Introducción. La fuga anastomótica es una complicación que en las últimas tres décadas ha mantenido sus tasas de incidencia entre 1 % y 19 % y ha alcanzado una mortalidad que varía entre 6 % y 22 %. Tiene una alta morbilidad, siendo responsable del 56 % de los estomas definitivos en pacientes somet...
The evaluation of preventivemeasures and risk factors for anastomotic leakage has been a constant concern among colorectal surgeons. In this context, the description of a new way to perform a colorectal, coloanal or ileoanal anastomosis, known as transanal transection and single-stapled (TTSS) anastomosi...
Overview: Hemorrhoidal disease (HD) is a common surgical disorder. The treatment modalities can be surgical or nonsurgical. Every surgical option has its own indications and limitations. Postsurgical symptomatic recurrence rates are low and vary between different techniques. The ideal way to deal with re...
Abstract Purpose To evaluate the effect of fibrin glue on staple-line leak after sleeve gastrectomy. Methods Fourteen adult wistar rats 300 gr were randomized into two groups: Control group (n=7) and study group (n=7). All the rats underwent sleeve gastrectomy using lineer stapler. In the study group, ...
Abstract Purpose: To evaluate the effect of a new cross-linked hyaluronan (NCHA) gel on healing of the staple line in an experimental sleeve gastrectomy. Methods: Eighteen rats were randomly divided into three groups. The control group (n = 6) received no medication. In the saline group (n = 6) and NC...
Reactivos de Enlaces Cruzados/farmacología,
Modelos Animales de Enfermedad,
Gastrectomía/métodos,
Ácido Hialurónico/farmacología,
Obesidad/cirugía,
Complicaciones Posoperatorias/prevención & control,
Distribución Aleatoria,
Ratas Sprague-Dawley,
Grapado Quirúrgico/instrumentación,
Adherencias Tisulares/prevención & control,
Cicatrización de Heridas/efectos de los fármacos
Abstract Purpose: To perform technically the laparoscopic sleeve gastrectomy (LSG) using a unique Intragastric Single Port (IGSG) in animal swine model, evidencing an effective and safe procedure, optimizing the conventional technique. Methods: IGSG was performed in 4 minipigs, using a percutaneous int...
Estudios de Factibilidad,
Gastrectomía/métodos,
Gastrectomía/mortalidad,
Laparoscopía/métodos,
Ilustración Médica,
Modelos Animales,
Obesidad Mórbida/cirugía,
Tempo Operativo,
Reproducibilidad de los Resultados,
Grapado Quirúrgico/métodos,
Porcinos,
Factores de Tiempo
ABSTRACT Study objective: The aim is to assess the presence and persistence of the agraphes at the level of staple line after transanal stapled surgery. Methods: From April to December 2016 one-hundred-thirteen patients with variable follow-up (6 months-10 years) were randomly selected among all the pa...
RESUMO Objetivo: avaliar o impacto na fisiologia anorretal da hemorroidopexia por grampeamento parcial, das complicações relacionadas à técnica cirúrgica, dor e sangramento pós-operatório e recidiva de doença hemorroidária após um ano de cirurgia. Métodos: estudo prospectivo, descritivo, em ...
ABSTRACT Background: Stapled hemorrhoidopexy is a common treatment for grade 3 hemorrhoids. Patients with conditions that increase the risk of bleeding, as cardiac stents usage with clopidogrel bissulfate and liver cirrhosis, should receive an extra care in surgical procedures due to the high risk of b...
ABSTRACT Background: Stapled hemorrhoidopexy is associated with less postoperative pain and faster recovery. However, it may be associated with a greater risk of symptomatic recurrence. We hypothesized that undertaking a limited surgical excision of hemorrhoid disease after stapling may be a valid appro...
