Goal: To identify, through a bibliographical review, the benefits of robotic herniorrhaphy compared to conventional techniques, in adult patients with inguinal hernia and its impacts in the postoperative period. Methods: Bibliographic review carried out between October and November 2022, through searches in the SciELO and PubMed databases, 13 studies being included after the inclusion and exclusion criteria. Review: The minimally invasive approach to laparoscopic inguinal repair, as well as robotics, proposes an estimable clinical benefit in view of the reduction of costs and the risk of polypharmacy, although there is an increase in cost and surgical time. Laparoscopic and robotic correction did not show significant differences. However, robotic surgery had a longer operative time than the laparoscopic technique and there was no difference in recurrence when comparing the three techniques. For the postoperative period, there was no significant difference between the laparoscopic and robotic techniques regarding the correction of unilateral inguinal hernia. Recovery is better with robotic correction compared to open surgery because it is minimally invasive. Final considerations: Robotic inguinal hernia repair surgery and its benefits compared to conventional surgery for adults must be better understood. The surgical management of inguinal hernia is still evolving and the results of the technique must be further investigated in the long term.
Este estudo buscou analisar a produção científica sobre melasma em gestantes. A principal forma de prevenção do melasma se dá por meio da fotoproteção, destacando-se o uso de filtro solar de amplo espectro. O seu diagnóstico é majoritariamente clínico. O tratamento dessa doença é controverso na literatura, principalmente no que tange o momento do tratamento, diante dos riscos tanto para a mãe quanto para o feto. Em relação às terapias prescritas, existem evidências incluindo fotoproteção, terapia medicamentosa e procedimentos estéticos, mas esses devem ser bem orientados devido aos riscos inerentes à gestação. O melasma gravídico consiste numa condição altamente prevalente que impacta diretamente na qualidade de vida das pacientes, incluindo insatisfação com a aparência e prejuízos tanto nas relações interpessoais como profissionais, nesse sentido a orientação e o planejamento da conduta é a maneira mais eficaz de abordar essa condição, incluindo, principalmente, as medidas terapêuticas de fotoproteção. Entretanto, são necessários estudos mais consistentes que instituem protocolos seguros de prevenção e tratamento medicamentoso para o melasma gravídico.
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