Revista brasileira de cirurgia最新文献_第5页

Mastopexia com retalhos cruzados: uma opção para correção da ptose mamária 交叉皮瓣乳房固定术:乳房上睑下垂矫正的一种选择

Revista brasileira de cirurgia Pub Date : 2019-01-01 DOI: 10.5935/2177-1235.2019RBCP0062

Leilane Droppa Appel, Rafael Reston Viana, Emelyn Althoff Fernandes, J. Magri, Dayson Luiz Nicolau dos Santos

引用次数: 2

Rotina em abdominoplastia do serviço de residência médica da equipe de cirurgia plástica e microcirurgia da Santa Casa de Misericórdia de Porto Alegre 阿雷格里港Santa Casa de misericordia整形外科和显微外科团队住院医生服务的腹部成形术常规

Revista brasileira de cirurgia Pub Date : 2019-01-01 DOI: 10.5935/2177-1235.2019rbcp0091

Flavio Maciel DE FREITAS NETO, Leonardo Milanesi Possamai, Caroline Battisti, Marcia Terres, Pedro BINS ELY

引用次数: 0

Reconstrução vaginal por meio da técnica de McIndoe em paciente adulto com síndrome de Rokitansky: relato de caso McIndoe技术在成年罗基坦斯基综合征患者中的阴道重建:病例报告

Revista brasileira de cirurgia Pub Date : 2019-01-01 DOI: 10.5935/2177-1235.2019RBCP0054

Caminha Nc

引用次数: 0

Experiência de um serviço de residência médica na utilização do retalho dermoglandular de pedículo inferior em mastopexias após perdas ponderais 一名住院医生在体重减轻后乳房固定术中使用真皮腺皮瓣的经验

Revista brasileira de cirurgia Pub Date : 2019-01-01 DOI: 10.5935/2177-1235.2019rbcp0088

Rafael Reston Viana, Leilane Droppa Appel, Emelyn Althoff Fernandes, J. Magri, Rogério de Castro Bittencourt, Anderson Guimarães de Oliveira

引用次数: 0

Epidemiological profile of 0-18-year-old child victims of burns treated at the Plastic Surgery and Burns Service of a University Hospital in Southern Brazil 巴西南部一所大学医院整形外科和烧伤服务部治疗的0-18岁烧伤儿童的流行病学概况

Revista brasileira de cirurgia Pub Date : 2019-01-01 DOI: 10.5935/2177-1235.2019rbcp0164

Marcelus Vinícios Araujo Nigro, Sara Merlin Maschietto, Renata Damin, C. S. Costa, Giovana Landal de Almeida Lobo

{"title":"Epidemiological profile of 0-18-year-old child victims of burns treated at the Plastic Surgery and Burns Service of a University Hospital in Southern Brazil","authors":"Marcelus Vinícios Araujo Nigro, Sara Merlin Maschietto, Renata Damin, C. S. Costa, Giovana Landal de Almeida Lobo","doi":"10.5935/2177-1235.2019rbcp0164","DOIUrl":"https://doi.org/10.5935/2177-1235.2019rbcp0164","url":null,"abstract":"Introduction: Injuries caused by burns represent a significant public health problem, constituting the fourth leading cause of childhood death in Brazil and the United States. In addition, few diseases carry such substantial losses as burns, with considerable morbidity due to the development of physical and psychosocial sequelae. This study aimed to outline the epidemiological profile of 0–18-year-old children treated for burns at a teaching hospital in Curitiba, Paraná. Methods: This cross-sectional, retrospective study involved analysis of 625 medical records of 0–18-year-old children who were victims of burns from January 2010 to December 2017. Information was collected on age, sex, length of hospitalization, death, body region affected, burned body surface area (BSA), depth, etiologic agent, and therapeutic approach. Results: A plurality of the sample were infants (43%), and the average age of the sample was 12.6 years. Most of the sample was comprised males, and the patients remained hospitalized for an average of 14.5 days. Of the burns, 98% were caused by thermal agents, particularly hot liquids. Most burns were second-degree burns (61.3%), reaching up to 25% of the BSA, and the most affected region was the trunk. Among the treatment modalities, 44% of the patients needed surgical intervention with debridement and grafting. Conclusion: Younger children are more prone to burns, especially in the home environment. A prepared and qualified team is of crucial importance for optimizing outcomes in these patients. ■ ABSTRACT","PeriodicalId":79099,"journal":{"name":"Revista brasileira de cirurgia","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71174249","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

Treatment of keloids: a literature review 瘢痕疙瘩的治疗:文献综述

Revista brasileira de cirurgia Pub Date : 2019-01-01 DOI: 10.5935/2177-1235.2019rbcp0213

P. Corrêa, Camila Eugênia Fonseca Passos, E. Souza, Guilherme Augusto Sousa Batista, Jéssica De Oliveira Jacintho, Luiza Barbosa de Oliveira, O. C. Lisboa, Joyce de Sousa Fiorini Lima

{"title":"Treatment of keloids: a literature review","authors":"P. Corrêa, Camila Eugênia Fonseca Passos, E. Souza, Guilherme Augusto Sousa Batista, Jéssica De Oliveira Jacintho, Luiza Barbosa de Oliveira, O. C. Lisboa, Joyce de Sousa Fiorini Lima","doi":"10.5935/2177-1235.2019rbcp0213","DOIUrl":"https://doi.org/10.5935/2177-1235.2019rbcp0213","url":null,"abstract":"Introduction: Keloids are characterized by an abnormal response to dermal trauma, resulting in fibroblast proliferation, excessive collagen production, and impairment of adjacent healthy tissue. The diagnosis is clinical, and many conservative and surgical methods can be used as treatments. However, data on the efficacy of these treatments are limited, and there is no consensus regarding the best treatment option. This gap needs to be filled by developing comprehensive evidence-based therapies. Methods: A non-systematic literature review of keloid scars was carried out using PubMed, Scielo, MEDLINE, UptoDate, and dermatology and dermatological surgery textbooks. Literature review: The search retrieved relevant information on surgical and adjuvant therapies used for keloids, including excision, intralesional injections, cryotherapy, laser therapy, silicone gel sheeting, radiation therapy, and pressure therapy. These data are crucial because, in addition to complaints of pain, itching, and restriction of movement, the main reason for seeking treatment for keloids is for cosmetic and aesthetic improvement, and the rates of recurrence and treatment failure are high, emphasizing the importance of creating awareness regarding the available procedures and their effectiveness. Conclusion: Many surgical and adjuvant therapies for keloids are available. Nonetheless, there is no consensus on a universally accepted treatment. Therefore, additional high-quality studies are needed to identify the most effective therapeutic approaches to achieve better results. ■ ABSTRACT","PeriodicalId":79099,"journal":{"name":"Revista brasileira de cirurgia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71174417","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

Parafusos de compressão canulados sem cabeça intramedulares para tratamento de fraturas do metacarpo; : experiência no Hospital Universitário 髓内无头空心压缩螺钉治疗掌骨骨折;:大学医院经历

Revista brasileira de cirurgia Pub Date : 2019-01-01 DOI: 10.5935/2177-1235.2019rbcp0056

Camilo Prego, Nicolas Urroz, Natalia Cortabarria, Tania Lena

{"title":"Parafusos de compressão canulados sem cabeça intramedulares para tratamento de fraturas do metacarpo; : experiência no Hospital Universitário","authors":"Camilo Prego, Nicolas Urroz, Natalia Cortabarria, Tania Lena","doi":"10.5935/2177-1235.2019rbcp0056","DOIUrl":"https://doi.org/10.5935/2177-1235.2019rbcp0056","url":null,"abstract":"DOI: 10.5935/2177-1235.2019RBCP0056 Introdução: As fraturas do metacarpo apresentam alta incidência em jovens do sexo masculino. Na maior parte, elas podem ser tratadas não cirurgicamente. Recentemente surgiu a fixação com parafusos sem cabeça canulados intramedulares de compressão, com bons resultados. Objetivo: Descrever a experiência no tratamento de fraturas do metacarpo com parafusos sem cabeça canulados intramedulares de compressão. Estudo descritivo, retrospectivo, realizado no Hospital Universitário de Montevidéu, Uruguai, de julho de 2017 a julho de 2018, incluindo pacientes com fraturas do metacarpo, fixados com parafusos canulados sem cabeça intramedulares de compressão. Apresenta-se técnica cirúrgica, pós-operatório e acompanhamento; avaliação do resultado funcional, complicações e tempo de reintegração ao trabalho. Os resultados foram classificados como bons em cinco casos e regulares em um. Conclusões: Esse método de fixação parece ser uma boa alternativa para traços oblíquos curtos ou transversos, fornecendo estabilidade adequada e permitindo mobilização precoce. ■ RESUMO","PeriodicalId":79099,"journal":{"name":"Revista brasileira de cirurgia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71174073","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

Indicações de neo-onfaloplastia em pacientes submetidos a abdominoplastia 腹部成形术患者新脐成形术的指征

Revista brasileira de cirurgia Pub Date : 2019-01-01 DOI: 10.5935/2177-1235.2019rbcp0057

Julian Andres Zuñiga Restrepo, Caio Pundek Garcia, Carlo Mognon Mattiello, Natalia Biancha Rendon, Felipe Oliveira Duarte, Jorge BINS ELY

引用次数: 1

Abdominal wall treatment with plication using the crossbow technique 应用弓弩技术治疗腹壁

Revista brasileira de cirurgia Pub Date : 2019-01-01 DOI: 10.5935/2177-1235.2019rbcp0005

Israel SOARES FILHO

引用次数: 0

Retalho anterolateral da coxa reverso : uma opção de reconstrução para os membros inferiores 大腿前外侧皮瓣:下肢重建的一种选择

Revista brasileira de cirurgia Pub Date : 2019-01-01 DOI: 10.5935/2177-1235.2018rbcp0172

Renato Alexandre da Silva Freitas, Jean Raitz Novais, André Gustavo Maschio, Dayane Raquel de Paula, Renata Fernanda Ramos Mascante, Victor Rodamilans Sanjuan, André Luiz Bilieri Pazio

{"title":"Retalho anterolateral da coxa reverso : uma opção de reconstrução para os membros inferiores","authors":"Renato Alexandre da Silva Freitas, Jean Raitz Novais, André Gustavo Maschio, Dayane Raquel de Paula, Renata Fernanda Ramos Mascante, Victor Rodamilans Sanjuan, André Luiz Bilieri Pazio","doi":"10.5935/2177-1235.2018rbcp0172","DOIUrl":"https://doi.org/10.5935/2177-1235.2018rbcp0172","url":null,"abstract":"Introduction: Cutaneous and soft tissue reconstruction in the region around the knee is often challenging for the plastic surgeon and aimed at providing good knee joint function with acceptable aesthetic appearance. Surgical planning requires considering the simplest technique that leads to wound closure, with minimal morbidity in the donor area. The literature has reported only few cases of the use of the reverse anterolateral (ALT) flap for defects in the popliteal fossa, knee, and leg proximal portion. The objective is to describe a series of cases of patients who underwent reconstruction with a reverse ALT flap for wounds in the popliteal fossa, knee, and upper third of the leg. Methods: Among four patients, three received popliteal fossa reconstructions and one received knee and leg proximal third reconstructions. All the patients underwent wound/tumor extensive resection, dissection of the reverse ALT flap, and transposition to the defect. Results: During follow-up for 2 to 18 months, minimal morbidity was observed in the donor area, with a total coverage of the defect, optimal functional result of the affected limb, and good aesthetic result. Only one case had a partial necrosis (15%) of the flap due to hematoma and pedicle compression. In the other patients, no evidence of flap failure, dehiscence, seroma, or infection were found. Conclusion: The reverse ALT flap was a viable option, presenting good functional and aesthetic results for cutaneous and soft tissue reconstructions in the popliteal fossa, knee, and upper third of the leg. ■ ABSTRACT","PeriodicalId":79099,"journal":{"name":"Revista brasileira de cirurgia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71173932","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