Acta cirurgica brasileira最新文献_第2页

Predictive importance of cartilage acetabular index for acetabular dysplasia in orthopedic surgery. 骨科手术中髋臼软骨指数对髋臼发育不良的预测意义。

Acta cirurgica brasileira Pub Date : 2025-01-13 eCollection Date: 2025-01-01 DOI: 10.1590/acb400625

Mehmet Onur Ziyadanoğulları, Hüseyin Arslan

引用次数: 0

Effect of multiorgan abdominal ischemic preconditioning on experimental kidney transplantation. 多器官腹腔缺血预处理对实验性肾移植的影响。

Acta cirurgica brasileira Pub Date : 2024-12-20 eCollection Date: 2024-01-01 DOI: 10.1590/acb400225

Juan Cruz Abate, Ivana Ivanoff Marinoff, Nathalie Arnal, Mariana Machuca, Rodrigo Papa-Gobbi, Leandro Vecchio, Martín Rumbo, Pablo Stringa, Natalia Raquel Lausada

{"title":"Effect of multiorgan abdominal ischemic preconditioning on experimental kidney transplantation.","authors":"Juan Cruz Abate, Ivana Ivanoff Marinoff, Nathalie Arnal, Mariana Machuca, Rodrigo Papa-Gobbi, Leandro Vecchio, Martín Rumbo, Pablo Stringa, Natalia Raquel Lausada","doi":"10.1590/acb400225","DOIUrl":"https://doi.org/10.1590/acb400225","url":null,"abstract":"Purpose: To mitigate ischemia-reperfusion injury (IRI) triggered in solid organ transplant procedures, we aimed to evaluate the effects of multi-organ abdominal ischemic preconditioning (MAIP) in the context of renal IRI.Methods: An experimental kidney transplant model was conducted. Rats were divided into three groups: an intervention free basal group from which physiological data was collected; a control group (CT), which consisted of transplanted animals without MAIP; and a treated group, in which a MAIP protocol was implemented in the donor during the procurement of the left kidney, monitoring the recipient for 24 hours.Results: Urea, creatinine, and lactate dehydrogenase, as well as histopathological analysis (Banff: CT 1,66 ± 0,57 vs. basal 0, and MAIP 1), showed a clear trend in favor of MAIP group. Similar results were observed for tumor necrosis factor-α, interleukin-6 and CXCL10, as well as indicators of oxidative stress, with statistically significant levels for CXCL10 [0,295 ± 0,0074 arbitrary units (AU) CT and 0,0057 ± 0,0065 AU MAIP] and TBARS (2,93 ± 0,08 nmol/μg CT; and 2,49 ± 0,23 nmol/μg MAIP; p 0.05).Conclusion: The findings indicated that the MAIP exerts a protective influence on the transplanted kidneys, functioning as an IRI-protective strategy and enhancing the parameters associated with renal graft functionality.","PeriodicalId":93850,"journal":{"name":"Acta cirurgica brasileira","volume":"40 ","pages":"e400225"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Peritoneal histopathological changes and cultures after autogenous fecal peritonitis induced in elderly rat model: response to intravenous use of meropenem and intra-abdominal inoculation of 10% aqueous extract of Schinus Terebinthifolius Raddi (Anacardiaceae). 老年大鼠自体性粪便性腹膜炎后腹膜组织病理学改变及培养：静脉注射美罗培南和腹腔内接种10%蛇尾水提物的反应。

Acta cirurgica brasileira Pub Date : 2024-12-20 eCollection Date: 2024-01-01 DOI: 10.1590/acb400125

Carlos Alberto Figueiredo Filho, Celia Maria Machado Barbosa Castro, Guilherme Veras Mascena, Gustavo Ithamar Souto Maior, Tharcia Kiara Beserra Oliveira, Valéria Wanderley Pinto Brandão Marquis, Carlos Teixeira Brandt

{"title":"Peritoneal histopathological changes and cultures after autogenous fecal peritonitis induced in elderly rat model: response to intravenous use of meropenem and intra-abdominal inoculation of 10% aqueous extract of Schinus Terebinthifolius Raddi (Anacardiaceae).","authors":"Carlos Alberto Figueiredo Filho, Celia Maria Machado Barbosa Castro, Guilherme Veras Mascena, Gustavo Ithamar Souto Maior, Tharcia Kiara Beserra Oliveira, Valéria Wanderley Pinto Brandão Marquis, Carlos Teixeira Brandt","doi":"10.1590/acb400125","DOIUrl":"https://doi.org/10.1590/acb400125","url":null,"abstract":"Purpose: To evaluate the peritoneal histopathological changes and culture after the use of intravenous meropenem and intra-abdominal inoculation of 10% aqueous extract of anacardiaceae, in elderly rat model after autogenous fecal peritonitis induced.Methods: Thirty 18-month-old Wistar rats received induction of autogenous fecal peritonitis and then were stratified into two groups: study I, treated with meropenem (40 mg/kg); and study II, treated with meropenem (40 mg/kg) and intraperitoneal 10% aqueous extract of anacardiaceae. Animals were monitored for 15 days until euthanasia. Peritoneal fragments were collected for histopathological and culture. The study was approved by Ethics Committee.Results: None study-II animals died, while in study I, one died before euthanasia. In study II, 20% of the animals showed histopathological changes, none positive peritoneal culture, but one blood culture was positive (10%). In study I, 50% of the animals presented histopathological changes, 40% positive peritoneal cultures, and 50% positive blood cultures. All results when evaluated in the morbidity score showed better outcome for study-II group (p = 0,175).Conclusion: The use of meropenem associated with intraperitoneal 10% aqueous anacardiaceae extract after induction of autogenous fecal peritonitis in elderly rats showed better outcome in the set of histopathological changes, negative peritoneal and blood cultures, when compared with the use of meropenem isolated.","PeriodicalId":93850,"journal":{"name":"Acta cirurgica brasileira","volume":"40 ","pages":"e400125"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy and safety of remimazolam besylate and ciprofol in painless gastrointestinal endoscopy in the elderly. 苯磺酸雷马唑仑和环丙酚在老年人无痛胃肠内镜检查中的疗效和安全性。

Acta cirurgica brasileira Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.1590/acb399324

Ziwei Zhu

{"title":"Efficacy and safety of remimazolam besylate and ciprofol in painless gastrointestinal endoscopy in the elderly.","authors":"Ziwei Zhu","doi":"10.1590/acb399324","DOIUrl":"10.1590/acb399324","url":null,"abstract":"Purpose: This study aimed to ascertain the efficacy and safety of remimazolam besylate and ciprofol in elderly patients undergoing painless gastrointestinal endoscopy.Methods: Patients in the control group (n = 31) were anesthetized with ciprofol, and those in the observation group (n = 31) were anesthetized with remimazolam besylate. The anesthetic effect, analgesic effect, hemodynamics, cognitive function, and adverse reactions between the two groups were compared.Results: The observation group had shorter anesthesia onset time, recovery time, as well as anesthesia recovery room stay time and a higher effective rate of analgesia. At T1, T2, and T3, the mean arterial pressure and heart rate of the observation group were higher versus the control group; at T1 and T2, SpO2 in the observation group was higher versus the control group. The simple mental state scale score of the observation group was higher than that of the control group (all p 0.05). The total incidence of adverse reactions exhibited no difference between the two groups (p> 0.05).Conclusion: Versus ciprofol, remimazolam besylate has better anesthetic and analgesic effects, more stable hemodynamics, less impact on patients' cognitive function, and good safety in elderly patients undergoing painless gastrointestinal endoscopy.","PeriodicalId":93850,"journal":{"name":"Acta cirurgica brasileira","volume":"39 ","pages":"e399324"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pharmacological effects of triamcinolone associated with surgical glue on cutaneous wound healing in rats. 曲安奈德联合手术胶对大鼠皮肤创面愈合的药理作用。

Acta cirurgica brasileira Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI: 10.1590/acb399624

Rosana Soares Araújo Doci, Filipe Feitosa de Carvalho, Rodrigo César Gomes, Reinaldo José Gianini, Camilla Fanelli, Irene de Lourdes Noronha, Nelson Brancaccio Dos Santos, Moema de Alencar Hausen, Daniel Komatsu, Priscila Randazzo-Moura

{"title":"Pharmacological effects of triamcinolone associated with surgical glue on cutaneous wound healing in rats.","authors":"Rosana Soares Araújo Doci, Filipe Feitosa de Carvalho, Rodrigo César Gomes, Reinaldo José Gianini, Camilla Fanelli, Irene de Lourdes Noronha, Nelson Brancaccio Dos Santos, Moema de Alencar Hausen, Daniel Komatsu, Priscila Randazzo-Moura","doi":"10.1590/acb399624","DOIUrl":"10.1590/acb399624","url":null,"abstract":"Purpose: The surgical glue is widely used in closing cutaneous surgical wounds. Corticosteroids are indicated for their anti-inflammatory and immunomodulatory properties. The present work evaluated the pharmacological effects of triamcinolone (AT) incorporated into surgical glue (C) on the initial phase of the wound healing process in Wistar rats.Methods: Through in-vivo studies, the effects of the healing process, C or C+AT in the same rat were evaluated for seven and 14 days post-surgery.Results: The C+AT association did not change the physicochemical properties of the polymer. This association in wound healing confirmed the anti-inflammatory and immunomodulatory effects of the corticosteroid, with less neovascularization and fibrosis, in addition to the remodeling of the extracellular matrix carried out by the balance of myofibroblasts and less dense collagen fibers, culminating in tissue regeneration and possible reduction of side effects.Conclusion: This association is a powerful and innovative pharmacological tool, promising in translational medicine.","PeriodicalId":93850,"journal":{"name":"Acta cirurgica brasileira","volume":"39 ","pages":"e399624"},"PeriodicalIF":0.0,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of the therapeutic effects of different pneumoperitoneum pressures on laparoscopic transabdominal preperitoneal hernia repair: a randomized controlled trail. 不同气腹压力在腹腔镜经腹腹膜前疝修补术中的疗效比较：随机对照试验。

Acta cirurgica brasileira Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI: 10.1590/acb399824

Jie Yao, Shichen Qin, Guang Yang

{"title":"Comparison of the therapeutic effects of different pneumoperitoneum pressures on laparoscopic transabdominal preperitoneal hernia repair: a randomized controlled trail.","authors":"Jie Yao, Shichen Qin, Guang Yang","doi":"10.1590/acb399824","DOIUrl":"10.1590/acb399824","url":null,"abstract":"Purpose: To compare the indicators, postoperative pneumoretroperitoneum-related complications, and postoperative recovery of laparoscopic preperitoneal inguinal hernia repair under different CO2 pneumoperitoneum pressures.Methods: The total of 187 adult patients with primary inguinal hernia who successfully underwent transabdominal preperitoneal prosthesis (TAPP) from September 2021 to September 2023 in the Department of General Surgery, Haimen People's Hospital affiliated to Nantong University, were collected. These patients were randomly divided into low abdominal pressure group (group A: pneumoperitoneum pressure = 8 mmHg), sub-low abdominal pressure group (group B: pneumoperitoneum pressure = 10 mmHg), moderate abdominal pressure group (group C: pneumoperitoneum pressure = 12 mmHg), and standard pressure group (group D: pneumoperitoneum pressure = 14 mmHg), with 40 patients each.Results: The operation time in group C (43.90 ± 9.75) was significantly lower than group A (51.98 ± 12.65, p 0.001), group B (46.70 ± 10.59, p 0.001), and was higher than that in group D without significant statistical differences (38.15 ± 7.98, P = 0.05). The peritoneal suturing time in group C (5.03 ± 1.07) was significantly higher than group A (4.23 ± 0.70, p 0.001), group B (4.55 ± 0.85, p = 0.03), and was significantly lower than that in group D (6.95 ± 1.96, p 0.001).Conclusion: Selecting sub-low abdominal pressure (12 mmHg) can help to have a shorter operation time, with less blood loss, and it did not add pneumoretroperitoneum-related complications. Changing the pneumoperitonium pressure during different phases of the surgery is also an optimal option.","PeriodicalId":93850,"journal":{"name":"Acta cirurgica brasileira","volume":"39 ","pages":"e399824"},"PeriodicalIF":0.0,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Calendula glycolic extract enhances wound healing of alginate hydrogel. 金盏花乙醇酸提取物促进伤口愈合海藻酸盐水凝胶。

Acta cirurgica brasileira Pub Date : 2024-11-29 eCollection Date: 2024-01-01 DOI: 10.1590/acb399724

Gisele de Oliveira Krubniki Possa, Solange Chopek, Airton Vicente Pereira, Adriana Yuriko Koga, Marcia Regina Paes de Oliveira, Michele Dietrich Moura Costa

{"title":"Calendula glycolic extract enhances wound healing of alginate hydrogel.","authors":"Gisele de Oliveira Krubniki Possa, Solange Chopek, Airton Vicente Pereira, Adriana Yuriko Koga, Marcia Regina Paes de Oliveira, Michele Dietrich Moura Costa","doi":"10.1590/acb399724","DOIUrl":"10.1590/acb399724","url":null,"abstract":"Purpose: To assess the cytotoxicity and wound healing properties of an alginate hydrogel containing calendula glycolic extract.Methods: Cell viability in murine fibroblasts (3T3 cells) was evaluated using MTT and SRB assays. The wound healing effect was tested in an incisional wound model on 50 female Wistar rats, divided into two groups: rats treated with alginate hydrogel (n = 25), and rats treated with calendula-alginate hydrogel. Wound healing was assessed by measuring wound retraction rate and histological analysis of lesion tissues over a 28-day period. Histological analyses were performed on days 2, 7, 14, 21, and 28 post-surgery to examine inflammatory infiltrate, macrophage count, and angiogenesis. Picrosirius red staining was used to compare the relative abundance of collagen types I and III fibers.Results: Cytotoxicity tests on 3T3 cells revealed increased cell viability with the calendula-alginate hydrogel. The calendula-alginate hydrogel also demonstrated a significant improvement in wound closure, supported by histopathological analysis, showing reduced inflammation, increased macrophage activity, and enhanced collagen deposition.Conclusions: These findings evidenced the therapeutic potential of combining calendula extract and alginate for promoting enhanced wound healing.","PeriodicalId":93850,"journal":{"name":"Acta cirurgica brasileira","volume":"39 ","pages":"e399724"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical, thermographic, and tensiometric evaluation of rat cutaneous wounds treated with collagen gel associated with F18 bioactive glass. F18生物活性玻璃相关胶原凝胶处理大鼠皮肤伤口的临床、热成像和张力评估。

Acta cirurgica brasileira Pub Date : 2024-11-29 eCollection Date: 2024-01-01 DOI: 10.1590/acb399424

Bruna Martins da Silva, Ivan Felismino Charas Dos Santos, Paula Mancuso, Letícia Albuquerque Fortes Pereira, Ivan Moroz, Marina Frazatti Gallina, Miriam Harumi Tsunemi, Marina Trevelin Souza, Claudia Helena Pellizzon, José Ivaldo Siqueira Silva Júnior, Cláudia Valéria Seullner Brandão, Liandra Amara Garcia Alves

{"title":"Clinical, thermographic, and tensiometric evaluation of rat cutaneous wounds treated with collagen gel associated with F18 bioactive glass.","authors":"Bruna Martins da Silva, Ivan Felismino Charas Dos Santos, Paula Mancuso, Letícia Albuquerque Fortes Pereira, Ivan Moroz, Marina Frazatti Gallina, Miriam Harumi Tsunemi, Marina Trevelin Souza, Claudia Helena Pellizzon, José Ivaldo Siqueira Silva Júnior, Cláudia Valéria Seullner Brandão, Liandra Amara Garcia Alves","doi":"10.1590/acb399424","DOIUrl":"10.1590/acb399424","url":null,"abstract":"Purpose: To evaluate the association of collagen gel with F18 bioactive glass (BG) in the healing of non-contaminated cutaneous wounds induced in healthy Wistar rats.Methods: One hundred twelve adult and healthy Wistar rats were randomly divided into four groups (n = 28): saline solution (0.9%); healing ointment based on allantoin and zinc oxide; collagen gel; and association of F18 BG powder and collagen gel. All the rats underwent the creation of a 3-cm diameter wound in their dorsal region. Macroscopic, thermographic, and tensiometric evaluations of the wound were performed.Results: The presence of granulation tissue varied significantly in and between the groups. The surface temperature assessed through thermography of wounds treated with saline solution (0.9%) increased significantly over time and between the groups. No difference was identified regarding tensiometry.Conclusions: Collagen gel associated with F18 BG induced beneficial healing effects on non-contaminated cutaneous wounds in Wistar rats, which included the induction of increased blood perfusion as assessed through thermography.","PeriodicalId":93850,"journal":{"name":"Acta cirurgica brasileira","volume":"39 ","pages":"e399424"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Brazilian authorship gender trends on academic surgery: a bigdata analysis. 巴西学术外科的作者性别趋势：大数据分析。

Acta cirurgica brasileira Pub Date : 2024-11-29 eCollection Date: 2024-01-01 DOI: 10.1590/acb397724

Ana Kim, Luana Baptistele Dornelas, Luiza Telles, Ayla Gerk, Sarah Bueno Motter, Sarah Lopes Salomão, David Mooney, Cristina Camargo, Roseanne Ferreira

{"title":"Brazilian authorship gender trends on academic surgery: a bigdata analysis.","authors":"Ana Kim, Luana Baptistele Dornelas, Luiza Telles, Ayla Gerk, Sarah Bueno Motter, Sarah Lopes Salomão, David Mooney, Cristina Camargo, Roseanne Ferreira","doi":"10.1590/acb397724","DOIUrl":"10.1590/acb397724","url":null,"abstract":"Purpose: To evaluate the gender distribution of first and last authors with Brazilian surgical affiliations in PubMed-indexed surgical journals.Methods: Data from eligible surgical journals were retrieved using Scimago Journal & Country Rank 2021 and manually reviewed. Manuscripts published from 2018 to 2022 were included if at least one author was affiliated with a Brazilian institution and a surgical specialty.Results: Data from 340 eligible surgical journals were included. We analyzed first and last authors' forenames of 1,881 manuscripts. Women comprised 16.7% of the first and 12.4% of the last authors. Analyzing the differences in gender trends in authorship across the five Brazilian regions, we found that the South had the highest representation, while the Midwest and North showed the lowest, respectively. Obstetrics and gynecology featured the highest percentage of women-first authors, whereas orthopedics had the lowest. For the last authorship, pediatric surgery showed the highest, with hand surgery having the lowest representation. Male first authors were 1.9 times more likely to engage in international collaborations.Conclusions: This study suggests the persistent underrepresentation of Brazilian women in surgical journal authorship. Local policy changes should be considered to encourage greater diversity and inclusivity in surgical research.","PeriodicalId":93850,"journal":{"name":"Acta cirurgica brasileira","volume":"39 ","pages":"e397724"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cesarean scar dehiscence in early puerperium and influence of barbed suture: tridimensional ultrasound evaluation in a randomized clinical study. 产褥期早期剖宫产瘢痕裂开及刺缝线的影响：随机临床研究中的三维超声评价。

Acta cirurgica brasileira Pub Date : 2024-11-29 eCollection Date: 2024-01-01 DOI: 10.1590/acb399124

Newton de Paula Ishikawa, Gabriela Ewerling Souza, Thays Andressa Albuquerque Monteiro, Albert Schiaveto de Souza, Ricardo Dutra Aydos, Durval Batista Palhares

{"title":"Cesarean scar dehiscence in early puerperium and influence of barbed suture: tridimensional ultrasound evaluation in a randomized clinical study.","authors":"Newton de Paula Ishikawa, Gabriela Ewerling Souza, Thays Andressa Albuquerque Monteiro, Albert Schiaveto de Souza, Ricardo Dutra Aydos, Durval Batista Palhares","doi":"10.1590/acb399124","DOIUrl":"10.1590/acb399124","url":null,"abstract":"Purpose: This study investigated the hypothesis of early dehiscence of hysterorrhaphy as the initial stage of post-cesarean uterine scar defects, examining the possible influence of barbed suture in this process.Methods: This longitudinal, prospective, double-blind study included 54 pregnant women with no history of cesarean section, randomized into two suture groups: #0 polyglactin or #1 barbed PDS threads. Sutures were continuous, unlocked, involved the entire myometrium in a single layer, and included the endometrium. Tridimensional transvaginal ultrasonography was performed on the second day postpartum to investigate scar dehiscence and measure its maximal width.Results: The groups had 29 and 25 participants, respectively. Ages: 18-37 (mean 25.80 ± standard error of the mean 0.69) years old. Groups were homogeneous for labor duration, cervical thickness, edge-to-os distance, retroversion, amniotic sac rupture, and additional hemostatic sutures required. Uterine retroversion accounted for 7.4% of cases. Dehiscence was observed in 68.5% (3.98 ± 0.57 mm). The only factor correlating (positively) with dehiscence width was myometrial thickness, whether proximal or distal.Conclusions: Suture type had no influence on early dehiscence, which occurred at the same rate as published niche formation rates. Tridimensional ultrasound proved effective for evaluating dehiscence.","PeriodicalId":93850,"journal":{"name":"Acta cirurgica brasileira","volume":"39 ","pages":"e399124"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0