Standardization of endometriosis surgery - the coloproctologist's vision

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.

Bibliographic Details

Main Authors:	Lara,Barbara Pereira, Ebrahim,Karina Correa, Sagae,Univaldo Etsuo, Kurachi,Gustavo, Regadas,Francisco Sérgio Pinheiro, Regadas,Sthela Maria Murad, Lima,Doryane Maria dos Reis
Format:	Digital revista
Language:	English
Published:	Sociedade Brasileira de Coloproctologia 2019
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632019000300191
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