Postoperative complications after deep bowel endometriosis surgery: is the surgical technique the only one to blame?

Parra, Rogério Serafim; Feitosa, Marley Ribeiro; Féres, Omar

doi:10.1007/s00404-020-05890-y

Cited by 2 publications

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“…6,9 Postoperative complications represent one of the greatest concerns for bowel surgeries, including leakage, fistulas, and severe peritonitis. 10 Another fear is whether the patients will need a temporary stoma. The aim of the present study was to assess the rates of postoperative complications and the need for temporary stoma in laparoscopic surgical treatment for bowel endometriosis at a single referral center and to compare them with the outcomes in the available literature.…”

Section: Introductionmentioning

confidence: 99%

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

Parra

Valério

Zanardi

et al. 2022

Rev Bras Ginecol Obstet

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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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Section: Introductionmentioning

confidence: 99%