Use of radioguided surgery in abdominal wall endometriosis: An innovative approach

Vitral, Robert Willer Farinazzo; Salgado, Hakayna Calegaro; Rangel, João Matheus de Castro

doi:10.4103/wjnm.wjnm_47_17

Cited by 9 publications

(7 citation statements)

References 12 publications

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“…Farinazzo et al reported in 2018 the case of a 43-year-old patient with abdominal wall endometriosis, very symptomatic but not palpable. The use of ROLL in this case allowed rapid surgical identification of endometriotic lesion and its complete excision 14 . Manca et al 15 described in 2019 a peritoneal cytoreduction by ROLL, targeting 4 peritoneal metastasis and allowing proper identification of the recurrences.…”

Section: Discussionmentioning

confidence: 87%

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Radioguided Occult Lesion Localization for Gynecologic Tumor Relapses

Bebia

Mast²,

Villasboas-Rosciolesi

et al. 2023

Clin Nucl Med

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Purpose of the Report: Excision of peritoneal or nodal isolated recurrences frequently involves performing a surgery on a previously operated area, which is more difficult to achieve with minimally invasive approaches. Our aim was to describe the technical aspects, feasibility, and complications derived from the application of the radioguided occult lesions localization (ROLL) in gynecologic oncology recurrence excision. Patients and Methods: All consecutive patients bearing localized relapses of a gynecologic tumor that were considered candidates for surgical excision were assessed to undergo a ROLL procedure. Radiotracer ( 99m Tc-albumin macroaggregate) injection of the lesions was performed by ultrasonography or CT guidance. Relapses were localized using a gamma probe by minimally invasive surgery when located in the abdomen, or percutaneously when located in the groin. Intraoperative and early (up to postoperative day 30) complications were prospectively recorded. Results: A total of 8 patients underwent the procedure. The median age was 59 years (range, 35-87 years). Four patients had abdominal relapses, whereas 4 patients presented groin relapses. The mean operative time was 120 minutes (range, 30-190 minutes), whereas the median estimated blood loss was 5 mL (range, 0-150 mL). All the targeted lesions were successfully removed. No intraoperative complications were reported. One postoperative complication (inguinal lymphocele) was recorded. Conclusions: ROLL surgery constitutes a new approach for isolated recurrences in gynecological tumors.

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Section: Discussionmentioning

confidence: 87%

“…The use of ROLL in this case allowed rapid surgical identification of endometriotic lesion and its complete excision. 14 Manca et al 15 described in 2019 a peritoneal cytoreduction by ROLL, targeting 4 peritoneal metastasis and allowing proper identification of the recurrences.…”

Section: Results In the Context Of Published Literaturementioning

confidence: 99%

Radioguided Occult Lesion Localization for Gynecologic Tumor Relapses

Bebia

Mast²,

Villasboas-Rosciolesi

et al. 2023

Clin Nucl Med

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“…Sclerotherapy with ultrasound guided injection into the lesion and high intensity focused ultrasound ablation used preoperatively appear to reduce bleeding and limit the size of the resection and decrease the risk of recurrence. (19) Endometriosis has a 1% risk of malignancy. 80% of malignancies occur in the ovary and 20% in other locations (including the abdominal wall).…”

Section: Discussionmentioning

confidence: 99%

Intramuscular Abdominal Wall Endometriosis, an Unusual Finding for General Surgeon

Miheţiu

Bratu

Popescu

2021

Acta Medica Transilvanica

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Defined as the ectopic development of uterine tissue outside the uterine cavity, endometriosis is an increasingly common condition that can lead to various complications from chronic pain syndrome, infertility, obstruction due extrinsic compression to malignancy of endometriosis foci. Extrapelvic positioning of endometriosis is rare, diagnosis can be difficult both clinically and imaging, and treatment does not always ensure the absence of recurrences.

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“…Recientemente, Vitral, et al, 21 publicaron un reporte de caso de endometriosis de la pared abdominal no palpable clínicamente, en el que se realizó marcación prequirúrgica de la lesión mediante la técnica de ROLL TM (Radioguided Occult Lesion Localization) con el uso de tecnecio-99m, lográndose una resección de la lesión con adecuados márgenes.…”

Section: Discussionunclassified

Endometriosis de la pared abdominal: estudio descriptivo de una serie de 21 casos

et al. 2019

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Introducción. La endometriosis de la pared abdominal se define como la presencia de tejido endometrial en cualquiera de las capas que componen la pared abdominal. Su incidencia es baja y se caracteriza por un diagnóstico tardío. Materiales y métodos. Se trata de un estudio descriptivo y ambiespectivo entre 2010 y 2014 en pacientes con endometriosis de la pared abdominal, cuyo análisis patológico fue realizado en un centro de ayudas diagnósticas de Medellín. Se identificaron las variables histopatológicas del reporte, y la información clínica mediante una entrevista telefónica suministrada por la paciente. Se analizaron los datos con medidas descriptivas de resumen. Resultados. Participaron 21 de 65 pacientes con diagnóstico de endometriosis de la pared abdominal. La media de edad al momento del diagnóstico fue de 35,3 años (desviación estándar, DE=8), el 71,4 % tenía el antecedente de cesárea y, el 38,1 %, el de endometriosis pélvica. El 95,2 % de las pacientes manifestaron dolor, de las cuales el 50 % lo percibió como constante con agudización cíclica y, el 40 %, como cíclico; además, el 90,5 % manifestó sensación de masa. La mediana del tiempo desde la aparición de la lesión hasta el diagnóstico, fue de 24 meses (RIQ=6-60). Solo en cuatro pacientes se hizo el diagnóstico prequirúrgico. El tratamiento fue quirúrgico en todas las pacientes y ocho (38,1 %) presentaron recidiva. Conclusiones. La endometriosis de la pared abdominal usualmente se manifiesta como masas dolorosas asociadas con cicatrices quirúrgicas previas, generalmente de origen ginecológico y los síntomas empeoran con la menstruación. Es usual que su diagnóstico sea tardío y pocas veces se hace antes del estudio histopatológico. El tratamiento de elección es la resección quirúrgica, aunque no es despreciable el porcentaje de recidivas.

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Use of radioguided surgery in abdominal wall endometriosis: An innovative approach

Cited by 9 publications

References 12 publications

Radioguided Occult Lesion Localization for Gynecologic Tumor Relapses

Radioguided Occult Lesion Localization for Gynecologic Tumor Relapses

Intramuscular Abdominal Wall Endometriosis, an Unusual Finding for General Surgeon

Endometriosis de la pared abdominal: estudio descriptivo de una serie de 21 casos

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