surgical stomas Archives - Revista Brasileira de Ginecologia e Obstetrícia

  • Original Article01-23-2022

    Postoperative Complications and Stoma Rates After Laparoscopic Resection of Deep Infiltrating Endometriosis with Bowel Involvement

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(11):1040-1046

    Abstract

    Original Article

    Postoperative Complications and Stoma Rates After Laparoscopic Resection of Deep Infiltrating Endometriosis with Bowel Involvement

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(11):1040-1046

    DOI 10.1055/s-0042-1756212

    Views140

    Abstract

    Objective

    The purpose was to assess the rates of postoperative complications and the need of temporary stoma of laparoscopic surgical treatment for bowel endometriosis in a referral center.

    Methods

    The surgical indication, type of operation, operative time, length of hospital stay, need for a temporary stoma, rate of conversion to open surgery, postoperative complications were evaluated.

    Results

    One-hundred and fifty patients were included. The average duration of surgery was significantly longer for segmental resection (151 minutes) than for disc excision (111.5 minutes, p < 0.001) and shaving (96.8 minutes, p < 0.001). Patients with segmental resection had longer postoperative lengths of hospital stay (1.87 days) compared with patients with disc excision (1.43 days, p < 0.001) and shaving (1.03 days, p < 0.001). A temporary stoma was performed in 2.7% of patients. Grade II and III postoperative complications occurred in 6.7% and 4.7% patients, respectively.

    Conclusion

    Laparoscopic intestinal resection has an acceptable postoperative complication rate and a low need for a temporary stoma.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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