All publications of “Umberto Gazi Lippi”

9 results

Initial experience with hysteroscopic tubal occlusion (Essure®)

Daniella De Batista Depes, Ana Maria Gomes Pereira, Umberto Gazi Lippi, João Alfredo Martins, Reginaldo Guedes Coelho Lopes

DOI: 10.1590/S1679-45082016AO3717

ABSTRACTObjectiveTo evaluate results of early tubal occlusions performed by hysteroscopy (Essure®).Methods This prospective study included 38 patients, 73.7% of them were white, mean age 34.5 years, they have had on average 3 pregnancies and 2.7 of deliveries. A total of 86.8% of patients previously prepared the endometrium. All procedures were carried out at outpatient unit without anesthesia.Results Insertion rate of the device was 100% at a mean time of 4 minutes and 50 seconds. Based on the analogical visual scale, […]

Perinatal outcomes in women over 40 years of age compared to those of other gestations

Evandro Eduardo Canhaço, Angela Mendes Bergamo, Umberto Gazi Lippi, Reginaldo Guedes Coelho Lopes

DOI: 10.1590/S1679-45082015AO3204

ObjectiveTo clarify if older pregnant women were more likely to have adverse perinatal outcomes when compared to women at an ideal age to have a child.MethodsThe groups were divided according to age groups: under 20 years, ≥20 to

Comparative study of the results from conventional cervico-vaginal oncotic cytology and liquid-based cytology

Sueli Aparecida Batista Stabile, Dilson Henrique Ramos Evangelista, Valdely Helena Talamonte, Umberto Gazi Lippi, Reginaldo Guedes Coelho Lopes

DOI: 10.1590/S1679-45082012000400013

Objective:To compare two oncotic cervical cytology techniques, the conventional and the liquid-based cytology, in low risk patients for uterine cervical cancer.METHODS:Comparative prospective study with 100 patients who came to their annual gynecological exam, and were submitted simultaneously to both techniques. We used the McNemar test, with a significance level of p

Hysteroscopic endometrial polypectomy: outpatient versus conventional treatment

Angela Mendes Bergamo, Daniella de Batista Depes, Ana Maria Gomes Pereira, Taciana Cristina Duarte de Santana, Umberto Gazi Lippi, Reginaldo Guedes Coelho Lopes

DOI: 10.1590/S1679-45082012000300012

Objective:To compare results of hysteroscopic polypectomy of the endometrium performed in an outpatient clinic, under no anesthesia, to conventional hysteroscopic polypectomy under anesthesia in the operating theatre, assessing success rate, procedure time and complications; and to measure pain referred by patients in both groups.METHODS:An observational cross-sectional study of 60 patients with hysteroscopic diagnosis of endometrial polyps, divided into two groups: the Outpatient Group, comprising patients submitted to outpatient´s hysteroscopic polypectomy by continuous flow vaginoscopy using endoscopic forceps under no anesthesia, […]

Hysteroscopic findings in patients with post-menstrual spotting with prior cesarean section

Valdely Helena Talamonte, Umberto Gazi Lippi, Reginaldo Guedes Coelho Lopes, Sueli Aparecida Batista Stabile

DOI: 10.1590/S1679-45082012000100011

Objective:To identify uterine hysteroscopic findings among patients with prior cesarean section and whom had post-menstrual bleeding spotting type.METHODS:We conducted a descriptive and prospective study between June 2008 and December 2009 involving women admitted to our clinic in Ji-Paraná (RO), Brazil, and who complained of prolonged genital bleeding after menstrual period. A total of 20 women with the simultaneous following characteristics were selected: at least one prior cesarean section, aged between 18 and 45 years, no use of hormonal contraceptives, and […]

Interventional radiology to treat severe obstetric hemorrhages

Umberto Gazi Lippi

DOI: 10.1590/s1679-45082011md2315

ABSTRACTThe author discusses the recent role of interventional radiology to prevent postpartum hemorrhagic complications that represent an important cause of maternal morbidity and mortality all over the world. Hence, hemorrhage control is mandatory. Traditional management and recent minimally invasive radiological procedures by means of inserting occluding balloons into appropriate vessels are analyzed. It is advisable that maternity hospitals have protocols for the management of obstetric hemorrhage by means of interventional radiology, either in their own departments or in association with […]

Morbidity in neonates according to the mode of delivery: a comparative study

Maria Cecilia Santa Cruz Breim, Conceição Aparecida de Mattos Segre, Umberto Gazi Lippi

DOI: 10.1590/s1679-45082010ao1658

ABSTRACTObjective:The objective of this study was to compare the effects of the modes of delivery on the health of newborns in a private maternity hospital in the city of São Paulo.Methods:Between January 1995 and December 1998, all patients consecutively admitted for deliveries were included in this cross-sectional retrospective study. A total of 8,457 medical records were analyzed, being excluded of the sample 460 multiple pregnancies and 517 pregnant women with obstetric and/or clinical disorders. The incidence of neonatal birth injury, […]

The need to include obstetric nurses in prenatal care visits in the public health system

Selma Aparecida Lagrosa Garcia, Sidney Antonio Lagrosa Garcia, Umberto Gazi Lippi

DOI: 10.1590/s1679-45082010rw1486

ABSTRACTObjective:To investigate, with a qualitative approach, the role of Obstetric Nurses at the primary level of care given to women’s health as a vital component of the multidisciplinary team, which today is fundamental for providing care, prevention as well as health education and promotion, especially in programs whose activities are geared towards primary care of pregnant, parturient, and puerpera women.Methods:Brazilian laws and the determinations of Nursing Councils in reference to the activities of the obstetric nurse were researched, including the […]

Endometrial hysteroscopic and histological evaluation in menopausal women in continuous use of raloxifene

Vanessa Maria Caetano Soares, Braz Martorelli Filho, Luiz Roberto Araujo Fernandes, Umberto Gazi Lippi

DOI: 10.1590/s1679-45082010ao1227

ABSTRACTObjective:To study the effect of raloxifene on endometrial histopathology of menopausal women.Methods:Thirty-one patients under raloxifene treatment (60 mg/day) for a six-month period and submitted to diagnostic videohysteroscopy at the Climateric Outpatients Clinic, Department of Gynecology and Obstetrics, Hospital do Servidor Público Estadual Francisco Morato de Oliveira, in the city of São Paulo, and at Hospital Guilherme Álvaro, in the city of Santos, from September 10th, 2003 to June 22nd, 2004, were analyzed. Guided endometrial biopsy was performed on all patients […]