Gynecology

Carlo Gastaldi

Years of experience: 30

Clinical Institute of the City of Brescia

NO. OF OPERATIONS

  • Obstetrics (including Caesarean sections): 550
  • MAP: 700
  • Gynaecology: 700 (figures estimated on a yearly basis).

HIGH TECHNOLOGIES

  • 2 CO2 lasers
  • 2 laparoscopic columns
  • Microscopes and nitrogen containers for the VIF-ET service.

The department’s elements of excellence are represented by its Gynaecological endoscopic surgery with the CO2 laser for the short hospital stays and rapid recovery times and the Assisted Conception Centre with its In-Vitro Fertilization with Embryo Transfer (IVF-ET) programmes. The Centre is a leader both in Italy and overseas for the techniques used and the number of cases handled.



Gallery

Massimo Candiani

 

San Raffaele Hospital - Specialized in obstetrics and laparoscopic surgery technique

It is the leading centre in Italy for the surgical treatment of tumours (benign and malignant) of the female genital tract. The unit represents an international centre of excellence also due to the advanced diagnostic equipment present at the institute.

The Unit’s main activities are:

  • Cancer demolitive and staging laparotomic surgery
  • Conservative and demolitive laparotomic and vaginal surgery of the genital tract for benign diseases
  • Urogynaecological reparative surgery: genital prolapse, urinary incontinence
  • Endoscopic surgery: diagnostic and operative laparoscopy and hysteroscopy using innovative methods and tools that support an increasingly broad field of application and represent a valid alternative to laparotomic surgery.

The Unit carries out an intense gynaecological cancer surgery and chemotherapy activity; 1200 major surgical operations are performed per year, of which a large number concern endoscopic surgery and pelvic static surgery.

OBSTETRICS
In addition to the normal activity carried out in the delivery room (over 1700 births in 2013), particular competence has been acquired in ‘Pregnancy-Related Diseases’ (diabetes, hypertension, etc.) and clinical high-risk pregnancy management. Pregnant women are given access, free of charge, to the painless childbirth procedure with epidural analgesia. Courses leading up to childbirth and meetings for mothers and babies are organized and specific outpatient psychological consulting and psychotherapy services, both directed by a psychologist, are provided.

BIRTH CENTRE
The Science of Childbirth Centre – Reproductive pathophysiology receives a large number of sterile couples every year, giving them access to the very latest techniques (IVF-ET, ICSI). More than 1000 cycles of assisted conception are administered every year.

LINES OF RESEARCH
The numerous lines of research developed include:

Gynaecology:

  • Biology of female genital tumours
  • Early diagnosis of female genital tumours
  • Development of surgery and chemotherapy-based lines of treatment
  • Minimally-invasive surgical techniques.

Obstetrics:

  • Non-invasive prenatal diagnostic methods (testing the mother’s blood for foetal DNA)
  • Pathophysiology of gestational hypertension (identification of new biochemical markers) and gestational diabetes
  • Diagnostic imaging.

Birth centre:

  • Reproductive pathophysiology
  • Assisted conception methods
  • Pathophysiology of infertility of couples.

TEACHING ACTIVITY
The Unit houses the Gynaecology and Obstetrics course of the Specialist Degree in Medicine and the School of Specialization in Gynaecology and Obstetrics of the Vita-Salute San Raffaele University.
It is a training centre for students on the Degree course in Nursing Sciences and the Master’s degree in Nursing and Obstetrics Management for the coordinating functions.
The Unit also houses postgraduate stages for both Italian and foreign doctors specialized in Gynaecology and Obstetrics.

Rubens Fadini

Years of experience: 30

Zucchi Clinical Institutes - Specialized in MAP

The centre is currently the largest clinical MAP treatment centre in Italy, administering over 2400 cycles of treatment per year. The centre has the broadest clinical programme of in-vitro maturation of oocytes in Europe and is specialized in the treatment of MAP in patients with polycystic ovary syndrome.

OPERATIONS
2014: 3122 MAP procedures, 499 gynaecological surgery operations.
From January 2015 to 30th November 2015: 3172 MAP procedures, 418 gynaecological surgery operations.

HIGH TECHNOLOGIES
Within the scope of its medically assisted procreation activities, the centre provides all the latest technologies, including TIME LAPSE IMAGING (continuous monitoring of the embryo). All the medically assisted conception techniques currently available are also provided in addition to surgical sperm retrieval, ovarian tissue cryopreservation, semen, oocyte and embryo cryopreservation.

  • Gynaecology department with 27 beds
  • Obstetrics department with 26 beds
  • Science of Childbirth Centre for reproductive pathophysiological service (with operating theatres, outpatient departments and laboratories)
  • 1st and 2nd level Gynaecology and Obstetrics outpatient departments
  • 2 gynaecology operating theatres
  • 4 delivery rooms with 2 obstetrics operating theatres
  • Day Surgery service with dedicated department and operating theatre.

Andrea Borini

Years of experience: 30

San Pietro Polyclinic

The Centre for Reproductive Medicine performs the complete diagnostic and therapeutic process of solving the problems of infertile men, women and couples.

It is one of the largest, in terms of the number of assisted conception procedures (Intrauterine Insemination – IUI; In Vitro Fertilization and Embryo Transfer – IVF-ET; Intracytoplasmic Sperm Injection – ICSI; Percutaneous Epididymal Sperm Aspiration - PESA, Percutaneous Testicular Sperm Aspiration - PTSA, Testicular Sperm Extraction – TESE), performed every year. The laboratories also offer the possibility of semen and oocyte cryopreservation.

NO. OF OPERATIONS:

  • Removal of oocytes
  • Embryo transfer
  • Testicular needle aspiration.

About 2,800 procedures a year.

DIAGNOSTICS AND OUTPATIENT ACTIVITIES:

  • Consultant examinations
  • HyCoSy
  • Gynaecological ultrasound scan
  • 3D ultrasound scan
  • Test testicular needle aspiration.

LABORATORIES:

  • Embryology laboratory
  • Andrology laboratory.

PUBLICATIONS:

  • He is the author of 237 publications in Italian and international magazines
  • Winner of the 2014 GFI Award with his project entitled “IR Microspectroscopy on GCs: a new non-invasive oocyte assessment
  • Winner of the 2009 Ministry of Health Research Project in collaboration with the nursing home “Casa di cura città di Udine” entitled “Randomized study to optimize oocyte cryopreservation procedures: clinical and experimental approach”.

TEACHING ACTIVITY:

  • Lecturer on the International Master’s Degree course in Reproductive Medicine (Padua)
  • Lecturer on the 2nd Level Master’s Degree course in Andrology (University of Padua)
  • Lecturer on the 2nd Level Master’s Degree course in Reproductive Medicine (University of Padua)
  • Tutor on the Master’s Degree course entitled "Reproductive Science and Assisted Reproductive Techniques " (University of Urbino)
  • Seminar instructor in Cryobiology of gametes on the Reproductive Biotechnology Degree course (University of Teramo).