Endometriosis is characterized by the presence of stroma and endometrial glands in extrauterine sites, which can compromise several sites. The definitive diagnosis of endometriosis is through laparotomy or laparoscopy. The objective of the present work is to analyze and evaluate the importance of laparoscopic treatment of endometriosis in the last 5 years. The present study is a systematic review of the literature, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) methodology. Of the 386 articles found, only 14 were included. The articles used show that the use of videolaparoscopy in the treatment of endometriosis is effective and has its advantages, but with some complications. One of the main factors is the delay in indicating laparoscopy, which can lead to late diagnosis and impairment of the reproductive future of these women. Resumo:A endometriose é caracterizada pela presença de estroma e glândulas endometriais em locais extrauterinos, podendo comprometer diversos locais. O diagnóstico definitivo da endometriose é por meio da realização de laparotomia ou laparoscopia. O objetivo do presente trabalho é analisar e avaliar a importância do tratamento videolaparoscópico da endometriose nos últimos 5 anos. O presente estudo trata-se de uma revisão sistemática da literatura, conforme a metodologia Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Dos 386 artigos encontrados, apenas 14 foram incluídos. Os artigos utilizados mostram que o uso de videolaparoscopia no tratamento de endometriose é eficaz e tem suas vantagens, porém algumas complicações. Um dos principais fatores é a demora na indicação da videolaparoscopia pode levar ao diagnóstico tardio e ao comprometimento do futuro reprodutivo dessas mulheres.Descritores: Vantagens, Laparoscopia, videolaparoscopia e endometriose.
Acute appendicitis is one of the most common surgical emergencies. It may have complications such as abscess, rupture, phlegmon. It affects more men. The diagnosis is eminently clinical and complementary exams may be used for doubtful or complicated cases. Abdominal computed tomography is the main complementary exam. As for treatment, there are three approaches, the first conservative with antibiotics; the second, which consists of appendectomy; and the third, which consists of initial conservative treatment, the second with interval appendectomy. Laparoscopic appendectomy has stood out with greater emphasis on treating complicated appendicitis due to better postoperative outcomes and lower complication rate.
Acute cholecystitis is one of the main causes of medical care in emergencies around the world. It is defined as inflammation of the gallbladder caused mainly by obstruction of the cystic duct by stones. In a small number of patients, the inflammatory process can develop in the absence of stones, receiving the name of alitiásic cholecystitis, having a faster evolution and often evolving with perforation. Acute alitiásic cholecystitis (AAC) corresponds to 15% of cases of acute cholecystitis and mainly affects patients in severe condition and with comorbidities. Its pathophysiology is still little known, but ischemia and stasis are identified as the main causes. Its high mortality is related to biliary peritonitis due to coleperitoneum. A patient admitted to the emergency department of Hospital Regional do Cariri with acute inflammatory abdomen was diagnosed with coleperitoneum, due to AAC complication, and underwent urgent laparoscopic cholecystectomy, with good clinical evolution in the postoperative period and early return to his activities.
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