Standardization of endometriosis surgery - the coloproctologist's vision
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of Coloproctology (Rio de Janeiro. Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632019000300191 |
Resumo: | ABSTRACT Objective: To demonstrate the standardization of deep endometriosis surgery with intestinal involvement. Methods: Prospective study evaluating 74 women undergoing standardized surgery for deep intestinal endometriosis. Divided into two groups, according to the findings of three-dimensional anorectal ultrasound, Group I with lesions affecting perirectal fat and Group II with lesions affecting at least the muscular layer of the rectum. Results: There was no statistically significant difference between the groups in relation to the size of the focus and the distance of the lesion to the puborectalis muscle (p > 0.05). The type of surgery performed was laparoscopy without lesions in one patient (1.35%), disk resection in 13 patients (17.56%), shaving in 45 patients (60.81%), and rectosigmoidectomy in 15 patients (20.27%). The complications were bleeding from the drain with conservative treatment in three patients (4.05%), fistula in two patients submitted to the shaving method (2.70%), and three patients (4.05%) with lower anterior recession syndrome (LARS), with improvement from conservative treatment. Lesions in other organs were also observed during videolaparoscopy. Conclusion: Surgical standardization is important to guide the general/colorectal surgeon in the effective approach of intestinal endometriosis. |
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Standardization of endometriosis surgery - the coloproctologist's visionEndometriosisUltrasonographyLaparoscopyColorectal surgeryABSTRACT Objective: To demonstrate the standardization of deep endometriosis surgery with intestinal involvement. Methods: Prospective study evaluating 74 women undergoing standardized surgery for deep intestinal endometriosis. Divided into two groups, according to the findings of three-dimensional anorectal ultrasound, Group I with lesions affecting perirectal fat and Group II with lesions affecting at least the muscular layer of the rectum. Results: There was no statistically significant difference between the groups in relation to the size of the focus and the distance of the lesion to the puborectalis muscle (p > 0.05). The type of surgery performed was laparoscopy without lesions in one patient (1.35%), disk resection in 13 patients (17.56%), shaving in 45 patients (60.81%), and rectosigmoidectomy in 15 patients (20.27%). The complications were bleeding from the drain with conservative treatment in three patients (4.05%), fistula in two patients submitted to the shaving method (2.70%), and three patients (4.05%) with lower anterior recession syndrome (LARS), with improvement from conservative treatment. Lesions in other organs were also observed during videolaparoscopy. Conclusion: Surgical standardization is important to guide the general/colorectal surgeon in the effective approach of intestinal endometriosis.Sociedade Brasileira de Coloproctologia2019-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632019000300191Journal of Coloproctology (Rio de Janeiro) v.39 n.3 2019reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1016/j.jcol.2019.02.003info:eu-repo/semantics/openAccessLara,Barbara PereiraEbrahim,Karina CorreaSagae,Univaldo EtsuoKurachi,GustavoRegadas,Francisco Sérgio PinheiroRegadas,Sthela Maria MuradLima,Doryane Maria dos Reiseng2019-09-26T00:00:00Zoai:scielo:S2237-93632019000300191Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2019-09-26T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false |
dc.title.none.fl_str_mv |
Standardization of endometriosis surgery - the coloproctologist's vision |
title |
Standardization of endometriosis surgery - the coloproctologist's vision |
spellingShingle |
Standardization of endometriosis surgery - the coloproctologist's vision Lara,Barbara Pereira Endometriosis Ultrasonography Laparoscopy Colorectal surgery |
title_short |
Standardization of endometriosis surgery - the coloproctologist's vision |
title_full |
Standardization of endometriosis surgery - the coloproctologist's vision |
title_fullStr |
Standardization of endometriosis surgery - the coloproctologist's vision |
title_full_unstemmed |
Standardization of endometriosis surgery - the coloproctologist's vision |
title_sort |
Standardization of endometriosis surgery - the coloproctologist's vision |
author |
Lara,Barbara Pereira |
author_facet |
Lara,Barbara Pereira Ebrahim,Karina Correa Sagae,Univaldo Etsuo Kurachi,Gustavo Regadas,Francisco Sérgio Pinheiro Regadas,Sthela Maria Murad Lima,Doryane Maria dos Reis |
author_role |
author |
author2 |
Ebrahim,Karina Correa Sagae,Univaldo Etsuo Kurachi,Gustavo Regadas,Francisco Sérgio Pinheiro Regadas,Sthela Maria Murad Lima,Doryane Maria dos Reis |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Lara,Barbara Pereira Ebrahim,Karina Correa Sagae,Univaldo Etsuo Kurachi,Gustavo Regadas,Francisco Sérgio Pinheiro Regadas,Sthela Maria Murad Lima,Doryane Maria dos Reis |
dc.subject.por.fl_str_mv |
Endometriosis Ultrasonography Laparoscopy Colorectal surgery |
topic |
Endometriosis Ultrasonography Laparoscopy Colorectal surgery |
description |
ABSTRACT Objective: To demonstrate the standardization of deep endometriosis surgery with intestinal involvement. Methods: Prospective study evaluating 74 women undergoing standardized surgery for deep intestinal endometriosis. Divided into two groups, according to the findings of three-dimensional anorectal ultrasound, Group I with lesions affecting perirectal fat and Group II with lesions affecting at least the muscular layer of the rectum. Results: There was no statistically significant difference between the groups in relation to the size of the focus and the distance of the lesion to the puborectalis muscle (p > 0.05). The type of surgery performed was laparoscopy without lesions in one patient (1.35%), disk resection in 13 patients (17.56%), shaving in 45 patients (60.81%), and rectosigmoidectomy in 15 patients (20.27%). The complications were bleeding from the drain with conservative treatment in three patients (4.05%), fistula in two patients submitted to the shaving method (2.70%), and three patients (4.05%) with lower anterior recession syndrome (LARS), with improvement from conservative treatment. Lesions in other organs were also observed during videolaparoscopy. Conclusion: Surgical standardization is important to guide the general/colorectal surgeon in the effective approach of intestinal endometriosis. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632019000300191 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632019000300191 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jcol.2019.02.003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
dc.source.none.fl_str_mv |
Journal of Coloproctology (Rio de Janeiro) v.39 n.3 2019 reponame:Journal of Coloproctology (Rio de Janeiro. Online) instname:Sociedade Brasileira de Coloproctologia (SBCP) instacron:SBCP |
instname_str |
Sociedade Brasileira de Coloproctologia (SBCP) |
instacron_str |
SBCP |
institution |
SBCP |
reponame_str |
Journal of Coloproctology (Rio de Janeiro. Online) |
collection |
Journal of Coloproctology (Rio de Janeiro. Online) |
repository.name.fl_str_mv |
Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP) |
repository.mail.fl_str_mv |
||sbcp@sbcp.org.br |
_version_ |
1752126478670102528 |