• Is fertility sparing surgery a treatment option for young patients with yolk sac tumor?

      Iavazzo, Christos; Vorgias, G; Iavazzo, PE; Minis, EE; Gkegkes, ID; Department of Gynecological Oncology, Christie Hospital, Manchester, UK (2018)
      Yolk sac tumor (YST) is the third most frequent ovarian germ cell type ovarian tumor. YST occurs primarily in young girls and in women at reproductive age and thus, the preservation of fertility is considered to be a crucial option if possible for these patients. Compared to previous years, the use of innovative chemotherapeutic regimens in the treatment of YSTs improved significantly the prognosis and outcomes of this rare type of neoplasia. As YSTs are chemosensitive, this fact favors fertility sparing surgical approach and less aggressive type of operations. We present a narrative review of the multispecialty fertility sparing surgical and medical approach of women with YST.
    • Robotic management of endometriosis: discussion of use, criteria and advantages: a review of the literature

      Gkegkes, ID; Iavazzo, Christos; Iatrakis, G; Iavazzo, PE; Pechlivani, F; Antoniou, E; Bakalianou, K; Department of Surgery, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK. (2019)
      Endometriosis is a very common benign condition affecting fertility and quality of life. Different methods, either definitive or fertility sparing are used for its management by using open, laparoscopic, and robotic techniques. This is a literature review presenting the role and the advantages of robotic surgery in endometriosis. Such a management is effective, safe, and feasible in hands of well-trained multidisciplinary teams even for severe cases of endometriosis.