Postoperative Complications and Stoma Rates After Laparoscopic Resection of Deep Infiltrating Endometriosis with Bowel Involvement

Abstract Objective The purpose was to assess the rates of postoperative complications and the need of temporary stoma of laparoscopic surgical treatment for bowel endometriosis in a referral center. Methods The surgical indication, type of operation, operative time, length of hospital stay, need f...

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Main Authors: Rogério Serafim Parra, Fernando Passador Valério, José Vitor Cabral Zanardi, Marley Ribeiro Feitosa, Hugo Parra Camargo, Omar Féres
Format: Article
Language:English
Published: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia 2023-01-01
Series:Revista Brasileira de Ginecologia e Obstetrícia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001101040&lng=en&tlng=en
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author Rogério Serafim Parra
Fernando Passador Valério
José Vitor Cabral Zanardi
Marley Ribeiro Feitosa
Hugo Parra Camargo
Omar Féres
author_facet Rogério Serafim Parra
Fernando Passador Valério
José Vitor Cabral Zanardi
Marley Ribeiro Feitosa
Hugo Parra Camargo
Omar Féres
author_sort Rogério Serafim Parra
collection DOAJ
description Abstract Objective The purpose was to assess the rates of postoperative complications and the need of temporary stoma of laparoscopic surgical treatment for bowel endometriosis in a referral center. Methods The surgical indication, type of operation, operative time, length of hospital stay, need for a temporary stoma, rate of conversion to open surgery, postoperative complications were evaluated. Results One-hundred and fifty patients were included. The average duration of surgery was significantly longer for segmental resection (151 minutes) than for disc excision (111.5 minutes, p < 0.001) and shaving (96.8 minutes, p < 0.001). Patients with segmental resection had longer postoperative lengths of hospital stay (1.87 days) compared with patients with disc excision (1.43 days, p < 0.001) and shaving (1.03 days, p < 0.001). A temporary stoma was performed in 2.7% of patients. Grade II and III postoperative complications occurred in 6.7% and 4.7% patients, respectively. Conclusion Laparoscopic intestinal resection has an acceptable postoperative complication rate and a low need for a temporary stoma.
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spelling doaj.art-74dfe699e7be47489f328c5876db21af2023-01-24T07:36:22ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032023-01-0144111040104610.1055/s-0042-1756212Postoperative Complications and Stoma Rates After Laparoscopic Resection of Deep Infiltrating Endometriosis with Bowel InvolvementRogério Serafim Parrahttps://orcid.org/0000-0002-5566-9284Fernando Passador Valériohttps://orcid.org/0000-0002-4049-0185José Vitor Cabral Zanardihttps://orcid.org/0000-0002-5733-0794Marley Ribeiro Feitosahttps://orcid.org/0000-0002-4440-2023Hugo Parra Camargohttps://orcid.org/0000-0001-7267-1880Omar Féreshttps://orcid.org/0000-0003-3593-0526Abstract Objective The purpose was to assess the rates of postoperative complications and the need of temporary stoma of laparoscopic surgical treatment for bowel endometriosis in a referral center. Methods The surgical indication, type of operation, operative time, length of hospital stay, need for a temporary stoma, rate of conversion to open surgery, postoperative complications were evaluated. Results One-hundred and fifty patients were included. The average duration of surgery was significantly longer for segmental resection (151 minutes) than for disc excision (111.5 minutes, p < 0.001) and shaving (96.8 minutes, p < 0.001). Patients with segmental resection had longer postoperative lengths of hospital stay (1.87 days) compared with patients with disc excision (1.43 days, p < 0.001) and shaving (1.03 days, p < 0.001). A temporary stoma was performed in 2.7% of patients. Grade II and III postoperative complications occurred in 6.7% and 4.7% patients, respectively. Conclusion Laparoscopic intestinal resection has an acceptable postoperative complication rate and a low need for a temporary stoma.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001101040&lng=en&tlng=encolorectal surgeryendometriosislaparoscopypostoperative complicationssurgical stomas
spellingShingle Rogério Serafim Parra
Fernando Passador Valério
José Vitor Cabral Zanardi
Marley Ribeiro Feitosa
Hugo Parra Camargo
Omar Féres
Postoperative Complications and Stoma Rates After Laparoscopic Resection of Deep Infiltrating Endometriosis with Bowel Involvement
Revista Brasileira de Ginecologia e Obstetrícia
colorectal surgery
endometriosis
laparoscopy
postoperative complications
surgical stomas
title Postoperative Complications and Stoma Rates After Laparoscopic Resection of Deep Infiltrating Endometriosis with Bowel Involvement
title_full Postoperative Complications and Stoma Rates After Laparoscopic Resection of Deep Infiltrating Endometriosis with Bowel Involvement
title_fullStr Postoperative Complications and Stoma Rates After Laparoscopic Resection of Deep Infiltrating Endometriosis with Bowel Involvement
title_full_unstemmed Postoperative Complications and Stoma Rates After Laparoscopic Resection of Deep Infiltrating Endometriosis with Bowel Involvement
title_short Postoperative Complications and Stoma Rates After Laparoscopic Resection of Deep Infiltrating Endometriosis with Bowel Involvement
title_sort postoperative complications and stoma rates after laparoscopic resection of deep infiltrating endometriosis with bowel involvement
topic colorectal surgery
endometriosis
laparoscopy
postoperative complications
surgical stomas
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022001101040&lng=en&tlng=en
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