| Autor: |
Andres, MP, Casagranda de Camargo, P, Orlandi, CC, Silva, MP, Ferreira, AC, Azevedo, RR, Abrão, MS |
| Zdroj: |
Journal of Minimally Invasive Gynecology; 2024 Supplement, Vol. 31 Issue 11, pS152-S153, 2p |
| Abstrakt: |
To assess surgical outcomes by type of laparoscopic endometriosis surgery. Cross-sectional. A Tertiary hospital in São Paulo. 100 women with endometriosis between 2022 and 2023. laparoscopic endometriosis surgery during the National Training Program for endometriosis. Data regarding the type of endometriosis surgery (simple and complex), demographics, and AAGL Staging were collected using the Redcap program. Chi-square tests, Fisher's Exact test, Mann-Whitney test, or Spearman correlation were applied, depending on the type of variable. Of the surgical procedures, 38% were for simple endometriosis and 62% for complex endometriosis with bowel involvement. The mean age of included women was 38.5 years (SD=5.7), ranging from 24.9 to 49.6 years old. Demographic variables, comorbidities, and number of pregnancies adjusted by age did not show statistically significant differences between surgical types (p>0.050). Among women who underwent complex surgery, 20% reported previous endometriosis surgery compared to 7.9% in the simple group (p=0.105). In the simple endometriosis group, most (50%) were Stage 1 and in complex group most (74.2%) were Stage 4 (p<0.001). The length of hospital stay was shorter (p<0.001) in women who underwent simple surgery [2 (1-4) days), compared to those undergoing complex surgery [4 (1-29) days]. Eighteen postoperative complications were reported, being 8 minor (3 in the simple group and 5 in the complex group; p=0.762) and 10 major (0 in the simple group and 10 in the complex group; p=0.01176). Re-operations due to rectovaginal fistula or anastomotic dehiscence were observed in 4% of cases, all from the complex endometriosis group (5.9% versus 0%). The Endometriosis Training Program presented surgical outcomes similar to those reported in the literature. The group undergoing complex endometriosis surgery had higher AAGL staging and a higher rate of severe complications compared to simple endometriosis surgeries. [ABSTRACT FROM AUTHOR] |
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