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Pesquisa : A01.923.047.849 [Categoria DeCS]
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  1 / 2802 MEDLINE  
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[PMID]:29489700
[Au] Autor:Chen Q; Liu Q; Suo Y; Xie Q
[Ad] Endereço:Department of Hand Surgery, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China.
[Ti] Título:A new surgical treatment for abdominal wall defects: A vascularized ribs-pleural transfer technique that can be used with or without a thoracic umbilical flap a case report.
[So] Source:Medicine (Baltimore);97(9):e9993, 2018 Mar.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Abdominal wall defects are common after tumor resection. PATIENT CONCERNS: We report an 83-year-old male patient with recurrent tumors in his abdomen, and who had an incision wound that could not be directly closed. Mesh was not suitable because the wound was infected. DIAGNOSES: Abdominal wall defect result from the resection of recurrent tumor. INTERVENTIONS: We carried out a vascularized ribs-pleural transfer operation. OUTCOMES: After the surgery, the patient gained a functional recovery. No evidence of recurrence was noted 1 year after operation, and the patient showed no symptoms of abdominal compression syndrome. LESSONS: We discuss the clinical diagnosis, treatment, and follow up and argue that the vascularized ribs-pleural transfer technique is a good method to deal with abdominal wall defects.
[Mh] Termos MeSH primário: Parede Abdominal/cirurgia
Pleura/transplante
Complicações Pós-Operatórias/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
Costelas/transplante
[Mh] Termos MeSH secundário: Neoplasias Abdominais/cirurgia
Idoso de 80 Anos ou mais
Seres Humanos
Masculino
Recidiva Local de Neoplasia/cirurgia
Retalhos Cirúrgicos
Umbigo/transplante
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180301
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009993


  2 / 2802 MEDLINE  
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[PMID]:29279563
[Au] Autor:Miyao M; Takahashi T; Uchida E
[Ad] Endereço:Department of Pediatric Surgery, Nippon Medical School Musashi Kosugi Hospital.
[Ti] Título:A Case of Anomalous Congenital Band that Was Difficult to Differentiate from Omphalomesenteric Duct Anomaly.
[So] Source:J Nippon Med Sch;84(6):304-307, 2017.
[Is] ISSN:1347-3409
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Anomalous congenital band (ACB) is rare and difficult to identify preoperatively. Here we report a pediatric ACB case that was preoperatively suspected using computed tomography and was difficult to differentiate from omphalomesenteric duct anomaly. ACB should be considered in the differential diagnosis of acute abdomen.
[Mh] Termos MeSH primário: Anormalidades Múltiplas/diagnóstico
Íleo/anormalidades
Mesentério/anormalidades
Umbigo/anormalidades
Ducto Vitelino/anormalidades
[Mh] Termos MeSH secundário: Abdome Agudo/etiologia
Anormalidades Múltiplas/diagnóstico por imagem
Adolescente
Diagnóstico Diferencial
Seres Humanos
Masculino
Período Pré-Operatório
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1272/jnms.84.304


  3 / 2802 MEDLINE  
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[PMID]:29181994
[Au] Autor:Martin AJ; McDonald L; Gopal M
[Ad] Endereço:Newcastle University UK.
[Ti] Título:Urachal remnant causing umbilical in-drawing during micturition.
[So] Source:Ann R Coll Surg Engl;100(2):e31-e33, 2018 Feb.
[Is] ISSN:1478-7083
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The urachus is a vestigial remnant of the allantois, which is normally obliterated during fetal life to become the median umbilical ligament, which runs between the urinary bladder and umbilicus in adults. Failure of obliteration leaves a tubular urachal remnant, which may present with disease. We report a unique case of a urachal remnant causing umbilical pain and in-drawing on micturition in a nine-year-old boy. There was no urine discharge from the umbilicus and in-drawing did not occur on defecation. His urinary stream was normal. High frequency ultrasonography revealed a thick band with a narrow, anechoic, fluid filled central channel. Exploration via an infraumbilical curvilinear incision identified a thick urachal band that could be traced to the dome of the bladder. This was excised flush with the bladder. The patient remains well at nine months following surgery with complete cessation of symptoms.
[Mh] Termos MeSH primário: Umbigo
Úraco
Doenças Urológicas
[Mh] Termos MeSH secundário: Criança
Seres Humanos
Masculino
Umbigo/fisiopatologia
Umbigo/cirurgia
Úraco/anormalidades
Úraco/diagnóstico por imagem
Úraco/fisiopatologia
Doenças Urológicas/fisiopatologia
Doenças Urológicas/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1308/rcsann.2017.0197


  4 / 2802 MEDLINE  
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[PMID]:29280880
[Au] Autor:Purnell CA; Turin SY; Dumanian GA
[Ad] Endereço:Chicago, Ill. From the Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine.
[Ti] Título:Umbilicus Reconstruction with Bilateral Square "Pumpkin-Teeth" Advancement Flaps.
[So] Source:Plast Reconstr Surg;141(1):186-189, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The creation of a neoumbilicus is a common challenge for plastic surgeons. The authors present their technique of umbilical reconstruction with bilateral square "pumpkin-teeth" advancement flaps. The technique described is applicable in both the setting of a vertical midline incision and when no midline incision is present (e.g., an abdominoplasty). The reconstruction has been performed in over 50 patients with a vertical midline incision and five patients without a midline incision. The only complications noted were persistent serous drainage in several patients with vertical incision and inadequate depth in one patient without a midline incision. This technique is quickly performed, and avoids small flaps, external incisions, and healing by secondary intention.
[Mh] Termos MeSH primário: Abdominoplastia/métodos
Procedimentos Cirúrgicos Reconstrutivos/métodos
Retalhos Cirúrgicos/transplante
Umbigo/cirurgia
[Mh] Termos MeSH secundário: Parede Abdominal/fisiopatologia
Parede Abdominal/cirurgia
Estética
Feminino
Seres Humanos
Masculino
Retalhos Cirúrgicos/irrigação sanguínea
Técnicas de Sutura
Cicatrização/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003929


  5 / 2802 MEDLINE  
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[PMID]:29277817
[Au] Autor:Tomioka K; Murakami M; Watanabe M; Fujimori A; Koizumi T; Goto S; Otsuka K; Aoki T
[Ad] Endereço:Division of Gastroenterological and General Surgery, Department of Surgery, Showa University, Tokyo, Japan tomioka@med.showa-u.ac.jp.
[Ti] Título:Evaluation of a Transumbilical Incision as an Approach for Organ Removal in Laparoscopy-assisted Colectomy.
[So] Source:Anticancer Res;38(1):513-517, 2018 01.
[Is] ISSN:1791-7530
[Cp] País de publicação:Greece
[La] Idioma:eng
[Ab] Resumo:AIM: To investigate the risk factors of transumbilical incision for organ removal in laparoscopy-assisted colectomy (LAC). PATIENTS AND METHODS: We enrolled 348 consecutive patients who underwent LAC at our hospital between 2010 and 2013. The occurrence of superficial surgical site infection (SSI) and hernia at the transumbilical port site were recorded. RESULTS: SSI was observed in 15 patients (4.31%); there were no obvious associated risk factors. Hernia occurred in 23 patients (6.61%); multivariate analysis revealed that female sex [odds ratio (OR)=4.736, 95% confidence interval (CI)=1.058 to 24.362; p=0.042] and diabetes mellitus (OR=4.655, 95% CI=1.520 to 13.585; p=0.004) were significantly associated with the risk of hernia. Anastomotic method and the anastomotic site (inside and outside the body) did not contribute to the occurrence of complications. CONCLUSION: Female sex and diabetes mellitus are independent risk factors for hernia formation in patients undergoing transumbilical incision for organ removal in laparoscopy-assisted colectomy.
[Mh] Termos MeSH primário: Colectomia/efeitos adversos
Hérnia Umbilical/epidemiologia
Laparoscopia/efeitos adversos
Infecção da Ferida Cirúrgica/epidemiologia
Umbigo/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Colectomia/métodos
Colo/cirurgia
Diabetes Mellitus/patologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Fatores de Risco
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180110
[Lr] Data última revisão:
180110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171227
[St] Status:MEDLINE


  6 / 2802 MEDLINE  
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[PMID]:29245346
[Au] Autor:Cheng H; Gao C; Zhang R; Yang Z; Zhang G
[Ad] Endereço:aDepartment of Obstetrics and Gynecology, Qilu HospitalbQilu Medical School, Shandong UniversitycDepartment of Medicine, University of Ji'nandDepartment of Radiology, Qilu Hospital, Shandong University, Ji'nan, Shandong, PR China.
[Ti] Título:Two independent incidences of skin metastases in the umbilicus and abdominal wall in ovarian serous adenocarcinoma: A case report and review of the literature.
[So] Source:Medicine (Baltimore);96(49):e9118, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Advanced ovarian cancer is usually associated with intra-abdominal metastases and while it commonly spreads directly to the omentum, intestine, liver, or other organs, it can also metastasize through the lymphatic channels and the hematogenous pathway. With an increasing number of invasive operations being performed with chemoradiotherapy, the incidence of extra-abdominal metastases has risen. Nevertheless, ovarian cancer with skin metastases is quite rare. PATIENT CONCERNS: We report a case of ovarian cancer with two independent incidences of skin metastases in the umbilicus and abdominal wall. DIAGNOSES: The patient was a 67-year-old woman who was diagnosed with ovarian cancer stage IIIC and underwent cytoreductive surgery. A solitary brown cauliflower-like metastatic lesion, approximately 6 × 5 × 4 cm was identified in the umbilicus area two years after primary surgery. During tumorectomy, intraoperative exploration revealed that while the tumor was located close to the peritoneum, there was no penetration. INTERVENTIONS: The patient recovered well and received multiple rounds of chemotherapy. Ten months later, the patient presented with skin lesions located on the abdominal wall that grew rapidly and spread from the lower abdomen wall to the bilateral waist and femoral skin. These lesions were multiple, ulcerated, rough heliotrope plaques that produced a foul-smelling faint yellow liquid. Biopsy analysis revealed skin metastasis of poorly differentiated serous adenocarcinoma. OUTCOMES: The patient was treated with chemotherapy but died 3 months after the skin metastasis occurred for the second time. LESSONS: Ovarian cancer with skin metastasis is a rare condition with poor prognosis. Pathological diagnosis of early skin lesions is essential for ovarian cancer patients and that systemic and local disease should be treated with surgery or palliative therapy in order to provide patients with the best chances of survival. Tumorectomy is appropriate when lesions are isolated and when the patient's performance status is good. However, systemic therapy including chemotherapy and radiotherapy should be considered when skin lesions are associated with severe intro-abdominal disease.
[Mh] Termos MeSH primário: Parede Abdominal/patologia
Adenocarcinoma/patologia
Neoplasias Ovarianas/patologia
Neoplasias Cutâneas/secundário
Umbigo/patologia
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171217
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009118


  7 / 2802 MEDLINE  
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[PMID]:29176414
[Au] Autor:van Veldhuisen CL; Kamali P; Wu W; Becherer BE; Sinno HH; Ashraf AA; Ibrahim AMS; Tobias A; Lee BT; Lin SJ
[Ad] Endereço:Boston, Mass.; and New Orleans, La. From the Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School; and the Division of Plastic and Reconstructive Surgery, Louisiana State University Health Sciences Center.
[Ti] Título:Prospective, Double-Blind Evaluation of Umbilicoplasty Techniques Using Conventional and Crowdsourcing Methods.
[So] Source:Plast Reconstr Surg;140(6):1151-1162, 2017 Dec.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Umbilical reconstruction is an important component of deep inferior epigastric perforator (DIEP) flap breast reconstruction. This study evaluated the aesthetics of three different umbilical reconstruction techniques during DIEP flap breast reconstruction. METHODS: From January to April of 2013, a total of 29 consecutive patients undergoing DIEP flap breast reconstruction were randomized intraoperatively to receive one of three umbilicoplasty types: a diamond, an oval, or an inverted V incision. Independent plastic surgeons and members of the general public, identified using an online "crowdsourcing" platform, evaluated aesthetic outcomes in a blinded fashion. Reviewers were shown postoperative photographs of the umbilicus of all patients and a four-point Likert scale was used to rate the new umbilicus on the size, scar formation, shape, localization, and overall appearance. RESULTS: Results for the focus group of independent plastic surgeons and 377 members of the public were retrieved (n = 391). A total of 10 patients (34.5 percent) were randomized into having the diamond incision, 10 (34.5 percent) had the oval incision, and nine (31.0 percent) had the inverted V incision. Patients were well matched in terms of overall characteristics. The general public demonstrated a significant preference for the oval incision in all five parameters. There was no preference identified among surgeons. CONCLUSION: This study provides evidence that a sample of the U.S. general public prefers the aesthetics of the oval umbilicoplasty incision, which contrasted with the lack of preference identified within this focus group of plastic surgeons. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, II.
[Mh] Termos MeSH primário: Crowdsourcing
Mamoplastia/métodos
Umbigo/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Neoplasias da Mama/cirurgia
Método Duplo-Cego
Feminino
Seres Humanos
Meia-Idade
Satisfação do Paciente
Retalho Perfurante
Estudos Prospectivos
Coleta de Tecidos e Órgãos/métodos
Sítio Doador de Transplante
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171204
[Lr] Data última revisão:
171204
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003839


  8 / 2802 MEDLINE  
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[PMID]:28688657
[Au] Autor:Ricci JA; Kamali P; Becherer BE; Curiel D; Wu W; Tobias AM; Lin SJ; Lee BT
[Ad] Endereço:Division of Plastic Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
[Ti] Título:Umbilical necrosis rates after abdominal-based microsurgical breast reconstruction.
[So] Source:J Surg Res;215:257-263, 2017 Jul.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Umbilical stalk necrosis represents a rare, yet important complication after abdominal-based microsurgical breast reconstruction, which is both underrecognized and understudied in the literature. Once identified, umbilical reconstruction can be an extremely challenging problem. METHODS: All consecutive breast free flaps at a single institution from February 2004 to February 2016 were reviewed, excluding non-abdominal-based flaps. Patients were divided based on the development of umbilical necrosis postoperatively. Demographics, surgical characteristics, and other complications were compared between the groups. RESULTS: A total of 918 patients met the inclusion criteria, with 29 developing umbilical necrosis identified (3.2%). Patients developing necrosis tended to be older (49.4 yrs versus 52.9 yrs; P < 0.01); have higher BMI (31.3 versus 27.8; P < 0.01); and were more likely to be smokers (27.5% versus 11.6%; P = 0.01). Umbilical necrosis was also associated with increased flap weight (830 g versus 656 g; P < 0.01), decreased time of perforator dissection (151 min versus 169 min; P = 0.02); bilateral cases (68.9% versus 44.7%; P < 0.01), and increased number of perforators per flap (2.5 versus 2.2; P = 0.03). There was no association with flap type (deep inferior epigastric perforator, superficial inferior epigastric artery, or free TRAM), diabetes, previous abdominal surgery, or use of preoperative imaging. Umbilical necrosis was not associated with any concomitant complications. CONCLUSIONS: Umbilical stalk necrosis was found to occur in 3.2% of patients and was associated with several preoperative comorbidities and intraoperative characteristics. This information should help influence intraoperative decision-making to prevent the development of this undesirable complication.
[Mh] Termos MeSH primário: Retalhos de Tecido Biológico/transplante
Mamoplastia/métodos
Microcirurgia/métodos
Complicações Pós-Operatórias/epidemiologia
Umbigo/patologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seguimentos
Retalhos de Tecido Biológico/irrigação sanguínea
Seres Humanos
Meia-Idade
Necrose/epidemiologia
Necrose/etiologia
Avaliação de Resultados (Cuidados de Saúde)
Estudos Retrospectivos
Umbigo/irrigação sanguínea
Umbigo/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170710
[St] Status:MEDLINE


  9 / 2802 MEDLINE  
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[PMID]:28654582
[Au] Autor:Cho MJ; Teotia SS; Haddock NT
[Ad] Endereço:Dallas, Texas From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.
[Ti] Título:Predictors, Classification, and Management of Umbilical Complications in DIEP Flap Breast Reconstruction.
[So] Source:Plast Reconstr Surg;140(1):11-18, 2017 Jul.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In recent years, the deep inferior epigastric perforator (DIEP) flap has become the workhorse flap for autologous breast reconstruction. Despite increased reports on DIEP flaps, umbilical complications have not been previously studied. The aesthetics of the umbilicus dictates the beauty of the abdomen, and it is critical for plastic surgeons to minimize the scarring of the umbilicus. In this study, we retrospectively reviewed patients who underwent DIEP flaps to determine the predictors of umbilical complications, and created a classification system of these wounds. METHODS: Retrospective review of 323 patients who underwent DIEP flap surgery from 2009 to 2016 was performed. Umbilical stalk heights, widths of fascial diastasis, and abdominal wall thicknesses were measured from computed tomographic scans. Data regarding demographic and patient characteristics were collected. RESULTS: Of the 323 patients, there were 58 patients that had umbilical complications (18 percent). These patients had statistically higher body mass indexes, heavier flaps, and thicker abdominal walls (p < 0.05). Also, they had statistically higher umbilical stalk heights (29.3 mm versus 18.7 mm), and analysis showed that the likelihood ratio of having umbilical complications was 2.05 at 20.1 mm, 3.05 at 25.4 mm, and 6.43 at 30 mm. Logistic regression analysis revealed that umbilical stalk height, fascial diastasis, age, procedure time, and flap weight were significant predictors (p < 0.05). CONCLUSIONS: Umbilical complications in patients undergoing DIEP flap surgery for breast reconstruction have not been previously studied. Our study shows that the umbilical stalk height plays a significant role, and umbilical wounds can be classified into five types: no wound, minor wound, wound dehiscence, partial necrosis, and total necrosis. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
[Mh] Termos MeSH primário: Mamoplastia/métodos
Retalho Perfurante
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/terapia
Umbigo
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Meia-Idade
Complicações Pós-Operatórias/classificação
Prognóstico
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003450


  10 / 2802 MEDLINE  
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[PMID]:28558836
[Au] Autor:Kato K; Hisa T; Matoda M; Nomura H; Kanao H; Utsugi K; Takeshima N
[Ad] Endereço:Department of Gynecology, Cancer Institute Hospital, 3-8-31 Ariake, Koutou-ku, Tokyo, 135-8550, Japan. kazuyosikato@gmail.com.
[Ti] Título:Extraction of a specimen through an umbilical zigzag incision during laparoscopic surgery for endometrial cancer.
[So] Source:World J Surg Oncol;15(1):110, 2017 May 30.
[Is] ISSN:1477-7819
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Though laparoscopic surgery has recently been applied in the treatment of early-stage endometrial cancer, the presence of a large uterus is a hindrance to specimen extraction from the abdominal cavity. We describe a laparoscopic surgical technique for endometrial cancer involving the extraction of the resected specimen through an umbilical zigzag incision. CASE PRESENTATION: A 63-year-old woman with endometrial cancer underwent a total hysterectomy and bilateral salpingo-oophorectomy that was performed laparoscopically. The surgical specimen was extracted through an umbilical zigzag incision. This umbilical zigzag incision created a larger fascial and peritoneal opening, facilitating the removal of the specimen. The final histopathologic results revealed stage 1A G1 endometrioid adenocarcinoma and multiple uterine leiomyomas. Three months after surgery, the wound in the umbilical region was inconspicuous, along with the inward movement of the umbilicus. CONCLUSIONS: A laparoscopic surgical technique for endometrial cancer involving the extraction of the specimen through an umbilical zigzag incision seems to reduce the difficulties associated with laparoscopic surgery and maintains cosmesis. Further analyses involving larger numbers of cases and long-term follow-up periods are warranted to evaluate this surgical method.
[Mh] Termos MeSH primário: Neoplasias do Endométrio/cirurgia
Laparoscopia/instrumentação
Laparoscopia/métodos
Ovariectomia/métodos
Umbigo/cirurgia
[Mh] Termos MeSH secundário: Neoplasias do Endométrio/patologia
Feminino
Seres Humanos
Meia-Idade
Prognóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170601
[St] Status:MEDLINE
[do] DOI:10.1186/s12957-017-1180-x



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