Database : LILACS
Search on : A01.923.047.025.600.573 [DeCS Category]
References found : 172 [refine]
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Id: lil-317786
Author: Ferreira, Eugênio Américo Bueno; Barros, Marcos V. S. de.
Title: Infecçöes abdominais e peritoneais / Abdominal and peritoneal infections
Source: In: Veronesi, Ricardo; Focaccia, Roberto. Tratado de infectologia: v.2. Säo Paulo, Atheneu, 2002. p.1604-1609, ilus, tab. (BR)
Language: pt.
Responsable: BR31.1 - SIDC - Serviço de Informação e Documentação Científica
BR31.1; WC100, V599t, 2.ed., v.2


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Id: biblio-2308
Author: Pereira, Nárlei Amarante; Silva Filho, Aloísio Ferreira da; Alves, José Carlos Ribeiro Resende; Portugal, Erick Horta; Ruas, Marconi de Oliveira; Fonseca, Rebeca Paohwa Liu da; Salles, Cláudio Azevedo; Almeida, Augusto César de Melo; Silva, Raíssa Lemos Ferreira da.
Title: Retalho de omento maior no tratamento da mediastinite pós-operatória do lactente / Greater omentum flap in the treatment of infant postoperative mediastinitis
Source: Rev. bras. cir. plást;31(3):391-397, 2016. ilus.
Language: en; pt.
Abstract: INTRODUÇÃO: A mediastinite pós-operatória é uma condição grave, com altas taxas de mortalidade. O retalho de omento maior é usado com êxito no tratamento de mediastinites pós-operatórias decorrentes de cirurgia cardíaca. O uso dessa abordagem não foi relatado em lactentes, provavelmente porque nessa idade o omento maior é membranáceo, pouco volumoso e possui tecido adiposo escasso. MÉTODOS: Entre julho de 2010 e agosto de 2014, foram tratados quatro lactentes com mediastinite pós-operatória decorrentes de cirurgia cardíaca, realizada por esternotomia. O tratamento cirúrgico consistiu em remoção dos fios de aço da osteossíntese esternal, desbridamento e lavagem do mediastino, seguidos da transposição de todo o omento maior para a cavidade mediastinal. O tratamento cirúrgico foi feito em um só tempo. Não foi feita nova síntese do esterno com fios de aço. RESULTADOS: Os quatro pacientes sobreviveram ao tratamento e obtiveram alta da unidade de tratamento intensivo sem infecção. CONCLUSÕES: Embora membranáceo e apresentando pequeno volume, o retalho de omento maior se mostrou um excelente método de abordagem da mediastinite pós-operatória do lactente.

INTRODUCTION: Postoperative mediastinitis is a serious condition that presents high mortality rates. The greater omentum flap has been used with good results in postoperative mediastinitis after cardiac surgery. The use of this approach has not been reported in infants probably because at this age, the greater omentum is membranous, not bulky, and has little amount of fatty tissue. METHOD: Between July 2010 and August 2014, four infants who presented with mediastinitis after a cardiac surgery via sternotomy were treated. The surgical treatment consisted of steel wire removal, debridement, and wound washing, followed by transposition of the entire greater omentum to the mediastinal cavity. Surgical treatment was performed in a single step. No rewiring of the sternum was performed. RESULTS: All four patients survived the treatment and were discharged from the intensive care unit without infection. CONCLUSIONS: Although membranous and not bulky, the use of a greater omentum flap proved to be an excellent approach in infant postoperative mediastinitis.
Responsable: BR32.1 - Serviço de Biblioteca e Informação Biomédica


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Id: biblio-1088928
Author: Menezes, M. P; Costa, R. C; Conceição, M. E. B. A. M; Minto, B. W; Dias, L. G. G. G.
Title: Treatment of a femoral septic nonunion in a dog with interlocking nail stabilization associated to corticospongious bone autograft and greater omentum flap: case report / Tratamento de não união séptica femoral em cão com estabilização com haste intramedular bloqueada associada a autoenxerto de osso corticoesponjoso e retalho do omento maior: relato de caso
Source: Arq. bras. med. vet. zootec. (Online);72(1):87-92, Jan.-Feb. 2020. ilus.
Language: en.
Abstract: Chronic septic bone nonunion requires a well-designed therapeutic planning, demanding a multimodal treatment to achieve bone consolidation and elimination of infection. A successful case of an association of the major omentum flap with surgical stabilization with an interlocking nail for treatment of a femoral septic nonunion in dog is reported. The patient had partial functional return of the limb 30 days after surgery, negative bacterial culture with radiographic signs of bone healing and total functional return of the limb at 90th days after the surgical procedure.(AU)

Não uniões ósseas associadas à osteomielite crônica necessitam de um planejamento terapêutico muito bem realizado, demandando tratamento multimodal para conseguir atingir a consolidação óssea e eliminar a infecção. Relatou-se um caso de sucesso do uso da associação de retalho do omento maior com estabilização cirúrgica com haste intramedular bloqueada para tratamento de uma não união séptica de fêmur em cão. O paciente apresentou retorno funcional parcial do membro com 30 dias após a cirurgia, cultura bacteriana estéril com sinais radiográficos de consolidação óssea e retorno funcional total do membro aos 90 dias de pós-operatório.(AU)
Responsable: BR68.1 - Biblioteca Virginie Buff D'Ápice


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Id: biblio-909431
Author: de Almeida, Otávio Machado; de Arruda, Rodrigo Garcia; Oksman, Denis; Domene, Carlos Eduardo; Volpe, Paula; Heitor, Frederico de Almeida; de Almeida, Marina Longo Machado; Sandoval, Felipe.
Title: Reconstrução de extenso defeito da parede torácica anterior pós-mediastinite com retalho de omento: relato de caso / Reconstruction of an extensive anterior chest wall defect after mediastinitis with an omentum flap: a case report
Source: Rev. bras. cir. plást;33(2):262-266, abr.-jun. 2018. ilus.
Language: en; pt.
Abstract: Apresentamos o caso de um paciente de 70 anos de idade que evoluiu com extenso defeito cutâneo em parede torácica anterior após ter sido submetido a revascularização do miocárdio e mediastinite pós-operatória. Pela impossibilidade de utilização de retalhos cutâneos e musculares da região, fizemos a reconstrução com a rotação de retalho de omento baseado na artéria gastroepiploica esquerda e enxerto de pele em malha.

We report the case of a 70-year-old patient who developed an extensive skin defect in the anterior chest wall after undergoing myocardial revascularization and postoperative mediastinitis. Owing to the impossibility of using cutaneous and muscular flaps on the region, we performed the reconstruction with an omentum flap based on the left gastroepiploic artery and meshed skin graft.
Responsable: BR32.1 - Serviço de Biblioteca e Informação Biomédica


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Id: biblio-973303
Author: Spagnoli, Carina.
Title: Infarto omental. Simulador de patologías abdominales / Omental infarction. Abdominal diseases simulator
Source: Rev. med. Rosario;83(2):83-84, mayo-ago. 2017. ilus.
Language: es.
Responsable: AR16.1 - Biblioteca


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Id: biblio-933738
Author: Cordeiro, Paulo de Biasi.
Title: Transposição do omento na radionecrose da parede torácica: modificação tática.
Source: Rio de Janeiro; s.n; 1993. vii, 57 p. ilus.
Language: pt; pt.
Thesis: Submitted to Universidade Federal Fluminense. Faculdade de Medicina. Departamento de Cirurgia Geral e Especilizada presented for the degree Professor Titutar da Disciplina de Cirurgia Torácica.
Abstract: Uma nova abordagem cirúrgica para a cura da osteoradionecrose da parede torácica é descrita. A nova técnica consiste de uma modificação de tática descrita anteriormente na qual se preconizava a transposição do omento após a ressecção ou debridamento da lesão ulcerada e se fundamenta na reconhecida capacidade angiogênica do grande omento, ao lado de seu poder de bloquear e combater infecção. A presente modificação suprime o tempo de ressecção e/ou debridamento, apondo o grande omento diretamente à lesão radionecrótica, seguido de enxertia cutânea após granulação do tecido transposto. Foram operadas seis pacientes todas do sexo feminino com idade média de 55 anos, portadoras de radionecrose em parede anterior do tórax e submetidas à transposição do omento e enxertia cutânea. Não aconteceram óbitos na série e a morbidade observada consistiu de pequenas perdas do enxerto de pele empregado e herniação através da laparotomia supra-umbilical. Em 90% das pacientes observamos "pega" total do omento transposto e cura da osteoradionecrose.Tal abordagem permitiu também o estabelecimento da conduta a ser empregada nas lesões da parede torácica observadas após mastectomia, que podem ser de natureza neoplásica ou isquêmica, devendo a ressecção ser empregada na primeira circunstancia; seguida de retalho miocutaneo; e a omentopexia nas lesões isquêmicas. Concluimos que o método é de baixa morbidade, de menor porte que as alternativas existentes e mostrou bons resultados, devendo ser usado rotineiramente para correcão da osteocondroradionecrose, reservando-se a ressecção total da parede para os casos de recidiva tumoral

A new approach to the problem of chest wall radionecrosis is described. The approach is new in which it utilizes the previously described technic of omentum transposition, without ressecting the radionecrotic ulcer. Its rationale is derived from the knowledge that the greater omentum is capable of developing capillary ingrowth and neovascularization besides its great power to control infection. The omentum is transposed from the abdominal cavity to lay over the isquemic ulcer with only a minimal preparation of the receptor site. It was motivated by a patient with a highly situated chest wall ulcer just below the clavicle. Six patients were operated on, all of them females, with a mean age of 55 years. There was no mortality and morbidity was related to two herniations through the abdominal incision and small losses of the skin graft. In 84% of the patients there were complete cure of the patient. The new approach was standartized for benign chest wall ulcer after radical mastectomy, while we favor thoracectomy with myocutaneous flap when dealing with relapse of breast cancer on the thoracic wall. We conclude that the method has low morbidity, and that it is simpler than existing alternatives and showed good results, and we propose that it would be routinely used in cases of radionecrosis of the thoracic wall
Responsable: BR440.1 - Biblioteca Geraldo Matos de Sá . Hospital do Câncer I
BR440.1; 617.54, C794t T HCI


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SciELO Cuba full text
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Id: biblio-830455
Author: Flores Miranda, Enrique; Sánchez Brizuela, José Antonio; Flores Delgado, Enrique Adrián.
Title: Eficacia de sutura y epiploplastia con tratamiento médico posterior en la úlcera perforada / Epiploplasty and Suture Efficiency Using Further Medical Treatment in Perforated Ulcer
Source: Rev. cuba. cir;55(3):201-210, jul.-set. 2016. tab.
Language: es.
Abstract: Introducción: la sutura y epiploplastia de la úlcera perforada con tratamiento médico posterior para erradicar el Helicobacter pylori, ha disminuido la recurrencia de la úlcera péptica, lo cual renueva el interés en este proceder ante las técnicas definitivas. Objetivos: determinar la eficacia a mediano plazo de este proceder en pacientes operados de úlcera péptica perforada. Métodos: se realizó un estudio observacional analítico en el Hospital Universitario "Manuel Ascunce Domenech" de Camagüey, desde enero de 2010 hasta diciembre de 2013. El estudio estuvo conformado por los pacientes operados de úlcera perforada con más de un año de evolución (45 casos). Los datos obtenidos se procesaron mediante el paquete estadístico SPSS para Windows versión 15.0, con técnica estadística de comparación de la prueba de hipótesis de proporciones en una computadora Pentium IV. Resultados: el sexo más afectado fue el masculino y predominó en la cuarta y quinta décadas de la vida. La localización más frecuente de la perforación fue duodenal y la mayoría, menores de 1 cm. Las complicaciones posoperatorias más frecuentes fueron las infecciones respiratorias. El tabaquismo y la ingestión de café fueron los factores de riesgo actuales más frecuentes. La mayoría de los pacientes recibieron tratamiento médico completo en el posoperatorio, con buenos resultados de acuerdo a la clasificación de Visick y en la endoscopia realizada, donde solo una paciente presentó enfermedad ulcerosa. Conclusiones: se comprobó que la sutura y epiploplastia de la úlcera perforada con tratamiento médico posterior completo es eficaz a mediano plazo(AU)

Introduction: suture and epiploplasty of perforated ulcer using further medical treatment for helicobacter pylori eradication has decreased recurrence of peptic ulcer, renewing interest in this proceeding in contrast to final techniques. Objective: determine the medium term efficacy of this procedure in patients undergoing surgery for perforated peptic ulcer. Methods: an observational study was conducted at Manuel Ascunce Domenech University Hospital in Camagüey, from January 2010 to December 2013. The study consisted of patients operated on for perforated ulcer over a year (45 cases). The obtained data were processed using SPSS for Windows version 15.0, with statistical technique of comparing the proportions hypothesis test on a Pentium IV computer. Results: the most affected patients were male aging forty and fifty. The most frequent location was duodenal perforation and most of them less than 1 cm. The most frequent postoperative complications were respiratory infections. Smoking habits and coffee intake were the most common risk factors. Most patients received full medical treatment in the postoperative period, with good results according to Visick classification and the endoscopy, where only one patient had ulcer disease. Conclusions: suture and perforated ulcer epiploplasty with subsequent full medical treatment, definitively, cure patients(AU)
Responsable: CU1.1 - Biblioteca Médica Nacional


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Id: lil-796557
Author: Rafael Cruz, Hernando.
Title: Transplante de epiplon para la epilepsia refractaria / Omentum transplantation for refractory epilepsy
Source: Acta méd. peru;32(1):62-62, ene.-mar.2015.
Language: es.
Responsable: PE1.1 - Oficina Universitária de Biblioteca


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SciELO Chile full text
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Id: lil-772319
Author: Okamura, Aldo; Alvarez, Daniela; Genovez, Paula; Caldeira, Eduardo José; da Cunha, Marcelo Rodrigues; Carvalho, Cesar Alexandre Fabrega.
Title: A Different Origin of the Right Gastro-omental Artery / Un Origen Diferente de la Arteria Gastro-omental Derecha
Source: Int. j. morphol;33(4):1343-1347, Dec. 2015. ilus.
Language: en.
Abstract: The gastro-omental artery is one of the branches of the common hepatic artery. Alterations in the embryonic development of the ventral splanchnic arteries can cause marked variations. A rare variant of the right gastro-omental artery was observed during dissection of a 50-year-old male cadaver. The occurrence of this variant has not been reported in the specialized literature. This case of a different origin of the gastro-omental artery is described in detail in order to provide information that may contribute to upper abdominal surgeries.

La arteria gastro-omental es una de las ramas de la arteria hepática común. Las alteraciones en el desarrollo embrionario de las arterias ventrales pueden causar variaciones marcadas. Se observó una variante rara de la arteria gastro-omental derecha durante la disección de un cadáver de un hombre de 50 años de edad. La presencia de esta variante no se ha informado en la literatura especializada. Este caso de origen diferente de la arteria gastro-omental se describe detalladamente con el fin de proporcionar información que pueda contribuir a la cirugía abdominal superior.
Responsable: CL1.1 - Biblioteca Central


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Id: lil-741022
Author: Siqueira, Sávio Lana; Silva, Adriana Torres da; Bráulio, Cléber Stockler Ribeiro; Jalles, Marina Paranhos; Mendes, Guilherme Matos Serretti; Carmo, Pedro Sérgio Cascimiro Nicolau do; Camargos, Maria Luiza Lopes.
Title: Study of the clinical and histopathological repercussions of the "omental band" in dogs' stomach
Source: Acta cir. bras;30(2):151-159, 02/2015. tab, graf.
Language: en.
Abstract: PURPOSE: To evaluate the efficacy of the "omental band" as a bariatric surgical technique. METHODS: A sample of 35 dogs was studied. The Test Group was composed by 20 dogs. Of these, six were observed by 10 days, six were observed by 20 days and eight were observed by 30 days of post-operatory. The Control Group was composed by 15 dogs. Of these, five were observed by 10 days, five were observed by 20 days and five were observed by 30 days of post-operatory. The weight loose was the variable utilized to the evaluation of the efficacy of the surgical technique described in this study, once all of the dogs were weighted in precision balance before the surgical act and at the end of the post-operatory observation period. RESULTS: At the end of the study it was observed that the weight loose of the dogs submitted to the "omental band's" surgical technique was meaningfully higher in comparison with the dogs of the Control Group at the end of the post-operatory observation period. CONCLUSION: The surgical technique of the "omental band" showed effective in dogs, once has proposed a meaningfully weight loose. .
Responsable: BR1.1 - BIREME



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