Manejo cirúrgico da endometriose: indicações, preparo da paciente e planejamento perioperatório Número 6 – 2026

Agnaldo Lopes da Silva Filho, Sergio Podgaec, Ricardo de Almeida Quintáiros, Júlio César Rosa e Silva
In: Femina · 2026 · vol. 54(4) , pp. 306–318 · doi:10.61622/0100-7254544202606 · W7163914268
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-11 ⓘ

Surgical treatment for endometriosis should be selective and individualized, indicated for significant symptoms or organ dysfunction, and guided by disease phenotype and patient goals rather than stage alone.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-11 ⓘ

This FEBRASGO position statement examines when surgical management of endometriosis is indicated, outlining patient preparation and perioperative planning, with the central emphasis that surgery should be selective and individualized rather than first-line. Drawing on clinical evidence, it highlights that decisions should be driven more by symptom burden, disease phenotype, quality-of-life impact, and reproductive goals than by formal disease stage, with more consistent surgical benefit noted for symptomatic ovarian endometriomas and deep infiltrating endometriosis with organ dysfunction. It states key caveats including limited benefit for mild symptoms or adequate response to medication, lack of curative effect with common recurrence, and the need to balance potential clinical gains against risks such as reduced ovarian reserve and long-term morbidity, especially in complex or fertility-preserving contexts. Relevance to endometriosis: this paper is centrally about endometriosis—its specific focus is FEBRASGO guidance on surgical indications, preoperative evaluation, and perioperative planning for women with endometriosis, and it also notes adenomyosis in the context of selected hysterectomy cases.

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