Endometrioma de parede abdominal
Open accessAbstract
RACIONAL: A incidência exata da endometriose na população geral é desconhecida. A confirmação desta doença só é possível através da análise histopatológica de um fragmento obtido por algum procedimento invasivo, pois não existe até o momento, nenhum marcador clínico seguro. OBJETIVO: Relatar a experiência com as manifestações clínicas e o tratamento cirúrgico em pacientes com endometrioma de parede abdominal. MÉTODO: Análise retrospectiva das pacientes operadas por endometrioma de parede abdominal, dando ênfase aos dados relativos à idade, sintomas, cesariana prévia, relação dos sintomas com o ciclo menstrual, exames físicos e complementares, tratamento cirúrgico, evolução pósoperatória e resultado histopatológico dos espécimes. RESULTADOS: Foram operadas 14 pacientes no período estudado, com idade entre 28 e 40 anos. A presença de massa e dor local que piorava durante a menstruação foram as queixas principais. Ultrassonografia e tomografia computadorizada foram exames importantes em localizar precisamente a doença. O tratamento cirúrgico foi exérese ampla da tumoração e dos tecidos comprometidos. As pacientes evoluíram satisfatoriamente e o histopatológico confirmou a suspeita de endometrioma de parede abdominal em todos os casos. CONCLUSÂO: Foi nítida a relação entre cesariana prévia e endometrioma de parede abdominal e estudos ultrassonográficos e tomográficos auxiliaram a planejar a abordagem cirúrgica permitindo a exérese da tumoração e de todos os tecidos adjacentes comprometidos.
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The treatment of abdominal wall endometriosis is essentially surgical and aims at complete resection of the tumor.
“The treatment of abdominal wall endometriosis is essentially surgical and its main objective is the complete resection of the tumor”
From Abdominal Wall Endometriosis: Experience of the General Surgery Service of the Antônio Pedro University Hospital of the Universidade Federal Fluminense (2020) · cites this paper as [8]
When extended excision creates a defect, it should be corrected with abdominal muscles and aponeuroses when possible; if tension, a polypropylene prosthesis is most used.
“The literature recommends that the defect created by the extended excision be corrected with the abdominal muscles and aponeuroses, when possible.However, when this implies some tension in the suture lines, the most used option is a polypropylene prosthesis 8,28 .”
From Abdominal Wall Endometriosis: Experience of the General Surgery Service of the Antônio Pedro University Hospital of the Universidade Federal Fluminense (2020) · cites this paper as [8]
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Cites
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Presentation of endometriosis to general surgeons: A 10-year experience
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Cited by
Sorted by citations
COSTA, J. E. F. R., ACCETTA, I., MAIA, F. J. S., & SÁ, R. A. M. D. (2020) · Revista do Colégio Brasileiro de Cirurgiões · doi:10.1590/0100-6991e-20202544 · Cited by 9 · see citing works
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- Authors
- Accetta, I., Accetta, P., Accetta, A. F., Maia, F. J. S., & Oliveira, A. P. F. D. A.
- Affiliations
- Universidade Federal Fluminense (BR)
- Complexo Hospitalar de Niterói (BR)
- Hospital Universitário Antônio Pedro (BR)
- Venue
- ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2011-03
- Volume
- 24
- Issue
- 1
- Pages
- 26-29
- ISSN
- 0102-6720 (ISSN-L)
- OpenAlex
- W2070421103
- Cited by
- 2
- References
- 17
- Citations by year
- 2020: 1 · 2018: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- pt
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) (publishedVersion, cc-by-nc)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, cc-by-nc)
- Americanae (AECID Library) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Surgery › Intestinal and Peritoneal Adhesions
- Keywords
- endometrioma, abdominal wall endometriosis, endometriosis, surgical excision, previous cesarean section, dysmenorrhea, ultrasonography, computed tomography, histopathological confirmation, postoperative outcomes
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