Revista brasileira de cirurgia最新文献_第2页

Scalp reconstruction with expanded flap 扩张皮瓣重建头皮

Revista brasileira de cirurgia Pub Date : 2021-01-01 DOI: 10.5935/2177-1235.2021RBCP0018

Daniel Nowicki Kaam, André C Nepomuceno, Larissa Cassemiro Da-Silva, J. Aquino, Juliana Gulelmo Staut, Fernando Giovanetti Morano, J. R. Pereira, R. Gimenez

{"title":"Scalp reconstruction with expanded flap","authors":"Daniel Nowicki Kaam, André C Nepomuceno, Larissa Cassemiro Da-Silva, J. Aquino, Juliana Gulelmo Staut, Fernando Giovanetti Morano, J. R. Pereira, R. Gimenez","doi":"10.5935/2177-1235.2021RBCP0018","DOIUrl":"https://doi.org/10.5935/2177-1235.2021RBCP0018","url":null,"abstract":"Introduction: The presence of extensive scalp defects is a major reconstructive challenge for the plastic surgeon. These defects have a vast etiology, such as traumatic, thermal or electrical burns, benign and malignant or congenital tumor resections, radiotherapy treatments sequelae, and infections. Noting that injuries such as scalping and burns (thermal or electrical), generate significant repercussions such as severe tissue loss, chronic osteomyelitis or minor sequelae such as scar alopecia. This study aims to report a case of late scalp reconstruction with a tissue expander and posterior advancement flap, due to cicatricial alopecia, in an 11-year-old female, victim of scalding by hot water in the right frontotemporal region. Methods: It was performed a retrospective analysis of the patient’s medical record. The present work follows the standards of the Helsinki ethics committee. Conclusion: The scalp tissue expansion technique by stages and subsequent scalp advancement flap performing proved to be effective in restoring the patient’s hair structure and hairline with minimal local distortion, restoring the scalp’s shape and aesthetics of the patient. ■ ABSTRACT","PeriodicalId":79099,"journal":{"name":"Revista brasileira de cirurgia","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71174958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Thermoguided technique of lipolysis and skin retraction with 980nm diode laser 980nm二极管激光热引导解脂缩皮技术

Revista brasileira de cirurgia Pub Date : 2021-01-01 DOI: 10.5935/2177-1235.2021RBCP0002

F. Kamamoto, Orlando Ferrari, J. O. G. Reis, Carla Eunice Chineze Santos, T. Miliou

{"title":"Thermoguided technique of lipolysis and skin retraction with 980nm diode laser","authors":"F. Kamamoto, Orlando Ferrari, J. O. G. Reis, Carla Eunice Chineze Santos, T. Miliou","doi":"10.5935/2177-1235.2021RBCP0002","DOIUrl":"https://doi.org/10.5935/2177-1235.2021RBCP0002","url":null,"abstract":"Introduction: Liposuction is a consecrated procedure to improve body contouring, and various types of laser can be applied to cause lipolysis and skin retraction. The current parameters (power and energy) in the devices allow only an indirect inference of skin temperature change. Methods: Eighty-three patients, between 17 and 75 years old, were submitted to laser lipolysis with 980nm diode, using a Flir® T540 thermocamera for temperature monitoring. Lipolysis was obtained by applying the laser to the deep subcutaneous layer and skin retraction in the deep dermis, with a velocity of 5 centimeters per second. The laser was used in the deep dermis of the abdominal flaps of patients undergoing dermolipectomy to determine the temperature that causes skin burns, totaling 27 cases. Results: A power of 15W was used on the medial side of the arm and thigh, and 4000J average energy was applied per region. In the dorsal area and abdomen, 20W was adopted, and 6000J were applied in each quadrant. On average, the studied tissue’s initial temperature was 31°C, and at the end of the laser application was 37°C. The temperature that caused the burn was 45°C. Conclusion: The use of the thermocamera allowed a more homogeneous distribution of the laser and provided the surgeon with effective monitoring so that an adequate dose of energy is applied to the subcutaneous and deep dermis, obtaining the desired effect. ■ ABSTRACT","PeriodicalId":79099,"journal":{"name":"Revista brasileira de cirurgia","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71174480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reconstruction after bipalpebral resection with preservation of the eyeball: aesthetic and functional challenge 双睑切除后保留眼球的重建:美学和功能的挑战

Revista brasileira de cirurgia Pub Date : 2021-01-01 DOI: 10.5935/2177-1235.2021RBCP0006

H. Friedhofer, R. C. Lobato, Aneta Hionia Vassiliadis, Maíra Benito Scapolan, M. Jesus, J. F. G. U. M. D. Rodriguez, J. Y. Tariki, R. Gemperli

{"title":"Reconstruction after bipalpebral resection with preservation of the eyeball: aesthetic and functional challenge","authors":"H. Friedhofer, R. C. Lobato, Aneta Hionia Vassiliadis, Maíra Benito Scapolan, M. Jesus, J. F. G. U. M. D. Rodriguez, J. Y. Tariki, R. Gemperli","doi":"10.5935/2177-1235.2021RBCP0006","DOIUrl":"https://doi.org/10.5935/2177-1235.2021RBCP0006","url":null,"abstract":"Introduction: Eyelid reconstruction can be performed by primary closure, a graft of different lamellae, and local and/or regional flaps, single or combined. This reconstruction becomes more complex when the upper and lower eyelids are resected to total thickness, and the eyeball is preserved. The objective is to report the techniques used for periorbital reconstruction in bipalpebral resection cases (upper and lower) with preservation of the eyeball by the Group of Orthopalpebral Surgery of the Division of Plastic Surgery and Burns of HCFMUSP. Methods: All cases that met the inclusion criteria from 2000 to 2019 were reviewed, and epidemiological, surgical, and postoperative follow-up data were described. Results: Only two cases were submitted to total exeresis of the periorbital tissue and remained susceptible to eyeball preservation. Both were reconstructed with frontal flaps with complete occlusion of the eyeball at the first moment, followed by the release in stages, keeping the globe viable after reconstruction completion. Discussion: Similar reports are scarce in the literature, and, in these cases, surgical results were functionally acceptable but with significant aesthetic limitations. Conclusion: We suggest a new option for total reconstruction of the upper and lower eyelid (with a single pedicular flap, devoid of connective graft and in multiple stages) that protects and conserves the eyeball during the various stages of surgery. The results were functionally favorable, considering the severity of the cases. ■ ABSTRACT","PeriodicalId":79099,"journal":{"name":"Revista brasileira de cirurgia","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71174612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiological study of patients treated at the outpatient clinic of the Burn Treatment Center of the Hospital Municipal do Tatuapé between January 2019 and January 2020 2019年1月至2020年1月在塔陶市医院烧伤治疗中心门诊治疗的患者的流行病学研究

Revista brasileira de cirurgia Pub Date : 2021-01-01 DOI: 10.5935/2177-1235.2021RBCP0010

Maycon Lucas Barbosa, André Toshiaki Toda Nishimura, Ingrid Anita Colombo Wadih Schumann Racanicchi, Lucas Rodrigues de Oliveira

{"title":"Epidemiological study of patients treated at the outpatient clinic of the Burn Treatment Center of the Hospital Municipal do Tatuapé between January 2019 and January 2020","authors":"Maycon Lucas Barbosa, André Toshiaki Toda Nishimura, Ingrid Anita Colombo Wadih Schumann Racanicchi, Lucas Rodrigues de Oliveira","doi":"10.5935/2177-1235.2021RBCP0010","DOIUrl":"https://doi.org/10.5935/2177-1235.2021RBCP0010","url":null,"abstract":"Introduction: Burns are in fourth place as the most common type of trauma globally, generating a challenge due to the severity of patients’ injuries. This study investigates the epidemiological profile of patients treated at the Burn Treatment Center (BTC) outpatient clinic of the Hospital Municipal do Tatuapé (HMT/SP). Methods: Data obtained from the outpatient records of the BTC outpatient clinic of the HMT/SP were analyzed from January 2019 to January 2020, using the following variables: gender, age, causal agent, burn extension, and affected region. Results: Higher predominance of burns in males (55.3%). There was a higher percentage in the population between 21 and 30 years (15.9%), followed closely by children under 10 years of age (15.8%). The leading causative agent was scalded/heated liquids (56.8%); followed by contact burn (14.7%), the vast majority of patients were affected by medium-sized burn (90.1%), i.e., between 11 and 20% of the burned body surface and the thorax/abdomen the most affected region. Conclusion: The epidemiological profile demonstrated in this study was compatible, in most data, with the profile found in other centers specialized in treating burns. ■ ABSTRACT","PeriodicalId":79099,"journal":{"name":"Revista brasileira de cirurgia","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71174686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Publications on Preprint Servers: is this modality globally applicable in favor of science? 预印本服务器上的出版物:这种模式是否适用于全球，有利于科学?

Revista brasileira de cirurgia Pub Date : 2021-01-01 DOI: 10.5935/2177-1235.2021RBCP0001

D. Goldenberg

引用次数: 0

Simple and composite circumferential abdominoplasty: technical evolution, 10-year experience and analysis of complications 简单与复合围腹成形术:技术发展、10年经验及并发症分析

Revista brasileira de cirurgia Pub Date : 2021-01-01 DOI: 10.5935/2177-1235.2021RBCP0005

W. Cintra, M. Modolin, R. I. Rocha, R. Gemperli

{"title":"Simple and composite circumferential abdominoplasty: technical evolution, 10-year experience and analysis of complications","authors":"W. Cintra, M. Modolin, R. I. Rocha, R. Gemperli","doi":"10.5935/2177-1235.2021RBCP0005","DOIUrl":"https://doi.org/10.5935/2177-1235.2021RBCP0005","url":null,"abstract":"Introdução: Pacientes portadores de obesidade mórbida submetidos à cirurgia bariátrica, após perda ponderal maciça, evoluem com grandes dobras de pele em várias regiões do corpo, incluindo abdome. Nos pacientes com excessos dermogordurosos em toda circunferência abdominal e ptose da região glútea, a abdominoplastia circunferencial (simples ou composta) tem demonstrado ser uma solução cirúrgica eficaz, pois a abdominoplastia convencional ou “em âncora” traz resultados insatisfatórios naqueles pacientes com dismorfia severa. O objetivo é analisara evolução técnica da abdominoplastia circunferencial simples e composta e suas complicações. Métodos: Foram avaliados 29 pacientes, sendo 28 do sexo feminino, com média etária de 41,17 anos, submetidos à abdominoplastia circunferencial, entre 2002 e 2012. Este estudo retrospectivo, realizado através de dados colhidos dos prontuários médicos, avaliou: tempo de cirurgia, peso da peça cirúrgica ressecada, tempo de internação hospitalar, antibioticoterapia utilizada, complicações associadas e alterações ocorridas na técnica operatória neste período. Resultados: A abdominoplastia circunferencial composta foi realizada em 23 pacientes (79,3%) e a simples em seis (20,7%). O tempo cirúrgico médio foi de 346 minutos e o peso médio da peça operatória foi 4323 gramas. Três pacientes (10,3%) tiveram complicações maiores (anemia sintomática e deiscência de sutura maior) e cinco (17,2%) complicações menores (pequenas deiscências, pequeno sangramento espontâneo, seroma e cicatriz hipertrófica). Entre 2002 e 2004 ocorreram 75% das complicações. O índice de reoperação foi de 6,9%. Conclusão: Houve importante evolução técnica na realização da abdominoplastia circunferencial, sendo que a incidência de complicações e a taxa de reoperação foram similares àquelas encontradas na literatura. ■ RESUMO","PeriodicalId":79099,"journal":{"name":"Revista brasileira de cirurgia","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71174564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sociodemographic characteristics, lifestyle habits, and criteria of the patient for the choice of the plastic surgeon 患者选择整形外科医生的社会人口特征、生活习惯和标准

Revista brasileira de cirurgia Pub Date : 2021-01-01 DOI: 10.5935/2177-1235.2021RBCP0011

Sylverson P. Rassi, R. Freitas-Junior, A. M. Costa

{"title":"Sociodemographic characteristics, lifestyle habits, and criteria of the patient for the choice of the plastic surgeon","authors":"Sylverson P. Rassi, R. Freitas-Junior, A. M. Costa","doi":"10.5935/2177-1235.2021RBCP0011","DOIUrl":"https://doi.org/10.5935/2177-1235.2021RBCP0011","url":null,"abstract":"Introduction: Around the world, approximately 11 million plastic surgeries are estimated to be performed each year. Individuals with different needs and sociodemographic profiles have used similar means to search for medical service providers, modifying consumer relations. Thus, is necessary a more detailed analysis of consumers’ characteristics of health services related to plastic surgery and the factors that impact their decision-making, since patients and their families need to feel safe when seeking medical treatment, and professionals should be the facilitators of this process. Methods: This is a real-life, prospective, observational, and descriptive study conducted in a single hospital center. We included in the sample 501 patients submitted to plastic surgeries, from June to November 2017, performed exclusively by specialist surgeons by the Sociedade Brasileira de Cirurgia Plástica (SBCP). Sociodemographic characteristics, life habits, and criteria for the surgeon’s choice were evaluated. Results: The sample consisted predominantly of young, brown, married adult women with average body mass index (BMI), higher education level, and belonging to the upper-middle class, most of whom were physically active and did not reveal any bias. The most used criterion for choosing the plastic surgeon was the indication of friends or family. Conclusion: This study produced reliable results for describing patients’ sociodemographic characteristics and life habits, allowing the identification of the most relevant factor in the plastic surgeon’s choice. ■ ABSTRACT","PeriodicalId":79099,"journal":{"name":"Revista brasileira de cirurgia","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71174700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What is the role of rapid diagnostic tests for COVID-19 IgM/IgG in the pre-operative period of cosmetic plastic surgery? COVID-19 IgM/IgG快速诊断检测在美容整形手术术前有何作用?

Revista brasileira de cirurgia Pub Date : 2021-01-01 DOI: 10.5935/2177-1235.2021RBCP0012

R. K. Zanella, S. Valente, D. S. Valente

{"title":"What is the role of rapid diagnostic tests for COVID-19 IgM/IgG in the pre-operative period of cosmetic plastic surgery?","authors":"R. K. Zanella, S. Valente, D. S. Valente","doi":"10.5935/2177-1235.2021RBCP0012","DOIUrl":"https://doi.org/10.5935/2177-1235.2021RBCP0012","url":null,"abstract":"Introdução: A doença pelo novo coronavírus 2019 (COVID-19) surgiu na China e se espalhou globalmente com transmissão mundial sustentada de humano para humano. Os testes de diagnóstico rápido COVID-19 IgM/IgG realizados no momento da admissão hospitalar, antes de cirurgia eletiva, estão entre os métodos de rastreamento pré-operatórios mais amplamente utilizados. Objetivos: O objetivo deste estudo é avaliar o papel do teste rápido de anticorpos COVID-19 como triagem em pacientes ambulatoriais em cirurgia plástica estética. Métodos: Uma revisão sistemática foi realizada para estudos publicados desde dezembro de 2019, com vários termos de pesquisa relacionados ao teste rápido de anticorpos para COVID-19 e SARS-CoV-2. Os artigos relevantes foram selecionados por meio da avaliação de títulos e resumos. Artigos pertinentes foram revisados. Dados sobre o nível de evidência, sensibilidade e especificidade foram coletados. Resultados: A estratégia de revisão produziu 409 manuscritos. Um total de 357 estudos foram duplicados ou mostraram-se não relevantes para a questão de pesquisa. Entre os artigos restantes, 28 eram estudos sem informações sobre precisão e 24 eram manuscritos descrevendo medidas de precisão. A sensibilidade variou de 18,4 a 100%, o valor preditivo positivo variou entre 19,7 e 100%, a especificidade variou entre 94 e 100%, e o valor preditivo negativo ficou entre 20 e 100%. Conclusão: Os testes de diagnóstico rápido COVID-19 IgM/IgG podem ser imprecisos. Não encontramos nenhuma evidência para apoiar o teste rápido de anticorpos COVID-19 ou SARS-CoV-2 para pacientes ambulatoriais em cirurgia plástica estética.","PeriodicalId":79099,"journal":{"name":"Revista brasileira de cirurgia","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71174743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What is the role of COVID-19 IgM/IgG rapid diagnostic tests in the preoperative cosmetic plastic surgery period? COVID-19 IgM/IgG快速诊断检测在术前美容整形手术中的作用是什么?

Revista brasileira de cirurgia Pub Date : 2021-01-01 DOI: 10.5935/2177-1235.2020RBCP0068

R. K. Zanella, S. Valente, D. S. Valente

引用次数: 0

[VASCULAR INJURIES]. [血管损伤]。

Revista brasileira de cirurgia Pub Date : 2020-08-01 DOI: 10.1093/med/9780198849360.003.0010

E. C. Freire

引用次数: 0