Analysis of the effectiveness of videolaparoscopy in reducing morbidity and improving fertility in patients with deep endometriosis from 2019 to 2024: a literature review
DOI:
https://doi.org/10.55892/jrg.v8i18.2123Keywords:
Deep endometriosis, surgical treatment of endometriosis, laparoscopy, videolaparoscopy, reduced morbidity, improved fertilityAbstract
Deep endometriosis is a chronic and inflammatory condition characterized by the presence of functional endometrial tissue outside the uterine cavity and myometrium. This endometrial ectopia leads to significant clinical repercussions, particularly regarding impaired reproductive function, often associated with infertility. In this context, videolaparoscopy represents a key surgical tool for reducing morbidity and achieving better outcomes in women with endometriosis who wish to conceive.The present study aims to conduct a literature review in order to gather and interpret relevant data on the effectiveness of videolaparoscopy in reducing morbidity and improving fertility in patients diagnosed with deep endometriosis, from 2019 to 2024. This is a narrative literature review based on scientific articles and book chapters published in the last five years. The databases used were PubMed and Google Scholar. The descriptors used, in both Portuguese and English, included: "deep endometriosis", "videolaparoscopy", "morbidity reduction", and "fertility". The search was conducted systematically using the aforementioned terms. Initially, 1,298 articles were identified on PubMed and 1,740 on Google Scholar. After reading titles and abstracts, 34 articles were selected based on established inclusion criteria. Of these, 15 were included in the final analysis, allowing for a comparison of existing consensus and disagreements in the literature. Endometriosis is a highly complex gynecological condition with a significant impact on women's quality of life, especially concerning reproductive health. Therefore, the adoption of early and multidisciplinary therapeutic strategies becomes essential for effective management. In the context of surgical treatment, videolaparoscopy has been established as an effective approach, providing improved reproductive outcomes both in spontaneous conception and in vitro fertilization (IVF) treatments.
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References
ABESADZE, E.; et al. Possible role of the posterior compartment peritonectomy, as a part of the complex surgery, regarding recurrence rate, improvement of symptoms and fertility rate in patients with endometriosis, long-term follow-up. Journal of Minimally Invasive Gynecology, v. 27, n. 5, p. 1103-1111, jul./ago. 2020. DOI: 10.1016/j.jmig.2019.08.019.
BRETEAU, P.; et al. Taxas de gravidez após tratamento cirúrgico de endometriose profunda infiltrante em pacientes inférteis com pelo menos 2 falhas anteriores de fertilização in vitro ou injeção intracitoplasmática de espermatozoides. Journal of Minimally Invasive Gynecology, v. 27, n. 5, p. 1148-1157, 2020.
CARNEIRO, M. M.; et al. Preservação da fertilidade em mulheres com endometriose. Revista Brasileira de Ginecologia e Obstetrícia, v. 10, p. 796-801, 2021.
CASALS, G.; et al. Impacto da cirurgia para endometriose infiltrativa profunda antes da fertilização in vitro: uma revisão sistemática e meta-análise. Revista de Ginecologia Minimamente Invasiva, v. 28, n. 7, p. 1303-1312.e5, 2021.
DANIILIDIS, A.; et al. Endometriose profunda e infertilidade: qual o impacto da cirurgia? Journal of Clinical Medicine, v. 11, n. 22, p. 6727, 2022.
DRECHSEL-GRAU, A.; et al. Acompanhamento de longo prazo em relação ao alívio da dor, fertilidade e reoperação após cirurgia para endometriose profunda. Journal of Clinical Medicine, v. 13, n. 17, p. 5039, 2024.
EKINE, A. A.; et al. O benefício cirúrgico da histerolaparoscopia na infertilidade relacionada à endometriose: um estudo retrospectivo de centro único com acompanhamento mínimo de 2 anos. Journal of Clinical Medicine, v. 9, n. 2, p. 507, 2020.
ETRUSCO, A.; et al. Impacto da cirurgia nos resultados reprodutivos em mulheres com endometriose profunda e infertilidade pré-cirúrgica comprovada: fatos e controvérsias. Best Practice & Research Clinical Obstetrics & Gynecology, 2024. p. 102524. DOI: 10.1016/j.bpobgyn.2024.102524.
FERRERO, S.; et al. Epidemiology of bowel endometriosis. In: __________ (ed.). Clinical Management of Bowel Endometriosis: From Diagnosis to Treatment. p. 13-20, 2020.
GALE, J.; SINGH, S. S. Uma abordagem prática para considerações de fertilidade na cirurgia de endometriose. Obstetrics and Gynecology Clinics, v. 49, n. 2, p. 241-256, 2022.
GRIGORIADIS, G.; et al. Tratamento cirúrgico da endometriose profunda: impacto na concepção espontânea. Best Practice & Research Clinical Obstetrics & Gynecology, v. 93, p. 102455, 2024.
KANNO, K.; et al. Fertility- and nerve-sparing laparoscopic eradication of deep endometriosis with total posterior compartment peritonectomy: The Kurashiki Method. Journal of Minimally Invasive Gynecology, v. 28, n. 2, p. 170-171, fev. 2021. DOI: 10.1016/j.jmig.2020.05.028.
KRÄMER, B.; et al. Improvement in fertility and pain after endometriosis resection and adhesion prevention with 4DryField® PH: follow-up of a randomized controlled clinical trial. Journal of Clinical Medicine, v. 12, n. 10, p. 3597, 2023. DOI: 10.3390/jcm12103597.
MICK, I.; et al. Comprehensive endometriosis care: a modern multimodal approach for the treatment of pelvic pain and endometriosis. Therapeutic Advances in Reproductive Health, v. 18, p. 26334941241277759, 2024. DOI: 10.1177/26334941241277759.
ZHANG, N.; et al. Resultados reprodutivos e pós-cirúrgicos de mulheres inférteis com endometriose profunda infiltrativa. BMC Women’s Health, v. 22, n. 1, p. 83, 2022.
