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“Disposizioni per la prevenzione e il trattamento dell’endometriosi”

a Roma

il 15 febbraio 2007 presso la Sala Stampa della Camera dei Deputati

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ALPES - Endometriosis  

Center of Research and Cure of the Endometriosis
Via Emilio Longoni n.81, 00155 Rome,
Call Center hours 10.00 - 18.00
Tel. 06 36306066/06 22789572, 3385064662
email: aie@endometriosi.it


FIND US

The Italian Endometriosis Center(CIE), been born from the Italian Association Endometriosis - ONLUS, dedication exclusively to the research, diagnosis , cure of the endometriosis.

The multidisciplinary that assures with professionals of elevated every level in they field guarantees a complete approach and to “all round” of the endometriosis disease.

The CIE is in a position to guaranteeing the best diagnosis that it goes from the simple gynecological visit to the most sophisticated techniques for the endometriosis.

All laboratory results are certified ISO 9001 at least and always are repeated on turn out to you pathological.

Equally of maximum level it is diagnostic instrumental for images and the techniques of diagnostic endoscopy that are taken advantage of expert super professionals and of technology of absolute vanguard.

The Center has elaborated, thanks to the large experience, strategies of vanguard on diagnostic and the treatment of the disease .

The Center does not use some hormonal (pills, danazolo, analogous therapies of the GNGH) for the disease.

The use of modern laparoscopyc surgery and MIS (minimally invasive surgery), integrated for the most complex cases than endometriosis of the straight-vaginal septum with the experience of surgeons colo- rectal of national reputation and surgeons generates them of equal reputation and reliabilities who make part of the staff of the CIE, guarantees levels of absolute excellence of the surgical techniques used and the absolute transparency of every surgical action that comes regularly and integrally video recorded for the patient and the surgeon.

The ALPES (Advanced Laparoscopic Pelvic Endometriosis Surgery), constituted from the laparoscopyc surgeons of the CIE, is an operating group and of study of pelvic surgery of excellence in Italy, to the maximum technological and professional level that guarantees more it elevates qualitative standards to you of the laparoscopyc pelvic surgery. Laparoscopy for the endometriosis turns out to you to the criteria of excision of disease and of participation strategy guaranteeing the complete removal of the lesions.

Criteria rigorously observe to you from ALPES (Advanced Laparoscopic Pelvic Endometriosis Surgery) for the removal of the disease:
• Diagnostic not invasive preoperative protocol
• Laparoscopyc complete removal of disease
• Restoration of the normal anatomy of the female pelvis
• Conservation of all the genital organs
• Restoration of the female fertility
Such criteria are essential for the discouragement of the “recidive”, and in the advanced laparoscopyc surgery of the pelvic deep vagino rectal desease.

The Advanced Pelvic Laparoscopy differs from the normal laparoscopy in how much demands a specific technical medical preparation of elevated level that concurs of being able to carry out with succeeding all the types of procedures in the female pelvis especially those of the deep pelvis until to being able to operate pathologies which the endometriosis of the deep vaginal straight septum, moreover concurs the complete exploration with relative removal of lesion of the retroperitoneum.

The Advanced Pelvic Laparoscopy is essential when it is found to us of forehead to the endometriosis disease in advanced stage in how much is necessary to be in a position to being able to operate in the every most complex please also of the deep pelvis.

With the Advanced Laparoscopy we have a drastic reduction of vagina mutilation, rectal sigmoido amputation and ureteral resection for endometriosis.

The operative laparoscopy and the medical therapies strategically arranged with the sophisticated diagnostic mapping assure to the patient the better turned out today possible for such complex gynecological affection.
The advanced laparoscopy offers the best possibilities for the multidisciplinary solution of the gynecological diseases, in special way for the endometriosis and the chronic pelvic pain. Beyond l'80% of the gynecological surgery it can today be executed with the techniques of advanced laparoscopy.
Our group offers 20 years experience in the advanced laparoscopy of the gynecological surgery for the treatment of the pelvic pain and the endometriosis with one great experience in the severe endometriosis.
From 1985 the Prof. Peter Giulio Signorile has begun, to execute the laparoscopia for the common gynecological surgery. Today the group has one wide experience in all the surgery of the genital female apparatus.
After to have assessed with a specific one and taken care of diagnostic protocol with certainty the presence of the disease, we execute like treatment of election the removal for complete laparoscopyc way the disease, considering that the chronic pelvic pain that the disease can give can be determined is from the irritation of the present nerves in the pelvic walls and the structures of the pelvis, and to give the new nervous endings in these organs.

The laparoscopyc treatment comes executed, the more often possible, with the surgical removal (cut) of the disease areas. This type of excision from better turns out to you regarding the thermic ablation or to the use of the laser. And is possible to close remove the disease also to sensitive structures which ureteres, bladder, rectum.

The advanced laparoscopy in the treatment of the most complex and difficult severe endometriosis is one of the most complex surgery in gynecology.

Normally we do not execute presacral neurectomy in order to reduce the pelvic pain because of risks of complications elevate it to you on the rectal and bladder malfunction that such resection involves.
Other minor procedures executed from the ITALIAN ENDOMETRIOSIS CENTER
Myoma
Also for the myomas and their symptoms, pressure or sense of weight in the pelvis or heavy periods or aemorragyc or extended, executes in advanced laparoscopy the removal of myomas of whichever dimension.
The Prof.P.G.Signorile has put to point one innovative technique (LUEM, Laparoscopyc Ultraminilaparotomic Embolized Miomectomy) to remove myomas of large size with laparoscopy.
Ovarian cyst
The ovarian cysts, often occasional medical report and sometimes of great dimensions much, come from we removed with their entire cap in advanced laparoscopy. Not there are limits of dimensions for being able to remove such cysts in laparoscopy with the maximum preservation of the residual ovarian tissue.
Total Hysterectomy
Also if the hysterectomy is a procedure that must extremely be classified to cases selects to you, to remove the uterus with the advanced laparoscopy gives an obvious advantage for the patient and an operating minimum discomfort post, moreover the laparoscopyc technique facilitates the conservation of all the vagina.
In some cases the removal of the body of the uterus is preferibile only supra cervical to preserve the bands of the pelvic floor for one better statics of the pelvis and to have better intercourses, in particular cases and to the age of the woman.

Embolization
We execute the embolization of the uterine vessels or the vessels of the myomas. Such method it consists in the introduction of two microcatheters that carry under guide the occlusive spheres (embosfere).
The embolization is executed on selected cases in Day Hospital.

Uterine hemorrhages or heavy period
A uterine blood loss more than 80 cc is considered abnormal and can determine anemia or to be marks them over the 40 years of a tumor of the endometrium.
When there is an anomalous blood loss or a lot abundant in one wraps of age over the 40 years is necessary to execute one small biopsy.
If there is not desire of pregnancy, this affection can be treated with thermic ablation of the endometrium, a treatment sure, simple, lacking in risks, minimally invasive, lacking in pain, in Day Hospital.
With this treatment the menstrual problem is resolved in definitive way, saving to the patient the heaviest participation than hysterectomy.

Pelvic and abdominal adhesions
The adhesions cause pain and are much frequent in who have had participations in laparotomy or in who it suffers from endometriosis.
The methodical one of treatment with the advanced laparoscopy is excellent in order to eliminate the adhesions. Our group regularly executes in laparoscopy such procedures.

Diagnostic and operating Isteroscopia

It comes alone executed before every greater gynecological procedure or in assessed pathologies of the cavity like the myomas, polips etc.


Medical Staff

Prof. P.G.Signorile Direttore Responsabile Ricerca e Terapia Core Curriculum
Prof. M.Simi Responsabile Chirurgia Generale Core Curriculum
Prof. Vito Panzadoro Responsabile Chirurgia Urologica
Dott. Paolo Scarpone Aiuto Chirurgia Urologica
Dott. E.Restini Consulente Chirurgia Generale Mininvasiva e Robotica
Dott. G. Orlandi Consulente Chirurgia Robotica
Dott. F.Gargiulo Aiuto Chirurgia ed Endoscopia Ginecologica
Dott. M.Spyrou Assistente Chirurgia Colon-proctologica ed Endoscopia Ginecologica
Dott. C.Gioia Responsabile Anestesista
Prof. E.Arcuri Responsabile Terapia del Dolore
Dott. A.Fabrizi Psicologa - Istituto di Sessuologia Clinica - ISC

Unità di supporto

Sig. Caterina Servizio Informazioni Utenti
Sig. M. Molinelli Servizio Documentazione Video
Sig. G.M.Dotto Servizio Informatizzazione e Statistica

Aggiornato il:
02-09-2010
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