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J Minim Invasive Gynecol ; 21(6): 1095-102, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24858985

RESUMO

The objective of this retrospective study was to evaluate the feasibility of natural orifice specimen extraction (NOSE) techniques in 41 patients undergoing bowel resection for treatment of deep infiltrating endometriosis. In all patients laparoscopic treatment of rectovaginal endometriosis with bowel resection had been performed. In 32 patients the classic approach was adopted (group 1), and in 9 a NOSE technique was performed (group 2). Demographic, operative, and postoperative data were compared. Statistical analyses were performed using SPSS software, version 16.0. When needed, qualitative variables were compared using the χ(2) test or the Fisher exact test. Quantitative variables using the t-test were used. The threshold of statistical significance was set at p = .05. No statistically significant difference was observed between the 2 groups. Eight complications (19.5%) were observed, 2 minor (4.8%) and 6 major (14.6%). Of major complications, 2 were observed in the NOSE group (n = 2; 22.2%). It was concluded that the NOSE technique is a feasible approach in patients undergoing bowel resection for treatment of deep infiltrating endometriosis.


Assuntos
Endometriose/cirurgia , Enteropatias/cirurgia , Laparoscopia , Cirurgia Endoscópica por Orifício Natural/métodos , Reto/cirurgia , Doenças Vaginais/cirurgia , Adulto , Anastomose Cirúrgica/efeitos adversos , Anastomose Cirúrgica/métodos , Endometriose/patologia , Estudos de Viabilidade , Feminino , Humanos , Enteropatias/patologia , Laparoscopia/efeitos adversos , Laparoscopia/métodos , Pessoa de Meia-Idade , Cirurgia Endoscópica por Orifício Natural/efeitos adversos , Complicações Pós-Operatórias , Reto/patologia , Estudos Retrospectivos , Doenças Vaginais/patologia , Adulto Jovem
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