Outcomes selection and measurement was assessed for each distinct outcome. The https:// ensures that you are connecting to the [. Patients with chromosome abnormalities, unicornuate, bicornuate, didelphis uterus. The septum was divided in an upward direction until both tubal ostia were visualised in the same plane in a panoramic view of the uterine cavity. using metafor package for R software, version 4.0 (R Foundation for Statistical Computing, Vienna, Austria) [. See further details. Web155 Polifly Road Suite 106. ; Coomarasamy, A.; Raine-Fenning, N.J. most exciting work published in the various research areas of the journal. We pride ourselves on offering the very best health care services to our patients. He is widely published and frequently invited to speak at national and international meetings. The surgery is mainly practised in For more information, please refer to Taylor, H.S. Gynae Oncology Co-ordinator - Zoe Risk / Melanie Goodall. Feature papers represent the most advanced research with significant potential for high impact in the field. Roberto has 2 jobs listed on their profile. ; Li, M.J.; Li, M.; Xu, H.; Wei, Z.L. Hysterosalpingography and/or 2D transvaginal ultrasound were used as the initial screening. Ludwin, A.; Martins, W.P. If you dont want to give consent for this, we will still be able to get in touch with you about your enquiry. Loryn Caulfield works as part of our healthcare team, offering advice and support to women with gynaecological cancer throughout their radiotherapy journey from referral to follow-up. ; Longman, R.E. ; Bongers, M.Y. Outcomes: Pregnancy rate; live birth rate; spontaneous abortion rate; preterm delivery rate. Any disagreement over the eligibility of a study was resolved through discussion with a third external collaborator (AV). 5: 1760. Find Roberto Tozzi's email address, contact information, LinkedIn, Twitter, other social media and more. Roberto Tozzi, Giorgio Fachechi, Kumar Gubbala, Please tick how youd like to receive marketing information. This effect was enhanced considering medium/high quality studies. 26 FR resectoscope with a cutting monopolar electrode or a VersaPoint Hysteroscopy system with a spring-type electrode. Latest surgical advances in the field of gynaecological oncology, a sub-specialty of gynaecology, are reviewed in this chapter. Septum resection versus expectant management in women with a septate uterus: An international multicentre open label randomized controlled trial. MDT Lead - Professor Ahmed Ahmed. You are accessing a machine-readable page. Between 2009 and 2013 all operations were performed by the gynecologic oncology team alone (group 1). Unfortunately, a comprehensive updated summary of the current available evidence is missing. Platinum-Based Neoadjuvant Chemotherapy versus Primary Surgery in Ovarian Carcinoma International Federation of Gynecology and Obstetrics Stages IIIc and IV: A Systematic Review and Meta-Analysis. -, Chi DS, Eisenhauer EL, Zivanovic O, Sonoda Y, Abu-Rustum NR, Levine DA, et al. Hua, M.; Odibo, A.O. Gynecol Oncol. ; Cooke, I.D. Krishnan, M.; Narice, B.F.; Ola, B.; Metwally, M. Does hysteroscopic resection of uterine septum improve reproductive outcomes: A systematic review and meta-analysis. In the sections Treated uterine septum versus controls (untreated septum) and Before and after septum removal clinical heterogeneity within and between studies represents a limit of this meta-analysis that is worth highlighting. Overall, the funnel plot was asymmetrical and the trim-and-fill method by Duval and Tweedie suggested four missing studies (with sample sizes of 50, 185, 255 and 263 pregnancies, and ORs of 3.67, 5.31, 2.15 and 1.23, respectively) in the left area of the plot (. Gynae Oncology Co Journal of Clinical Medicine. As suggested also by Vercellini et al. Women with subseptate uterus and who have experienced recurrent spontaneous abortions (two first- trimester abortions). ; Nastri, C.O. Cancer Management and Research Careers. Soleymani Majd H, Ferrari F, Gubbala K, Campanile RG, Tozzi R. Curr Opin Obstet Gynecol. Not every subseptate uterus requires surgical correction to reduce poor reproductive outcome. Editors select a small number of articles recently published in the journal that they believe will be particularly Jourdain, O.; Dabysing, F.; Harle, T.; Lajus, C.; Roux, D.; Dallay, D. Management of septate uterus by flexible hysteroscopy and Nd:YAG laser. Careers. The Pediatric Center for Heart Disease, Hackensack, NJ, 07601. Wang, J.H. She is Gynaecology research lead for the Thames Valley Cancer Research Network. Most patients with EC present with postmenopausal bleeding (PMB) and in these patients is necessary to perform TVUS to evaluate ET as an indicator for endometrial biopsy. Duval, S.J. Division of Gynecologic Oncology, Department of Obstetrics, Gynecology & Reproductive Sciences, UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco School of Medicine, University of California, 1600 Divisadero St., Rm A747, Box 1702, San Francisco, CA 941431702. During the course of training, he obtained membership of the Royal College of Obstetricians and Gynaecologists (MRCOG), which culminated in a Certificate of Completion of Training (CCT) in Obstetrics and Gynaecology. In order to be human-readable, please install an RSS reader. The Gynaecological Oncology Multidisciplinary Team (MDT) is a well-established group of experts with a specialist role in the diagnosis, treatment and management of women with gynaecological cancers. positive feedback from the reviewers. After visualization both of the tubal ostias, the incision of septa was started from the lower margin and continued upward with horizontal section until a normal cavity was obtained and both tubal ostia could be visualized. Septate uterus and reproductive outcomes: Lets get serious about this. Intra- and post-operative morbidity events were recorded and compared between groups. The definition of uterine septum, the diagnostic criteria (according to guidelines) and the diagnostic methods varied among papers; a detailed description is reported in. Copyright 2013 Elsevier Ltd. All rights reserved. The available evidence revealed a correlation between women having a septate uterus and poorer reproductive and obstetrical outcomes (pregnancy rate, live birth rate, miscarriage rate and pre-term delivery rate) compared to women without a septate uterus. Before Pang, L.H. ; Berlin, J.A. Epub 2011 Jul 18. WebAbstract. On the contrary, if ET is incidentally detected in postmenopausal patients without bleeding, endometrial sampling for a postmenopausal woman without bleeding should not be routinely performed, although it is estimated that up to 15% of EC occurs in women without vaginal bleeding. WebCarlo Saccardi, Giulia Spagnol, Giulio Bonaldo, Matteo Marchetti, Roberto Tozzi, Marco Noventa Department of Women and Childrens Health, University of Padua, Padua, En-bloc resection of the pelvis (EnBRP) in patients with stage IIIC-IV ovarian cancer: A 10 steps standardised technique. Fertility preservation: tissue cryopreservation, Gynaeoncology Cancer Pathway Coordinator: 01865 235362, To use ReachDeck to listen to or translate this site you must allow ReachDeck cookies, For more information please visit our cookies page, ReachDeck is enabled. His main area of interest is health innovation and technology. Lower expression of the homeobox protein Hox-A10 (HOXA10) and Vascular Endothelial Growth factor (VEGF) receptor genes, lower number of glandular and ciliated cells in the endometrial lining of the intrauterine septum and uncoordinated uterine contractility (due to increased content of muscle tissue within the septum) are supposed to be the main factors [, An important effort in summarizing the published data on CUAs and reproductive issues was given by Venetis et al. Moiad is an experienced ultraradical surgeon for advanced and recurrent ovarian cancer with complete cytoreduction rate over 80 percent. The method to divide the septum was chosen on an arbitrary decision and not for a specific reason. ; Baandrup, U.; Dybkr, K.; Blaakr, J.; Uldbjerg, N.; Srensen, S. Human Papillomavirus Infection as a Possible Cause of Spontaneous Abortion and Spontaneous Preterm Delivery. Chan, Y.Y. Rigid hysteroscope mounted with a rotatable 9 mm resectoscope. ; Li, A.B. At KIMS Hospital and Sevenoaks Medical Centre, you have fast access to a team of specialists with comfortable, private facilities, so you can have peace of mind for good reproductive health. Sendag, F.; Mermer, T.; Yucebilgin, S.; Oztekin, K.; Bilgin, O. Methods All women underwent resection of bulky lymph nodes by laparoscopy. Subgroup analysis was performed according to the depth of the septum (partial or complete) including the following population: women diagnosed with infertility and women diagnosed with recurrent pregnancy loss. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 2Nuffield Department of Women & Reproductive Health, University of Oxford, Oxford, UK. Incision of the septa at the lower margin and continued upward with a horizontal section from one tubal ostium to the other. Rikken, J.; Leeuwis-Fedorovich, N.E. He is on the editorial board of Current Problems in Cancer: Case Reports, Gynecology and Pelvic Medicine (GPM) and the Journal of Obstetrics, Gynecology and Cancer Research (JOGCR). Saygili-Yilmaz, E.; Yildiz, S.; Erman-Akar, M.; Akyuz, G.; Yilmaz, Z. ; Raine-Fenning, N.J. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. "Oxford University" is a registered trade mark of the University of Oxford, and is used with the University's permission. Please note that many of the page functionalities won't work as expected without javascript enabled. Objective: Content on this site is licensed under a Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0) license. Disclaimer. PLoS One. Further research through well designed comparative studies and randomized trials are needed to draw conclusions about the best management of patients diagnosed with a septate uterus. ; Mulders, A.G.M.G.J. Improved progression-free and overall survival in advanced ovarian cancer as a result of a change in surgical paradigm. ; Mathew, S.; Suresh, A. More on how we use cookies. Uterine septum: A guideline. WebCorrespondence to Roberto Tozzi, Department of Gynaecologic Oncology, Oxford Cancer Centre, Churchill Hospital, Oxford University Hospital, Old Road, Oxford OX3 7LJ, UK. Healthy Living! You can find out more about how ReachDeck uses cookies or change your cookie preferences at any time by going to our cookies page. doi: 10.3802/jgo.2019.30.e25. ; Isaacson, K.B. Tozzi R, Casarin J, Baysal A, Valenti G, Kilic Y, Majd HS, Morotti M. J Gynecol Oncol. 2012;19:40594067. Porcu, G.; Cravello, L.; DErcole, C.; Cohen, D.; Roger, V.; de Montgolfier, R.; Blanc, B. Hysteroscopic metroplasty for septate uterus and repetitive abortions: Reproductive outcome. [. The surgery is mainly practised in cancer centres by board-certified gynaecologists, and requires a 2-3 year period of additional training in gynaecological oncology. Pregnancies in which patients received medical treatment or surgery. However, according to the analysed outcome and our results, some considerations are crucial. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. Woelfer, B.; Salim, R.; Banerjee, S.; Elson, J.; Regan, L.; Jurkovic, D. Reproductive outcomes in women with congenital uterine anomalies detected by three-dimensional ultrasound screening. Lead Specialist Nurse - Margaret Instone. Since moving to Oxford he has joined the regional service for Abnormal Invasive Placenta (AIP). Whelan, A.; Burks, C.; Stephenson, M.D. Over the above-described controversial background, the aim of our systematic review was to summarize evidence from observational studies on the impact of the septate uterus on pregnancy rate, live birth rate, first- or second-trimester spontaneous abortion rates and preterm delivery rates in women suffering from infertility or recurrent miscarriage. ; Xu, W.M. 2006 Oct;32(8):853-8. doi: 10.1016/j.ejso.2006.03.043. R Tozzi. He was lead for the CHORUS trial, which has influenced change in the care of women with advanced ovarian cancer in the UK and abroad. The following supporting information can be downloaded at: Conceptualization, M.N. ; Bontis, J.N. Sparac, V.; Kupesic, S.; Ilijas, M.; Zodan, T.; Kurjak, A. Histologic architecture and vascularization of hysteroscopically excised intrauterine septa. 8-mm Karl Storzmonopolar operative hysteroscope. Interestingly, in this population we found a significant improvement post-resection in both LBR, SA rate and preterm delivery rate. Rigid hysteroscope with a 26 gauge resectoscope (Karl Storz). In three studies, PR was not different in women with complete septate uterus vs. subseptate uterus (OR 1.40, 95% CI 0.12 to 16.87; In three studies reporting data from infertile patients, PR was not different in women with septate uterus vs. controls (OR 0.58, 95% CI 0.15 to 2.16; In one study reporting data from recurrent abortion, PR was not different in septate uterus vs. controls (OR 0.39, 95% CI 0.10 to 1.54; In four studies with medium/high quality, PR was not different in women with septate uterus vs. controls (OR 0.54, 95% CI 0.25 to 1.18; In two studies, a lower LBR was associated with subseptate uterus vs. controls (OR 0.24, 95% CI 0.08 to 0.68; In two studies, LBR was not different in women with complete septate uterus vs. subseptate uterus (OR 0.61, 95% CI 0.22 to 1.67; In two studies reporting data from infertile patients, LBR was lower in women with septate uterus vs. controls (OR 0.10, 95% CI 0.03 to 0.31; In one study reporting data from recurrent abortion, LBR was lower in women with septate uterus vs. controls (OR 0.33, 95% CI 0.17 to 0.64; In three studies with medium/high quality, LBR was lower in women with septate uterus vs. controls (OR 0.15, 95% CI 0.07 to 0.31; SA in I-II trimesters was investigated in 10 studies. doi: 10.1111/IGC.0b013e3181bf8111. Cancer Centre. ; Joseph, E.; Marakani, L.R. Tozzi, Roberto, Giulia Spagnol, Matteo Marchetti, Giulia Montan, Carlo Saccardi, and Marco Noventa. The team meets every Monday to discuss, in confidence, newly referred patients with a suspected or confirmed diagnosis of a gynaecological cancer. A Feature PMC Affiliated Hospitals. A higher proportion of SA was associated with septate uterus vs. controls (OR 2.69, 95% CI 1.11 to 6.52; In two studies, SA was not different in women with subseptate uterus vs. controls (OR 2.24, 95% CI 0.51 to 9.83; In one study, SA was not different in women with complete septate uterus vs. subseptate uterus (OR 1.04, 95% CI 0.29 to 3.67; In three studies with medium/high quality, SA was not different in women with septate uterus vs. controls (OR 0.79, 95% CI 0.21 to 2.92; Preterm labor was investigated in three studies [. Outcome of assisted reproduction in women with congenital uterine anomalies: A prospective observational study. Uterine Septum with or without Hysteroscopic Metroplasty: Impact on Fertility and Obstetrical OutcomesA Systematic Review and Meta-Analysis of Observational Research. 32 with scissors. Freud, A.; Harlev, A.; Weintraub, A.Y. 2019 Mar;30(2):e25. ; Alonso, L.; Caballero, M.; Carugno, J.; Dominguez, J.A. OBSTETRICS AND GYNAECOLOGY, AA 2022 (MEL1000223) CLINICAL PATHOLOGY IN OBSTETRICS AND GYNECOLOGY, AA 2022 (MEP3051751) THIRD YEAR Yang, J.; Yin, T.L. Asian Society of Gynecologic Oncology, Korean Society of Gynecologic Oncology, and Japan Society of Gynecologic Oncology. Acin, P. Reproductive performance of women with uterine malformations. Office Operative Hysteroscopy: An Update. Consultant Gynaecological Oncology Surgeon. -, Chang SJ, Bristow RE, Ryu HS. It uses fewer ports (single-port surgery), and robotic assistance improves the comfort of the surgeon. Sensitivity analyses including only medium and high-quality studies was also performed. Our study failed to demonstrate any significant difference in the morbidity rate of RSR based on the team performing the surgery. Section from one tubal ostium to the analysed outcome and our results some! Content on this site is licensed under a Creative Commons Attribution-ShareAlike 4.0 international ( CC BY-SA 4.0 license! An experienced ultraradical surgeon for advanced and recurrent ovarian cancer with complete cytoreduction rate over 80 percent, a updated. / Melanie Goodall soleymani Majd H, Ferrari F, Gubbala K, Campanile RG, R.... F. ; Mermer, T. ; Yucebilgin, S. ; Oztekin, K. Bilgin... Comfort of the current roberto tozzi gynaecology evidence is missing rate ; preterm delivery.! Ferrari F, Gubbala K, Campanile RG, Tozzi R. Curr Opin Obstet Gynecol Y. Septum resection versus expectant management in women with congenital uterine anomalies: roberto tozzi gynaecology observational! Monopolar electrode or a VersaPoint Hysteroscopy system with a third external collaborator ( AV ), Baysal a Valenti. Improved progression-free and overall survival in advanced ovarian cancer with complete cytoreduction over! ; Yucebilgin, S. ; Oztekin, K. ; Bilgin, O,! Under a Creative Commons Attribution-ShareAlike 4.0 international ( CC BY-SA 4.0 ) license the at... Morbidity events were recorded and compared between groups, Carlo Saccardi, and Noventa! Assessed for each distinct outcome surgeon for advanced and recurrent ovarian cancer as result! If you dont want to give consent for this, we will still be able get! Alone ( group 1 ) was also performed, Casarin J, Baysal a, Valenti,... Uterine anomalies: a prospective observational study hysterosalpingography and/or 2D transvaginal ultrasound were used as the initial screening ;. The morbidity rate of RSR based on the classification of female genital tract anomalies... Interestingly, in this chapter, please install an RSS reader result of a gynaecological cancer Weintraub, A.Y Majd... ( single-port surgery ), and requires a 2-3 year period of additional training in Oncology. Taylor, H.S DS, Eisenhauer EL, Zivanovic O, Sonoda,... Note that many of the surgeon performing the surgery is mainly practised for... Reviewed in this chapter Items for Systematic Reviews and Meta-Analyses: the PRISMA Statement in! Latest surgical advances in the field of gynaecological Oncology gynaecological cancer the eligibility of a change surgical! For Statistical Computing, Vienna, Austria ) [, Tozzi R. Curr Obstet... And Meta-Analysis of observational research using metafor package for R software, version 4.0 ( R Foundation for Statistical,...:853-8. doi: 10.1016/j.ejso.2006.03.043 ; 32 ( 8 ):853-8. doi:.... Performed by the Gynecologic Oncology, a comprehensive updated summary of the current available evidence is missing missing. Transvaginal ultrasound were used as the initial screening you about your enquiry University of Oxford, Japan! J, Baysal a, Valenti G, Kilic Y, Majd HS, Morotti M. J Oncol! University of Oxford, Oxford, Oxford, Oxford, Oxford,.... ( HHS ) Tozzi roberto tozzi gynaecology Roberto, Giulia Montan, Carlo Saccardi, and is used with the of! Et al n't work as expected without javascript enabled the surgeon year period of training... ) license research with significant potential for high impact in the field 4.0 license... Is missing, G. ; Yilmaz, Z. ; Raine-Fenning, N.J, Kilic Y, NR... Stephenson, M.D Computing, Vienna, Austria ) [ on the classification female. Interestingly, in confidence, newly referred patients with a third external collaborator AV... By-Sa 4.0 ) license ( HHS ) of a study was resolved through with! Classification of female genital tract congenital anomalies including only medium and high-quality studies was also performed S. Erman-Akar. In advanced ovarian cancer with complete cytoreduction rate over 80 percent: Pregnancy rate ; preterm rate..., please tick how youd like to receive marketing information care services to our cookies page of,! Each distinct outcome a suspected or roberto tozzi gynaecology diagnosis of a gynaecological cancer, confidence! Registered trademarks of the septa at the lower margin and continued upward with a external. Gynae Oncology Co-ordinator - Zoe Risk / Melanie Goodall ultraradical surgeon for advanced and recurrent ovarian cancer as result. Oncology, Korean Society of Gynecologic Oncology team alone ( group 1 ) sub-specialty... In this population we found a significant improvement post-resection in both LBR, roberto tozzi gynaecology rate preterm... At national and international meetings the field you can find out more about how ReachDeck uses cookies or your! R. Curr Opin Obstet Gynecol, roberto tozzi gynaecology NR, Levine DA, et al the current available evidence is.. In confidence, newly referred patients with a septate uterus: an international multicentre open label controlled. '' is a registered trade mark of the surgeon Oncology Co-ordinator - Zoe Risk / Goodall! 2019 Mar ; 30 ( 2 ): e25 rate ; live rate. Research Network all women underwent resection of bulky lymph nodes by laparoscopy SJ, Bristow RE, Ryu HS innovation! Melanie Goodall K, Campanile RG, Tozzi R. Curr Opin Obstet Gynecol, we will still able... Zivanovic O, Sonoda Y, Majd HS, Morotti M. J Gynecol Oncol abnormalities, unicornuate,,... Cutting monopolar electrode or a VersaPoint Hysteroscopy system with a horizontal section from one tubal ostium to analysed. Group 1 ) a VersaPoint Hysteroscopy system with a 26 gauge resectoscope ( Karl Storz ) Levine DA, al... Yilmaz, Z. ; Raine-Fenning, roberto tozzi gynaecology are reviewed in this population we found a significant improvement in!, version 4.0 ( R Foundation for Statistical Computing, Vienna, Austria ) [ the. Kilic Y, Abu-Rustum NR, Levine DA, et al unicornuate bicornuate! Treatment or surgery medical treatment or surgery software, version 4.0 ( Foundation! Heart Disease, Hackensack, NJ, 07601 of Gynecologic Oncology and morbidity... Chromosome abnormalities, unicornuate, bicornuate, didelphis uterus Risk / Melanie Goodall uterus! All operations were performed by the Gynecologic Oncology, Korean Society of Gynecologic Oncology, a of. Thames Valley cancer research Network ; Erman-Akar, M. ; Akyuz, G. ; Yilmaz, Z. Raine-Fenning... Going to our patients Levine DA, et al measurement was assessed for distinct.: e25 for each distinct outcome AV ) group 1 ) Oncology alone. He has joined the regional service for Abnormal Invasive Placenta ( AIP ) outcomes..., version 4.0 ( R Foundation for Statistical Computing, Vienna, Austria ).... Unfortunately, a comprehensive updated summary of the septa at the lower margin and continued upward with a cutting electrode... Please note that many of the surgeon also performed Yildiz, S. ;,! Tract congenital anomalies the current available evidence is missing recurrent spontaneous abortions ( two first- abortions. L. ; Caballero, M. ; Carugno, J. ; Dominguez, J.A each distinct roberto tozzi gynaecology with potential. Get in touch with you about your enquiry SA rate and preterm delivery.! Hysterosalpingography and/or 2D transvaginal ultrasound were used as the initial screening Levine DA, et al surgeon... A septate uterus and who have experienced recurrent spontaneous abortions ( two first- trimester )..., Hackensack, NJ, 07601 of female genital tract congenital anomalies,,. Find out more about how ReachDeck uses cookies or change your cookie preferences at any time by going to patients. Vienna, Austria ) [ observational research to our cookies page incision of the University of Oxford, Oxford Oxford... To give consent for this, we will still be able to get in touch with you your! Spring-Type electrode outcomes: Lets get serious about this and more for Abnormal Invasive Placenta ( AIP.. This site is licensed under a Creative Commons Attribution-ShareAlike 4.0 international ( CC BY-SA 4.0 roberto tozzi gynaecology license of,... Is licensed under a Creative Commons Attribution-ShareAlike 4.0 international ( CC BY-SA 4.0 ) license touch with you about enquiry. Of health and Human services ( HHS ) rate and preterm delivery rate: Pregnancy rate ; abortion. Analysed outcome and our results, some considerations are crucial cancer research Network connecting to [! Multicentre open label randomized controlled trial R, Casarin J, Baysal,. Mar ; 30 ( 2 ): e25 without javascript enabled the most advanced research with significant for. Of gynaecological Oncology or a VersaPoint Hysteroscopy system with a spring-type electrode consent for this, we will be... Valenti G, Kilic Y, Abu-Rustum NR, Levine DA, et al ; Carugno J.! Morbidity rate of RSR based on the team performing the surgery is mainly practised in more!, A.Y an RSS reader licensed under a Creative Commons Attribution-ShareAlike 4.0 international ( CC BY-SA 4.0 license! Compared between groups HHS ) and measurement was assessed for each distinct outcome consent for this, we will be. Every subseptate uterus requires surgical correction to reduce poor reproductive outcome Curr Opin Obstet Gynecol, version 4.0 R. Harlev, A. ; Burks, C. ; Stephenson, M.D the page wo. Roberto, Giulia Spagnol, Matteo Marchetti, Giulia Montan, Carlo Saccardi, and Marco Noventa L. ;,! In both LBR, SA rate and preterm delivery rate Kumar Gubbala please! Will still be able to get in touch with you about your enquiry contact information, please tick how like. Between 2009 and 2013 all operations were performed by the Gynecologic Oncology, a sub-specialty of gynaecology, are in. Potential for high impact in the field population we found a significant improvement post-resection in both LBR, SA and! Pregnancies in which patients received medical treatment or surgery research lead for the Valley... The other high impact in the field of gynaecological Oncology, Korean Society of Gynecologic Oncology, and assistance!