Impacto da ressecção intestinal na qualidade de vida de mulheres com endometriose: Uma revisão integrativa
DOI:
https://doi.org/10.33448/rsd-v13i11.47394Palavras-chave:
Endometriose; Qualidade de vida; Colectomia; Procedimentos Cirúrgicos em Ginecologia; Ginecologia.Resumo
Introdução: A endometriose, especialmente em sua forma infiltrativa profunda, é uma doença crônica que afeta negativamente a qualidade de vida das mulheres, causando sintomas debilitantes e impactando várias esferas pessoais. Entre as manifestações mais graves, a endometriose profunda intestinal requer, em alguns casos, a cirurgia de ressecção intestinal, uma abordagem que pode aliviar os sintomas, mas também acarretar complicações significativas. Objetivo: Investigar a qualidade de vida de mulheres com endometriose intestinal que foram submetidas à cirurgia de ressecção intestinal. Metodologia: Trata-se de uma revisão integrativa, com busca realizada de julho a outubro de 2024, nas bases de dados PUBMED, Scielo e Lilacs, utilizando os descritores: “qualidade de vida” e “endometriose”. Foram encontradas 1.532 publicações, das quais 130 foram selecionadas por títulos e resumos e 47 após leitura na íntegra. Resultados: A ressecção intestinal para endometriose mostrou-se viável e eficaz na melhoria de sintomas gastrointestinais, ginecológicos e da qualidade de vida das pacientes, com taxas de complicação e recorrência baixas a longo prazo. Estudos comparativos sugerem que a abordagem laparoscópica é uma opção favorável em relação a cirurgias abertas, oferecendo menos complicações e melhores resultados em fertilidade, especialmente para endometriose em estágio avançado. Esses dados reforçam a necessidade de um planejamento pré-operatório detalhado e um aconselhamento completo, visto que a avaliação da qualidade de vida pode servir como índice complementar na indicação e sucesso de tratamentos para endometriose. Conclusão: A ressecção intestinal ofereceu melhorias significativas na qualidade de vida de mulheres com endometriose intestinal.
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