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Bowel anastomosis leakage following endometriosis surgery: an evidence based analysis of risk factors and prevention techniques

2020-10-08Journal article Open access
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dc.contributor.authorVigueras Smith, A
dc.contributor.authorSumak, R.
dc.contributor.authorCabrera, R.
dc.contributor.authorFerreira, Helder
dc.date.accessioned2021-11-23T14:33:49Z
dc.date.available2021-11-23T14:33:49Z
dc.date.issued2020-10-08
dc.description.abstractBackground: Deep endometriosis most commonly involves the rectosigmoid junction and its management often requires a colorectal resection. Anastomotic leakage is a severe complication after resection and affects 1-6% of the cases. Objective: To evaluate the risk factors related to anastomotic leakage following endometriosis sur-gery, its prevention techniques and the role of protective stomas. Methods: A comprehensive literature review was carried out for English-language publications in Pubmed and Google Scholar. We included all studies including the following MeSH terms and key words: Anastomotic leakage AND bowel surgery OR Endometriosis OR Colorectal surgery OR Bowel endometriosis. Two authors independently made a selection and analysed relevant abstracts according to the aim of this review. Results: Risk factors and preventive measures were categorised considering the patient condition, the intra- operative setting and the surgical procedure itself. Level I and II recommendations include modifiable risk factors such as the use of stapled or handsewn anastomosis; intra-operative air leak test to check the integrity of the anastomosis; systematic use of pelvic and trans-anal drainage; application of protective or ghost ileostomy in low rectal resections; vaginal closure before the bowel resection; use of oral antibiotics the day before surgery and performing partial mesorectal resection near the bowel wall. Diverting stomas may decrease the morbidity and the clinical consequences of leakage over 65% of low rectal resections but may cause significant adverse effects. Conclusion: Evidence-based protective actions are crucial to reduce clinical consequences of anastomotic leakage and to minimise the use of protective stomas in endometriosis surgery.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationVigueras Smith A, Sumak R, Cabrera R, Kondo W, Ferreira H. Bowel anastomosis leakage following endometriosis surgery: an evidence based analysis of risk factors and prevention techniques. Facts Views Vis Obgyn. 2020;12(3):207-225.pt_PT
dc.identifier.issn2032-0418
dc.identifier.issn2684-4230
dc.identifier.urihttp://hdl.handle.net/10400.16/2625
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFlemish Society of Obstetrics & Gynaecologypt_PT
dc.relation.publisherversionhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7580259/pdf/FVVinObGyn-12-207.pdfpt_PT
dc.subjectAnastomotic leakagept_PT
dc.subjectbowel endometriosispt_PT
dc.subjectcolorectal anastomosispt_PT
dc.subjectendometriosispt_PT
dc.titleBowel anastomosis leakage following endometriosis surgery: an evidence based analysis of risk factors and prevention techniquespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceBelgiumpt_PT
oaire.citation.endPage225pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage207pt_PT
oaire.citation.titleFacts, views & vision in ObGynpt_PT
oaire.citation.volume12pt_PT
person.familyNameFerreira
person.givenNameHelder
person.identifier.ciencia-idDE1D-74D8-51CB
person.identifier.orcid0000-0002-5416-7629
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication5df79283-c390-4198-a618-98cc95f4d5ac
relation.isAuthorOfPublication.latestForDiscovery5df79283-c390-4198-a618-98cc95f4d5ac

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