Tratamento cirúrgico da endometriose profunda: série de 16 casos

Detalhes bibliográficos
Autor(a) principal: Andrade,Ana Gonçalves
Data de Publicação: 2016
Outros Autores: Nogueira,Bruno, Reis,José, Faustino,Fátima, Veríssimo,Carlos
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302016000100004
Resumo: Overview and aims: Deep endometriosis is defined as the presence of infiltrating lesions more than 5mm deep to the peritoneum and it corresponds to 5-10% of all endometriotic lesions. Laparoscopy is considered the gold standard for the diagnosis and treatment of endometriosis and it is successful in controlling pain, decreasing recurrence rates and improving fertility. This study aims to evaluate the work of a Laparoscopic unit specialized in the treatment of endometriosis. Study design, Population and Methods: Retrospective study of all laparoscopies performed for deep endometriosis between January 2013 and December 2014. Clinical presentation, pre-operatory exams, intra and post-operatory surgical data and follow-up were accessed. Results: Sixteen surgeries were done (15 patients). The patient's mean age was 35 years (28- 43); ten women were nulliparous of which nine were infertile. Dysmenorrhea was the most frequent symptom (n=12), followed by dyspareunia (n=8). In six women a node in the rectovaginal septum was present in the physical exam. In six cases a colpectomy was done in order to accomplish total excision of the rectovaginal node. One discoid excision of the rectum was done. No conversions to laparotomy were needed. The mean operative time was 142±55min, with estimated blood loss < 250ml in 15 surgeries. There was a case of an intra-abdominal abscess. Mean follow-up duration was eight months, with 81% of the patients referring clinical improvement. Conclusions: Laparoscopic surgery in the treatment of deep endometriosis requires a high degree of surgical expertise and the approach by a multidisciplinary team. Only then, a low rate of complications, symptoms regression and a potential fertility improvement can be achieved.
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spelling Tratamento cirúrgico da endometriose profunda: série de 16 casosDeep endometriosisRectovaginal septum nodeLaparoscopyOverview and aims: Deep endometriosis is defined as the presence of infiltrating lesions more than 5mm deep to the peritoneum and it corresponds to 5-10% of all endometriotic lesions. Laparoscopy is considered the gold standard for the diagnosis and treatment of endometriosis and it is successful in controlling pain, decreasing recurrence rates and improving fertility. This study aims to evaluate the work of a Laparoscopic unit specialized in the treatment of endometriosis. Study design, Population and Methods: Retrospective study of all laparoscopies performed for deep endometriosis between January 2013 and December 2014. Clinical presentation, pre-operatory exams, intra and post-operatory surgical data and follow-up were accessed. Results: Sixteen surgeries were done (15 patients). The patient's mean age was 35 years (28- 43); ten women were nulliparous of which nine were infertile. Dysmenorrhea was the most frequent symptom (n=12), followed by dyspareunia (n=8). In six women a node in the rectovaginal septum was present in the physical exam. In six cases a colpectomy was done in order to accomplish total excision of the rectovaginal node. One discoid excision of the rectum was done. No conversions to laparotomy were needed. The mean operative time was 142±55min, with estimated blood loss < 250ml in 15 surgeries. There was a case of an intra-abdominal abscess. Mean follow-up duration was eight months, with 81% of the patients referring clinical improvement. Conclusions: Laparoscopic surgery in the treatment of deep endometriosis requires a high degree of surgical expertise and the approach by a multidisciplinary team. Only then, a low rate of complications, symptoms regression and a potential fertility improvement can be achieved.Euromédice, Edições Médicas Lda.2016-03-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302016000100004Acta Obstétrica e Ginecológica Portuguesa v.10 n.1 2016reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302016000100004Andrade,Ana GonçalvesNogueira,BrunoReis,JoséFaustino,FátimaVeríssimo,Carlosinfo:eu-repo/semantics/openAccess2024-02-06T17:21:32Zoai:scielo:S1646-58302016000100004Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:28:33.184944Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Tratamento cirúrgico da endometriose profunda: série de 16 casos
title Tratamento cirúrgico da endometriose profunda: série de 16 casos
spellingShingle Tratamento cirúrgico da endometriose profunda: série de 16 casos
Andrade,Ana Gonçalves
Deep endometriosis
Rectovaginal septum node
Laparoscopy
title_short Tratamento cirúrgico da endometriose profunda: série de 16 casos
title_full Tratamento cirúrgico da endometriose profunda: série de 16 casos
title_fullStr Tratamento cirúrgico da endometriose profunda: série de 16 casos
title_full_unstemmed Tratamento cirúrgico da endometriose profunda: série de 16 casos
title_sort Tratamento cirúrgico da endometriose profunda: série de 16 casos
author Andrade,Ana Gonçalves
author_facet Andrade,Ana Gonçalves
Nogueira,Bruno
Reis,José
Faustino,Fátima
Veríssimo,Carlos
author_role author
author2 Nogueira,Bruno
Reis,José
Faustino,Fátima
Veríssimo,Carlos
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Andrade,Ana Gonçalves
Nogueira,Bruno
Reis,José
Faustino,Fátima
Veríssimo,Carlos
dc.subject.por.fl_str_mv Deep endometriosis
Rectovaginal septum node
Laparoscopy
topic Deep endometriosis
Rectovaginal septum node
Laparoscopy
description Overview and aims: Deep endometriosis is defined as the presence of infiltrating lesions more than 5mm deep to the peritoneum and it corresponds to 5-10% of all endometriotic lesions. Laparoscopy is considered the gold standard for the diagnosis and treatment of endometriosis and it is successful in controlling pain, decreasing recurrence rates and improving fertility. This study aims to evaluate the work of a Laparoscopic unit specialized in the treatment of endometriosis. Study design, Population and Methods: Retrospective study of all laparoscopies performed for deep endometriosis between January 2013 and December 2014. Clinical presentation, pre-operatory exams, intra and post-operatory surgical data and follow-up were accessed. Results: Sixteen surgeries were done (15 patients). The patient's mean age was 35 years (28- 43); ten women were nulliparous of which nine were infertile. Dysmenorrhea was the most frequent symptom (n=12), followed by dyspareunia (n=8). In six women a node in the rectovaginal septum was present in the physical exam. In six cases a colpectomy was done in order to accomplish total excision of the rectovaginal node. One discoid excision of the rectum was done. No conversions to laparotomy were needed. The mean operative time was 142±55min, with estimated blood loss < 250ml in 15 surgeries. There was a case of an intra-abdominal abscess. Mean follow-up duration was eight months, with 81% of the patients referring clinical improvement. Conclusions: Laparoscopic surgery in the treatment of deep endometriosis requires a high degree of surgical expertise and the approach by a multidisciplinary team. Only then, a low rate of complications, symptoms regression and a potential fertility improvement can be achieved.
publishDate 2016
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dc.publisher.none.fl_str_mv Euromédice, Edições Médicas Lda.
publisher.none.fl_str_mv Euromédice, Edições Médicas Lda.
dc.source.none.fl_str_mv Acta Obstétrica e Ginecológica Portuguesa v.10 n.1 2016
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