{"paper_id":"26070347-7c41-468f-ba9c-68dfa964dab0","body_text":"International Global Surgery Symposium 2025, Grenada\nABSTRACT FIRST PRESENTED: 29.08.2025\nEarly Hysterectomy in Patients with Endometriosis\nBeatriz S. Meneses , Sol M. Sosa, Milena A.S. Zaramello, Lucas G. Rolin, Ada A.S. Silva, Vanessa M.B. da Paz, Paulo H.Q. MairinsUniversidad María Auxiliadora, Mariano Roque Alonso, Paraguay\nIntroduction: Endometriosis affects between 5% and 10% of women of reproductive age. Despite its high prevalence, diagnosis is often delayed, leading to radical surgical interventions such as early hysterectomy. This approach, frequently avoidable, results in definitive loss of fertility and significantly impacts the physical, emotional, and social health of affected patients. Objective: To investigate the early indication of hysterectomy in patients with endometriosis. Methods: A systematic review was conducted using the PubMed and ScienceDirect databases, applying the descriptors “early hysterectomy,” “endometriosis,” and “late diagnosis.” Full-text articles published between 2020 and 2025 were included. Results: Studies indicate that between 12% and 18% of women undergoing hysterectomy before the age of 40 had endometriosis as a primary or secondary indication. Additionally, it is estimated that approximately 30% to 50% of these cases could have been initially managed with clinical or conservative surgical alternatives. Discussion: Although radical hysterectomy remains effective in oncological contexts, its early indication for endometriosis raises significant ethical, reproductive, and psychosocial concerns. Beyond the irreversible loss of fertility, affected patients face increased risks of anxiety, depression, low self-esteem, and impaired interpersonal relationships. Evidence suggests that personalized management and timely detection of endometriosis could substantially reduce these consequences, preserving patients’ quality of life and personal life plans. Conclusion: Strengthening health education policies, training healthcare professionals for early recognition of endometriosis, and investing in research are essential to reduce unnecessary radical interventions. Prioritizing early diagnosis and less invasive approaches contributes to a more humanized, patient-centered care model focused on quality of life.\nKeywords: Endometriosis, early hysterectomy, late diagnosis, women’s health.\nSurgery Without Surgeons: Equity and Access in Sudan’s Health System\nArtificial Intelligence to Improve Maternal Health in Low-Resource Settings\nKnowledge, Resources, and Barriers in Surgical Data Collection in Ethiopia\nBrain Donation and Banking in Africa: Curent Evidance, Challenges, and Future Directions\nCatastrophic Health Expenditure from Surgery in Ethiopia: A National Assessment of Financial Risk\nRobotic-Assisted Cardiothoracic Surgery: Advancements, Challenges, and Global Disparities in Care\nEMPOWEReD: A Scalable Educational Model Addressing Non-Technical Skills for Global Surgery\nGlobal Surgical Rotations and Exposure for Medical Students in Grenada\nOutcomes of Popliteal Artery Injury – Our Level 1 Trauma Center Experience from Pakistan\nSurgical Desertification: A New Index to Prioritize Trauma System Investments Globally\nStrengthening Surgical Systems Through National Plans: Lessons from NSOAP Implementation in LMICs\nPNCS and NICCA Impact on Women’s Cancer Care: A Health Policy Lens on Equity and Access in LMICs\nDying with Dignity: Expanding Palliative Care Access for Neuro-Oncology Patients in Africa.\nImpact of Screening Programs on Access to Oncological Surgery\nEarly Hysterectomy in Patients with Endometriosis","source_license":"CC0","license_restricted":false}