Mapeamento Pélvico: a importância da monitorização de estruturas do sistema nervoso no contexto da endometriose profunda intestinal

Deep infiltrative endometriosis (PPE) is defined as the presence of stroma and endometrial glands outside the uterine cavity, requiring a surgical approach in some cases. In this context, pelvic neuromonitoring has been used in surgeries for the treatment of EPI, in addition to being suitable for various surgical procedures. Objectives: The present study aims to describe the importance of monitoring nervous system structures in endometriosis. Methods: This is a literature review based on scientific articles indexed in SCIELO, Pubmed and VHL published between 2015 and 2022. Results: Pelvic neuromonitoring enables intraoperative control of nerve functions and can thus reduce the occurrence of damage and contribute significantly to maintain the quality of life of patients. In the small pelvis, the structures of the autonomic nervous system are complex and sometimes difficult to differentiate, which makes pelvic mapping very important in this area. The system is available for use in open surgery, laparoscopic and robotic surgery. Conclusion: Therefore, neuromonitoring has become a great ally in current pelvic surgeries in which it is desired to save the autonomic neural function, as complications, making the procedure more peaceful and safer.

Augusto, K. L. (2019). As repercussões do tratamento cirúrgico laparoscópico das mulheres com endometriose profunda na qualidade de vida, na depressão e na função sexual. Ávila, K. S., da Silva Schreider, J. L., Rocha, L. S., Nolasco, M. S., Mascarenhas, A. L., Rezende, G. G., & Neto, J. A. C. (2022). Neuromonitoramento e prevenção de lesão nervosa na tireoidectomia: uma revisão sistemática. Brazilian Journal of Health Review, 5(3), 10875-10900. Casarin, S. T., Porto, A. R., Gabatz, R. I. B., Bonow, C. A., Ribeiro, J. P., & Mota, M. S. (2020). Tipos de revisão de literatura: considerações das editoras do Journal of Nursing and Health/Types of literature review: considerations of the editors of the Journal of Nursing and Health. Journal of Nursing and Health, 10(5). Carvalho, A. P., & do Carmo, O. (2019). Endometriosis and sexual dysfunction Endometriose e disfunção sexual. Acta Obstet Ginecol Port, 13(4), 228-234. de Matos Verraest, X. P. (2018). Novas abordagens cirúrgicas no diagnóstico e tratamento da endometriose. Erdem, S., Imboden, S., Papadia, A., Lanz, S., Mueller, M. D., Gloor, B., & Worni, M. (2018). Functional outcomes after rectal resection for deep infiltrating pelvic endometriosis: long-term results. Diseases of the Colon & Rectum, 61(6), 733-742. Federação Brasileira das Associações de Ginecologia e Obstetrícia (FEBRASGO); 2018. (Protocolo FEBRASGO - Ginecologia, no. 32/ Comissão Nacional Especializada em Endometriose). Grade, M., Beham, A. W., Schüler, P., Kneist, W., & Ghadimi, B. M. (2016). Pelvic intraoperative neuromonitoring during robotic-assisted low anterior resection for rectal cancer. Journal of Robotic Surgery, 10(2), 157-160. Gomes, N. A., & Alves, K. (2018). A ressonância magnética no diagnóstico de endometriose profunda com acometimento intestinal: relato de caso. UNILUS Ensino e Pesquisa, 15(38), 25-39. Heid, F., Kauff, D. W., Lang, H., & Kneist, W. (2015). Impact of inhalation vs. intravenous anaesthesia on autonomic nerves and internal anal sphincter tone. Acta Anaesthesiologica Scandinavica, 59(9), 1119-1125. Kauff, D. W., Kempski, O., Koch, K. P., Huppert, S., Hoffmann, K. P., Lang, H., & Kneist, W. (2012). Continuous intraoperative monitoring of autonomic nerves during low anterior rectal resection: an innovative approach for observation of functional nerve integrity in pelvic surgery. Langenbeck's archives of surgery, 397(5), 787-792. Kauff, D. W., Koch, K. P., Somerlik, K. H., Hoffmann, K. P., Lang, H., & Kneist, W. (2013). Evaluation of two-dimensional intraoperative neuromonitoring for predicting urinary and anorectal function after rectal cancer surgery. International journal of colorectal disease, 28(5), 659-664. Kneist, W., Kauff, D. W., Rubenwolf, P., Thomas, C., Hampel, C., & Lang, H. (2013). Intraoperative monitoring of bladder and internal anal sphincter innervation: a predictor of erectile function following low anterior rectal resection for rectal cancer? Results of a prospective clinical study. Digestive Surgery, 30(4-6), 459-465. Kneist, W., Kauff, D. W., & Lang, H. (2014). Laparoscopic neuromapping in pelvic surgery: scopes of application. Surgical innovation, 21(2), 213-220. Proetti, S. (2018). As pesquisas qualitativa e quantitativa como métodos de investigação científica: Um estudo comparativo e objetivo. Revista Lumen-ISSN: 2447-8717, 2(4). Rocha, A. M., ALBUQUERQUE, M. M. D., SCHMIDT, E. M., FREITAS, C. D., Farias, J. P., & Bedin, F. (2018). Impacto tardio do tratamento laparoscópico da endometriose profunda infiltrativa com ressecção segmentar colorretal. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), 31. Souza, M. T. D., Silva, M. D. D., & Carvalho, R. D. (2010). Revisão integrativa: o que é e como fazer. Einstein (São Paulo), 8, 102-106. Tsarkov, P. V., Kochetkov, V. S., Efetov, S. K., Kitsenko, Y. E., & Stamov, V. I. (2019). Intraoperative neuromonitoring of pelvic autonomic nerves during surgigal treatment of colorectal cancer: a review of the literature and the initial experience of our clinic. Siberian journal of oncology, 18(2), 58-64. Uccella, S., Gisone, B., Serati, M., Biasoli, S., Marconi, N., Angeretti, G., ... & Ghezzi, F. (2018). Functional outcomes of nerve-sparing laparoscopic eradication of deep infiltrating endometriosis: a prospective analysis using validated questionnaires. Archives of Gynecology and Obstetrics, 298(3), 639-647. Vignali, M., Bianchi, S., Candiani, M., Spadaccini, G., Oggioni, G., & Busacca, M. (2005). Surgical treatment of deep endometriosis and risk of recurrence. Journal of minimally invasive gynecology, 12(6), 508-513. Vizotto, M. P., & Gomes, D. A. Y. (2018). Tratamento cirúrgico na endometriose profunda: complicações e recorrência. Revista dos Trabalhos de Iniciação Científica da UNICAMP, (26). Downloads Published Issue Section License Copyright (c) 2022 Carolina Bandeira Domiciano; Aníbal Costa Filho; Geraldo Camilo Neto; Daniel Hortiz de Carvalho Nobre Felipe; Ana Cecília Maia; Deborah Cristina Nascimento de Oliveira; Ana Lívia Gadelha Xavier da Nóbrega Pereira; Beatriz Gadelha e Xavier; Bianca Vasconcelos Braga Cavalcante This work is licensed under a Creative Commons Attribution 4.0 International License. Authors who publish with this journal agree to the following terms: 1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. 2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal. 3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.