Changes in hospital consumption of opioid and non-opioid analgesics after colorectal endometriosis surgery

Crestani, Adrien; Bibaoune, Amine; Le Gac, Marjolaine; Dabi, Yohann; Kolanska, Kamila; Ferrier, Clément; Bendifallah, Sofiane; Touboul, Cyril; Darai, Emile

doi:10.1007/s11701-023-01691-y

Cited by 3 publications

(3 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The perioperative outcomes of our study revealed that there was no difference in blood loss or operative time between patients treated with RAL and those treated with CL; this finding coincides with what was reported by different researchers [21,26,31] [27,28,30,[32][33][34]]. An analysis of retrospective studies reported in recent years indicated a minimum operative time for RAL of 106 min [21] and the longest of 250 min [28], while for CL, the minimum time reported was 76 min [33], and the longest was 225 min [31].…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

“…In our study, we evaluated patients with ENZIAN classification grades 1 to 3, which indicates deep endometriosis, unlike many reports carried out in the United States and European countries that used the American Society for Reproductive Medicine classification (rASRM score) [ 24 , 26 , 27 , 28 ]. In this sense, Keckstein and Hudelist proposed that the rASRM score has greater clinical acceptance and is more useful in cases of infertility secondary to endometriosis, while the ENZIAN classification has greater usefulness in deep endometriosis and a greater relationship with complication rates [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Efficacy between Conventional Laparoscopy and Robotic Surgery in Mexican Patients with Endometriosis: A Comparative Study

Bandala,

Cifuentes-Chacón,

Cortes-Vázquez

et al. 2024

JCM

View full text Add to dashboard Cite

Background. Surgical management of endometriosis is essential, and deep endometriosis involves the invasion of endometrial tissue into other organs such as the bladder, ureters, and rectum. In Latin American countries, significant expertise has been achieved in conventional laparoscopy (CL); however, there is less experience in robot-assisted laparoscopy (RAL) because of the high cost of this technique. For this reason, studies comparing CL and RAL for the treatment of deep endometriosis in patients are scarce, making this study the first to share the experience of Mexican patients. Aim. The efficacy of CL vs. RAL in the management of deep endometriosis in Mexican patients was compared. Materials and Methods. We performed a retrospective and comparative study. We considered all patients treated with minimally invasive surgery for deep endometriosis between 2015 and 2023. Results. A total of 93 patients were included; 56 patients were treated with CL, and 37 patients were treated with RAL. A significant difference (p < 0.05) was observed in the postoperative length of stay, which was longer in patients treated with CL compared with those treated with RAL. Additionally, postoperative pain was less frequent in patients treated with RAL than in those treated with CL (p < 0.05). We did not observe a significant difference in operative time, blood loss, or perioperative complications between the two surgical techniques (p < 0.05). Conclusions. CL and RAL are effective methods for managing endometriosis in Mexican patients; however, RAL is beneficial for the treatment of deep endometriosis because patients experience postoperative pain less frequently than CL patients and have a shorter postoperative length of stay.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy between Conventional Laparoscopy and Robotic Surgery in Mexican Patients with Endometriosis: A Comparative Study

Bandala,

Cifuentes-Chacón,

Cortes-Vázquez

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

Outcomes of discoid excision and segmental resection for colorectal endometriosis: robotic versus conventional laparoscopy

Crestani,

Le Gac,

de Labrouhe

et al. 2024

J Robotic Surg

View full text Add to dashboard Cite

Is It the Best Option? Robotic Surgery for Endometriosis

Lee,

Kim

2024

Life

View full text Add to dashboard Cite

Endometriosis is a chronic condition affecting approximately 10% of women of reproductive age, leading to significant physical and emotional stress. Treatments include medical management and surgical interventions, with laparoscopic surgery being the gold standard for removing endometrial tissue. The advent of robotic-assisted laparoscopic surgery (RALS) has enabled more complex procedures to be performed minimally invasively, increasing its use in high-difficulty surgeries. Developed in the late 20th century, systems like the Da Vinci Surgical System have revolutionized surgery by enhancing precision, dexterity, and visualization. The latest models, including the Da Vinci Xi and SP, offer advanced features such as enhanced arm mobility, fluorescence imaging, and single-port capabilities. Comparative studies of RALS and conventional laparoscopy (LPS) for endometriosis show mixed results. While some studies indicate no significant differences in complications or recovery outcomes, others highlight longer operative times and hospital stays for RALS. Despite these drawbacks, RALS is not inferior to LPS overall. The clinical benefits of RALS include greater precision and accuracy, reduced surgeon fatigue, and a faster learning curve, facilitated by advanced ergonomic and control systems. However, the high costs and extensive infrastructure requirements limit the accessibility and availability of robotic surgery, particularly in smaller or rural hospitals. The absence of tactile feedback remains a challenge, though upcoming advancements aim to address this. Continued research and development are essential to make robotic surgery more cost-effective and broadly accessible, ensuring its benefits can reach a wider patient population. This abstract encapsulates the key aspects of robotic surgery’s development, comparative studies with conventional methods, and its clinical benefits and limitations, highlighting the need for ongoing improvements and research.

show abstract

Changes in hospital consumption of opioid and non-opioid analgesics after colorectal endometriosis surgery

Abstract: BackgroundThe aim of this study was to analyze postoperative consumption of analgesics during hospitalization following colorectal surgery for endometriosis.

Cited by 3 publications

References 34 publications

Efficacy between Conventional Laparoscopy and Robotic Surgery in Mexican Patients with Endometriosis: A Comparative Study

Efficacy between Conventional Laparoscopy and Robotic Surgery in Mexican Patients with Endometriosis: A Comparative Study

Outcomes of discoid excision and segmental resection for colorectal endometriosis: robotic versus conventional laparoscopy

Is It the Best Option? Robotic Surgery for Endometriosis

Contact Info

Product

Resources

About