Introduction: Absolute uterine factor infertility (AUFI) may have uterine transplantation (UT) as a therapeutic approach. The practical application faces challenges associated with the complexity of the procedure, ethical concepts and anatomical difficulties. Objective: To discuss the effectiveness and challenges of UT as a safe surgical treatment for uterine infertility in women of childbearing age. Methodology: Bibliographic review carried out based on searches in the PubMed and SciELO databases, of which 12 studies were considered to compose the collection after applying inclusion and exclusion criteria. Review: The choice of a living or deceased donor must undergo a thorough screening in terms of anamnesis, laboratory and anatomy. Postoperative complications, psychological factors and complications related to fetal development may occur. Regarding the success of the procedure, it was observed that UT from living donors obtained better results than those from deceased donors and most complications are due to vascular causes. Final Considerations: UT is an innovative therapeutic option, however, it is still considered an experimental procedure with positive results for future research.
Goal: To identify, through a bibliographical review, the benefits of robotic herniorrhaphy compared to conventional techniques, in adult patients with inguinal hernia and its impacts in the postoperative period. Methods: Bibliographic review carried out between October and November 2022, through searches in the SciELO and PubMed databases, 13 studies being included after the inclusion and exclusion criteria. Review: The minimally invasive approach to laparoscopic inguinal repair, as well as robotics, proposes an estimable clinical benefit in view of the reduction of costs and the risk of polypharmacy, although there is an increase in cost and surgical time. Laparoscopic and robotic correction did not show significant differences. However, robotic surgery had a longer operative time than the laparoscopic technique and there was no difference in recurrence when comparing the three techniques. For the postoperative period, there was no significant difference between the laparoscopic and robotic techniques regarding the correction of unilateral inguinal hernia. Recovery is better with robotic correction compared to open surgery because it is minimally invasive. Final considerations: Robotic inguinal hernia repair surgery and its benefits compared to conventional surgery for adults must be better understood. The surgical management of inguinal hernia is still evolving and the results of the technique must be further investigated in the long term.
Goal: Dissertation about the effective indications for massive transfusion in patients with severe trauma. Method: Literature review prepared between October and November 2022, through a search in the Scielo and Pubmed databases with the descriptors "massive transfusion", "blood Component transfusion", "protocol" and "indications". 5353 articles were found and, after the inclusion and exclusion criteria, 13 studies were selected. Review: Hemorrhage is a preeminent cause of possibly preventable mortality in cases of trauma and in many cases requires massive transfusions (MT). Thus, in clinical practice it is mainly based on guidelines that determine different TM protocols (MTP). After the appreciation of an abundance of clinical parameters of the patient, one can opt for the massive transfusion that must be performed in a period of 24 hours. Conclusion: The lack of research that standardizes parameters for massive transfusions leads teams to evaluate different clinical standards based on different emergency services.
Introduction: Biliary endoscopic sphincterotomy (EST) is a procedure that widens the sphincter of oddi, located in the ampulla of Vater, whose intention is to prevent pancreatic complications in patients unsuitable for cholecystectomy. Objective: To investigate the scientific evidence regarding surgical treatment involving EST in patients with choledocholithiasis, seeking to assess the association of this procedure with the complication of acute pancreatitis in relation to other techniques. Method: Literature review study, between October and November 2022, through the PubMed and Scielo databases, with a total of 13 articles selected after applying criteria. Review: The procedure is characterized by having a resolving and minimally invasive tendency in patients with potential risks of invasive procedures. The presence of hemodynamic instability are obstacles that contraindicate the performance of this surgery. EST has been shown to reduce the risk of recurrence of biliary pancreatitis and has good effectiveness compared to other techniques. Final considerations: EST has the potential to reduce the risk of recurrence of biliary pancreatitis in patients who are not candidates for cholecystectomy.
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