Cirurgia Laparoscópica no Tratamento da Endometriose: Indicações e Resultados Clínicos
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This integrative review synthesizes clinical indications and outcomes of laparoscopic surgery for endometriosis, highlighting that excision may reduce recurrence compared to ablation while hormonal suppression lowers relapse rates.
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This integrative review synthesizes clinical indications and outcomes of laparoscopic surgery for endometriosis based on thirty-one documents published between 2021 and 2026. The analysis indicates that excision of endometriomas may reduce recurrence and reoperation rates compared to ablation, although both techniques result in decreased anti-Müllerian hormone levels. Furthermore, conservative bowel surgery techniques are associated with fewer severe complications, while postoperative hormonal suppression is linked to lower recurrence rates, and robotic approaches show no superiority over conventional laparoscopy. This paper is centrally about endometriosis — specifically evaluating the clinical results and surgical indications for laparoscopic treatment.
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Abstract
Objetivo: Sintetizar indicações e resultados clínicos da cirurgia laparoscópica na endometriose. Método: Revisão integrativa de 2021 a 2026, com 31 documentos. Resultados: A excisão do endometrioma pode reduzir recidiva e reoperação em relação à ablação (certeza baixa), mas o hormônio antimülleriano caiu após ambas. Na doença intestinal, técnicas conservadoras associaram-se a menos complicações graves. A supressão hormonal pós-operatória associou-se a menor recidiva. A via robótica não superou a convencional. Conclusão: A cirurgia laparoscópica é opção individualizada; a técnica deve equilibrar controle da doença e reserva ovariana.
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Cirurgia Laparoscópica no Tratamento da Endometriose: Indicações e Resultados Clínicos
DOI:
https://doi.org/10.36489/nursing.2026v32i341p22779-22790Palavras-chave:
Endometriose; Laparoscopia; Procedimentos cirúrgicos minimamente invasivos; Resultado do tratamento; RecidivaResumo
Objetivo: Sintetizar indicações e resultados clínicos da cirurgia laparoscópica na endometriose. Método: Revisão integrativa de 2021 a 2026, com 31 documentos. Resultados: A excisão do endometrioma pode reduzir recidiva e reoperação em relação à ablação (certeza baixa), mas o hormônio antimülleriano caiu após ambas. Na doença intestinal, técnicas conservadoras associaram-se a menos complicações graves. A supressão hormonal pós-operatória associou-se a menor recidiva. A via robótica não superou a convencional. Conclusão: A cirurgia laparoscópica é opção individualizada; a técnica deve equilibrar controle da doença e reserva ovariana.
Referências
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Copyright (c) 2026 Isabela Caldeira Rosolen, Fernanda Reis Guimarães, Maria Tereza Pasquini França da Fonseca, Amanda Hatsue Santana Endo, Elisangela Regina Aldana
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