Evaluation of surgical results of patients undergoing endometriosis treatment at a tertiary hospital in Belo Horizonte

Abstract

Introduction: Endometriosis is a gynecologic disease defined by the presence of endometrial implants outside the uterus that primarily affects women of childbearing age. Treatment decisions are individualized, and both clinical and surgical methods of treatment are available. The goal of surgery is the complete removal of all foci of endometriosis, restoring anatomy, preserving reproductive function, and decreasing the chance of recurrence.  Objective: To evaluate the results obtained in patients diagnosed with endometriosis who underwent surgical treatment in a tertiary care hospital in the period from January 2018 to December 2021. Method: This is an observational, retrospective study conducted from the analysis of 104 medical records of patients diagnosed with endometriosis in a referral hospital between the period January 2018 to December 2021. Results: The median age of patients is 37 years. The median surgical time is 160 minutes. The main surgical route is laparoscopic surgery (96%). A multidisciplinary team was present in 54% of the procedures. General anesthesia was the most used anesthetic technique (83%). There were 4 peroperative complications and 11 postoperative complications. The median hospital stay was 56 hours. Conclusion: Surgical treatment of endometriosis, when correctly indicated, is fundamental to improve the quality of life of patients. The surgical route of choice should be minimally invasive, laparoscopic or robotic, in order to minimize morbidities associated with the procedure. Surgery to treat endometriosis involves complex procedures and often requires a multidisciplinary team.