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[PMID]:29489689
[Au] Autor:Jiang L; Tao T; Zheng J; Jia Z; Xu H; Ni Y
[Ad] Endereço:Department of Cardiothoracic Surgery, The First Affiliated Hospital of Zhejiang University, Hangzhou, China.
[Ti] Título:Case report of refractory pericardial effusion associated with lymphatic fistula due to surgical injury during sternotomy.
[So] Source:Medicine (Baltimore);97(9):e9892, 2018 Mar.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: A 35-year old Chinese female was admitted to hospital with refractory pericardial effusions 10 days post mitral valve replacement via median sternotomy. We performed an exploratory resternotomy and found lymphatic leakage on the surface of the diaphragm which was continuously emitting a light yellow fluid. PATIENT CONCERNS: The patient complained of no obvious discomfort except for the concern of massive pericardial effusion drainage. DIAGNOSES: Exploratory resternotomy and biochemical testing lead to a supradiaphragmatic lymphatic fistula being diagnosed as the cause of the refractory pericardial effusion. INTERVENTIONS: The fistula was closed with a continuous suture and no other fistulas were found after a thorough exploration. OUTCOMES: The patient was discharged home on postoperative day 5 and recovery was uneventful. LESSONS: In this case a timely exploratory resternotomy proved effective in seeking the cause of and treating pericardial effusion following cardiac surgery.
[Mh] Termos MeSH primário: Complicações Intraoperatórias/etiologia
Doenças Linfáticas/complicações
Derrame Pericárdico/etiologia
Fístula do Sistema Respiratório/complicações
Esternotomia/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Diafragma/patologia
Diafragma/cirurgia
Drenagem
Feminino
Seres Humanos
Complicações Intraoperatórias/patologia
Doenças Linfáticas/patologia
Derrame Pericárdico/cirurgia
Fístula do Sistema Respiratório/patologia
[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.0000000000009892


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[PMID]:29357379
[Au] Autor:Darwiche W; Gay-Quéheillard J; Delanaud S; El Khayat El Sabbouri H; Khachfe H; Joumaa W; Bach V; Ramadan W
[Ad] Endereço:PériTox, Périnatalité & Risques Toxiques, UMR-I 01 INERIS, Amiens, France.
[Ti] Título:Impact of chronic exposure to the pesticide chlorpyrifos on respiratory parameters and sleep apnea in juvenile and adult rats.
[So] Source:PLoS One;13(1):e0191237, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The widely used organophosphorus pesticide chlorpyrifos (CPF) is often detected in food. CPF inhibits acetylcholinesterase and can modify muscle contractility and respiratory patterns. We studied the effects of chronic exposure to CPF on respiratory parameters and diaphragm contractility in 21- and 60-days old rats. Pregnant rats were exposed to oral CPF (1 or 5 mg/ kg /day: CPF-1 or CPF-5 groups vs vehicle: controls) from gestation onset up to weaning of the pups that were individually gavaged (CPF or vehicle) thereafter. Two developmental time points were studied: weaning (day 21) and adulthood (day 60). Whole-body plethysmography was used to score breathing patterns and apnea index during sleep. Then, diaphragm strips were dissected for the assessment of contractility and acetylcholinesterase activity. Results showed that the sleep apnea index was higher in CPF-exposed rats than in controls. In adult rats, the expiratory time and tidal volume were higher in CPF-exposed animals than in controls. At both ages, the diaphragm's amplitude of contraction and fatigability index were higher in the CPF-5 group, due to lower acetylcholinesterase activity. We conclude that chronic exposure to CPF is associated with higher sleep apnea index and diaphragm contractility, and modifies respiratory patterns in sleeping juvenile and adult rats.
[Mh] Termos MeSH primário: Clorpirifos/toxicidade
Praguicidas/toxicidade
Respiração/efeitos dos fármacos
Síndromes da Apneia do Sono/induzido quimicamente
[Mh] Termos MeSH secundário: Acetilcolinesterase/metabolismo
Animais
Clorpirifos/administração & dosagem
Inibidores da Colinesterase/administração & dosagem
Inibidores da Colinesterase/toxicidade
Diafragma/efeitos dos fármacos
Diafragma/fisiopatologia
Feminino
Masculino
Contração Muscular/efeitos dos fármacos
Pletismografia Total
Gravidez
Efeitos Tardios da Exposição Pré-Natal/fisiopatologia
Ratos
Síndromes da Apneia do Sono/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Cholinesterase Inhibitors); 0 (Pesticides); EC 3.1.1.7 (Acetylcholinesterase); JCS58I644W (Chlorpyrifos)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180123
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191237


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[PMID]:28467575
[Au] Autor:Yücel M; Özpek A; Tolan HK; Basak F; Bas G; Ünal E; Alimoglu O
[Ad] Endereço:Department of General Surgery, Ümraniye Training and Research Hospital, Istanbul-Turkey. drmetin69@mynet.com.
[Ti] Título:Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study.
[So] Source:Ulus Travma Acil Cerrahi Derg;23(2):107-111, 2017 Mar.
[Is] ISSN:1306-696X
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Stab wounds in the left thoracoabdominal region may cause diaphragmatic injury. The aim of the present study was to determine incidence of diaphragmatic injury and role of diagnostic laparoscopy in detection of injury in patients with left thoracoabdominal stab wound. METHODS: Total of 81 patients (75 male, 6 female; mean age 27.5±9.8 years; range 14 to 60 years) who presented with left thoracoabdominal stab wound between April 2009 and September 2014 were evaluated. Laparotomy was performed on patients who had hemodynamic instability, signs of peritonitis, or organ evisceration. Remaining patients were followed conservatively. After 48 hours, diagnostic laparoscopy was performed on patients without laparotomy indication to examine the left diaphragm for injury. Follow-up and treatment findings were prospectively evaluated. RESULTS: Thirteen patients underwent laparotomy while diagnostic laparoscopy was performed on remaining 68 patients. Left diaphragmatic injury was observed in 19 patients (23.5%) in the study group. Four injuries were diagnosed by laparotomy and 15 were diagnosed by laparoscopy. Presence of hemopneumothorax did not yield difference in incidence of diaphragmatic injury (p=0.131). No significant difference was detected in terms of diaphragmatic injury with respect to entry site of stab wound in the thoracoabdominal region (p=0.929). CONCLUSION: It is important to evaluate the diaphragm in left thoracoabdominal stab injuries, and diagnostic laparoscopy is still the safest and most feasible method.
[Mh] Termos MeSH primário: Traumatismos Abdominais
Diafragma
Laparoscopia
Traumatismos Torácicos
Ferimentos Perfurantes
[Mh] Termos MeSH secundário: Traumatismos Abdominais/diagnóstico
Traumatismos Abdominais/epidemiologia
Traumatismos Abdominais/cirurgia
Adolescente
Adulto
Diafragma/lesões
Diafragma/cirurgia
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Traumatismos Torácicos/diagnóstico
Traumatismos Torácicos/epidemiologia
Traumatismos Torácicos/cirurgia
Ferimentos Perfurantes/diagnóstico
Ferimentos Perfurantes/epidemiologia
Ferimentos Perfurantes/cirurgia
Adulto Jovem
[Pt] Tipo de publicação: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:170504
[St] Status:MEDLINE
[do] DOI:10.5505/tjtes.2016.91043


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[PMID]:28457826
[Au] Autor:Kim S; Choi WJ; Lee KH; Byun CS; Bae KS; Park IH
[Ad] Endereço:Department of Surgery, Yonsei University, Wonju College of Medicine, Republic of Korea. Electronic address: sykimvs@yonsei.ac.kr.
[Ti] Título:The clinical implications of severe low rib fracture in the management of diaphragm injury: A Case Control Study.
[So] Source:Int J Surg;42:178-182, 2017 Jun.
[Is] ISSN:1743-9159
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The objective of this study was to analyze the differences in clinical presentation and characteristics with regard to diaphragmatic injury between blunt trauma patients with severe low rib fractures and those without severe low rib fractures. METHODS: The medical records of all patients with diaphragmatic injuries who were surgically treated at this level I trauma center, between January 2004 and December 2016 were reviewed. Patient notes, radiologic findings, and operative reports were evaluated. All of the diaphragmatic injuries were confirmed based on the operative findings. Rib fracture with displacement between the ends of the fracture of more than half the width of the fractured rib on computed tomography was classified as 'severe rib fracture'. Patients were categorized into 2 groups and analyzed: those who had more than one severe rib fracture in low ribs on the ipsilateral side of the diaphragm injury (Severe group), and those with no severe rib fracture (Non-severe group). RESULTS: Delayed diagnosis of diaphragmatic injury was more frequent in the Severe group than in the Non-severe group (81.8% vs 36.8%, p-value = 0.026). With regard to initial indications for operation, intrathoracic visceral herniation was more frequent in the Non-severe group (78.9% vs 18.2%, p-value = 0.002), while hemothorax was more frequent in the Severe group (63.6% vs 5.3%, p-value = 0.001). Central type diaphragmatic laceration was more frequent in the Non-severe group than in the Severe group (78.9% vs 18.2%, p-value = 0.002). The diameter of diaphragmatic injury was larger in the Non-severe group than in the Severe group (9.70 ± 4.10 cm vs 4.80 ± 3.60 cm, p-value = 0.004). CONCLUSION: The results of this study imply that a low threshold for thoracotomy or laparotomy should be considered in blunt trauma patients with severe low rib fractures for the purpose of hidden diaphragmatic injury detection and management.
[Mh] Termos MeSH primário: Diafragma/lesões
Fraturas das Costelas/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos de Casos e Controles
Feminino
Seres Humanos
Laparotomia
Masculino
Meia-Idade
Fraturas das Costelas/diagnóstico
Toracotomia
Ferimentos não Penetrantes/diagnóstico
Ferimentos não Penetrantes/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


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[PMID]:27773445
[Au] Autor:Lens E; Gurney-Champion OJ; Tekelenburg DR; van Kesteren Z; Parkes MJ; van Tienhoven G; Nederveen AJ; van der Horst A; Bel A
[Ad] Endereço:Department of Radiation Oncology, Academic Medical Center/University of Amsterdam, The Netherlands. Electronic address: e.lens@amc.uva.nl.
[Ti] Título:Abdominal organ motion during inhalation and exhalation breath-holds: pancreatic motion at different lung volumes compared.
[So] Source:Radiother Oncol;121(2):268-275, 2016 11.
[Is] ISSN:1879-0887
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Contrary to what is commonly assumed, organs continue to move during breath-holding. We investigated the influence of lung volume on motion magnitude during breath-holding and changes in velocity over the duration of breath-holding. MATERIALS AND METHODS: Sixteen healthy subjects performed 60-second inhalation breath-holds in room-air, with lung volumes of ∼100% and ∼70% of the inspiratory capacity, and exhalation breath-holds, with lung volumes of ∼30% and ∼0% of the inspiratory capacity. During breath-holding, we obtained dynamic single-slice magnetic-resonance images with a time-resolution of 0.6s. We used 2-dimensional image correlation to obtain the diaphragmatic and pancreatic velocity and displacement during breath-holding. RESULTS: Organ velocity was largest in the inferior-superior direction and was greatest during the first 10s of breath-holding, with diaphragm velocities of 0.41mm/s, 0.29mm/s, 0.16mm/s and 0.15mm/s during BH , BH , BH and BH , respectively. Organ motion magnitudes were larger during inhalation breath-holds (diaphragm moved 9.8 and 9.0mm during BH and BH , respectively) than during exhalation breath-holds (5.6 and 4.3mm during BH and BH , respectively). CONCLUSION: Using exhalation breath-holds rather than inhalation breath-holds and delaying irradiation until after the first 10s of breath-holding may be advantageous for irradiation of abdominal tumors.
[Mh] Termos MeSH primário: Suspensão da Respiração
Inalação/fisiologia
Pulmão/fisiologia
Movimento/fisiologia
Pâncreas/fisiologia
[Mh] Termos MeSH secundário: Adulto
Diafragma/diagnóstico por imagem
Diafragma/fisiologia
Expiração/fisiologia
Feminino
Seres Humanos
Pulmão/diagnóstico por imagem
Medidas de Volume Pulmonar/métodos
Imagem por Ressonância Magnética/métodos
Masculino
Pâncreas/diagnóstico por imagem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1710
[Cu] Atualização por classe:180119
[Lr] Data última revisão:
180119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29277802
[Au] Autor:Pelissier A; Franke O; Darai E; Houvenaeghel G; Chereau E; Rouzier R
[Ad] Endereço:Department of Oncologic Surgery, Centre René Huguenin, Institut Curie, Saint Cloud, France a.komorek@gmail.com.
[Ti] Título:Value of Diaphragmatic Surgery During Interval Debulking Surgery.
[So] Source:Anticancer Res;38(1):411-416, 2018 01.
[Is] ISSN:1791-7530
[Cp] País de publicação:Greece
[La] Idioma:eng
[Ab] Resumo:BACKGROUND/AIM: The aim of this study was to assess the value of diaphragmatic surgery to achieve optimal debulking in patients with advanced ovarian cancer treated by neoadjuvant chemotherapy (NAC). PATIENTS AND METHODS: This is a retrospective review of the medical records of 182 patients. Diaphragmatic surgery was performed during interval debulking surgery (IDS) in 74 patients between January 2002 and December 2014. The patients were divided in 2 groups: with or without histological residual diaphragmatic disease. The time-course of serum CA125 levels, cytoreductive outcome, overall survival (OS) and relapse-free survival (RFS) were analyzed. Patients without diaphragmatic peritonectomy (DP) during IDS were included in the survival analysis. RESULTS: One hundred thirty-two (72.5%) patients had FIGO stage III disease and 43 (23.6%) patients had stage IV disease. Histological examination of DP was positive in 45 patients and negative in 29 patients. CA125 normalization after the 3rd cycle of NAC was significantly associated with negative DP. OS tended to be higher in the DP-negative group (37.8 months vs 19 months, p=0.1). Median OS was 40.7 months in the case of IDS without DP and 22 months in the case of IDS with DP (p=0.048). CONCLUSION: Evaluation of residual diaphragmatic disease can be difficult after NAC. The CA125 tumor marker appears to be a useful tool to define the indications for DP. Diaphragmatic surgery after NAC may be of limited value.
[Mh] Termos MeSH primário: Biomarcadores Tumorais/sangue
Procedimentos Cirúrgicos de Citorredução/métodos
Diafragma/cirurgia
Subunidade alfa de Receptor de Interleucina-5/sangue
Neoplasias Ovarianas/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico
Intervalo Livre de Doença
Feminino
Seres Humanos
Meia-Idade
Terapia Neoadjuvante
Neoplasias Ovarianas/tratamento farmacológico
Neoplasias Ovarianas/patologia
Estudos Retrospectivos
Análise de Sobrevida
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers, Tumor); 0 (Interleukin-5 Receptor alpha Subunit)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171227
[St] Status:MEDLINE


  7 / 15557 MEDLINE  
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[PMID]:28453804
[Au] Autor:Nardini M; Jayakumar S; Elsaegh M; Dunning J
[Ad] Endereço:Cardiothoracic Department, James Cook University Hospital, Middlesbrough, UK.
[Ti] Título:Left video-assisted thoracoscopic surgery for hemidiaphragm traumatic rupture repair.
[So] Source:Interact Cardiovasc Thorac Surg;24(5):815-816, 2017 05 01.
[Is] ISSN:1569-9285
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Diaphragmatic laceration is not a rare condition after blunt thoraco-abdominal trauma following road traffic accidents. Diagnosis is sometime difficult and clinical presentation devious. Video-assisted thoracic surgery is a safe approach in order to confirm diagnosis and treat, like in this this case of an 86-year-old lady with grade IV injury.
[Mh] Termos MeSH primário: Acidentes de Trânsito
Diafragma/cirurgia
Hérnia Diafragmática Traumática/cirurgia
Cirurgia Torácica Vídeoassistida/métodos
[Mh] Termos MeSH secundário: Diafragma/lesões
Feminino
Seres Humanos
Masculino
Ruptura
[Pt] Tipo de publicação:JOURNAL ARTICLE; TECHNICAL REPORT
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/icvts/ivw448


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[PMID]:28457405
[Au] Autor:Duarte RP; Sentanin AC; da Silva AMO; Tonella RM; Duarte GL; Ratti LSR; Boin IFSF
[Ad] Endereço:Unit of Liver Transplantation, Faculty of Medical Sciences, State University of Campinas, Campinas, Brazil.
[Ti] Título:Diaphragm Muscle Surface Electromyography in Patients Submitted to Liver Transplant and Eligible for Extubation.
[So] Source:Transplant Proc;49(4):829-831, 2017 May.
[Is] ISSN:1873-2623
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Liver disease induces many organic and metabolic changes, leading to malnutrition and weight and muscular function loss. Surface electromyography is an easily applicable, noninvasive study, through which the magnitudes of the peaks on the charts depict voluntary muscle activity. AIM: To evaluate the diaphragmatic surface electromyography of postoperative liver transplantation subjects. METHODS: Subjects were patients who underwent liver transplantation and extubation in the Clinical Hospital of State University of Campinas. Electromyography data were collected with support pressure of ≤10 cm H O, Glasgow Coma Scale = 11, and minimum dosages of vasoactive drugs, and data were collected again 30 minutes after extubation. Signal collection was performed with sEMG System Brazil SAS1000V3 electromyograph and electrode stickers. Statistical analysis was performed using R software. RESULTS: The average time of surgery was 345.36 ± 125.62 minutes. Time from spontaneous mode until extubation was 417.14 ± 362.97 minutes. The RMS (root mean square) values of the right and left domes in spontaneous mode with minimal ventilation parameters were 26.68 ± 10.92 and 26.55 ± 10.53, respectively, and the RMS values after extubation were 31.93 ± 18.69 to 34.62 ± 13.55, for right and left domes. The last calculated pretransplant Model for End-stage Liver Disease score averaged 19.64 ± 8.41. CONCLUSION: There were significant differences between the RMS of the diaphragm domes under mechanical ventilation and after extubation, showing lower effectiveness of the diaphragm muscle against resistance, without the aid of positive pressure and the existing overload of the left dome.
[Mh] Termos MeSH primário: Extubação
Diafragma/fisiopatologia
Eletromiografia
Transplante de Fígado
[Mh] Termos MeSH secundário: Adulto
Brasil
Feminino
Seres Humanos
Masculino
Meia-Idade
Período Pós-Operatório
Respiração Artificial
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


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[PMID]:28745703
[Au] Autor:Galimov OV; Khanov VO; Mamadaliev DZ; Sayfullin RR; Sagitdinov RR
[Ad] Endereço:Chair of Surgical Diseases and New Technologies, Bashkir State Medical University, Health Ministry of the Russian Federation, Ufa, Russia.
[Ti] Título:[Creative surgery for hiatal hernia].
[Ti] Título:Kreativnaia khirurgiia gryzhi pishchevodnogo otverstiia diafragmy..
[So] Source:Khirurgiia (Mosk);(7):30-32, 2017.
[Is] ISSN:0023-1207
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:AIM: To present an experience of surgical treatment of hiatal hernia. MATERIAL AND METHODS: An experience of more than thousand laparoscopic fundoplications in various modifications has been accumulated in the Clinic of Bashkir State Medical University for the period 2001-2016. RESULTS: An original device for intraoperative measurement of hiatal orifice is described. Hiatal orifice repair was indicated in case of its dimension over 3.5 cm. 310 patients underwent hiatal orifice repair including diaphragmocrurorrhaphy in 189 cases, hiatal orifice replacement by using of mesh implant in 121 cases. Simultaneous interventions were performed in 211 cases due to hiatal hernia combined with other abdominal diseases. CONCLUSION: Thus, selection of hiatal hernia patients for antireflux surgery should be clearly indicated according to clinical and instrumental data in the context of health care system reforming and widespread use of minimally invasive technologies. Laparoscopic operations for hiatal hernia are preferable and contribute to decrease of morbidity and improvement of outcomes.
[Mh] Termos MeSH primário: Fundoplicatura
Refluxo Gastroesofágico/prevenção & controle
Hérnia Hiatal/cirurgia
Laparoscopia
Complicações Pós-Operatórias
[Mh] Termos MeSH secundário: Adulto
Diafragma/cirurgia
Feminino
Fundoplicatura/efeitos adversos
Fundoplicatura/instrumentação
Fundoplicatura/métodos
Refluxo Gastroesofágico/etiologia
Hérnia Hiatal/complicações
Hérnia Hiatal/diagnóstico
Hérnia Hiatal/fisiopatologia
Seres Humanos
Laparoscopia/efeitos adversos
Laparoscopia/métodos
Masculino
Meia-Idade
Avaliação de Processos e Resultados (Cuidados de Saúde)
Complicações Pós-Operatórias/diagnóstico
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/etiologia
Próteses e Implantes
Federação Russa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171130
[Lr] Data última revisão:
171130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.17116/hirurgia2017730-32


  10 / 15557 MEDLINE  
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[PMID]:29069554
[Au] Autor:Klein J; Sirota M
[Ad] Endereço:Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, VA jklein0079@gmail.com.
[Ti] Título:Congenital Diaphragmatic Hernia.
[So] Source:N Engl J Med;377(17):e25, 2017 Oct 26.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Diafragma/diagnóstico por imagem
Hérnias Diafragmáticas Congênitas/diagnóstico por imagem
Radiografia Torácica
[Mh] Termos MeSH secundário: Feminino
Hérnias Diafragmáticas Congênitas/cirurgia
Seres Humanos
Recém-Nascido
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[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:171026
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMicm1701321



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde