Cirurgia Ambulatorial para Endometriose Profunda com Ressecção Intestinal: É Possível?

Carlos Ramon Silveira Mendes, M. A. M. Travessa
In: Journal of Coloproctology · 2021 · doi:10.1055/s-0041-1741827 · W4205633347
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This study demonstrates the feasibility of same-day discharge for patients undergoing outpatient surgery for deep endometriosis requiring intestinal resection.

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This prospective study described a specialized service’s experience with robotic deep endometriosis surgeries involving intestinal resection, focusing on the feasibility of discharging patients within 24 hours in January–October 2020. Thirty-one procedures were performed in patients with a mean age of 37.7 years, with 22/31 (71%) discharged before 24 hours and the remainder discharged after 24 hours due to early postoperative vomiting and pain. Among early discharges, one patient returned to the emergency department and was later readmitted with an anastomotic fistula requiring surgical management and ostomy, with a subsequent hospitalization. This paper is centrally about endometriosis — it evaluates ambulatory (≤24-hour) outcomes after robotic intestinal resection for deep endometriosis.

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Abstract

Objetivo Demonstrar experiência de cirurgia ambulatorial para endometriose profunda com alta em até 24 horas após ressecção intestinal
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Subscribe to RSS DOI: 10.1055/s-0041-1741827 Cirurgia Ambulatorial para Endometriose Profunda com Ressecção Intestinal: É Possível? Authors - Área: ENDOMETRIOSE - Data: 01/09/2021 - Horário: 11:00 às 13:30 Forma de Apresentação: Tema Livre Objetivo Demonstrar experiência de cirurgia ambulatorial para endometriose profunda com alta em até 24 horas após ressecção intestinal Método Estudo prospectivo e descrito da experiência de um serviço especializado no tratamento da endometriose profunda robótica com alta em até 24 horas no período de janeiro de 2020 a outubro de 2020. Resultados Foram realizados 31 procedimentos para tratamento da endometriose profunda com ressecção intestinal. A idade média das pacientes eram 37,7(27-47) anos. Dos pacientes operados 22 (71%) pacientes tiveram alta antes de 24 horas e ou outros 29% alta após 24 horas. O motivo da alta após 24 horas foi queixas de vômitos e dor nas primeiras horas impendido a alta hospitalar. Dos pacientes com alta precoce apenas uma paciente retornou à emergência sendo internada no 6 dia pós cirúrgico e com quadro de fistula da anastomose e necessidade de abordagem cirúrgica com confecção de ostomia ficando 6 dias internada nesse pós-cirúrgico Conclusões Podemos demonstrar que a cirurgia ambulatorial no tratamento da endometriose é possível viável e segura, oferecendo ao paciente uma alternativa de menor tempo de hospitalização nessa época de pandemia. Publication History Article published online: 04 January 2022 © 2022. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/) Thieme Revinter Publicações Ltda. Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

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