Cira Buonfantino

Papers

Total Citations

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About

Dr. Cira Buonfantino is a reproductive surgeon whose work critically re-examines the role of myomectomy in infertile women. Her most-cited paper, "Myomectomy in infertile women: More harm than good?" (2023, 13 citations), challenges conventional wisdom by highlighting the paradoxical risk of postoperative adhesions—a complication that can negate the fertility benefits of fibroid removal. Buonfantino’s research demonstrates that while minimally invasive techniques like conventional or robotic-assisted laparoscopy reduce trauma, the true key to preserving fertility lies in the meticulous application of microsurgical principles and adhesion-reducing barriers. By quantifying how surgical precision and anti-adhesion agents can tip the balance from "harm" to "good," she provides actionable guidelines for surgeons. Her work bridges a critical gap between surgical oncology and reproductive endocrinology, offering a nuanced framework for patient counseling. With a growing citation footprint, Buonfantino is emerging as a voice for evidence-based caution in gynecologic surgery, advocating that less invasive is not always synonymous with better outcomes for conception. Her contributions are reshaping how clinicians weigh the risks and rewards of uterine surgery for women hoping to build families.