Case Series
Endometriosis Surgery during the First Wave of the COVID-19 Pandemic: A Brazilian Single Institution Experience
Table 3
Systematic description of surgical procedures performed at the main sites affected by endometriosis.
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R/L: right/left. X: excision. Blank space: no endometriosis lesion identified; tube: P pervious or B blocked at chromopertubation; Sp salpingoplasty; S salpingectomy; H hydrosalpinx. Ovary: T oophorectomy; P oophoroplasty; E endometrioma; F presence of endometriosis in the peritoneum of the ovarian fossa. Uterus: M myomectomy; A adenomyomectomy; T trachelectomy (previous subtotal hysterectomy); U bilateral permanent uterine arteries ligation; P hysteroscopic polypectomy; B hysteroscopic biopsy; I hysteroscopic repair of isthmocele. RLig: round ligament excision. Bladder: Sut partial cystectomy and intracorporeal suturing; P superficial nodule infiltrating bladder peritoneum shaving; V endometriotic nodule excision on the vesicouterine septum. Ureter: U ureterectomy (surgical excision of part of a ureter); E extrinsic ureteral endometriosis treated by ureterolysis (systematic bilateral ureterolysis was performed in all cases (procedure aimed at exposing the ureter in order to free it from external pressure or adhesions or to avoid injury to it during surgery)). Param (parametrium): Xd means deeper resection, below the ureter (paracolpium). Nerve (excision of endometriosis nodule infiltrating pelvic nerve): #1 endometriotic nodule resection and decompression of right sciatic nerve, lumbosacral trunk and sacral roots+lymphadenectomy; #2 left hypogastric nerve shaving; #3 partial resection of the distal left hypogastric nerve at the level of the paracolpium; #4 endometriotic nodule resection and decompression of right sciatic nerve, lumbosacral trunk and sacral roots+lymphadenectomy (a nerve-sparing approach including dissection and isolation of hypogastric nerves was used in all cases). UsLig: uterosacral ligament excision. Vag (Vagina): C superior colpectomy+colporrhaphy; S endometriotic nodule excision only (shaving; no suture required). Rcerv: retrocervical area. RSep (rectovaginal septum): X0 means dissected, but without endometriosis. Bowel: A appendicectomy; R colorectal segmental resection; rS rectal shaving; pS perirectal fat shaving; Sut reinforcement suture; D discoid resection; DD double discoid resection. Cases ordered by date of surgery. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||