by Vaginal Hysterectomy (VH) however the MF procedure may permit to preserve the fertility in many cases of genital prolapse.Objective: To obtain pregnancies after MF procedure. Materials and Method:Four women submitted to MF desiring pregnancy. Results:Every patient became pregnant with deliveries near term. Conclusion:The MF operation should be taken into account in fertile women even in view of the fact that the long-term outcome is similar to VH.

10.29011/2575-9760.000166

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The management of vaginal agenesis: report of 104 cases

Fertility and Sterility (2007)

Valerio M. Jasonni Antonio La Marca S. Naldi Giuseppe Matonti Rosario D’Anna

Aplasia

10.1016/j.fertnstert.2007.01.126

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Preoperative Ultrasound Assessment of Omental Spread in Ovarian Cancer

Gynecologic and Obstetric Investigation (1994)

Massimo Conte Lorenzo Guariglia Pierluigi Benedetti Panici Giovanni Scambia Giuseppe Matonti

The accuracy of high-resolution ultrasound in the detection of macroscopic omental metastases was evaluated in 50 consecutive patients undergoing surgery for ovarian cancer. Ultrasound provided an overall diagnostic accuracy of 83.7%, with a sensitivity of 76.6% and a specificity of 100%. The sensitivity in the diagnosis of diffuse omental involvement was 93.3%. Moreover, the overall diagnostic accuracy, sensitivity and positive predictive value of the method increased as the study progressed. In the last 25 cases examined, in fact, these values were 94.7, 90, and 90%, respectively.

Transvaginal ultrasound

10.1159/000292482

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Utero‐vaginal anastomosis in the treatment of cervical atresia

Acta Obstetricia Et Gynecologica Scandinavica (2007)

Valerio M. Jasonni Antonio La Marca Giuseppe Matonti

Cervical atresia is an extremely rare malformation. Its incidence is not well known and management is controversial. The surgical technique and results of utero-vaginal anastomosis in 3 women affected by cervical atresia are described.

Vaginal disease

10.1080/00016340701698732

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Citations (13)

Management of vaginal agenesis: results of 104 cases

Reproductive BioMedicine Online (2008)

Jasonni Vm Giuseppe Matonti Ilaria Di Monte

10.1016/s1472-6483(11)60638-x

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