Revisão sistemática dos fatores de risco para explosão de gases intravesical e opções de tratamento da explisão vesical durante ressecção transuretral
DOI:
https://doi.org/10.55825/RECET.SBU.0239Palavras-chave:
Ressecção transuretral de bexiga, Ressecção transuretral de próstata, Complicações intraoperatórias, RevisãoResumo
Contexto: A ressecção transuretral (RTU) é um dos procedimentos urológicos mais realizados, porém, algumas complicações podem surgir, como a explosão de gases intravesicais.
Objetivos: Identificar os fatores de risco para explosão de gases intravesicais e tratamento da ruptura vesical durante a RTU.
Critérios de elegibilidade do estudo: Incluiu-se apenas relatos de casos que abordassem casos de explosões de gases intravesicais.
Fonte de dados: Foram realizadas buscas no PubMed, Embase, LILACS, SciELO e ReseachGate, sem restrição de idioma ou ano de publicação.
Participantes e intervenções: Foram incluídos apenas pacientes cujo desfecho principal foi a explosão vesical após realização de RTU.
Resultados principais: A busca resultou em 36 artigos, dos quais apenas 26 foram incluídos, englobando 27 pacientes.
Seleção e análise: A seleção dos artigos na seguinte ordem: título, resumo e texto completo; após, os artigos foram lidos novamente para coleta das informações em planilhas.
Resultados: A maioria dos casos foi em RTUs de próstata, com tempo médio de 57,5±16,4 minutos. A idade média dos participantes foi de 69,2±11,8 anos e a maioria das RTUs realizadas foram monopolares. Potenciais fatores de risco foram: uso de corrente de alta potência, fragilidade vesical e má vedação do sistema de irrigação.
Limitações: Incluiu-se somente relatos de caso, além da possibilidade de não ter englobado todos os artigos da literatura.
Conclusão: Principais fatores de risco foram prolongamento do tempo da RTU, alta potência na fulguração tecidual e divertículo vesical.
Implicações: Reconhecer fatores de risco pode melhorar a segurança da RTU e guiar intervenções terapêuticas mais eficazes.
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