Base de dados : MEDLINE
Pesquisa : A01.719 [Categoria DeCS]
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  1 / 7523 MEDLINE  
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[PMID]:29465604
[Au] Autor:Shen K; Cui X; Xie Z
[Ad] Endereço:Department of Gastrointestinal Colorectal and Anal Surgery, China-Japan Union Hospital of Jilin University Changchun, Jilin, P. R. China.
[Ti] Título:Double laparoscopy assisted cylindrical abdominal-perineal resection for low rectal cancer with 4 cases report.
[So] Source:Medicine (Baltimore);97(8):e9995, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Rectal cancer is a common cancer worldwide. Low rectal cancer exhibits a tendency for recurrence. Surgical resection is an important treatment for rectal cancer. Cylindrical abdominal-perineal resection is suitable for patients with low rectal cancer and has helped improve the prognosis of these patients. However, there are some difficulties during the operation. Especially the perineal area operation cannot be performed under direct vision, which affects the quality of surgical resection. To resolve these constraints, our group designed double laparoscopy assisted cylindrical abdominal-perineal resection for low rectal cancer. CONCLUSION: The procedure effectively solved these problems and reduced the operation time with no increase in surgery complications.
[Mh] Termos MeSH primário: Abdome/cirurgia
Laparoscopia/métodos
Períneo/cirurgia
Neoplasias Retais/cirurgia
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Duração da Cirurgia
Neoplasias Retais/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180222
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009995


  2 / 7523 MEDLINE  
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[PMID]:29287104
[Au] Autor:Jansova M; Kalis V; Rusavy Z; Räisänen S; Lobovsky L; Laine K
[Ad] Endereço:New Technologies-Research Centre, University of West Bohemia, Pilsen, Czech Republic.
[Ti] Título:Fetal head size and effect of manual perineal protection.
[So] Source:PLoS One;12(12):e0189842, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of this study was to evaluate whether a previously identified modification of Viennese method of perineal protection remains most effective for reduction of perineal tension in cases with substantially smaller or larger fetal heads. METHODS: A previously designed finite element model was used to compare perineal tension of different modifications of the Viennese method of perineal protection to "hands-off" technique for three different sizes of the fetal head. Quantity and extent of tension throughout the perineal body during vaginal delivery at the time when the suboccipito-bregmatic circumference passes between the fourchette and the lower margin of the pubis was determined. RESULTS: The order of effectiveness of different modifications of manual perineal protection was similar for all three sizes of fetal head. The reduction of perineal tension was most significant in delivery simulations with larger heads. The final position of fingers 2cm anteriorly from the fourchette (y = +2) consistently remains most effective in reducing the tension. The extent of finger movement along the anterior-posterior (y-axis) contributes to the effectiveness of manual perineal protection. CONCLUSION: Appropriately performed Viennese manual perineal protection seems to reduce the perineal tension regardless of the fetal head size, and thus the method seems to be applicable to reduce risk of perineal trauma for all parturients.
[Mh] Termos MeSH primário: Parto Obstétrico/métodos
Feto/anatomia & histologia
Cabeça/anatomia & histologia
Complicações do Trabalho de Parto/prevenção & controle
Períneo/lesões
[Mh] Termos MeSH secundário: Parto Obstétrico/efeitos adversos
Feminino
Análise de Elementos Finitos
Seres Humanos
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171230
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189842


  3 / 7523 MEDLINE  
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[PMID]:29205275
[Au] Autor:O'Kelly SM; Moore ZE
[Ad] Endereço:General Practice (Public Health), Ranelagh Medical, 22-26 Sandford Road, Ranelagh, Dublin 6, Ireland.
[Ti] Título:Antenatal maternal education for improving postnatal perineal healing for women who have birthed in a hospital setting.
[So] Source:Cochrane Database Syst Rev;12:CD012258, 2017 12 04.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The female perineum becomes suffused and stretched during pregnancy, and further strain during vaginal childbirth contributes to approximately 85% of women experiencing some degree of trauma to the perineal region. Multiple factors play a role in the type and severity of trauma experienced, including parity, delivery method, and local practices. There is ongoing debate about best midwifery practice to reduce perineal trauma. Once perineal trauma has occurred, treatment also varies greatly, depending on its degree and severity, local practice and customs, and personal preference. In order to optimise wound-healing outcomes, it is important that wounds are assessed and managed in an appropriate and timely manner. A perineal wound may cause significant physical and/or psychological impact in the short or long term, however little evidence is available on this subject.Antenatal education serves to prepare women and their partners for pregnancy, delivery and the postpartum period. The delivery of this education varies widely in type, content, and nature. This review examined antenatal education which is specifically tailored towards perineal care and wound healing in the postnatal period via formal channels. Appropriate patient education positively impacts on wound-healing rates and compliance with wound care. Risk factors that contribute to the breakdown of wounds and poor healing rates may be addressed antenatally in order to optimise postnatal wound healing. It is important to assess whether or not antenatal wound-care education positively affects perineal healing, in order to empower women to incorporate best practice, evidence-based treatment with this important aspect of self-care in the immediate postnatal period. OBJECTIVES: To evaluate the effects of antenatal education on perineal wound healing in postnatal women who have birthed in a hospital setting, and who have experienced a break in the skin of the perineum as a result of a tear or episiotomy, or both. SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 September 2017), ClinicalTrials.gov (8th September 2017), the WHO International Clinical Trials Registry Platform (ICTRP) (8th September 2017) and reference lists of retrieved studies. SELECTION CRITERIA: We considered randomised controlled trials (RCTs) which referred to all formal methods of antenatal education and addressed care of a potential perineal wound as a result of a tear or episiotomy, which was experienced by pregnant women who planned to give birth within a hospital setting.Trials using a cluster-RCT and a quasi-randomised design would have been eligible for inclusion in this review but none were identified. Cross-over trials were not eligible for inclusion in this review. Studies published in abstract form would have been eligible for inclusion in this review, but none were identified.We planned to consider all formal methods of antenatal education which addressed care of a perineal wound. We also planned to consider all contact points where there was an opportunity for formal education, including midwifery appointments, antenatal education classes, obstetrician appointments, general practitioner appointments and physiotherapist appointments. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed titles and abstracts of the studies identified by the search strategy for their eligibility. MAIN RESULTS: No studies met the inclusion criteria for this review. We excluded one study and one other study is ongoing. AUTHORS' CONCLUSIONS: We set out to evaluate the RCT evidence pertaining to the impact of antenatal education on perineal wound healing in postnatal women who have birthed in a hospital setting, and who experienced a break in the skin of the perineum as a result of a tear or episiotomy, or both. However, no studies met the inclusion criteria. There is a lack of evidence concerning whether or not antenatal education relating to perineal wound healing in this cohort of women will change the outcome for these women in relation to wound healing, infection rate, re-attendance or re-admission to hospital, pain, health-related quality of life, maternal bonding, and negative emotional experiences. Further study is warranted in this area given the significant physical, psychological and economic impact of perineal wounds, and the large proportion of childbearing women who have experienced a postnatal wound. The benefits of any future research in this field would be maximised by incorporating women in a range of socio-economic groups, and with a range of healthcare options. This research could take both a qualitative and a quantitative approach and examine the outcomes identified in this review in order to assess fully the potential benefits of a tailored antenatal package, and to make recommendations for future practice. There is currently no evidence to inform practice in this regard.
[Mh] Termos MeSH primário: Mães/educação
Períneo/lesões
Cuidado Pós-Natal
Cuidado Pré-Natal/métodos
Cicatrização
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD012258.pub2


  4 / 7523 MEDLINE  
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[PMID]:29266902
[Au] Autor:Diaz MP; Steen M
[Ti] Título:PERINEAL WOUND CARE: EDUCATION AND TRAINING IN AUSTRALIA.
[So] Source:Aust Nurs Midwifery J;24(8):41, 2017 03.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:In Australia, approximately 75% of women who have a vaginal birth will sustain some form of perineal trauma (AIHW 2013); and over half of perineal injuries will require suturing.
[Mh] Termos MeSH primário: Instrução por Computador
Enfermeiras Obstétricas/educação
Complicações do Trabalho de Parto/enfermagem
Períneo/lesões
[Mh] Termos MeSH secundário: Austrália
Feminino
Seres Humanos
Períneo/cirurgia
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


  5 / 7523 MEDLINE  
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[PMID]:27778256
[Au] Autor:Youssef M; Emile SH; Thabet W; Elfeki HA; Magdy A; Omar W; Khafagy W; Farid M
[Ad] Endereço:General Surgery Department, Colorectal Surgery Unit, Mansoura Faculty of Medicine, Mansoura University Hospitals, El Gomhuoria Street, Mansoura City, Dakahlia Providence, Egypt.
[Ti] Título:Comparative Study Between Trans-perineal Repair With or Without Limited Internal Sphincterotomy in the Treatment of Type I Anterior Rectocele: a Randomized Controlled Trial.
[So] Source:J Gastrointest Surg;21(2):380-388, 2017 02.
[Is] ISSN:1873-4626
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND AIM: Two types of rectocele exist; type I is characterized by relatively high resting anal pressures, whereas type II has lower resting anal pressures with associated pelvic organ prolapse. We compared trans-perineal repair (TPR) of rectocele with or without limited internal sphincterotomy (LIS) in the treatment of type I anterior rectocele. PATIENTS AND INTERVENTIONS: Consecutive patients with anterior rectocele were evaluated for inclusion. Sixty-two female patients with type I anterior rectocele were randomized and equally allocated to receive TPR alone (group I) or TPR with LIS (group II). The primary outcome was the clinical improvement of constipation. Secondary outcomes were recurrence of rectocele, operative time, and postoperative complications including fecal incontinence (FI). RESULTS: Clinical improvement of constipation and patients' satisfaction were significantly higher in group II at 1 year of follow-up (93.3 versus 70 %). Constipation scores significantly decreased in both groups postoperatively with more reduction being observed in group II (11.1 ± 2.1 in group I versus 8 ± 1.97 in group II). Significant reduction in the resting anal pressure was noticed in group II. Recurrence was recorded in three (10 %) patients of group I and one patient of group II. No significant differences between the two groups regarding the operative time and hospital stay were noted. CONCLUSION: Adding LIS to TPR of type I rectocele achieved better clinical improvement than TPR alone. The only drawback of LIS was the development of a minor degree of FI, which was temporary in duration.
[Mh] Termos MeSH primário: Esfincterotomia Lateral Interna
Períneo/cirurgia
Retocele/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Constipação Intestinal/etiologia
Constipação Intestinal/prevenção & controle
Incontinência Fecal/etiologia
Incontinência Fecal/prevenção & controle
Feminino
Seres Humanos
Tempo de Internação
Meia-Idade
Duração da Cirurgia
Satisfação do Paciente
Complicações Pós-Operatórias/prevenção & controle
Retocele/complicações
Recidiva
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180102
[Lr] Data última revisão:
180102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1007/s11605-016-3299-4


  6 / 7523 MEDLINE  
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[PMID]:29255568
[Au] Autor:Naciri I; Hassam B
[Ad] Endereço:Service de Dermatologie et Vénérologie, Centre Hospitalier Universitaire Ibn Sina, Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat, Maroc.
[Ti] Título:[Perineal verrucous lesions].
[Ti] Título:Lésions verruqueuses périnéales..
[So] Source:Pan Afr Med J;28:98, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Verrucous lichen planus (VLP), is a chronic inflammatory dermatosis mainly involving the lower limbs. It rarely affects the perineal area, where it occurs in association with other mucocutaneous lichen lesions. We here report the case of a 51-year old patient with isolated perineal verrucous lichen planus. The patient, who had no significant medical history, presented with painless, verrucous, slightly itchy lesions in the perineal area that had gradually increased in volume over the past 8 years. Clinical examination revealed the presence of multiple firm grayish budding lesions with a rough surface, measuring 1-4 cm in diameter, in the perianal and scrotal area (A). The remainder of the somatic examination was normal. Histology showed verrucous acanthotic epidermis associated with mainly lymphocytic inflammatory infiltrate penetrating the basement membrane and pigmentary incontinence with the formation of apoptotic bodies in the basal layer of epidermis, without signs of viral infection or malignant transformation (B). The diagnosis of verrucous lichen planus was retained. Hepatitis C serology, lipid assessment as well as abdominal ultrasound were normal. A very strong local corticosteroid therapy was prescribed. The patient had a favorable outcome without recidivism at 18-months' follow-up.
[Mh] Termos MeSH primário: Líquen Plano/diagnóstico
Períneo/patologia
Escroto/patologia
[Mh] Termos MeSH secundário: Corticosteroides/uso terapêutico
Seguimentos
Seres Humanos
Líquen Plano/tratamento farmacológico
Líquen Plano/patologia
Masculino
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171222
[Lr] Data última revisão:
171222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.28.98.13844


  7 / 7523 MEDLINE  
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[PMID]:29219924
[Au] Autor:de Bruijn H; Maeda Y; Murphy J; Warusavitarne J; Vaizey CJ
[Ad] Endereço:Sir Alan Parks Physiology Unit, St. Mark's Hospital, Harrow, United Kingdom.
[Ti] Título:Combined Laparoscopic and Perineal Approach to Omental Interposition Repair of Complex Rectovaginal Fistula.
[So] Source:Dis Colon Rectum;61(1):140-143, 2018 Jan.
[Is] ISSN:1530-0358
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Surgical repair of rectovaginal fistula remains a challenge. Complex and recurrent rectovaginal fistula repairs often fail because of scarring and devascularization of the surrounding tissue. Omental interposition may promote healing by introducing bulky vascularized tissue into the rectovaginal septum. TECHNIQUE: With the patient in the lithotomy position, the rectovaginal septum was dissected transperineally up to the fistula tract and the openings on both vaginal and rectal sides were closed using interrupted, absorbable sutures. The dissection was continued cranially to meet the laparoscopic dissection from above. The laparoscopic surgeon detached the omentum from the colon, then the anastomotic arterial branches between the Barlow's arcade and the gastroepiploic arcade were divided and the greater omentum was mobilized, retaining blood supply from the left gastroepiploic artery. The rectum was then mobilized commencing on the right lateral side of the mesorectum and then proceeding anteriorly. The peritoneum between the rectum and the vagina was incised and the anterior mobilization was continued to connect with the perineal dissection. The mobilized omentum was pulled down between the rectum and the vagina.The perineal operator secured the omentum around the rectal closure and at skin level with absorbable sutures. All of the patients had a defunctioning ileostomy or colostomy before omental repair. RESULTS: Patients underwent repair for complex or recurrent rectovaginal fistulas with this novel approach. Fistula healing was evaluated during examination under anaesthesia. All of the patients had completely healed at the latest follow-up (median = 15 mo; range, 8-41 mo). Postoperative complications included 1 superficial wound infection that was treated conservatively and 1 rectovaginal hematoma, which required CT-guided aspiration. CONCLUSIONS: Combined laparoscopic omental interposition with perineal rectovaginal fistula repair is a safe and effective treatment for complex rectovaginal fistulas.
[Mh] Termos MeSH primário: Omento/cirurgia
Períneo/cirurgia
Fístula Retovaginal/cirurgia
Reto/cirurgia
Retalhos Cirúrgicos
Vagina/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Laparoscopia
Meia-Idade
Retalhos Cirúrgicos/irrigação sanguínea
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171215
[Lr] Data última revisão:
171215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE
[do] DOI:10.1097/DCR.0000000000000980


  8 / 7523 MEDLINE  
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[PMID]:27778072
[Au] Autor:Pai A; Eftaiha SM; Melich G; Park JJ; Lin PK; Prasad LM; Marecik SJ
[Ad] Endereço:Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, 1550 N. Northwest Highway, Suite 107, Park Ridge, IL, 60068, USA.
[Ti] Título:Robotic Site Adjusted Levator Transection for Carcinoma of the Rectum: A Modification of the Existing Cylindrical Abdominoperineal Resection for Eccentrically Located Tumors.
[So] Source:World J Surg;41(2):590-595, 2017 02.
[Is] ISSN:1432-2323
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Today, extralevator abdominoperineal resection is the standard of care for low rectal cancers with sphincter involvement or location precluding anastomosis. This procedure, while effective from an oncologic point of view, is morbid, with a high incidence of wound complications and genitourinary, and sexual dysfunction. We present a modification of this procedure via a robotic approach, which maintains the radicality while reducing the soft tissue loss and potentially the morbidity. METHODS: Over a 2-year period, five patients (four men and one woman) with eccentric low rectal cancers following neoadjuvant chemoradiation underwent a robot-assisted modified abdominoperineal resection with wide levator transection on the tumor side and conservative levator division on the opposite side. These patients were prospectively followed. Perioperative outcomes, pathologic specimen measures, wound-related problems, and local and systemic recurrences were documented and analyzed. RESULTS: All procedures were successfully completed without conversion. Average body mass index was 32 kg/m . The mean operative time and blood loss were 370 min and 130 ml, respectively. All specimens had an intact mesorectal envelope with no tumor perforations, and the mean lymph node yield was 16. There were no urinary complications or perineal wound infections. At a median follow-up of 14 months, all patients remain disease-free. CONCLUSIONS: Modified robotic cylindrical abdominoperineal resection with site adjusted levator transection for rectal cancer is an oncologically sound operation in eccentrically located tumors. It maintains the radicality of conventional extralevator abdominoperineal resection, while also reducing the soft tissue loss and thereby potentially the morbidity.
[Mh] Termos MeSH primário: Adenocarcinoma/terapia
Neoplasias Retais/terapia
Procedimentos Cirúrgicos Robóticos/métodos
[Mh] Termos MeSH secundário: Abdome/cirurgia
Perda Sanguínea Cirúrgica
Quimiorradioterapia Adjuvante
Procedimentos Cirúrgicos do Sistema Digestório/métodos
Feminino
Seres Humanos
Masculino
Meia-Idade
Terapia Neoadjuvante
Duração da Cirurgia
Períneo/cirurgia
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171208
[Lr] Data última revisão:
171208
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1007/s00268-016-3735-3


  9 / 7523 MEDLINE  
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[PMID]:28471029
[Au] Autor:Tutschek B; Braun T; Chantraine F; Henrich W
[Ad] Endereço:Center for Fetal Medicine, Gladbachstrasse 95, 8044, Zürich, Switzerland.
[Ti] Título:Re: Prediction of delivery time in second stage of labor using transperineal ultrasound.
[So] Source:Ultrasound Obstet Gynecol;49(5):663-664, 2017 05.
[Is] ISSN:1469-0705
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Apresentação no Trabalho de Parto
Ultrassonografia Pré-Natal
[Mh] Termos MeSH secundário: Parto Obstétrico
Feminino
Seres Humanos
Segunda Fase do Trabalho de Parto
Períneo
Gravidez
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1002/uog.17424


  10 / 7523 MEDLINE  
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[PMID]:29107269
[Au] Autor:Grummet J
[Ad] Endereço:Department of Surgery, Central Clinical School, Monash University, 125 Balaclava Road, Caulfield North, Victoria 3161, Australia. Electronic address: jpgrummet@hotmail.com.
[Ti] Título:How to Biopsy: Transperineal Versus Transrectal, Saturation Versus Targeted, What's the Evidence?
[So] Source:Urol Clin North Am;44(4):525-534, 2017 Nov.
[Is] ISSN:1558-318X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Until recently, prostate biopsy for the detection of prostate cancer has been performed transrectally and in an untargeted sampling fashion. Consequently, the procedure has suffered a small but significant risk of severe morbidity through infection, and low diagnostic accuracy, with undergrading and missed diagnosis being common. MRI is revolutionizing prostate cancer diagnosis by improving detection accuracy via targeted biopsy. Transperineal biopsy is eradicating sepsis as a risk of prostate biopsy, while avoiding the need for broad-spectrum or combination prophylactic antibiotics. This article analyzes the data on the various current methods of performing prostate biopsy and recommends an optimal technique.
[Mh] Termos MeSH primário: Biópsia por Agulha/métodos
Próstata/diagnóstico por imagem
Neoplasias da Próstata/diagnóstico
[Mh] Termos MeSH secundário: Seres Humanos
Biópsia Guiada por Imagem/métodos
Imagem por Ressonância Magnética
Masculino
Períneo
Reto
Ultrassonografia de Intervenção
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171107
[St] Status:MEDLINE



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