64 results on '"Surgical wound"'
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2. ORIENTAÇÕES TERAPÊUTICAS DA AUTOGESTÃO DA DOR E FERIDA CIRÚRGICA APÓS ALTA HOSPITALAR: UMA SCOPING REVIEW.
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Almeida, Ana Maria, Martins, Teresa, and Lima, Lígia
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- 2023
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3. INVERSE RELATIONSHIP BETWEEN PLASMA PROTEINS AND SATISFACTORY SURGICAL WOUNDS OUTCOME
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PEDRO AUGUSTO JAQUETO, IASMIN CHAGAS SABBAG, LEONARDO PEDRÃO DA SILVA, LUCCAS FRANCO BETTENCOURT NUNES, CARLOS AUGUSTO DE MATTOS, and VÂNIA APARECIDA LEANDRO-MERHI
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Osteosynthesis, Fracture ,Postoperative Complications ,Surgical Wound ,Albumin ,Transferrin ,Medicine ,Orthopedic surgery ,RD701-811 - Abstract
ABSTRACT Objective This study investigated the factors associated with satisfactory early postoperative wound conditions. Method A prospective study was conducted with patients (n=179) submitted to osteosynthesis in general, in a hospital orthopedics service. In the preoperative period, patients underwent laboratory exams and the surgical indications were based on the type of fracture and the patient’s clinical conditions. In the postoperative period, patients were evaluated based on the presence of complications and considering their surgical wounds. Chi-square, Fisher, Mann-Whitney, and Kruskal-Wallis tests were used in the analysis. To identify the factors associated with wound condition, univariate and multiple logistic regression analysis was used. Results In the univariate analysis, each transferring unit reduction increased the chance of satisfactory outcome by 1.1% (p=0.0306; OR= 0.989 (1.011); 95%CI= 0.978;0.999; 1.001;1.023). The presence of SAH increased 2.7 fold the chance of satisfactory outcome (p=0.0424; OR= 2,667; 95%CI= 1,034;6,877). Hip fracture increased 2.6 fold the chance of satisfactory outcome (p=0.0272; OR=2.593; IC95%=1.113; 6.039). And the absence of a compound fracture increased 5.5 fold the chance of satisfactory wound outcome (p=0.0004; OR=5,493; 95%CI=2,132;14,149). In the multiple analysis, patients with non compound fractures were 9.7 times more likely to experience a satisfactory outcome when compared to patients with compound fractures (p=0.0014; OR=9,687; 95%CI= 2,399; 39,125). Conclusion There was an inverse relationship between plasma proteins levels and satisfactory surgical wounds outcome. Only exposure remained associated with wound conditions. Level Of Evidence: II, Prospective Study.
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- 2023
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4. Forearm reconstruction with acellular dermal matrix after giant plexiform neurofibroma excision: case reports
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Eduardo Madalosso Zanin, Daniele Walter Duarte, Ciro Paz Portinho, Nicolas Endrigo Arpini, Mônica Jimenez Zerpa, João MAximiliano, Antonio Carlos Pinto Oliveira, and Marcus Vinicius Martins Collares
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neurofibroma ,neurofibroma, plexiform ,forearm ,forearm injuries ,surgical wound ,wound healing ,tendon injuries ,acellular dermal matrix ,Surgery ,RD1-811 - Abstract
Introduction: Giant plexiform neurinoma is a neuroectoderm and inherited disease. It is an uncommon skin tumor associated with NF1, characterized as a benign peripheral nerve sheath tumor surrounding multiple nervous fascicles. The goals of forearm coverage reconstruction are to protect the structures running to the wrist and hand and prevent scarring that leads to movement loss. Both forearm and hand play functional and social roles. Successful management of complex wounds is necessary for the overall functional rehabilitation of these patients. Case Report: A 31-year-old woman presented at the plastic surgery division with a giant plexiform neurofibroma in the right forearm. After careful resection, all anterior forearm tendons were exposed. The defect was covered with graftable Pelnac T (thickness of 3mm and sizing 12 X 24cm2), fixed with 4-0 monocryl sutures. After 10 days, the acellular dermal matrix silicone layer was removed, and a split-thickness skin meshed graft was placed. On day 7, the acellular dermal matrix showed good signs of intake. On day 17, we observed a 95% graft survival. At the 3-month follow-up, reconstruction was stable without contouring defects, the hand had full range of motion, and the patient had no problems in daily activities. Conclusions: Acellular dermal matrix appears to be a useful option in covering complex defects in the forearm, allowing for less morbidity and rapid functional recovery.
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- 2022
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5. Evolution of mammary prostheses and the incision methods used in adhesive mamoplasty procedures
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Lays Lopes Monteiro, Wagner Mangiavacchi, and Dayara Gomes Machado
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mammaplasty ,prostheses and implants ,reconstructive surgical procedures ,breast ,surgical wound ,reoperation ,Surgery ,RD1-811 - Abstract
The study aims to analyze articles already published in breast augmentation, to analyze the various procedural techniques used for the placement of breast prostheses, highlighting their disadvantages and advantages, types and evolution of prostheses. The choice of prosthesis and the type of Surgical incisions are very important decisions that must be taken together (doctor and patient), taking into account the advantages and disadvantages of each incision. A good clinical preoperative explanation is essential to determine the goals to be achieved, thus avoiding possible repair surgeries or replacement of the size of the prosthesis. The enhancement of external beauty has gained more and more space, proof of which is the increasingly crowded plastic surgeons’ offices. The USA is the champion country in plastic surgery, followed by Brazil. Augmentation mammoplasty is the second most performed surgery worldwide, second only to liposuction. People seek this method as an alternative to improve self-esteem or to try to fit into a “fictitious” beauty standard established by society. The present work has a study methodology of the narrative bibliographic review type. The instrument used was a literature review and a comparative method between articles published in plastic surgery, focusing on breast augmentation based on the inductive method. The study was based on international and national articles, using SciELO and The Lancet as research sources.
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- 2022
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6. Effectiveness of supplemental oxygenation to prevent surgical site infections: A systematic review with meta-analysis
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Eduardo Tavares Gomes, Fábio da Costa Carbogim, Rossana Sant’Anna Lins, Ruy Leite de Melo Lins-Filho, Vanessa de Brito Poveda, and Vilanice Alves de Araujo Püschel
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Surgical Wound ,Wound Infection ,Patient Safety ,Operative Surgical Procedures ,Operating Room Nursing ,Anesthesiology ,Nursing ,RT1-120 - Abstract
Abstract Objective: to assess the effectiveness of supplemental oxygenation with high FiO2 when compared to conventional FiO2 in the prevention of surgical site infection. Method: an effectiveness systematic review with meta-analysis conducted in five international databases and portals. The research was guided by the following question: Which is the effectiveness of supplemental oxygenation with high FiO2 (greater than 80%) when compared to conventional FiO2 (from 30% to 35%) in the prevention of surgical site infections in adults? Results: fifteen randomized clinical trials were included. Although all the subgroups presented a general effect in favor of the intervention, colorectal surgeries had this relationship evidenced with statistical significance (I2=10%;X2=4.42; p=0.352). Conclusion: inspired oxygen fractions greater than 80% during the perioperative period in colorectal surgeries have proved to be effective to prevent surgical site infections, reducing their incidence by up to 27% (p=0.006). It is suggested to conduct new studies in groups of patients subjected to surgeries from other specialties, such as cardiac and vascular. PROSPERO registration No.: 178,453.
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- 2022
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7. Surgical site infection in adult patients after heart procedures: an integrative review
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Bruno Henrique Fiorin, Beatriz Costa, Lucas Dalvi Armond Rezende, Alcy Leal Aranha, Bruna Moraes Barbieri, Walckiria Garcia Romero Sipolatti, and Rita Simone Lopes Moreira
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thoracic surgery ,surgical wound ,surgical wound infection ,nursing care ,cross infection. ,Nursing ,RT1-120 - Abstract
Objective: to identify the risk factors for surgical site infection in patients after heart procedure. Methods: integrative literature review by searching the Medical Literature Analyses and Retrieval System online, Latin American and Caribbean Literature on Health Sciences, Scientific Electronic Library Online, Nursing Database. The search for the articles occurred during the month of February 2022. Results: 24 articles were eligible for the review. In all studies, the population was mostly male, aged between 51 and 70 years, who underwent elective myocardial revascularization surgery. The main comorbidities presented were diabetes mellitus, hypertension, and obesity. The infection rates ranged from 2.4% to 38.9%, and the main pathogen identified was Staphylococcus aureus. Conclusion: the main comorbidities present in patients who manifested surgical site infection were diabetes, hypertension, obesity, and smoking. The risk factors were gender, age, and prolonged preoperative hospitalization. Antibiotic prophylaxis, trichotomy, nasal decolonization, and adequate skin antisepsis were the most adopted prophylactic measures. Contributions to practice: knowing the profile of patients who developed infection may favor planning risk control actions.
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- 2022
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8. Pênfigo vulgar sobre cicatrizes de mamoplastia de aumento com próteses mamárias e de abdominoplastia clássica em paciente: um relato de caso.
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Ribeiro Canedo, Lucas, Marretto de Moura, Brenner Dolis, Matsumoto Lima, Bárbara, Mendes Neto, Ivam Pereira, Pontes Feitosa, Damião Marcelo, and Santiago Reis, Carmélia Matos
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Pemphigus vulgaris (PV) is a dermatosis that affects the skin and mucous membranes. Its incidence is two new cases/million inhabitants/year in Central Europe. It is known to be multifactorial and involves interaction between genetic predisposition and environmental factors. This study reports a rare case of PV after plastic surgery. We present the case of a 51-year-old woman with suture dehiscence in the postoperative period of mammoplasty with prosthesis and abdominoplasty and, subsequently, the appearance of bullous lesions in the scars. These lesions were later diagnosed as PV. The patient evolved with improvement of the lesions after corticosteroid therapy. It is also noteworthy that the patient had COVID-19 during hospitalization, a known factor of exacerbation of pemphigus, but without worsening of the lesions and with complete regression of the infectious condition after treatment. The clinical evolution of PV can be limited to mucosal involvement or progress to the skin. Large eroded, exudative, bleed ing, confluent, painful areas are formed, with no tendency to heal 1 . Cutaneous involvement can occur anywhere, being more common on the scalp, trunk, abdomen and flexures. [ABSTRACT FROM AUTHOR]
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- 2023
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9. Integrative approach to a patient following rumenotomy ˗ case report
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R.A.S. Oliveira, V.P. Souza, A.C. Dantas, J.A. Guimarães, H.R. Lima, R.S. Siqueira Filho, and E.R. Lima
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traditional Chinese medicine ,acupuncture ,moxibustion ,surgical wound ,ruminant ,Animal culture ,SF1-1100 - Abstract
ABSTRACT Concern with antimicrobial resistance in animal production systems increases the interest toward integrative therapies. The objective of the present report was to report an integrative approach to a goat undergoing rumenotomy. A goat with ruminal acidosis underwent rumenotomy, corrective rumen suture, moxibustion, and treatment of the surgical wound (TFO) with sugar. In the first twenty days, acupuncture was performed on ST36, indirect moxibustion on Sp6 and CV8, and TFO with antibiotic ointment and sugar. The wound contracted 2cm, there was gradual return of ruminal dynamics, and moderate pain. Acupuncture continued from D21 to D50 on Yin tang, BL13, BL20, BL23, and BL22. Although there was drainage of ruminal fluid, the wound contracted 4cm during this period, pain was absent, and ruminal dynamics normal. During the last thirty days, the acupuncture technique surround the dragon was used and BL13 point needled, with complete closure of the wound. The TFO from D21 was performed solely with sugar. During treatment, there was modulation of the inflammatory response, with formation of granulation tissue and neovascularization. On D84, fibrinogen was 100mg/dL. The authors conclude that the use of sugar, acupuncture, and moxibustion contributed to return of normal ruminal motility, wound contraction, and complete tissue reepithelization.
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- 2021
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10. Fatores de risco para infecção de sítio cirúrgico em cirurgias traumatoortopédicas.
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Neves da Silva, Edilane, dos Santos e Silva, Renata Kelly, Barroso de Carvalho, Simone, de Araújo Façanha, Dilene Maria, Fontelene Lima de Carvalho, Rhanna Emanuela, and Fernandes Pereira, Francisco Gilberto
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TRAUMA surgery , *PAIN , *ORTHOPEDIC surgery , *RESEARCH methodology , *AGE distribution , *QUANTITATIVE research , *DIABETES , *HYPEREMIA , *RISK assessment , *SURGICAL site infections , *POSTOPERATIVE period , *SMOKING , *LONGITUDINAL method , *EDEMA , *DISEASE risk factors - Abstract
Introduction: Infection of the Surgical Site occupies the third position among infections acquired in health services, representing an important public health problem, present in about 15% of those found in hospitalized patients, and one of the types of most likely for this event are trauma-orthopedic surgies. Objective: To verify the association between risk factors and the presence of Surgical Site Infection in traumato-orthopedic surgeries. Materials and methods: Prospective descriptive, quantitative study, conducted between August and October 2017 with 84 patients. The data regarding the patient, the procedure and the signs of Surgical Site Infections, found on the third and tenth postoperative days, were collected using a form. Results: Of the studied variables, they behaved as risk factors for Surgical Site Infection: smoking, diabetes and age over 50 years. Age was the main risk factor related to the patient, present in 31, 36.9% of cases. Pain, edema and hyperemia were the most prevalent signs of infection. Discussion and conclusions: The risk factors related to the patient are more relevant in the association with infection of the surgical site compared to those related to the procedure. [ABSTRACT FROM AUTHOR]
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- 2021
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11. The use of digital photography in the follow-up of surgical neoplastic wound: a case report
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Barbara Braga Cavalcante, Katia Torres Batista, Hugo Jose de-Araujo, and Maria Ireni Zapalowski Galvao
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photographs ,surgical oncology ,scar ,surgical wound ,oncology ,Surgery ,RD1-811 - Abstract
Introduction: The characteristics of cancer wounds are unusual and are often difficult to describe in writing. Therefore, digital photography may be used to describe and manage these wounds. Case Report: A young female patient with a recurring lesion measuring 20 × 18 × 13.7 cm in the left thigh was diagnosed with synovial sarcoma. Digital photography was used to facilitate evaluation and treatment of her complex cancer wound. The patient underwent tumor excision, dressings, and skin grafting; the follow-up was carried out with photographic records using a cell phone camera, which were inputted into the electronic medical record and interpreted by the medical team. Conclusion: The use of photographs was important because it allowed rapid wound evaluation, could be shared with the team to evaluate the treatment plan, and was an important tool for legal purposes and teaching.
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- 2018
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12. Measurement of wound area for early analysis of the scar predictive factor
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Adriano Antonio Mehl, Bertoldo Schneider Jr, Fabio Kurt Schneider, and Bruno Henrique Kamarowski De Carvalho
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Wound Healing ,Wounds and Injuries ,Surgical Wound ,Dimensional Measurement Accuracy ,Weights and Measures ,Software ,Nursing ,RT1-120 - Abstract
Objective: to evaluate the use of the 2D-FlexRuler as a facilitating tool for the early calculation of the predictive scar factor of chronic wounds. Method: a descriptive study with a quantitative, experimental, longitudinal and prospective approach. The sample consisted of 22 outpatients. 32 chronic wounds were analyzed. The wound edges were identified and drawn on the 2D-FlexRuler. The calculations of the areas of chronic wounds were obtained by manual, traditional methods, by software and Matlab algorithm. These areas were compared with each other to determine the efficiency of the proposed ruler in relation to traditional methods. Results: the calculation of the wound area by the traditional method and Kundin’s coefficient show average errors greater than 40%. The manual estimation of the area with the 2D-FlexRuler is more accurate in relation to traditional measurement methods, which were considered quantitatively disqualified. When compared with the reference method, for example, the Klonk software, the data obtained by 2D-FlexRuler resulted in an error of less than 1.0%. Conclusion: the 2D-FlexRuler is a reliable metric platform for obtaining the anatomical limits of chronic wounds. It facilitated the calculation of the wound area under monitoring and allowed to obtain the scar predictive factor of chronic wounds with precocity in two weeks.
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- 2020
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13. Reconstrução do antebraço com matriz dérmica acelular após excisão de neurofibroma plexiforme gigante: relato de casos
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ZANIN, EDUARDO MADALOSSO, DUARTE, DANIELE WALTER, PORTINHO, CIRO PAZ, ARPINI, NICOLAS ENDRIGO, ZERPA, MÔNICA JIMENEZ, MAXIMILIANO, JOÃO, OLIVEIRA, ANTONIO CARLOS PINTO, and COLLARES, MARCUS VINICIUS MARTINS
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Forearm injuries ,Neurofibroma ,Lesões tendíneas ,Wound healing ,Antebraço ,Lesões no antebraço ,Ferida cirúrgica ,Forearm ,Tendon injuries ,Cicatrização de feridas ,Neurofibroma, plexiform ,Matriz dérmica acelular ,Surgical wound ,Neurofibroma plexiforme ,Acellular dermal matrix - Abstract
RESUMO Introdução: O neurinoma plexiforme gigante é um neuroectoderma e uma doença hereditária. É um tumor cutâneo incomum associado à NF1, caracterizado como um tumor benigno da bainha do nervo periférico envolvendo múltiplos fascículos nervosos. Os objetivos da reconstrução da cobertura do antebraço são proteger as estruturas que vão até o punho e a mão e evitar cicatrizes que levem à perda de movimento. Tanto o antebraço quanto a mão desempenham papéis funcionais e sociais. O manejo bem-sucedido de feridas complexas é necessário para a reabilitação funcional geral desses pacientes. Relato do Caso: Paciente do sexo feminino, 31 anos, apresentou-se na divisão de cirurgia plástica com neurofibroma plexiforme gigante no antebraço direito. Após ressecção cuidadosa, todos os tendões anteriores do antebraço foram expostos. O defeito foi coberto com Pelnac T enxertável (espessura de 3mm e tamanho 12 X 24cm2), fixados com pontos monocryl 4-0. Após 10 dias, a matriz dérmica acelular foi removida e um enxerto de malha de pele de espessura parcial foi colocado. No dia 7, a matriz dérmica acelular apresentou bons sinais de ingestão. No dia 17, observamos uma sobrevida do enxerto de 95%. No seguimento de 3 meses, a reconstrução estava estável, sem defeitos de contorno, a mão apresentava amplitude de movimento completa e o paciente não apresentava problemas nas atividades diárias. Conclusões: A matriz dérmica acelular parece ser uma opção útil na cobertura de defeitos complexos no antebraço, permitindo menor morbidade e rápida recuperação funcional. ABSTRACT Introduction: Giant plexiform neurinoma is a neuroectoderm and inherited disease. It is an uncommon skin tumor associated with NF1, characterized as a benign peripheral nerve sheath tumor surrounding multiple nervous fascicles. The goals of forearm coverage reconstruction are to protect the structures running to the wrist and hand and prevent scarring that leads to movement loss. Both forearm and hand play functional and social roles. Successful management of complex wounds is necessary for the overall functional rehabilitation of these patients. Case Report: A 31-year-old woman presented at the plastic surgery division with a giant plexiform neurofibroma in the right forearm. After careful resection, all anterior forearm tendons were exposed. The defect was covered with graftable Pelnac T (thickness of 3mm and sizing 12 X 24cm2), fixed with 4-0 monocryl sutures. After 10 days, the acellular dermal matrix silicone layer was removed, and a split-thickness skin meshed graft was placed. On day 7, the acellular dermal matrix showed good signs of intake. On day 17, we observed a 95% graft survival. At the 3-month follow-up, reconstruction was stable without contouring defects, the hand had full range of motion, and the patient had no problems in daily activities. Conclusions: Acellular dermal matrix appears to be a useful option in covering complex defects in the forearm, allowing for less morbidity and rapid functional recovery.
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- 2022
14. Associação entre proteínas plasmáticas e complicações de ferida pós-operatória em pacientes submetidos a osteossínteses em geral
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Jaqueto, Pedro Augusto, Pontifícia Universidade Católica de Campinas (PUC-Campinas), and Leandro-Merhi, Vânia Aparecida
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Ferida cirúrgica ,Proteínas sanguíneas ,Postoperative complications ,Nutritional profile ,Osteossíntese ,Blood proteins ,Perfil nutricional ,Surgical wound ,Ostesynthesis ,Complicações pós-operatórias - Abstract
Não recebi financiamento Introdução: O estado nutricional é um importante dado na otimização dos resultados cirúrgicos em Ortopedia e na prevenção de complicações pós-operatórias. O perfil nutricional baseando-se na avaliação da albumina e transferrina pode ser um fator preditivo de complicações pós-operatórias nestas cirurgias. Objetivo: Investigar as associações entre o perfil clínico e nutricional laboratorial de pacientes submetidos às osteossínteses em geral que apresentaram alterações da ferida operatória em período pós-operatório. Método: Foi desenvolvido um estudo do tipo prospectivo com 179 pacientes submetidos a osteossínteses em geral. Foi investigado o perfil nutricional laboratorial (proteínas plasmáticas como albumina e transferrina) no período préoperatório e suas associações com possíveis complicações da ferida pós-operatória. As feridas de aspecto “normal” e “hiperemia” foram classificadas como “satisfatórias” e feridas com “secreção serosa”, “secreção purulenta” e “deiscência” como “não satisfatórias”. A análise estatística foi realizada com os testes qui-quadrado ou exato de Fisher, Mann-Whitney, Kruskal-Wallis e análise de regressão logística univariada e múltipla, com p
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- 2022
15. Complicações pós-operatórias precoces em hernioplastias umbilicais : ensaio clínico randomizado duplo-cego comparativo das técnicas onlay e pré-peritoneal
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Fonseca, Mariana Kumaira and Cavazzola, Leandro Totti
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Ferida cirúrgica ,Postoperative complications ,Adulto ,Umbilical hernia ,Hernia umbilical ,Surgical wound ,Surgical mesh ,Telas cirúrgicas ,Complicações pós-operatórias ,Herniorrafia ,Herniorrhaphy - Abstract
Introdução: A literatura preconiza o reforço da parede abdominal com telas no tratamento de hérnias umbilicais a fim de reduzir os índices de recidiva. Embora a escolha do plano anatômico para instalação da tela na parede anterolateral do abdome tenha diferentes implicações na incidência de complicações pós-operatórias, dor crônica e recorrência, não existe consenso quanto à melhor técnica de reparo. Objetivo: Comparar as técnicas de hernioplastia umbilical onlay e pré-peritoneal em relação à incidência de complicações pós-operatórias precoces. Método: Ensaio clínico randomizado duplo-cego conduzido em pacientes femininas, maiores de 18 anos, com diagnóstico de hérnia umbilical primária não complicada, atendidas no serviço de cirurgia de hospital secundário vinculado à residência médica. As participantes foram alocadas em dois grupos conforme a técnica executada (onlay ou pré-peritoneal). Os dados clínico-cirúrgicos, tamanho do defeito, tempo cirúrgico, complicações de ferida operatória, dor pós-operatória (Escala Visual Analógica, EVA) e recorrência foram analisados conforme protocolo padronizado. Resultados: A amostra foi constituída de 56 pacientes, sendo 30 no grupo onlay e 26 no grupo pré-peritoneal. Não foram observadas diferenças estatisticamente significantes entre os grupos em relação aos dados demográficos, comorbidades ou tamanho do defeito. A mediana do tempo cirúrgico foi significativamente menor no grupo de reparo pré-peritoneal (50.5 vs 67.5 min, respectivamente, p=0.03). A incidência geral de complicações de ferida operatória foi de 21.4% (n=12), sendo significativamente maior no grupo onlay (33% vs 7.7%; p=0.02, IC 95% 0.03 - 0.85), sobretudo devido a seromas. Não houve diferença estatisticamente significante entre os grupos em relação à pontuação EVA em nenhum dos momentos avaliados. Após seguimento máximo de 48 meses, uma recorrência foi observada no grupo onlay. Na regressão logística múltipla, a técnica onlay foi o único fator de risco independente para complicações de ferida operatória. Conclusão: Os dados apresentados indicam superioridade da técnica pré-peritoneal comparada à técnica onlay no reparo de hérnias umbilicais primárias em termos de morbidade de ferida operatória, contribuindo, portanto, para diretrizes futuras e recomendações para seleção do plano anatômico da tela. É prevista a continuidade desse projeto, com inclusão de mais participantes e conclusão do follow-up, na expectativa de comparar ambas as técnicas em relação aos desfechos de longo prazo. Background: Current evidence supports mesh reinforcement to improve long-term results after surgical treatment of primary uncomplicated umbilical hernias. The anatomical plane for mesh insertion has been suggested to have a direct bearing on the incidence of surgical site occurrences, postoperative pain, and recurrence in ventral hernia repairs; however, its ideal location for umbilical defects is not yet established. Aim: To compare the incidence of short-term complications following onlay versus preperitoneal mesh placement in elective open umbilical hernia repairs. Methods: This report presents preliminary data from a randomized double-blind study conducted on female patients with primary umbilical hernias admitted to a secondary hospital, in a residency training program setting. To the date, 56 subjects were randomly assigned to either onlay (n=30) or preperitoneal (n=26) mesh repair group. Data on baseline demographics, past medical history, perioperative details, postoperative pain (Visual Analogue Scale, VAS), surgical site occurrences (SSOs), and recurrence were assessed using a standardized protocol. Results: No statistically significant differences were observed between groups regarding patients’ demographics, comorbidities, or defect size. Operative time averaged 67.5 (28 – 110) minutes for onlay and 50.5 (31 – 90) minutes for preperitoneal repairs, p=.03. The overall rate of SSOs was 21.4% (n=12), mainly in the onlay group (33% vs 7.7%; p=0.02, 95% CI 0.03 – 0.85) and mostly due to seromas. There were no between-group significant differences in postoperative VAS scores at all timepoints. After a maximum follow-up of 48 months, one recurrence was reported in the onlay group. By logistic regression analysis, the onlay technique was the only independent risk factor for SSOs. Conclusion: The presented data identified a decreased wound morbidity in preperitoneal umbilical hernia repairs, thus contributing to the limited body of evidence regarding mesh place selection in future guidelines. Further cases from this ongoing study and completion of follow-up are expected to also compare both techniques in terms of long-term outcomes.
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- 2022
16. Antibioticoprofilaxia em cirurgias de cães e gatos: necessidade e realidade Antibiotic prophylaxis in surgery of dogs and cats: the necessity and the reality
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Daniel Pontes Braga, Andréa Pacheco Batista Borges, Tatiana Borges de Carvalho, Letícia Corrêa Santos, and Camila Maria Mantovani Corsini
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infecção ,profilaxia ,sítio cirúrgico ,infection ,prophylaxis ,surgical wound ,Agriculture (General) ,S1-972 ,Biotechnology ,TP248.13-248.65 - Abstract
A administração profilática de antimicrobianos tem por objetivo evitar a contaminação do ferimento cirúrgico, após exposição a algum micro-organismo e antes da instalação do processo de infecção, devendo alcançar e manter concentrações antimicrobianas inibitórias, no local da incisão, durante todo o procedimento cirúrgico, a fim de evitar o crescimento de patógenos contaminantes. Na medicina veterinária, a antibioticoprofilaxia é claramente aceita como importante medida da redução e controle da incidência de infecções do sítio cirúrgico. Este estudo objetivou avaliar a utilização de antibióticos nos procedimentos cirúrgicos, realizados na clínica cirúrgica de cães e gatos do Hospital Veterinário da Universidade Federal de Viçosa, considerando a sua necessidade e a realidade. A população para o estudo foi constituída dos pacientes submetidos a tratamento cirúrgico, no período de 11 de maio a 11 de novembro de 2007. A utilização de antibióticos nos procedimentos estudados não foi padronizada ou alterada, para realização deste estudo. Assim, concluiu-se que é necessário estabelecer critérios para a antibioticoprofilaxia, bem como sua padronização no Hospital Veterinário da Universidade Federal de Viçosa, para corrigir possíveis falhas no processo de prevenção das infecções do sítio cirúrgico.Antimicrobial prophylaxis aim at preventing surgical wound contamination after the exposure to any microorganism and before infection is established. Inhibitory antimicrobial concentrations should be reached and maintained on the incision throughout the entire surgical procedure in order to prevent microbial growth. In veterinary medicine, antimicrobial prophylaxis is clearly disclosure and accepted as an important action to control and reduce the incidence of surgical wound infection. This study evaluated the use of antibiotics in small animals' surgeries at the Veterinary Hospital of the Universidade Federal de Viçosa, comparing the need and the reality. The population in study consisted of patients undergoing surgical procedures from May 11 to November 11, 2007. The routine use of antibiotics was not altered in any way for this study. The results showed that it is necessary to establish some criteria for the use of antimicrobials at the Veterinary Hospital of the Universidade Federal de Viçosa as well as the standardization of the same to correct possible failures in the process of surgical site infection.
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- 2012
17. Paenibacillus stellifer: a new cause of human infections
- Author
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Glauber Azevedo da Cunha, Lorraine Herdy Heggendornn, Sara Wilis Cussuol Gomes, Luís Guilherme de Araújo Longo, and Helvécio Cardoso Corrêa Póvoa
- Subjects
Stellifer ,biology ,medicine.drug_class ,Strategy and Management ,Mechanical Engineering ,Antibiotics ,lcsh:R ,Metals and Alloys ,Human microbiome ,Paenibacillus stellifer ,lcsh:Medicine ,Surgical wound ,surgical wound infection ,Antimicrobial ,biology.organism_classification ,Pathogenicity ,medicine.disease ,cross infection ,Industrial and Manufacturing Engineering ,Environmental - origin ,Microbiology ,Bacteremia ,medicine ,bacteremia - Abstract
Introdução: Paenibacillus stellifer está amplamente distribuído na natureza, mas sua patogenicidade não foi relatada, desde que foi identificado pela primeira vez em 2003. Objetivos: Este trabalho objetivou identificar bacilos Gram-variáveis, isolados em casos de infecções relacionadas à assistência à saúde, no período de Setembro/2015 a Agosto/2016, em um hospital da região serrana do Rio de Janeiro, Brasil e avaliar o perfil de sensibilidade destes microrganismos a antibióticos comumente empregados na prática clínica. Métodos: Inicialmente, os microrganismos foram identificados a partir de testes bioquímicos convencionais e o resultado foi confirmado através da técnica de Matrix-Assisted Laser Desorption/Ionization — Time of Flight (MALDITOF). O teste de sensibilidade aos antimicrobianos foi realizado de acordo com as recomendações do Clinical and Laboratory Standards Institute. Resultados: Foram analisadas 105 amostras: 59 secreções de feridas cirúrgicas e 46 hemoculturas. Bacilos Gram-variáveis foram identificados em duas amostras de secreção de ferida cirúrgica (3,39%) e em duas hemoculturas (4,35%). Paenibacillus stellifer foi o microrganismo isolado nas quatro amostras e apresentou sensibilidade perante todas as drogas testadas. Conclusão: P. stellifer é um microrganismo de origem ambiental e não compõe a microbiota humana. De acordo com o conhecimento atual, esta é a primeira identificação de P. stellifer, como agente etiológico de infecções de ferida cirúrgica no mundo, e bacteremia no Brasil. Por fim, destaca-se o fato de que microrganismos normalmente encontrados no ambiente são capazes de causar infecções, quando presentes no ambiente hospitalar.
- Published
- 2019
18. Custo-efetividade da infiltração contínua da ferida cirúrgica com ropivacaína versus morfina para controle de dor aguda.
- Author
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Diamond, Elizabeth, Valverde Filho, João, Pepe, Camila, Contadin, Regina Maria, and Lopes Mensor, Luciana
- Abstract
Copyright of JBES: Brazilian Journal of Health Economics / Jornal Brasileiro de Economia da Saúde is the property of JBES: Brazilian Journal of Health Economics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2015
19. Incidência de infecção do sítio cirúrgico e fatores de risco associados na clínica cirúrgica de pequenos animais.
- Author
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Corsini, C. M. M., Borges, A. P. B., Alberto, D. S., José, R. M., and Silva, C. H. O.
- Published
- 2014
- Full Text
- View/download PDF
20. Prevalência e perfil de sensibilidade aos antimicrobianos de microrganismos isolados de secreções de pele em um hospital escola
- Author
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Rosa, Taciéli Fagundes da, Rodrigues, Mônica de Abreu, Carvalho, Fernanda Aguirre, Foletto, Vitória Segabinazzi, Serafin, Marissa Bolson, Bottega, Angelita, Franco, Laísa Nunes, Paula, Bruno Rafael de, Fagundes, Divanir Maria Acosta, and Hörner, Rosmari
- Subjects
Pele ,Ferida Cirúrgica ,Infecção dos Ferimentos ,Ambulatory Surgical Procedures ,Procedimentos Cirúrgicos Ambulatórios ,Hospital Infection ,Infecção Hospitalar ,Wound Infection ,Surgical wound ,Skin - Abstract
OBJECTIVE: The objective of this work was to evaluate the prevalence and resistance profile of microorganisms isolated from skin and soft tissue secretions. This type of study, as far as we know, was the first carried out in this hospital with a period of four years and a large number of samples. METHODS: A retrospective observational study of cultures of skin infections collected in a tertiary teaching hospital was carried out from January 2014 to December 2017. The tests for identification of the microorganisms and sensitivity profile were carried out using systems conventional and automated systems (Vitek® 2 - bioMérieux). RESULTS: During the period of this study, 675 samples were positive, being Staphylococcus aureus (118; 17.48%), Pseudomonas aeruginosa (106; 15.70%), Staphylococcus epidermidis (65; 9,63%) and Escherichia coli (60%) were positive in the study period (60; 8.89%) the predominant microorganisms. Regarding Pseudomonas aeruginosa, 53.77% of the strains had resistance to imipenem and 44.34% to meropenem. Therapeutic options for the treatment of infections caused by this microorganism are limited. CONCLUSION: The epidemiological profile of the agents involved is similar to that reported in the international literature, which differentiates the sensitivity profile. A fact that needs monitoring is that Pseudomonas aeruginosa occupied the second place in the etiology and presented significant resistance against the carbapenems. OBJETIVO: O objetivo deste trabalho foi avaliar a prevalência e perfil de resistência dos microrganismos isolados de secreções de pele e tecidos moles. Este tipo de estudo, pelo que é de nosso conhecimento, foi o primeiro realizado neste hospital com período de quatro anos e elevado número de amostras. MÉTODOS: Realizou-se um estudo observacional retrospectivo de culturas de infecções de pele coletadas em hospital escola terciário, no período de janeiro de 2014 a dezembro de 2017. Os testes de identificação dos microrganismos e perfil de sensibilidade foram efetuados por meio de sistemas convencionais e automatizados (Vitek® 2 – bioMérieux). RESULTADOS: No período deste estudo, 675 amostras resultaram positivas, sendo Staphylococcus aureus (118; 17,48%), Pseudomonas aeruginosa (106; 15,70%), Staphylococcus epidermidis (65; 9,63%) e Escherichia coli (60; 8,89%) os microrganismos predominantes. Em relação à Pseudomonas aeruginosa, 53,77% das cepas apresentaram resistência ao imipenem e 44,34% ao meropenem. As opções terapêuticas para o tratamento das infecções causadas por esse microrganismo são limitadas. CONCLUSÕES: O perfil epidemiológico dos agentes envolvidos é similar ao citado na literatura internacional, o que diferencia é o perfil de sensibilidade. Fato que necessita monitoramento é que Pseudomonas aeruginosa ocupou o segundo lugar na etiologia e apresentou significativa resistência frente aos carbapenêmicos.
- Published
- 2020
21. Effect of electrical stimulation on soft tissue repair process at the palate: a study in mice
- Author
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Ferreira, Camila Lopes, Universidade Estadual Paulista (Unesp), and Jardini, Maria Aparecida Neves
- Subjects
Ferida cirúrgica ,Mucosa bucal ,Surgical Wound ,Reepitelização ,Reepithelialization ,Estimulação elétrica ,Wound healing ,Cicatrização ,Mouth mucosa ,Electric Stimulation - Abstract
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No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Submitted by CAMILA LOPES FERREIRA null (camila_clf@yahoo.com.br) on 2020-04-27T19:03:46Z No. of bitstreams: 1 Ferreira CL, 2020 Efeito da estimulação elétrica no processo de reparação de tecido mole no palato. Estudo em camundongos.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) Submitted by CAMILA LOPES FERREIRA null (camila_clf@yahoo.com.br) on 2020-04-27T19:03:46Z No. of bitstreams: 1 Ferreira CL, 2020 Efeito da estimulação elétrica no processo de reparação de tecido mole no palato. Estudo em camundongos.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Submitted by CAMILA LOPES FERREIRA null (camila_clf@yahoo.com.br) on 2020-04-27T19:03:46Z No. of bitstreams: 1 Ferreira CL, 2020 Efeito da estimulação elétrica no processo de reparação de tecido mole no palato. Estudo em camundongos.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Submitted by CAMILA LOPES FERREIRA null (camila_clf@yahoo.com.br) on 2020-04-27T19:03:46Z No. of bitstreams: 1 Ferreira CL, 2020 Efeito da estimulação elétrica no processo de reparação de tecido mole no palato. Estudo em camundongos.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Submitted by CAMILA LOPES FERREIRA null (camila_clf@yahoo.com.br) on 2020-04-27T19:03:46Z No. of bitstreams: 1 Ferreira CL, 2020 Efeito da estimulação elétrica no processo de reparação de tecido mole no palato. Estudo em camundongos.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Submitted by CAMILA LOPES FERREIRA null (camila_clf@yahoo.com.br) on 2020-04-27T19:03:46Z No. of bitstreams: 1 Ferreira CL, 2020 Efeito da estimulação elétrica no processo de reparação de tecido mole no palato. Estudo em camundongos.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Submitted by CAMILA LOPES FERREIRA null (camila_clf@yahoo.com.br) on 2020-04-27T19:03:46Z No. of bitstreams: 1 Ferreira CL, 2020 Efeito da estimulação elétrica no processo de reparação de tecido mole no palato. Estudo em camundongos.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Submitted by CAMILA LOPES FERREIRA null (camila_clf@yahoo.com.br) on 2020-04-27T19:03:46Z No. of bitstreams: 1 Ferreira CL, 2020 Efeito da estimulação elétrica no processo de reparação de tecido mole no palato. Estudo em camundongos.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Submitted by CAMILA LOPES FERREIRA null (camila_clf@yahoo.com.br) on 2020-04-27T19:03:46Z No. of bitstreams: 1 Ferreira CL, 2020 Efeito da estimulação elétrica no processo de reparação de tecido mole no palato. Estudo em camundongos.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Submitted by CAMILA LOPES FERREIRA null (camila_clf@yahoo.com.br) on 2020-04-27T19:03:46Z No. of bitstreams: 1 Ferreira CL, 2020 Efeito da estimulação elétrica no processo de reparação de tecido mole no palato. Estudo em camundongos.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Submitted by CAMILA LOPES FERREIRA null (camila_clf@yahoo.com.br) on 2020-04-27T19:03:46Z No. of bitstreams: 1 Ferreira CL, 2020 Efeito da estimulação elétrica no processo de reparação de tecido mole no palato. Estudo em camundongos.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Approved for entry into archive by Silvana Alvarez null (silvana@ict.unesp.br) on 2020-05-05T02:53:07Z (GMT) No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Made available in DSpace on 2020-05-05T02:53:07Z (GMT). No. of bitstreams: 2 ferraz_cl_dr_ict_int.pdf: 2062198 bytes, checksum: a5817455e3bb2e7433c4f2fee47fd48d (MD5) ferraz_cl_dr_ict_par.pdf: 90091 bytes, checksum: 2ceefd4f083c1df9176511b84d2f780a (MD5) Previous issue date: 2020-03-11 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) A estimulação elétrica (EE) tem sido usada no tratamento de lesões crônicas apresentando resultados favoráveis no fechamento da lesão cutânea entre outras aplicações clínicas. No entanto, a literatura carece de estudos avaliando se os efeitos da EE no fechamento da lesão oral. Diante disso, torna-se relevante investigar os efeitos da EE durante o processo de reparo da lesão oral em camundongos (Swiss). Métodos: Noventa animais foram divididos em grupos: Controle (C; n=45) que receberam a aplicação da EE com o aparelho desligado e Teste (EE; n=45) que receberam a EE (100 µA; 9 kHz; 660 mVpp; 1x/dia por 3 dias). Uma lesão de espessura total foi realizada com punch de biópsia de 1,5 mm de diâmetro. Os animais foram eutanasiados no 1o, 3o e 5o dia após a confecção da lesão. As amostras foram fixadas em paraformaldeído 4%, descalcificadas em ácido fórmico 20% e emblocadas em parafina. Os parâmetros avaliados foram: fechamento clínico da lesão; distância de reparação epitelial (DRE) e conjuntiva (DRC), concentração de citocinas IL-1β, IL-6, IL-8, IL-10, TNF-α e VEGF; porcentagem de fibras colágenas e quantificação das proteínas de sinalização Smad2. Resultados: A área de fechamento clínico foi reduzida no grupo EE no 5º dia de avaliação (p=0,01). As DRE e DRC do grupo EE apresentaram menor distância em todos os tempos avaliados (p
- Published
- 2020
22. Characterization of the repair process and the effects of photobiomodulation in a donor area partial thickness skin graft after burn
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Carboni, Rosadélia Malheiros, Ferrari, Raquel Agnelli Mesquita, Silva, Daniela de Fátima Teixeira da, Horliana, Anna Carolina Ratto Tempestini, Belizario, Viviane Fernandes Carvalho, and Paggiaro, Andre Oliveira
- Subjects
terapia com luz de baixa intensidade ,low-level light therapy ,unidades de queimados ,surgical wound ,doadores de tecidos ,reepitelização ,ferida cirúrgica ,burns units ,burns ,CIENCIAS DA SAUDE ,queimaduras ,pain ,dor ,tissue donor ,re-epithelization - Abstract
Submitted by Nadir Basilio (nadirsb@uninove.br) on 2021-11-04T18:03:21Z No. of bitstreams: 1 Rosadélia Malheiros Carboni.pdf: 3069667 bytes, checksum: 414aadf34935947159b34250b172720e (MD5) Made available in DSpace on 2021-11-04T18:03:21Z (GMT). No. of bitstreams: 1 Rosadélia Malheiros Carboni.pdf: 3069667 bytes, checksum: 414aadf34935947159b34250b172720e (MD5) Previous issue date: 2020-02-28 The objective of the study was to evaluate the comparative effects of photobiomodulation (PBM), using LED and Membracel®, on the reepithelization and wound quality of the skin donor area, in addition to the pain behavior during the wound repair process. Clinical study, with controlled case selection and data collection at the Burn Unit of the General Hospital “Dr. José Pangella ”from Vila Penteado, a public hospital in the city of São Paulo, Brazil. The sample consisted of 21 participants and 25 donor areas, 13 of which were from the control group, which received only conventional treatment (Membracel®) and 12 from the experimental group: Membracel® and LED. Participants were identified by Arabic numbers, according to the order of arrival at the Hospital. The participants' wounds were evaluated in the immediate postoperative period (PO), 1st, 3rd, 5th and 7th postoperative. Quantitative variables were represented by the mean, standard deviation and the median and interquartile range [p25; p75]. The comparison of the distributions of these variables between groups was performed using the Mann-Whitney test. The results showed that there was no difference in the time of re-epithelialization, area and quality of the wound between the groups, however, regarding pain, it was possible to verify, separately in the 5th PO, a significant reduction in the score obtained in the LED group in relation to Membracel. In conclusion, the PBM did not induce changes in the reepithelization period, wound area and wound quality scores of the Bates-Jensen Scale in the evaluated periods, however it induced a reduction in pain compared to the Membracel group. O objetivo do estudo é avaliar os efeitos comparativos da fotobiomodulação (FBM), utilizando LED e Membracel®, sobre a reepitelização e qualidade da ferida da área doadora de pele, além do comportamento da dor durante o processo de reparo da ferida. Estudo clínico com seleção de casos controlado e coleta de dados na Unidade de Queimados do Hospital Geral “Dr. José Pangella” de Vila Penteado, instituição hospitalar da rede pública da cidade de São Paulo, Brasil. A amostra foi composta por 21 participantes e 25 áreas doadoras, sendo 13 áreas do grupo controle, que recebeu apenas tratamento convencional (Membracel) e 12 do grupo experimental: Membracel e LED. Os participantes foram identificados por números arábicos, de acordo com a ordem de chegada ao Hospital. As feridas dos participantes foram avaliadas no pós-operatório (PO) imediato, 1º, 3º, 5º e 7º pós-operatórios. As variáveis quantitativas foram representadas pela média, desvio-padrão e pela mediana e intervalo interquartílico [p25; p75]. A comparação das distribuições dessas variáveis entre os grupos foi realizada pelo teste de Mann-Whitney. Os resultados evidenciaram que não houve diferença no tempo de reepitelização, área e qualidade da ferida entre os grupos, contudo, com relação à dor, foi possível verificar, isoladamente no 5ºPO, uma redução significativa do escore obtido no grupo LED em relação à Membracel. Em conclusão, a FBM não induziu alterações do período de reepitelização, área da ferida e escores de qualidade da ferida da Escala Bates- Jensen nos períodos avaliados, contudo induziu uma redução da dor em comparação ao grupo Membracel.
- Published
- 2020
23. Prevalence of complicated surgical wounds and related factors among adults hospitalized in public hospitals.
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González CVS, Carvalho EO, Galvão NS, Nogueira PC, and Santos VLCG
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- Adult, Cross-Sectional Studies, Hospitalization, Hospitals, Public, Humans, Male, Prevalence, Risk Factors, Surgical Wound
- Abstract
Objective: To estimate the prevalence of complicated surgical wounds and its related factors in hospitalized adults., Method: In this cross-sectional study, information from 251 patients hospitalized in seven public hospitals in Manaus, Brazil, and at risk of suffering surgical site complications after undergoing surgery was analyzed. Data were collected via interviews, physical examinations, and a medical record review from March to June 2015. Prevalence rate was estimated as the ratio between individuals with complications and patients at risk. To explore associated variables, individuals with and without complications were compared via 5% significant logistic regression and bivariate analyses. This study was approved by a research ethics committee., Results: Overall, 15 patients (6%) showed complicated surgical wounds. General hospitalization (p < 0.003), presence of ecchymosis, (p < 0.001), and men (p = 0.047) increased patients' probability of developing complications in 13.9, 10.1, and 8.2 times, respectively., Conclusion: Assessing the prevalence of complicated surgical wounds and its associated factors in adults contributes to their epidemiological understanding, highlighting prevention targets and making data available for scientific comparisons.
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- 2022
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24. Essential oils for healing and/or preventing infection of surgical wounds: a systematic review.
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Nascimento ASD, Tamiasso RSS, Morais SFM, Rizzo Gnatta J, Turrini RNT, Calache ALSC, and de Brito Poveda V
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- Episiotomy, Female, Humans, Pregnancy, Wound Healing, Lavandula, Oils, Volatile therapeutic use, Surgical Wound
- Abstract
Objective: To analyze the evidence available in the literature on the use of essential oils for healing and/or preventing infection in surgical wounds., Method: Systematic review according to the JBI model and PRISMA statement. The search was carried out in November/2020 and updated in December/2021, using descriptors and keywords, in the CINAHL, LILACS, CENTRAL, EMBASE, PUBMED, Scopus, and Web of Science databases. The quality of the evidence was assessed using the JBI critical appraisal tool for randomized controlled trials., Results: Five publications were included. Three studies evaluated healing and the presence of infection after episiotomy using the Redness-Edema-Ecchymosis-Discharge-Approximation (REEDA) scale; one study evaluated healing after periodontal surgery using the plaque index and Modified Gingival Index; the other four studies considered the presence of infection after episiotomy. Most studies used lavender oil, associated or not with other oils (80%). Two studies showed an improvement in healing. The infection outcome, although mentioned by 60% of studies, was not assessed as a primary outcome., Conclusion: The promising efficacy of essential oils, especially lavender, was verified in the healing of surgical wounds, especially in episiotomies.
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- 2022
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25. Características epidemiológicas e clínicas da sepse em um hospital público do Paraná
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Patricia Gurgel Amaral Velasquez, Leonardo Garcia Velasquez, Danieli Miranda, Mirian Carla Bortolamedi Diamenes Silva, Luciana Savi Demetrio, and Franciele do Nascimento Santos Zonta
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medicine.medical_specialty ,lcsh:Internal medicine ,Septic shock ,business.industry ,Medical record ,lcsh:R ,lcsh:Medicine ,Surgical wound ,General Medicine ,medicine.disease ,Intensive care unit ,Polytrauma ,law.invention ,lcsh:Infectious and parasitic diseases ,Systemic inflammatory response syndrome ,Sepsis ,law ,Internal medicine ,Epidemiology ,medicine ,lcsh:RC109-216 ,business ,lcsh:RC31-1245 - Abstract
Justificativa e Objetivo: A sepse é um problema de saúde pública que gera impacto clínico e econômico. O estudo objetiva descrever as características epidemiológicas e clínicas da sepse em um hospital público do Paraná. Métodos: Trata-se de uma pesquisa de campo exploratória, documental, retrospectiva, com abordagem quantitativa. Os dados foram coletados de prontuários de pacientes admitidos na Unidade de Terapia Intensiva adulto de janeiro de 2012 a janeiro de 2017, para isso utilizou-se um checklist com variáveis clínicas e demográficas. Foram inclusos todos os prontuários de pacientes internados no setor que apresentaram sepse no momento da internação ou desenvolvida após a admissão. Foi realizada análise de frequência descritiva, distribuição das variáveis independentes e significância pelo teste de Qui-quadrado. Resultados: De um total de 1.557 prontuários, foram incluídos 1112 (71,4%), os quais foram classificados com síndrome da resposta inflamatória sistêmica (13,9%), sepse (39,1 %) ou choque séptico (47,0 %). Houve predominância de pacientes do sexo masculino (55,8%), faixa etária maior de 70 anos (36,3%) e cor branca (92,6%). O tempo de internação foi de até uma semana (50,4%). Prevaleceram pacientes clínicos (42,4%), com infecção nosocomial encontrada em 50,2% dos casos. As principais fontes de infecção foram pulmão (32,9%) e ferida cirúrgica (23,5%). Entre as causas de admissão, complicações respiratórias (19,5%) e politrauma (9,3%) foram as mais frequentes. As culturas foram positivas em 29,7% dos casos, em sua maioria bacilos gram negativos (12,1%). A mortalidade na SIRS, na sepse e no choque séptico foi de 0,3%, 30,1%, 33,0%, respectivamente. Conclusão: O estudo evidenciou que a sepse acometeu em sua maioria idosos do sexo masculino, e que o foco infecioso foi de origem pulmonar em âmbito nosocomial. Observou-se ainda elevadas taxas de mortalidade, principalmente em casos de choque séptico.
- Published
- 2018
26. Antibioticoprofilaxia em cirurgias de cães e gatos: necessidade e realidade.
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Pontes Braga, Daniel, Batista Borges, Andréa Pacheco, Borges de Carvalho, Tatiana, Corrêa Santos, Letícia, and Mantovani Corsini, Camila Maria
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ANTIBIOTICS ,VETERINARY medicine ,VETERINARY surgery ,DRUG utilization ,VETERINARY hospitals - Abstract
Copyright of Revista Ceres is the property of Revista Ceres and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2012
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27. Cuidando da pessoa com ferida cirúrgica: estudo de caso.
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De Sousa, Pedro Miguel Lopes and Santos, Isabel Margarida Silva Costa
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- *
SURGICAL site infections , *WOUND infections , *SURGICAL complications , *NOSOCOMIAL infections , *MEDICAL care - Abstract
In our days, the number of people with surgical wounds seems to increase in primary and differentiated health care, which demands for the amplification of investigation to maximize resources and optimize nursing care. So, a case-study was conducted with a subject submitted to excision of a pilonidal disease, with the objective of reflecting about the nursing care plan and evaluating the evolution of the cicatrisation process of a surgical wound according to the used dressing material. In the studied case, we observed that the elaboration of an accurate nursing care plan makes possible the nursing process of taking decisions. The treatment with iodoformed gauze promoted the hemostasy, cleanning and granulation tissue. With calcium alginate we achieved higher therapeutic success, unlike the Triticum vulgare that conduced to the evolutive regression of the wound and to infection. [ABSTRACT FROM AUTHOR]
- Published
- 2007
28. ANÁLISE DA FREQUÊNCIA DE INFECÇÃO DE FERIDA OPERATÓRIA DE ACORDO COM O TIPO DE ASSEPSIA E ANTISSEPSIA NO PRÉ-OPERATÓRIO
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Maria Elena Mandarim, Raiza Tinoco Manhães, Maria Alice Caldas, Giovanna Almeida, and Andreia Rodrigues
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Handwashing, wound infection, surgery ,business.industry ,medicine.drug_class ,Chlorhexidine ,Significant difference ,Dentistry ,Surgical wound ,General Medicine ,University hospital ,Wound infection ,Asepsis ,Antiseptic ,Lavagem das mãos, infecção da ferida operatória, cirurgia ,medicine ,business ,Clinical record ,medicine.drug - Abstract
Studies suggest that there is no need to use brushes for preoperative antisepsis of hands, only recommending the use of antiseptics. The brushing injury appears to increase the bacteria on the hands and spread, while the use of antiseptic antiseptic reduces the time and the use of brushes. Objective: The aim of this study was to conduct a comparative analysis between brushing traditional pre-surgical hand antisepsis with antiseptic and pre-surgically with handwashing using the antiseptic povidone-iodine (PVP-I) or chlorhexidine. Methods: To achieve these goals, a documentary and exploratory study of 200 gynecological surgeries and mastology performed in the University Hospital Alvaro Alvim, Campos dos Goytacazes, RJ. The data of interest for the study were obtained from the data collection record surgeries surgical center and its records according to established clinical record for the collection of information. The 200 surgeries were divided into two groups being 100 children conducted by teams that used the scrubbing hands (group A) and another 100 surgeries the team just washed his hands with antiseptic (group B) mentioned above. Results: Four cases of postoperative wound infection were observed, two in group A and two in group B. The analysis of the results of the present study shows that the two applied pre-surgical asepsis methods, with and without the use of brushes, presented similar efficiency and effectiveness, since there was no statistically significant difference between the rates of infection of the surgical wound. Estudos sugerem que não há necessidade do uso de escovas para degermação pré-operatória das mãos, preconizando apenas o uso de antissépticos. A escovação parece aumentar as lesões nas mãos e disseminar bactérias; enquanto a utilização de antissépticos reduz o tempo de degermação e o uso de escovas. Objetivo: realizar uma análise comparativo entre a escovação tradicional pré-cirurgica das mãos com antissépticos e a degermação pré-cirurgica com a lavagem das mãos utilizando o antisséptico polivinilpirrolidona-iodo (PVP-I) ou clorexidine. Métodos: Para alcançar esses objetivos foi realizado um Estudo Documental e Exploratório de 200 cirurgias ginecológicas e de mastologia realizadas no Hospital Escola Alvaro Alvim, Campos dos Goytacazes, RJ. Os dados de interesse para o estudo foram obtidos a partir da coleta de dados de registro de cirurgias do centro cirúrgico e respectivo prontuário de acordo com a ficha clinica elaborada para a coleta das informações. As 200 cirurgias foram divididas em dois grupos sendo 100 delas realizadas por equipes que utilizaram a escovação das mãos (grupo A) e as outras 100 cirurgias à equipe apenas lavou as mãos com os antissépticos (grupo B) citados acima. Resultados: Foram observados quatro casos de infecção da ferida pós-operatória, dois no grupa A e dois no grupo B. A análise dos resultados do presente estudo mostra que os dois métodos aplicados de assepsia pré-cirúrgica, com e sem utilização de escovas, apresentaram eficiência e eficácia semelhantes, uma vez que não houve diferença estatística significante entre as taxas de infecção da ferida operatória.
- Published
- 2019
29. Surgical breast incisions treated with 2-octyl-cyanoacrylate versus intradermal nylon suture: a randomized clinical trial.
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Freitas Júnior R, Becker TS, Rahal RMS, Paulinelli RR, and Soares LR
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- Adolescent, Adult, Aged, Aged, 80 and over, Child, Female, Humans, Middle Aged, Patient Satisfaction, Surgical Wound, Time Factors, Treatment Outcome, Young Adult, Breast Diseases surgery, Cyanoacrylates therapeutic use, Nylons, Suture Techniques instrumentation
- Abstract
Objective: to evaluate the safety profile and aesthetic results of 2-octyl-cyanoacrylate versus intradermal nylon suture in breast surgeries., Methods: an open-label, randomized, clinical trial evaluating the occurrence of complications, such as dehiscence, hematoma, infection, and allergic reactions after the use of 2-octyl-cyanoacrylate or nylon thread. The size of the incisions, skin closure time, and total surgical time were also analyzed. The aesthetic outcome was evaluated at 40 and 180 days after surgery, by means of the average width of the surgical wound and by subjective conceptual assessment (optimal, good, reasonable, or poor)., Results: 79 patients were included: 37 in the 2-octyl-cyanoacrylate group and 42 in the nylon suture group. The study was stopped before the end of patient recruitment due to the occurrence of a greater number of dehiscences in the adhesive group (OR: 11.42; 95%CI: 1.36-96.02; p=0.007). Regarding the other analyzed complications, the surgical duration and postoperative aesthetic result, no significant differences were observed between the groups. The mean operative wound size was greater in the adhesive group than in the suture group, but there was no correlation between wound size and the largest number of dehiscences., Conclusion: while the cosmetic outcomes with the two techniques were similar, there was a greater risk of dehiscence with the use of 2-octyl-cyanoacrylate compared to intradermal suturing.
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- 2019
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30. Laparoendoscopic Single-Site Surgery in performing laparoscopic cryptorchidectomy in a cat
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Luis Felipe Dutra Corrêa, Hellen Fialho Hartmann, Marília Teresa de Oliveira, Saulo Tadeu Lemos Pinto Filho, Fabíola Dalmolin, Maurício Veloso Brun, Fernando Wiecheteck de Souza, and João Pedro Scussel Feranti
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Laparoscopic surgery ,medicine.medical_specialty ,Endoscope ,medicine.medical_treatment ,Forceps ,Abdominal cavity ,orquiectomia ,orchiectomy ,lcsh:Agriculture ,Pneumoperitoneum ,Scrotum ,medicine ,LESS ,lcsh:Agriculture (General) ,feline ,Laparoscopy ,felino ,General Veterinary ,medicine.diagnostic_test ,business.industry ,videocirurgia ,lcsh:S ,Surgical wound ,medicine.disease ,lcsh:S1-972 ,Surgery ,medicine.anatomical_structure ,Animal Science and Zoology ,business ,Agronomy and Crop Science ,videosurgery - Abstract
A afecção congênita mais comum nos animais domésticos é denominada de criptorquidismo, sendo caracterizada pela não migração de um ou ambos os testículos até o escroto. O objetivo deste trabalho é relatar a técnica de criptorquidectomia videoassistida, através de um único acesso (LESS) sem dispositivos específicos, em um gato siamês com dois anos de idade e 3,9kg de massa corporal. Utilizou-se um único portal de 5 mm, inserido na linha média ventral na região pré-púbica. Por esse portal, a cavidade foi insuflada com CO2 medicinal, permitindo a obtenção do pneumoperitônio (8mmHg) a uma velocidade de 1 l/min. Após o inventário da cavidade abdominal, com o auxílio de um endoscópio de 5mm e 25o, identificou-se o testículo ectópico. Com a utilização de uma pinça de apreensão para mini laparoscopia (3mm), introduzida ao lado do trocarte (pelo mesmo acesso), o testículo foi fixado e tracionado para o exterior da cavidade abdominal para realização de hemostasia, não sendo necessária a ampliação da ferida cirúrgica. Após a secção dos vasos testiculares, o testículo foi totalmente liberado e o coto vascular devolvido à cavidade abdominal. O presente relato demonstra que a cirurgia laparoscópica por um único acesso (LESS) pode ser utilizada com sucesso no diagnóstico e tratamento de casos de criptorquidismo em gatos, com as possíveis vantagens que o acesso apresenta em relação à cirurgia convencional. The most common congenital disease in domestic animals is cryptorchidism, which is characterized by the failure of one or both testicles to descend into the scrotum. The objective of this paper is to describe a video-assisted cryptorchidectomy through a single access (LESS), without specific portal multifunctional, in a two-year-old siamese cat weighing 3.9kg. To perform the cryptorchidectomy, it was inserted a single portal (5mm) in the ventral midline in the pre-pubic region. The cavity was insufflated with medicinal CO2 at a rate of 1l/minute in order to obtain a pneumoperitoneum (8mmHg). After the inspection of the abdominal cavity with an endoscope (5mm/25º) the ectopic testicle was identified. With a minilaparoscopy, forceps (3mm) was introduced in the side of the first portal (same access), the testicle was grasped and pulled outside to realize hemostasis, without need to extend surgical wound. After sectioning the testicular vessels, the testicle was fully released and the vascular stump was returned to the abdominal cavity. The present report demonstrates that laparoscopic surgery by a single access (LESS) may be successful in the diagnosis and treatment of cryptorchidism in cats, considering the potential benefits that this procedure brings in relation to conventional surgery.
- Published
- 2015
31. Perfil epidemiológico e análise microbiológica da infecção de sítio cirúrgico em pacientes humanos e animais de companhia
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Larissa S. Oliveira, Aline R. Murta, Nilton B. Abreu Jr, Andréa Pacheco Batista Borges, Gustavo Pereira Gonçalves, Emily Correna Carlo Reis, Fabrício Luciani Valente, and Renato Barros Eleotério
- Subjects
medicine.medical_specialty ,lcsh:Veterinary medicine ,General Veterinary ,business.industry ,infection control committee ,Surgical wound ,Infecção hospitalar ,Hospital-acquired infection ,Surgery ,Comissão de controle de infecção hospitalar ,Orthopedic surgery ,Epidemiology ,Emergency medicine ,lcsh:SF600-1100 ,Medicine ,Antibiotic prophylaxis ,comissão de controle de infecção hospitalar ,business ,Surgical site infection - Abstract
Resumo A infecção de sítio cirúrgico (ISC) tem sido apontada como a terceira causa mais comum de infecção nosocomial. Este estudo objetivou determinar o perfil epidemiológico da ISC e sua associação aos fatores de risco descritos. Trata-se de um estudo transversal, realizado no Hospital São João Batista de Viçosa-MG e na Clínica Cirúrgica de Cães e Gatos do Hospital Veterinário da Universidade Federal de Viçosa-MG, no período de setembro de 2012 a fevereiro de 2013. As taxas globais de ISC foram de 0,7% no hospital humano e 3,46% no veterinário. No hospital veterinário, a taxa de ISC não mostrou relação com o potencial de contaminação, apresentando a maior taxa nos procedimentos classificados como limpos. Quanto ao tipo de cirurgia, as ortopédicas são as mais comuns em ambos os hospitais e também as que apresentam maior taxa de ISC. Cirurgias com duração maior que 120 minutos corresponderam a 15,25% do total de procedimentos no hospital humano e são ainda menos comuns no veterinário, com 1,26%. A taxa de ISC não parece estar relacionada à duração da cirurgia nesta estratificação. As bactérias isoladas das feridas cirúrgicas foram multirresistentes e os dados levantados indicam que não houve critério quanto ao emprego da antibioticoprofilaxia, principalmente nas cirurgias limpas. Este cenário mostra que é de extrema relevância a atuação de uma comissão de controle de infecção hospitalar, a fim de garantir obtenção de dados fidedignos, para que se possa avaliar a qualidade do serviço prestado e assim promover a redução dos riscos de complicações pós- operatórias. Abstract Surgical site infection (SSI) has been indicated as the third cause of nosocomial infection. The present study aimed to determine the epidemiological profile of SSI and its association with the risk factors. It is a transversal study done at the São João Batista Hospital of Viçosa-MG and at the Surgery Service of the Small Animals Veterinary Hospital of the Universidade Federal de Viçosa-MG, from September 2012 to February 2013. Global SSI rates were 0.7% at the human and 3.46% at the veterinary hospitals. At the veterinary hospital, SSI rates were not related to contamination potential, with clean procedures presenting the greater rates. As for the type of surgery, orthopedic ones are the most common in both hospital and also the ones presenting the greater SSI rates. Surgeries during more than 120 minutes were 15.25% of the total of procedures at the human hospital and are even less common in the veterinary, with 1.26%. Rate of SSI does not seem to be related to surgery duration in this classification. Bacteria isolated from surgical wounds were multi-resistant and the obtained data indicated that no criteria of antibiotic prophylaxis existed, mainly for clean surgeries. This scenario shows that the action of a commission to control nosocomial infection are extremely relevant in order to guarantee reliable data so that the quality of service may be evaluated and thus, promoting a decrease the risk of in post-operative complications.
- Published
- 2015
32. O regresso a casa do doente submetido a cirurgia : prevenindo a infeção
- Author
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Soares, Marta Filipa Fanado and Madureira, Maria Manuela
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Ferida cirúrgica ,Specialist nurse ,Ebola virus ,Enfermeiro especialista ,Regresso a casa ,Surgical wound ,Discharge ,Infeção ,Needs ,Infection ,Necessidades ,Ébola - Abstract
Submitted by Cristina Afonso (cac@lisboa.ucp.pt) on 2016-04-14T13:14:14Z No. of bitstreams: 1 Relatorio Mestrado_Marta Soares.pdf: 1426891 bytes, checksum: a750e7388c646c7fc9f22d46f59df3da (MD5) Approved for entry into archive by Cristina Afonso (cac@lisboa.ucp.pt) on 2016-04-14T13:14:25Z (GMT) No. of bitstreams: 1 Relatorio Mestrado_Marta Soares.pdf: 1426891 bytes, checksum: a750e7388c646c7fc9f22d46f59df3da (MD5) Made available in DSpace on 2016-04-14T13:14:25Z (GMT). No. of bitstreams: 1 Relatorio Mestrado_Marta Soares.pdf: 1426891 bytes, checksum: a750e7388c646c7fc9f22d46f59df3da (MD5) Previous issue date: 2015-09-24
- Published
- 2015
33. Hipospadia perineal em um cão: relato de caso
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Fernanda Soldatelli Valente, Paula Cristina Sieczkowski Gonzalez, and Emerson Antonio Contesini
- Subjects
medicine.medical_specialty ,Cirurgia hipospádia ,canine ,Hipospádias ,Perineal hypospadias ,Caes [Cirurgia veterinaria] ,Scrotum ,medicine ,lcsh:SF1-1100 ,General Veterinary ,congenital anomalies ,business.industry ,Diagnóstico ,Surgical wound ,defeitos desenvolvimentares ,medicine.disease ,Anus ,Perineum ,Surgery ,uretra ,medicine.anatomical_structure ,Urethra ,canino ,Hypospadias ,anomalias congênitas ,lcsh:Animal culture ,urethra ,business ,developmental defects ,Penis - Abstract
A hipospadia é uma anomalia congênita da genitália externa, na qual a uretra peniana termina ventral e caudalmente à sua abertura normal. Pode ser classificada, com base na localização da abertura uretral, como glandular, peniana, escrotal, perineal e anal. O objetivo deste trabalho é relatar um caso raro de hipospadia perineal, em que são abordados seus aspectos clínicos e terapêuticos, em um cão macho, sem raça definida, com seis meses de idade. Um canino com histórico de suspeita de hermafroditismo e presença de um orifício, logo abaixo do ânus, pelo qual urinava foi atendido no Hospital de Clínicas Veterinárias da Universidade Federal do Rio Grande do Sul (UFRGS). Durante o exame físico, foi observado o meato uretral localizado ventralmente ao ânus, além de alterações no prepúcio, pênis e escroto. Foram realizados exames de triagem, tais como: hemograma completo, urinálise, ecografia abdominal e uretrocistografia. O cão foi encaminhado para a cirurgia, quando foi submetido à amputação peniana e prepucial total e também à orquiectomia. O canino recebeu antibioticoterapia, analgésicos, anti-inflamatório e limpezas diárias dos pontos e da região perineal e apresentou excelente recuperação pós-operatória. Após 30 dias da cirurgia, o paciente retornou ao hospital, e foi verificada completa cicatrização da ferida cirúrgica, sem sinais de infecção urinária e inflamação ou assaduras na região perineal. A hipospadia perineal é um caso raro de anomalia uretral congênita, ainda pouco documentada em medicina veterinária. O procedimento cirúrgico realizado demonstrou ser importante, uma vez que removeu toda a genitália externa defeituosa, onde, futuramente, poderiam desenvolver-se infecções e/ou inflamações. Com isso, minimizou as complicações dessa doença e melhorou a qualidade de vida do paciente. Hypospadias is a congenital anomaly of the external genitalia, where the penile urethra finishes its normal opening ventrally and caudally. It can be classified based on the location of the urethral opening as glandular, penile, scrotal, perineal and anal. The aim of this work was report an uncommon case of perineal hypospadias, working on the clinical and therapeutic aspects in a six-month-old male dog of undefined race. A dog with a history of suspected hermaphroditism and presenting a hole below the anus by which it urinated, was rescued at the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul (UFRGS). During the physical exam, it was observed that the urethral meatus was situated ventrally to the anus. Foreskin, penis and scrotum alterations were also seen on the dog. Screening exams such as complete blood count, urinalysis, abdominal ultrasound and cystourethrography were done. The dog went straight to surgery, where it had total penile and total preputial amputation and also orchiectomy. The canine showed excellent postoperative recovery, receiving antibiotic therapy, analgesics, anti-inflammatories and daily cleaning on stitches and the perineal region. Thirty days after surgery the patient went back to the Hospital presenting a complete healing of the surgical wound, without reporting signs of urinary infection and inflammation or rashes on the perineal region. The perineal hypospadias is a rare case of urethral congenital anomaly, still not well documented by veterinary medicine. The surgical procedure done demonstrated to be important, since there was the removal of all of the defective external genitalia where, in the future, inflammation and infection could develop, decreasing the complications of this disease and improving this patient’s quality of life.
- Published
- 2014
34. LONG-TERM OUTCOMES OF LIGATION OF INTERSPHINCTERIC FISTULA TRACT FOR COMPLEX FISTULA-IN-ANO: MODIFIED OPERATIVE PROCEDURE EXPERIENCE.
- Author
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Wen K, Gu YF, Sun XL, Wang XP, Yan S, He ZQ, and Zhen SG
- Subjects
- Adult, Anal Canal physiopathology, Fecal Incontinence surgery, Female, Follow-Up Studies, Humans, Male, Medical Illustration, Middle Aged, Rectal Fistula physiopathology, Retrospective Studies, Surgical Wound, Suture Techniques, Treatment Outcome, Anal Canal abnormalities, Anal Canal surgery, Ligation methods, Rectal Fistula surgery
- Abstract
Background: It is important but difficult to treat complex fistula-in-ano due to the high recurrent rate and following incontinence. Ligation of the intersphincteric fistula tract (LIFT), a novel surgical procedure with the advantage of avoiding anal incontinence, has a variable success rate of 57-94.4 %., Aim: To evaluate the long-term outcomes of modified LIFT operative procedure - ligation of intersphincteric fistula tract - to treat complex fistula-in-ano., Methods: Retrospective analysis of 62 cases of complex fistula-in-ano. The group was treated with the modified approach of LIFT (curved incision was made in the anal canal skin; purse-string suture was performed around the fistula; the residual fistulas were removed in a tunnel-based way) and had a follow-up time of more than one year. Patient´s preoperative general condition, postoperative efficacy and their anal function were compared., Results: The median age of the participants was 34, and 43 (69.4%) cases were male. Forty-one (66.1%) cases were of high transsphincteric fistula, four (6.5%) cases of high intrasphincter fistula, and 17 (27.4%) cases of anterior anal fistula in female. The median follow-up duration was 24.5 (range, 12-51) months. The success rate in the end of follow-up was 83.9% (52/62). The anorectal pressure and Cleveland Clinic Florida Fecal Incontinence (CCF-FI) evaluated three months before and after the operation did not find apparent changes., Conclusions: Compared with LIFT, the modified LIFT remarkably reduces postoperative failure and the recurrence rate of complex fistula with acceptable long-term outcomes.
- Published
- 2018
- Full Text
- View/download PDF
35. Performance of castrated kid goats treated with calendula and associations
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Carlos Elysio Moreira da Fonseca, Erica Bertha Führich Raupp Bezerra de Mello Oliveira, Maria Ignez Carvalho Ferreira, Sérgio Fernandes Ferreira, Mirton José Frota Morenz, SÉRGIO FERNANDES FERREIRA, UFGO, ERICA BERTHA FÜHRICH RAUPP BEZERRA DE MELLO OLIVEIRA, UFRRJ, CARLOS ELYSIO MOREIRA DA FONSECA, UFRRJ, MARIA IGNEZ CARVALHO FERREIRA, UFRRJ, and MIRTON JOSE FROTA MORENZ, CNPGL.
- Subjects
Veterinary medicine ,goats ,Withers ,growth ,law.invention ,Fitoterápico ,lcsh:Agriculture ,law ,medicine ,Orchiectomy ,Calendula ,Desempenho ,phytotherapy ,Completely randomized design ,lcsh:SF1-1100 ,Castração ,Caprinos ,General Veterinary ,biology ,business.industry ,lcsh:S ,Surgical wound ,castration ,biology.organism_classification ,Breed ,Animal Science and Zoology ,lcsh:Animal culture ,medicine.symptom ,Phytotherapy ,business ,Weight gain - Abstract
RESUMO - O objetivo do presente experimento foi avaliar as respostas de desempenho de caprinos castrados, submetidos a dois tratamentos da ferida cirúrgica: tratamento convencional com pomada à base de óxido de zinco, óleo de pinho, caulim e xilol e spray à base de permetrina, fenoxibenzil e DDVP (diclorvós) e tratamento alternativo com uso de fitoterápico com pomada à base de extrato de Calendula offcinalis e associações. Foram utilizados doze cabritos sem raça definida com peso inicial médio de 15,5 kg, criados em confinamento total, separados em dois grupos dispostos em delineamento inteiramente casualizado para constituir dois tratamentos com seis repetições cada, visando comparar o desempenho dos animais tratados de forma convencional em relação ao tratamento com extrato de Calendula offcinalis e associações. Empregada a técnica de orquiectomia (castração) por abertura da bolsa escrotal e com cordão espermático descoberto no dia 0, os dois grupos foram tratados até a completa cicatrização da ferida cirúrgica no 51º dia de experimentação. As medidas biométricas analisadas foram ganho de peso (kg), ganho de altura de cernelha (cm), ganho de altura de garupa (cm), ganho de perímetro torácico (cm) e escore de condição corporal. Os resultados foram analisados pelo pacote estatístico SAEG e teste de Tukey (P>0,05). Não houve diferença significativa entre os tratamentos (P>0,05) para nenhum dos parâmetros analisados. Todas as características biométricas, à exceção do escore corporal, aumentaram no período de avaliação. Não houve impacto negativo no uso de fitoterápico em relação às características observadas. ABSTRACT - The purpose of this experiment was to evaluate the performance responses of castrated goats, submitted to two surgical wound treatments: conventional treatment with ointment made of zinc oxide, pine oil, kaolin and xylene and permethrin, phenoxybenzyl and DDVP spray (dichlorvos) and alternative phytotherapic treatment using herbal medicine with ointment made of Calendula offcinalis extract and associations. Twelve undefined breed goats with an average initial weight of 15.5 kg, raised in total confinement, were separated into two groups and arranged in a completely randomized design to constitute two treatments with six replicates each, in order to compare the performance of animals treated conventionally and with Calendula offcinalis extract and associations. We employed the orchiectomy (castration) technique by opening the scrotum and spermatic cord on day 0, and both groups were treated until complete healing of the surgical wound on the 51st day of trial. We analyzed the following biometric parameters: weight gain (kg), withers height gain (cm), croup height gain (cm), thotacic perimeter gain (cm) and body condition score. The results were analyzed using the Statistical Package SAEG and Tukey's test (P> .05). There was no significant difference between treatments (P> 0.05) for any of the parameters analyzed. All biometric characteristics, with the exception of body condition, increased during the evaluation period. There was no negative impact of the use of herbal medicine on the characteristics observed. Made available in DSpace on 2022-09-05T17:21:46Z (GMT). No. of bitstreams: 1 Artigo-Mirton-Desempenho-01.pdf: 233501 bytes, checksum: c9def2272967818d80a3ffdb067973ad (MD5) Previous issue date: 2013
- Published
- 2013
36. Antibioticoprofilaxia em cirurgias de cães e gatos: necessidade e realidade
- Author
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Braga, Daniel Pontes, Borges, Andréa Pacheco Batista, Carvalho, Tatiana Borges de, Santos, Letícia Corrêa, and Corsini, Camila Maria Mantovani
- Subjects
surgical wound ,infecção ,profilaxia ,sítio cirúrgico ,prophylaxis ,infection - Abstract
A administração profilática de antimicrobianos tem por objetivo evitar a contaminação do ferimento cirúrgico, após exposição a algum micro-organismo e antes da instalação do processo de infecção, devendo alcançar e manter concentrações antimicrobianas inibitórias, no local da incisão, durante todo o procedimento cirúrgico, a fim de evitar o crescimento de patógenos contaminantes. Na medicina veterinária, a antibioticoprofilaxia é claramente aceita como importante medida da redução e controle da incidência de infecções do sítio cirúrgico. Este estudo objetivou avaliar a utilização de antibióticos nos procedimentos cirúrgicos, realizados na clínica cirúrgica de cães e gatos do Hospital Veterinário da Universidade Federal de Viçosa, considerando a sua necessidade e a realidade. A população para o estudo foi constituída dos pacientes submetidos a tratamento cirúrgico, no período de 11 de maio a 11 de novembro de 2007. A utilização de antibióticos nos procedimentos estudados não foi padronizada ou alterada, para realização deste estudo. Assim, concluiu-se que é necessário estabelecer critérios para a antibioticoprofilaxia, bem como sua padronização no Hospital Veterinário da Universidade Federal de Viçosa, para corrigir possíveis falhas no processo de prevenção das infecções do sítio cirúrgico. Antimicrobial prophylaxis aim at preventing surgical wound contamination after the exposure to any microorganism and before infection is established. Inhibitory antimicrobial concentrations should be reached and maintained on the incision throughout the entire surgical procedure in order to prevent microbial growth. In veterinary medicine, antimicrobial prophylaxis is clearly disclosure and accepted as an important action to control and reduce the incidence of surgical wound infection. This study evaluated the use of antibiotics in small animals' surgeries at the Veterinary Hospital of the Universidade Federal de Viçosa, comparing the need and the reality. The population in study consisted of patients undergoing surgical procedures from May 11 to November 11, 2007. The routine use of antibiotics was not altered in any way for this study. The results showed that it is necessary to establish some criteria for the use of antimicrobials at the Veterinary Hospital of the Universidade Federal de Viçosa as well as the standardization of the same to correct possible failures in the process of surgical site infection.
- Published
- 2012
37. Desigualdades sociais nas complicações da cesariana: uma análise hierarquizada
- Author
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Paulo Fontoura Freitas and Eduardo Pereira Savi
- Subjects
Gerontology ,Fatores de Risco ,medicine.medical_specialty ,Cesarean Section ,Obstetrics ,Vaginal delivery ,Proportional hazards model ,business.industry ,Public health ,Iniquidade Social ,Postpartum Period ,Public Health, Environmental and Occupational Health ,Surgical wound ,Prenatal care ,Período Pós-Parto ,Risk Factors ,Social Inequity ,medicine ,Childbirth ,Social inequality ,business ,Cesárea ,Socioeconomic status ,reproductive and urinary physiology - Abstract
Com objetivo de investigar associações entre fatores socioeconômicos e complicações da cesariana, uma amostra de 604 puérperas cujos partos ocorreram em duas maternidades no Sul do Brasil foi entrevistada 24 horas pós-parto e na segunda semana do puerpério, por meio de entrevistas hospitalares e domicilio. Regressão de Cox foi aplicada ao modelo hierárquico dos fatores associados ao tipo de parto e às complicações no pós-parto. Complicações foram duas vezes mais frequentes após cesariana, independentemente das condições socioeconômicas. Contudo, a maneira como o parto cesáreo se associou ao risco de complicações mostrou-se mediada pelas circunstâncias socioeconômicas representadas pela categoria do pré-natal e parto, ter ou não o mesmo profissional no pré-natal e parto e ter sua cesariana decidida intraparto. Resultados do estudo evidenciam que complicações pós-cirúrgicas da cesariana têm impacto adverso, principalmente, entre aquelas mulheres vivendo em condições sociais e de saúde menos privilegiadas, as quais, após o parto, retornam para um ambiente de menor suporte, com uma cicatriz abdominal. This study focused on the association between social factors and complications following cesarean sections. A sample of 604 women delivering in the two main maternity hospitals in a city in southern Brazil were interviewed 24 hours after delivery and two weeks postpartum, using in-hospital and home interviews. Cox regression was applied, using a hierarchical framework of factors associated with post-cesarean complications. Post-partum complications were twice as frequent after cesareans as compared to vaginal delivery, independently of socioeconomic conditions. However, the increased the risk of complications associated with cesarean section proved to be mediated by socioeconomic circumstances, as represented by prenatal and childbirth care in the public health system, not having the same physician throughout prenatal care and delivery, and having the decision made for the cesarean while the patient was already in labor. The study's results show that post-cesarean complications can adversely impact women, especially those living in the worst social and health conditions, that is, precisely those that lack support when returning home with a surgical wound.
- Published
- 2011
38. Correlação entre as escalas visual analógica, de Melbourne e filamentos de Von Frey na avaliação da dor pós-operatória em cadelas submetidas à ovariossalpingohisterectomia
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Virgínia Heinze Pohl, Carlize Lopes, Clarissa D. Garlet, Adriano Bonfim Carregaro, and Jenifer de Santana Marques
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General Veterinary ,business.industry ,Visual analogue scale ,Analgesic ,Lower score ,Surgical wound ,analgesia ,Pain scale ,métodos de avaliação ,Pain evaluation ,Von frey ,Anesthesia ,cães ,Evaluation methods ,Medicine ,Animal Science and Zoology ,dor ,business ,Agronomy and Crop Science - Abstract
A avaliação da dor em animais necessita da utilização de escalas de avaliação, que dependem da interpretação realizada por observadores. O objetivo do presente estudo foi avaliar a correlação entre a escala visual analógica (EVA), escala de Melbourne e os filamentos de Von Frey, na avaliação da dor pós-operatória em 42 cadelas adultas e saudáveis, submetidas à ovariossalpingohisterectomia (OSH). A dor pós-operatória foi avaliada por dois observadores cegos aos tratamentos analgésicos, em intervalos de uma hora, utilizando a EVA, a escala de Melbourne e os filamentos de Von Frey, aplicados ao redor da incisão cirúrgica. Foram considerados como critérios para realização da analgesia resgate uma pontuação de 50mm na EVA ou de 13 pontos na escala de Melbourne. A EVA revelou-se a escala mais sensível, uma vez que 100% dos animais receberam resgate seguindo esse método. Os valores obtidos na EVA e na escala de Melbourne determinaram boa correlação, com r=0,74, o que não ocorreu com os filamentos de Von Frey (r=-0,18). Já a correlação entre a escala de Melbourne e os filamentos de Von Frey foi de -0.37. Apesar de a EVA e a escala de Melbourne apresentarem boa correlação, sugere-se que se considere uma pontuação menor na escala de Melbourne como critério para administração de analgesia resgate.
- Published
- 2011
39. Complex tracheal lesion: correction with an intercostal muscle pedicle flap
- Author
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Jeancarlo Fernandes Cavalcante, Hylas Paiva da Costa Ferreira, Ronnie Peterson de Melo Lima, and Carlos Alberto Almeida de Araújo
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Fístula do sistema respiratório ,Músculos intercostais ,medicine.medical_treatment ,Respiratory tract fistula ,Esofagectomia ,Thoracoscopy ,Fístula esofágica ,Medicine ,Esophagus ,Laparoscopy ,Intercostal muscles ,medicine.diagnostic_test ,business.industry ,Chylothorax ,Surgical wound ,medicine.disease ,Surgery ,Trachea ,Esophagectomy ,Traqueia ,medicine.anatomical_structure ,Epidermoid carcinoma ,Esophageal fistula ,business ,Intercostal muscle - Abstract
A reconstrução esofágica é uma das mais complexas cirurgias do aparelho digestivo, principalmente quando realizada por técnicas minimamente invasivas. Esse procedimento está associado a inúmeras complicações, como deiscência de anastomose, quilotórax, necrose do tubo gástrico e fistulas. Relatamos o caso de um paciente com o diagnóstico de carcinoma epidermoide no terço distal do esôfago que foi submetido à uma esofagectomia por videotoracoscopia e laparoscopia. Durante o ato operatório, houve lesão do brônquio principal esquerdo, sendo necessária a correção cirúrgica imediata da lesão. No pós-operatório, o paciente evoluiu com insuficiência respiratória aguda e grande escape aéreo pelos drenos de tórax e pela ferida operatória cervical. Foi submetido à nova intervenção cirúrgica, através da qual se observou uma grande lesão na parede membranosa da traqueia, que foi corrigida com um retalho de músculo intercostal. Esophageal reconstruction is one of the most complex types of gastrointestinal surgery, principally when it is performed using minimally invasive techniques. The procedure is associated with various complications, such as anastomotic dehiscence, chylothorax, esophageal necrosis and fistulae. We report the case of a patient diagnosed with epidermoid carcinoma in the distal third of the esophagus. The patient was submitted to esophagectomy by video-assisted thoracoscopy and laparoscopy. During the operation, the left main bronchus was injured, and this required immediate surgical correction. In the postoperative period, the patient presented with acute respiratory failure and profuse air leak through the thoracic drains and through the cervical surgical wound. The patient underwent a second surgical procedure, during which a large lesion was discovered in the membranous wall of the trachea. The lesion was corrected with an intercostal muscle pedicle flap.
- Published
- 2009
40. Obesity as a risk factor to Burch surgery failure
- Author
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José Geraldo Lopes Ramos, Camila Finger Viecelli, Débora Cristina Simão dos Santos, Wolfgang Willian Schmidt Aguiar, Helena von Eye Corleta, and Sérgio Hofmaister Martins-Costa
- Subjects
medicine.medical_specialty ,Incontinência urinária por estresse/terapia ,Urinary incontinence ,Incontinência urinária por estresse/cirurgia ,Complicações pós-operatórias ,symbols.namesake ,Postoperative complications ,Incontinência urinária por estresse ,Feminino ,medicine ,Obesity ,Risk factor ,Fisher's exact test ,Procedimentos cirúrgicos urológicos ,Obesidade/complicações ,Cirurgia ,Urinary incontinence, stress/therapy ,Urological surgical procedures/methods ,business.industry ,Obstetrics and Gynecology ,Urination disorder ,Uterine prolapse ,Surgical wound ,Odds ratio ,medicine.disease ,Surgery ,Mulheres ,Urinary incontinence, stress/surgery ,Obesidade ,Obesity/complications Female ,symbols ,Procedimentos cirúrgicos urológicos/métodos ,Female ,Urological surgical procedures ,medicine.symptom ,business ,Body mass index ,Urinary incontinence, stress - Abstract
Objetivo: observar o impacto da obesidade e de outros fatores de risco sobre a taxa de falha das pacientes submetidas à cirurgia de Burch para tratamento da incontinência urinária. Métodos: estudo de casos de pacientes submetidas à cirurgia de Burch no período de 1992 a 2003. As pacientes foram avaliadas no momento da segunda consulta pós-operatória (66 dias em média) e com um ano de acompanhamento, e classificadas em dois grupos: Continentes e Não Continentes. As variáveis analisadas foram: idade, paridade, índice de massa corpórea (IMC), tempo de menopausa, tempo de terapia de reposição hormonal, avaliação urodinâmica, história de infecção do trato urinário, cirurgia prévia para incontinência urinária, diabetes, cistocele e prolapso uterino, tempo de internação, necessidade de autossondagem, micção espontânea no pós-operatório e ferida operatória. Os dados foram analisados com o pacote estatístico Statistical Package for Social Sciences 14.0. Foram utilizados o teste t de Student ou Mann-Whitney, para comparação das variáveis contínuas, e os testes exato de Fisher e χ2, para variáveis categóricas (p30 foi 3,7 (IC95%=1,2-11,5). ConclusÕES: a obesidade mostrou-se um importante fator de risco para a falha da cirurgia no primeiro ano de acompanhamento. Os resultados demonstram que pacientes com IMC>30 têm chance 3,7 vezes maior de apresentarem-se não continentes após um ano da cirurgia de Burch em relação às não obesas. Purpose: to observe the impact of obesity and other risk factors on the rate of failure in patients submitted to Burch’s surgery for the treatment of urinary incontinence. Methods: cases study of patients submitted to Burch’s surgery, from 1992 to 2003. Patients were evaluated at the second post-surgery appointment (average 66 days) and after one-year follow-up, and classified in two groups: Continent and Non-continent. Variables analyzed were: age, parity, body mass index (BMI), menopause duration, duration of hormonal therapy, urodynamic evaluation, history of urinary tract infection, previous urinary incontinence surgery, diabetes, cystocele and uterine prolapse, time spent in hospital, necessity of self-probing, post-surgical spontaneous micturition, and surgical wound. Data were analyzed with the Statistical Package for Social Sciences 14.0 statistical package. For the comparison of continuous variables, Student’s t-test or Mann-Whitney test were used, and Fisher exact and χ2 tests, for the categorical variables (p30 Odds Ratio was 3.7 (CI95%=1.2-11.5). ConclusionS: obesity has shown to be an important risk factor for the surgery failure in the first follow-up year. Results show that patients with BMI>30 have 3.7 times more chance of being non-continent one-year after Burch’s surgery than non-obese patients.
- Published
- 2009
41. The Mycobacterias of Rapid Growth and the hospital infection: a public health problem
- Author
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Rosane Teresinha Fontana
- Subjects
Cross infection ,medicine.medical_specialty ,business.industry ,Public health ,Bacterial infections and mycoses ,Context (language use) ,Surgical wound ,Infecção hospitalar ,Salud Pública ,Saúde Pública ,Infección hospitalaria ,Financial evaluation ,medicine ,Damages ,Infecções bacterianas e micoses ,Public Health ,Intensive care medicine ,business ,Infecciones bacterianas y micosis ,General Nursing - Abstract
Trata-se de uma revisão da literatura que tem por objetivo refletir acerca das infecções causadas por micobactérias de crescimento rápido, um problema de saúde pública e que emerge no contexto dos hospitais brasileiros. Essas micobactérias são ambientais, mas patógenos, sendo possível infectar artigos médicos e causar infecções de ferida cirúrgica e doenças de pele. Variáveis importantes e de difícil avaliação econômica e financeira, como danos físicos e psicológicos decorrentes deste tipo de intercorrência, desafiam estudiosos e conferem relevância à temática. This study is a literature review with the bjective to reflect concerning the infections caused for Mycobacteria of Rapid Growth, a problem of public health that emerges in the context of the Brazilian hospitals. These mycobacteria are ambient, but patogenic, being possible to infect medical suplplies and cause infections in surgical wound and skin illnesses. Importants variables of difficult economic and financial evaluation, as decurrent physical and psychological damages of this type of infection, defy the researchers and confer relevance to the thematic one. Este estudio es una revisión de la literatura que tiene cómo objetivo reflexionar sobre las infecciones causadas para las Micobacteria de Crecimiento Rápido, un problema de la salud pública que emerge en el contexto de los hospitales brasileños. Estos mycobacteria son ambiente, pero patógenos, siendo posibles a los artículos médicos infectar y a las infecciones de la causa de las enfermedades quirúrgicas de la herida y de la piel. Importantes variables de la evaluación económica y financiera difícil, como daños físicos y psicologicos decurrentes de este tipo de infección, es un desafío para los investigadores y confiere importancia la temática.
- Published
- 2008
42. Indicadores de qualidade assistencial na cirurgia de revascularização miocárdica isolada em centro cardiológico terciário
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Antônio Sérgio Cordeiro da Rocha, Mônica Peres de Araújo, Evandro Tinoco Mesquita, Alexandre Siciliano Colafranceschi, Luiz Antonio de Almeida Campos, Marco Aurélio d. Fernandes, Ary Ribeiro, Edson Nunes, and Celso Garcia da Silveira
- Subjects
Assistência perioperatória ,qualidade da assistência a saúde ,medicine.medical_specialty ,education.field_of_study ,Myocardial revascularization ,business.industry ,Population ,Operative mortality ,EuroSCORE ,Surgical wound ,quality indicators, health care ,revascularização miocárdica ,Confidence interval ,Surgery ,Cardiac surgery ,quality of health care ,myocardial revascularization ,Statistical significance ,indicadores de qualidade em assistência a saúde ,medicine ,Cardiology and Cardiovascular Medicine ,business ,education ,Perioperative care - Abstract
FUNDAMENTO: Indicadores de qualidade (IQ) em cirurgia cardíaca são importantes instrumentos de avaliação da assistência médica em centros hospitalares. OBJETIVO: Avaliar os IQ da cirurgia de revascularização miocárdica (CRVM) isolada em centro terciário cardiológico. MÉTODOS: Foram avaliados 144 pacientes consecutivos submetidos a CRVM isolada entre outubro de 2005 e março de 2007: 108 pacientes eram do sexo masculino (75%), com média de idade de 65±11 anos e EuroSCORE de 4±3. Os IQ avaliados foram: intervalo de tempo entre a marcação e a realização da cirurgia (TMC); taxa de cancelamento (TxC) decorrentes de problemas ligados à infra-estrutura hospitalar; tempo de permanência hospitalar (TPH); mortalidade operatória (MO) e taxa de reinternação hospitalar por infecção em ferida cirúrgica (TxRH). RESULTADOS: O TMC (n=98) foi de 4±3 dias (mediana de 4 dias) e a TxC foi zero. A MO observada de 4,9% (Intervalo de Confiança [IC] 95% = 2,2 - 9,87%) foi menor do que a MO esperada de 5,1% (IC 95% = 1,4% a 14,37%), mas sem significância estatística (p=0,65). A área sob a curva ROC do EuroSCORE para MO observada foi de 0,702 (IC 95% = 0,485 - 0,919). O TPH foi de 11±9 dias. A área sob a curva ROC do EuroSCORE para TPH foi de 0,764 (IC 95% = 0,675 - 0,852). A TxRH observada foi de 2,1%. CONCLUSÃO: A avaliação dos IQ demonstrou que, em um centro com baixo número anual de CRVM, os resultados alcançados foram compatíveis com o perfil de risco da população envolvida. BACKGROUND: Quality indicators (QI) for cardiac surgery are important instruments for measuring healthcare quality in hospital centers and allow comparison with high-quality healthcare centers. OBJECTIVE: To evaluate QIs in isolated myocardial revascularization procedures (CABG) performed at a tertiary cardiology center. METHODS: One hundred and forty-four consecutive patients who had undergone isolated CABG were evaluated between October 2005 and March 2007. One hundred and eight patients were men (75%), the mean age was 65±11, and the EuroSCORE was 4±3. The following QIs were measured: time elapsed between the surgery date-setting appointment and the actual day of the CABG (TDC); surgery cancellation rate (SCR) due to problems in hospital infrastructure; length of hospital stay (LOS); operative mortality (OM) and rate of readmission (RHR) for infection in the surgical wound. RESULTS: The TDC (n=98) was 4±3 days (median: 4 days) and the SCR was zero. The OM recorded of 4.9% (95% confidence interval [CI] = 2.2 - 9.87%) was lower than the expected OM of 5.1% (95% CI = 1.4% to 14.37%), but with no statistical significance (p=0.65). The area under the ROC curve of the EuroSCORE for the OM was 0.702 (95% CI = 0.485 - 0.919). LOS was 11±9 days. The area under the ROC curve of the EuroSCORE for the LOS was 0.764 (95% CI = 0.675 - 0.852). The RHR recorded was 2.1%. CONCLUSION: The measurement of the QIs showed that, in a medical center with a low annual volume of CABG, the results were compatible with the risk profile of the population involved.
- Published
- 2008
43. Morbimortalidade da colecistectomia em pacientes idosos, operados pelas técnicas laparotômica, minilaparotômica e videolaparoscópica
- Author
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Paulo Roberto Vasconcelos Paulucci, Marcelo Antônio de Carvalho, José Guilherme Minossi, Soraya Vendites, and Hemerson César Picanço
- Subjects
Colecistectomia ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,General surgery ,medicine.medical_treatment ,Incidence (epidemiology) ,Conventional surgery ,Adult population ,Surgical wound ,General Medicine ,Surgery ,Predictive factor ,Laparoscopia ,Colelitíase ,Biliary tract ,Cholelithiasis ,medicine ,Mortalidade ,Cholecystectomy ,Laparoscopy ,Mortality ,business - Abstract
RACIONAL: A colelitíase é uma das doenças mais freqüentes do aparelho digestivo, acometendo 20% da população adulta. A idade tem sido considerada importante fator preditivo de complicações após a colecistectomia. OBJETIVO: Avaliar a morbimortalidade da colecistectomia em pacientes idosos operados por técnica laparotômica, minilaparotômica e videolaparoscópica. MÉTODO: Foram analisados retrospectivamente 557 pacientes submetidos à colecistectomia associada ou não a outros procedimentos sobre as vias biliares no período de julho de 1985 a dezembro de 2003. Desses, 152 pacientes (27,3%) tinham 60 ou mais anos e 120 (79%) eram do sexo feminino. Noventa e dois doentes foram operados por laparotomia, 46 por videolaparoscopia e 14 por minilaparotomia. RESULTADOS: As complicações ocorreram com mais freqüência e gravidade nos pacientes mais idosos e operados por laparotomia, sendo que estes apresentaram maior índice de infecção urinária, da ferida cirúrgica e maior tempo de permanência hospitalar. Houve três casos de óbito, sendo dois após laparotomia e outro após videolaparoscopia, todos acima de 70 anos de idade. CONCLUSÃO: A idade é importante fator preditivo de complicações após a colecistectomia, tanto pela incidência aumentada da doença do trato biliar complicada, como pela maior morbimortalidade da operação no idoso, em decorrência de doenças associadas. BACKGROUND: Cholelithiasis is one of the most frequent diseases regarding the digestive system. It is present in about 20% of the adult population, being age an important predictive factor for complications after cholecystectomy. AIM: To evaluate the morbimortality rates concerning elderly patients who underwent cholecystectomy and who are submitted to conventional practices, minilaparotomy and laparoscopy. METHODS: Five hundred and fifty seven patients submitted to cholecystectomy, associated or not to other procedures on the biliary tract, were observed during the period of July 1985 and December 2003. One hundred and fifty two (27,3%) were 60 years or over and 120 (79%) were female. Ninety two were submitted to conventional practices, 46 to laparoscopy and 14 to minilaparotomy. RESULTS: Complications were frequent and serious in elder patients and the ones submitted to conventional practices presented greater incidence of urinary infection, surgical wound infection and a longer time of hospitalization. There were three obits, two of them after conventional surgery and the other after videolaparoscopic surgery. All of the patients were over 70 years old. CONCLUSION: It was possible to conclude that age is an important predictive factor of complications after cholecystectomy as a result of the increase in the incidence of biliary tract disease as well as because of a greater morbidity and mortality in elderly patients resulting from associated diseases.
- Published
- 2007
44. Morbidade puerperal em portadoras e não-portadoras do vírus da imunodeficiência humana
- Author
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Beatriz Amélia Monteiro de Andrade, Jorge Pinto, Liv Braga de Paula, Victor Hugo Melo, and Frederico José Amédeé Péret
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medicine.medical_specialty ,Blood transfusion ,medicine.medical_treatment ,Population ,Women in development ,Estudos comparativos ,medicine ,education ,Gynecology ,Infecções por HIV/transmissão ,Pregnancy ,education.field_of_study ,Período pós-parto ,Obstetrics ,business.industry ,Puerperal infection ,Case-control study ,Obstetrics and Gynecology ,Surgical wound ,Postpartum period ,medicine.disease ,Comparative studies ,Clinical research ,Endometrite ,Infecção puerperal/epidemiologia ,Endometritis ,business ,Infecção puerperal ,Cesárea ,Cesarean section ,Infecções por HIV ,HIV infections - Abstract
OBJETIVO: comparar a morbidade de puérperas portadoras e não-portadoras do vírus da imunodeficiência humana (HIV). MÉTODOS: estudo prospectivo, controlado, realizado entre julho de 2001 e setembro de 2003, com inclusão na ocasião do parto de pacientes portadoras e não-portadoras do HIV. A morbidade foi dividida em menor (sangramento pós-parto aumentado, febre e endometrite) e maior (hemotransfusão, alterações profundas da ferida operatória e necessidade de intervenção cirúrgica), e foi avaliada quanto à presença ou não de infecção pelo HIV e o tipo de parto. Foram avaliadas 205 puérperas: 82 portadoras do HIV (grupo HIV-casos) e 123 não-portadoras. As variáveis contínuas foram analisadas pelo teste t de Student, e as categóricas pelos testes do chi2 e exato de Fisher, por meio do software Epi-Info 2000 (CDC, Atlanta). RESULTADOS: ocorreu morbidade puerperal em 18 pacientes do grupo HIV-casos (22%) e 17 do grupo-controle (14%), com predomínio das variáveis de morbidade menor, sem diferença significativa entre os grupos, exceto pelo risco mais alto de endometrite no grupo HIV-casos (RR=1,05; IC a 95%:1,01-1,1). Não foi observada diferença significativa entre os grupos quanto aos tipos de parto. Houve somente duas ocorrências de morbidade maior: hemotransfusão e fasciite necrotizante. CONCLUSÕES: puérperas portadoras do HIV apresentam morbidade semelhante à das puérperas não-portadoras do vírus, apesar da predominância de morbidade menor e do risco aumentado de endometrite no grupo portador do vírus. O acompanhamento clínico no puerpério imediato é estratégico para a identificação precoce da morbidade materna. PURPOSE: to evaluate puerperal morbidity in HIV-infected and HIV non-infected puerperal women. METHODS: longitudinal and controlled study performed from July 2001 to September 2003, in 205 pregnant women admitted for birth delivery at Odete Valadares Maternity, divided in two groups: HIV-infected women (82) and HIV non-infected women (123). Postpartum morbidity evaluation was performed from birth delivery up to 15 days postpartum. Morbidity was categorized as minor (postpartum hemorrhage, fever and endometritis) or major (blood transfusion, deep alterations of the surgical wound and indication for surgical intervention), and was evaluated both according to the presence or absence of HIV infection and the mode of delivery. Continuous variables were analyzed by the Student’s t-test, and categorical variables were analyzed by chi2 and Fisher’s exact test using Epi-Info 2000 (CDC, Atlanta). RESULTS: puerperal morbidity was observed in 18 patients from the HIV group (22%) and in 17 patients from the control group (14%) with predominance of minor morbidity, without statistical significance, except for an increased risk of endometritis in the HIV group (RR=1.05; CI 95%:1.01-1.10). No significant difference was observed concerning the mode of delivery between the two groups. There were only two major morbidities: blood transfusion and necrotizing fasciitis. CONCLUSIONS: HIV-infected and non-infected puerperal women have a similar morbidity, despite the lower morbidity in the HIV non-infected group and the increased risk of endometritis in the HIV group. Clinical puerperium follow-up is a strategic control tool for an early identification of maternal morbidity.
- Published
- 2007
45. Síndrome metabólica em pacientes submetidos à cirurgia de revascularização miocárdica: prevalência e marcador de morbi-mortalidade no período intra-hospitalar e após 30 dias
- Author
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Celso Amodeo, Oswaldo Passarelli Junior, Eduardo Pimenta, Vivian Lerner Amato, Leopoldo S. Piegas, Márcio Gonçalves de Sousa, Carlos Gun, and Flávio A. O. Borelli
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,prevalence ,morbidity ,revascularização miocárdica ,prevalência ,Síndrome metabólica ,length of stay ,coronary artery bypass graft ,Diabetes mellitus ,Medicine ,tempo de internação ,morbidade ,Mechanical ventilation ,mortalidade ,business.industry ,Mortality rate ,Respiratory infection ,Surgical wound ,Atrial fibrillation ,medicine.disease ,Metabolic syndrome ,mortality ,Surgery ,Cardiology and Cardiovascular Medicine ,business ,Body mass index - Abstract
OBJETIVOS: Comparar a morbi-mortalidade de pacientes com e sem síndrome metabólica (SM) (de acordo com a I Diretriz Brasileira de Diagnóstico e Tratamento da SM) submetidos à cirurgia de revascularização miocárdica (RM), na fase hospitalar e após 30 dias. MÉTODOS: Foram avaliados 107 pacientes submetidos à RM sem procedimentos associados, no período de agosto a outubro de 2005, sendo 74 (69,2%) portadores de SM. Os critérios de evolução intra-hospitalar foram: fibrilação atrial aguda (FA), ventilação mecânica prolongada (VM), necessidade de transfusão de hemoderivados, número de horas na UTI, período de internação (em dias), infecção respiratória e de ferida operatória, e óbito. Em 30 dias avaliou-se a combinação de eventos como a necessidade de re-internação, infecção de ferida operatória e óbito. RESULTADOS: A média de idade foi 60,6±9,7 e o grupo com SM apresentou maior índice de massa e superfície corpórea e maior prevalência de diabete. Não houve diferença estatisticamente significante na ocorrência dos eventos intra-hospitalares como FA (15,2% x 16,2%), VM (3,0% x 2,7%), quantidade de unidades de hemoderivados utilizados (3,2±2,7 x 2,6±2,9), tempo de permanência na UTI (53,7±27,3 x 58,9±56,5), tempo de permanência hospitalar (9,2±8,7 x 8,5±8,5), infecção respiratória (6,1% x 2,7%), infecção de ferida operatória (3,0% x 5,4%) e taxa de mortalidade (3,0% x 0,0%). A ocorrência de eventos combinados em 30 dias foi semelhante nos dois grupos (12,2% x 20,3%, p = NS). CONCLUSÃO: Portadores de SM não apresentaram aumento da morbimortalidade quando submetidos à cirurgia de RM, porém apresentam tendência à maior ocorrência de infecção em ferida operatória. OBJECTIVES: To compare the morbidity and mortality of patients with and without metabolic syndrome (MS) (according to the First Brazilian Guidelines for Diagnosis and Treatment of MS) undergoing coronary artery bypass graft (CABG) during hospitalization and after 30 days. METHODS: A total of 107 patients who underwent CABG with no associated procedures were assessed between August and October 2005; 74 (69.2%) of them had MS. Criteria of in-hospital outcome were: acute atrial fibrillation (AF), prolonged mechanical ventilation (MV), need for transfusion of blood products, number of hours spent in the ICU, length of hospital stay (days), respiratory and surgical wound infection, and death. For 30 days, the combination of events such as the need for readmission to hospital, surgical wound infection and death was assessed. RESULTS: The mean age was 60.6±9.7 years, and the group with MS presented a higher body mass index and body surface, and a higher prevalence of diabetes. No statistically significant difference was observed in the occurrence of in-hospital events such as AF (15.2% vs. 16.2%), MV (3.0% vs. 2.7%), number of units of blood products used (3.2±2.7 vs. 2.6±2.9), length of ICU stay (53.7±27.3 vs. 58.9±56.5), length of hospital stay (9.2±8.7 x 8.5±8.5), respiratory infection (6.1% vs. 2.7%), surgical wound infection (3.0% vs. 5.4%), and mortality rate (3.0% vs. 0.0%). The occurrence of combined events in 30 days was similar in both groups (12.2% vs. 20.3%, p = NS). CONCLUSION: Patients with MS did not have increased morbidity and mortality when undergoing CABG, however they had a higher trend of occurrence of surgical wound infection.
- Published
- 2007
46. Pancreaticoduodenectomy: results in 41 patients
- Author
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Daniel Adonai Machado Caldeira, Eudes Arantes Magalhães, Luiz Carlos Gomes Rocha, Fernando Augusto de Vasconcellos Santos, Fábio Lopes de Queiroz, and Mateus de Almeida Ribas
- Subjects
medicine.medical_specialty ,Blood transfusion ,Duodenum ,medicine.medical_treatment ,lcsh:Surgery ,Complicações pós-operatórias ,Neoplasias do sistema digestório ,Whipple Procedure ,Pancreatectomy ,Postoperative Complications ,Intensive care ,medicine ,Pancreatectomia ,Duodeno ,Survival rate ,Avaliação de resultados ,Duodeno/cirurgia ,business.industry ,General surgery ,Mortality rate ,Surgical wound ,lcsh:RD1-811 ,Pancreaticoduodenectomy ,Surgery ,Outcome assessment ,Digestive system neoplasms ,business - Abstract
OBJETIVO: Apresentar os resultados do Hospital Israel Pinheiro - IPSEMG em 41 duodenopancreatectomias realizadas para neoplasias. MÉTODO: Foram coletados dados referentes a 41 pacientes submetidos a duodenopancreatectomias entre 1997 e 2004. A principal operação realizada foi a Whipple "clássica" sem preservação do piloro. A anastomose pancreático-jejunal foi realizada por meio de sutura ducto-mucosa. Foram analisadas a mortalidade e as complicações pós-operatórias. Para avaliar se havia diferença de resultados com a maior experiência da equipe, o estudo foi dividido em dois períodos de quatro anos cada: 1997 a 2000 e 2001 a 2004. RESULTADOS: As complicações pós-operatórias ocorreram em 58% dos casos e a mortalidade foi de 22%. As principais complicações foram pneumonia e infecção de ferida operatória. Quatro pacientes (10%) evoluíram com fistulas pancreáticas, porém obteve-se sucesso com o tratamento conservador em todos os casos. A necessidade de hemotransfusão no peroperatório relacionou-se a um pior prognóstico. Observou-se uma redução das taxas de morbi-mortalidade no período de 2001 a 2004, entretanto sem significância estatística. Os pacientes apresentaram sobrevida global em cinco anos de 35% e de 26% quando considerados apenas aqueles com adenocarcinoma de cabeça de pâncreas. CONCLUSÕES: A duodenopancreatectomia é um procedimento cirúrgico complexo, com elevada morbi-mortalidade. Entretanto, com o aumento da experiência das equipes cirúrgica, anestésica e de medicina intensiva, observa-se uma redução nas taxas de complicação. BACKGROUND: The aim of this study was to present data from 41 patients submitted to pancreaticoduodenectomies at the HGIP - IPSEMG, in Belo Horizonte, MG. METHODS: From 1997 to 2004, 41 patients underwent pancreaticoduodenectomy as treatment for neoplasms. Data regarding the operative procedure were collected prospectively. The main operation was the classical Whipple procedure. Pylorous-preserving procedures were not used routinely. The pancreaticojejunostomy was performed in a duct-to-mucosa fashion. Postoperative mortality and complications were analyzed. To assess the differences in outcome with the increasing experience of the surgical staff, the study was divided in two periods of four years each: from 1997 to 2000, and from 2001 to 2004. RESULTS: Postoperative complications occurred in 58% of the patients, with a 22% mortality rate. The most frequent complications were pneumonia and surgical wound infection. Four patients (10%) developed pancreatic fistulas, which were all treated successfully employing a conservative approach. The need for intra-operative blood transfusion was associated with a worse prognosis. There was a trend toward less complications and deaths between 2001 and 2004, not statistically significant. The 5-year survival rate was 35% for all patients and 26% when considering only those with adenocarcinoma of the head of the pancreas. CONCLUSION: Pancreaticoduodenectomy is a complex surgical procedure with high rates of morbidity and mortality. Nevertheless, with the increasing experience of surgical, anesthetical, and intensive care staff a reduction in the frequency of complications is noted.
- Published
- 2006
47. Pulsed and continuous ultrasound stimulation in rats healing celiotomy
- Author
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Edison Martins, Alexandre Mazzanti, Vera Maria Villamil Martins, and Débora Cristina Olsson
- Subjects
medicine.medical_specialty ,fisioterapia ,mice ,ultra-som ,cicatrização ,Abdominal cavity ,Abdominal wall ,lcsh:Agriculture ,Surgical site ,medicine ,lcsh:Agriculture (General) ,physiotherapy ,General Veterinary ,business.industry ,ultrasound ,Ultrasound ,lcsh:S ,Surgical wound ,healing ,lcsh:S1-972 ,Surgery ,medicine.anatomical_structure ,Polymorphonuclear cells ,rato ,Animal Science and Zoology ,Ultrasonic sensor ,business ,Agronomy and Crop Science - Abstract
Para avaliar a cicatrização de feridas cirúrgicas da parede abdominal de ratos submetidos à celiotomia, utilizou-se a terapia com ultra-som (US) nos modos contínuo e pulsado. Foram utilizadas 45 ratas, separadas em três grupos experimentais com 15 animais por grupo. A cicatrização da parede abdominal foi avaliada por esteriometria, sendo consideradas a proporção volumétrica dos constituintes tissulares e celulares de amostras de tecidos obtidos da parede abdominal às zero, 48, 96 e 144 horas após a celiotomia. Vinte e quatro horas após a intervenção cirúrgica, iniciou-se a aplicação de ultra-som (US) sobre a ferida. Os resultados obtidos com a aplicação de US no modo pulsado às 48 horas mostraram maior proporção volumétrica de células polimorfonucleares (PMN) e fibroblastos quando comparados com o grupo controle e com o grupo que recebeu aplicação de US no modo contínuo (P£0,05). Esses resultados mostram que a aplicação de US no modo pulsado auxilia na cicatrização de feridas cirúrgicas produzidas após celiotomia. In order to evaluate the healing process of surgical injuries on 45 rats submitted to celiotomy, ultrasonic continuous and pulsed energy was utilized. Forty-five female rats were used, separated in 3 experimental groups with 15 animals in each group. Healing was evaluated by stereometry, considering the volumetric proportion of the material in cellular and tissue samples, obtained from the abdominal wall biopsies at 0, 48, 96 and 144 hours after celiotomy. Ultrasound application on the surgical site was made 24 hours after the intervention. Results obtained with the application of ultrasound in the pulsed variety at 48 hours showed a larger volumetric proportion of polymorphonuclear cells and fibroblast when compared to the control group and to the group which received ultrasound application in the continuous variety (P£ 0.05). These results showed that the ultrasound application in the pulsed way can be recommended in the treatment of surgical wounds in the abdominal cavity.
- Published
- 2006
48. Modulação da proliferação fibroblástica e da resposta inflamatória pela terapia a laser de baixa intensidade no processo de reparo tecidual
- Author
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Luiz Carlos Ferreira de Andrade, Rogério Estevam Farias, Fernando Monteiro Aarestrup, Adeir Moreira Rocha Júnior, and Rodrigo Guerra de Oliveira
- Subjects
Pathology ,medicine.medical_specialty ,Skin wound ,business.industry ,Terapia a laser de baixa intensidade ,low-level ,Wound healing ,Surgical wound ,Dermatology ,Rats ,Neovascularization ,medicine.anatomical_structure ,Laser therapy ,Cicatrização de feridas ,Dorsal region ,Medicine ,Potency ,medicine.symptom ,business ,Fibroblast ,Ratos - Abstract
FUNDAMENTOS: Ao longo dos anos, diversos estudos têm sido realizados para compreender o processo de reparo tecidual, bem como os possíveis efeitos da terapia a laser no processo de cicatrização de feridas. OBJETIVOS: Investigar o comportamento de feridas cutâneas provocadas na região dorsal de ratos Wistar (Rattus norvegicus), que foram submetidos ao tratamento com laser de baixa intensidade, com 3,8 J/cm² de dosagem, 15mW de potência e tempo de aplicação de 15s. MÉTODOS: Os animais (n = 12) foram divididos em dois grupos, um controle e outro tratado com laser. Foram realizadas, no grupo tratado, três aplicações (imediatamente após o ato cirúrgico, 48 horas e sete dias após a realização das feridas cirúrgicas). Dez dias após o ato cirúrgico foram colhidas amostras das lesões de ambos os grupos para realização de estudo histopatológico e histomorfométrico. RESULTADOS: Foram evidenciados aumentos da neovascularização e da proliferação fibroblástica, e diminuição da quantidade de infiltrado inflamatório nas lesões cirúrgicas submetidas à terapia com laser. CONCLUSÃO: Os resultados em conjunto sugerem que a terapia a laser de baixa intensidade é um método eficaz no processo de modulação da reparação tecidual, contribuindo significativamente para a cicatrização tecidual mais rápida e organizada. BACKGROUND: Several studies have been performed to understand the tissue repair process as well as the possible effects of laser therapy in wound healing. OBJECTIVES: To study the behavior of skin wounds induced in the dorsal region of Wistar rats (Rattus norvegicus), which were submitted to the low-intensity laser therapy at 3.8 J/cm² dosage, 15mW potency, during 15 seconds. MATERIAL AND METHODS: The animals (n=12) were divided into two groups - control and laser-treated. The latter comprised three applications (immediately after surgery, 48 hours and 7 days after induction of surgical wounds). Ten days after surgery samples of the wounds were collected and submitted to histopathological and histomorphometric studies. RESULTS: Neovascularization, fibroblast proliferation and reduced inflammatory infiltrate in surgical wound submitted to laser therapy were demonstrated. CONCLUSION: Taken together, the results suggest that low-intensity laser therapy is an effective method to modulate tissue repair, thus significantly contributing to a faster and more organized healing process.
- Published
- 2006
49. Análise comparativa da cicatrização da pele com o uso intraperitoneal de extrato aquoso de Orbignya phalerata (babaçu). Estudo controlado em ratos
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Marcelo Mazza, Paulo Roberto Leitão de Vasconcelos, Nelson Lúcio Parada Martins, Tatiana Zacharow Wallbach, Hamilton Moreira, Jurandir Marcondes Ribas-Filho, Paulo Afonso Nunes Nassif, Osvaldo Malafaia, Marcel Heibel, and Raimundo Nonato Baldez
- Subjects
Random allocation ,Aqueous extract ,medicine.medical_specialty ,Pathology ,Fitoterapia ,business.industry ,Significant difference ,Orbignya phalerata ,Surgical wound ,Cicatrização de Feridas ,Surgery ,medicine ,Vascular proliferation ,business ,Fisiologia da Pele - Abstract
INTRODUÇÃO: A cicatrização das feridas é processo altamente complexo com várias fases. Inúmeras substâncias têm sido usadas desde os tempos remotos para estimulá-la. Entre elas, o extrato da Orbignya phalerata com possível ação estimulante da cicatrização. OBJETIVO: verificar a ação cicatrizante da Orbignya phalerata na cicatrização das feridas cirúrgicas da pele através de análise comparativa das alterações histológicas e morfológicas. MÉTODOS: Foram utilizados 60 ratos, da linhagem Wistar, adultos e machos. Para o experimento, eles foram distribuídos de forma aleatória em dois grupos de 30 cada e usada a substância Orbignya phalerata intraperitoneal na dose de 50 mg/Kg, no primeiro dia da operação em um dos grupos. O procedimento experimental constituiu-se em incisão cutânea circular de dois centímetros de diâmetro com punch metálico. No grupo controle não foi usada a substância. Os ratos foram mortos nos 7°, 14°, 21° dias do pós-operatório. Realizou-se a análise macroscópica com lupa e paquímetro, para avaliação da evolução do aspecto da lesão cicatricial e morfométrica da ferida feita por análise histológica; as lâminas foram coradas com Hematoxilina-Eosina (HE) e tricrômio de Masson e observaram-se a proliferação vascular, células mononucleares, células polimorfonucleares, proliferação fibroblástica, fibras colágenas e reepitelização. RESULTADOS: Mostraram na macroscopia dos animais do grupo experimento de sete dias que um apresentou pequena quantidade de secreção sem outras alterações dignas de nota; nos animais de 14 dias identificou-se todos com ferida de bom aspecto; nos de 21 dias, foi observada a presença de cicatrização completa em todos os animais. Quanto à análise histológica, houve diferença significativa entre os grupos nas variáveis monocelulares e fibras colágenas em todos os dias, e no 7º dia foi observada diferença significativa na proliferação fibroblástica e reepitelização. CONCLUSÃO: observou-se efeito favorável do extrato aquoso do mesocarpo do babaçu em nível microscópico do processo de cicatrização, nas variáveis mononucleares e fibras colágenas, em todos os dias e entre os grupos.
- Published
- 2006
50. Tratamento cirúrgico da epilepsia do lobo temporal: análise de 43 casos consecutivos
- Author
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Heraldo L. Santos, Pedro André Kowacs, Erasmo Barros da Silva, Sonival C. Hunhevicz, Murilo S. Meneses, Samanta Fabrício Blattes da Rocha, Cristiane Simão, Ana Paula Bacchi, Ana Paula Narata, and Nelson O. Andrade
- Subjects
mesial temporal sclerosis ,medicine.medical_specialty ,lobectomia temporal ,Palsy ,business.industry ,Trochlear nerve ,Surgical wound ,medicine.disease ,Temporal lobe ,Surgery ,Hydrocephalus ,Epilepsy ,Hemiparesis ,Neurology ,Epilepsia temporal ,temporal lobectomy ,Medicine ,Epilepsy surgery ,Neurology (clinical) ,medicine.symptom ,Temporal epilepsy ,business ,esclerose mesial temporal - Abstract
Quarenta e três pacientes com epilepsia refratária ao tratamento medicamentoso foram submetidos à cirurgia de epilepsia do lobo temporal no Instituto de Neurologia de Curitiba, entre os anos de 1998 a 2003. Trinta e nove (90,6%) pacientes apresentavam esclerose mesial temporal, e quatro (9,4%), tumores cerebrais. Dos trinta e sete pacientes que possuíam avaliação pós-operatória completa, 83,7% apresentaram classificação I, segundo Engel (livres de crises incapacitantes). Complicações pós-operatórias ocorreram em 18,6%: uma infecção da ferida operatória, um caso de hidrocefalia, um de fístula liquórica, dois casos de paralisia transitória do IV nervo craniano e um de hemiparesia transitória. Não houve nenhum óbito relacionado à cirurgia de epilepsia no presente estudo. Forty-three patients with epilepsy resistent to drug therapy were submitted to temporal lobe epilepsy surgery at the Instituto de Neurologia de Curitiba, from 1998 to 2003. Thirty-nine patients (90.6%) had mesial temporal sclerosis, and four had brain tumors. According to Engel's rating, 83.7% from 37 patients with complete postoperative evaluation were classified as Class I (free of disabling seizure). Postoperative complications (18.6%) were evaluated, with one case of surgical wound infection, one case of hydrocephalus, one case of cerebrospinal fluid fistula, two cases of transient palsy of the trochlear nerve and one case of transient hemiparesis. No death related to epilepsy surgery was found in our study.
- Published
- 2005
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