Peritonectomy in the treatment of deep endometriosis – Current evidence in integrative review
DOI:
https://doi.org/10.55892/jrg.v8i19.2604Keywords:
Endometriosis, Treatment, PeritonectomyAbstract
The general objective of this study is to present a literature review, using the most up-to-date databases, on the impact of abdominal surgery on the treatment of endometriosis. It discusses the most effective techniques, technologies, and approaches, and presents their benefits and risks in association with the prognosis of patients with this condition. A search was conducted in the PubMed, SciELO, Uptodate, and Lilacs databases for articles in Portuguese or English, updated in the last 10 years. A total of 327 articles were found, and 25 articles were selected based on criteria such as publication year after 2015 and articles focusing on surgical treatment. Case reports, duplicate articles, and patients with less than 200 were excluded from the selection to ensure better scientific evidence. Endometriosis is a chronic and progressive gynecological disease defined by the presence of endometrial tissue outside the uterine cavity. It can infiltrate nearby organs, such as the vagina, or more distant organs—less frequently—such as the liver and pleura, with varying symptoms depending on the site of implantation. Laparoscopy is considered the primary therapeutic approach for endometriosis. Extensive non-oncologic en bloc peritonectomy of the posterior pelvic compartment appears to halt the development and maintenance of endometriosis in patients with lesions associated with neurogenic inflammation. With combined treatment, 75% of patients achieved improvement or cure of symptoms. Therefore, combined treatment reflects the multifactorial complexity of the disease and should be considered in multidisciplinary management.
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