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[PMID]:28466371
[Au] Autor:Sileri P; Shalaby M
[Ad] Endereço:University of Rome Tor Vergata, Rome, Italy. piersileri@yahoo.com.
[Ti] Título:Biological mesh extrusion months after laparoscopic ventral rectopexy.
[So] Source:Tech Coloproctol;21(4):323-324, 2017 04.
[Is] ISSN:1128-045X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos do Sistema Digestório
Prolapso Retal/cirurgia
[Mh] Termos MeSH secundário: Seres Humanos
Laparoscopia
Telas Cirúrgicas
[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:170504
[St] Status:MEDLINE
[do] DOI:10.1007/s10151-017-1610-3


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[PMID]:28991087
[Au] Autor:van Iersel JJ; Formijne Jonkers HA; Paulides TJC; Verheijen PM; Draaisma WA; Consten ECJ; Broeders IAMJ
[Ad] Endereço:1 Department of Surgery, Meander Medical Centre, Amersfoort, the Netherlands 2 Faculty of Science and Technology, Institute of Technical Medicine, Twente University, Enschede, the Netherlands.
[Ti] Título:Robot-Assisted Ventral Mesh Rectopexy for Rectal Prolapse: A 5-Year Experience at a Tertiary Referral Center.
[So] Source:Dis Colon Rectum;60(11):1215-1223, 2017 Nov.
[Is] ISSN:1530-0358
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Laparoscopic ventral mesh rectopexy is being increasingly performed internationally to treat rectal prolapse syndromes. Robotic assistance appears advantageous for this procedure, but literature regarding robot-assisted ventral mesh rectopexy is limited. OBJECTIVE: The primary objective of this study was to assess the safety and effectiveness of robot-assisted ventral mesh rectopexy in the largest consecutive series of patients to date. DESIGN: This study is a retrospective cross-sectional analysis of prospectively collected data. SETTINGS: The study was conducted in a tertiary referral center. PATIENTS: All of the patients undergoing robot-assisted ventral mesh rectopexy for rectal prolapse syndromes between 2010 and 2015 were evaluated. MAIN OUTCOME MEASURES: Preoperative and postoperative (mesh and nonmesh) morbidity and functional outcome were analyzed. The actuarial recurrence rates were calculated using the Kaplan-Meier method. RESULTS: A total of 258 patients underwent robot-assisted ventral mesh rectopexy (mean ± SD follow-up = 23.5 ± 21.8 mo; range, 0.2 - 65.1 mo). There were no conversions and only 5 intraoperative complications (1.9%). Mortality (0.4%) and major (1.9%) and minor (<30 d) early morbidity (7.0%) were acceptably low. Only 1 (1.3%) mesh-related complication (asymptomatic vaginal mesh erosion) was observed. A significant improvement in obstructed defecation (78.6%) and fecal incontinence (63.7%) were achieved for patients (both p < 0.0005). At final follow-up, a new onset of fecal incontinence and obstructed defecation was induced or worsened in 3.9% and 0.4%. The actuarial 5-year external rectal prolapse and internal rectal prolapse recurrence rates were 12.9% and 10.4%. LIMITATIONS: This was a retrospective study including patients with minimal follow-up. No validated scores were used to assess function. The study was monocentric, and there was no control group. CONCLUSIONS: Robot-assisted ventral mesh rectopexy is a safe and effective technique to treat rectal prolapse syndromes, providing an acceptable recurrence rate and good symptomatic relief with minimal morbidity. See Video Abstract at http://links.lww.com/DCR/A427.
[Mh] Termos MeSH primário: Laparoscopia/métodos
Prolapso Retal/cirurgia
Reto/cirurgia
Procedimentos Cirúrgicos Robóticos/métodos
Telas Cirúrgicas
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Feminino
Seres Humanos
Laparoscopia/instrumentação
Masculino
Meia-Idade
Estudos Retrospectivos
Procedimentos Cirúrgicos Robóticos/instrumentação
Centros de Atenção Terciária
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171010
[St] Status:MEDLINE
[do] DOI:10.1097/DCR.0000000000000895


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[PMID]:28991076
[Au] Autor:Varma MG
[Ad] Endereço:Section of Colorectal Surgery, University of California, San Francisco, California.
[Ti] Título:Expert Commentary on Rectal Prolapse.
[So] Source:Dis Colon Rectum;60(11):1135-1136, 2017 11.
[Is] ISSN:1530-0358
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Prolapso Retal
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171010
[St] Status:MEDLINE
[do] DOI:10.1097/DCR.0000000000000954


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[PMID]:28796739
[Au] Autor:Faucheron JL; Mancini A; Reche F
[Ad] Endereço:1 Colorectal Unit, Department of Surgery, Michallon University Hospital, Grenoble, France 2 University Grenoble Alps, UMR 5525, CNRS, TIMC-IMAG, Grenoble, France 3 Ambulatory Unit, Department of Surgery, Michallon University Hospital, Grenoble, France.
[Ti] Título:Hedrocele Associated With Full-Thickness Rectal Prolapse: A Very Rare Condition Treated by Ambulatory Laparoscopic Anterior Rectopexy.
[So] Source:Dis Colon Rectum;60(9):992-993, 2017 Sep.
[Is] ISSN:1530-0358
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Escavação Retouterina
Doenças Peritoneais/complicações
Radiografia Abdominal/métodos
Prolapso Retal
[Mh] Termos MeSH secundário: Escavação Retouterina/diagnóstico por imagem
Escavação Retouterina/patologia
Feminino
Seres Humanos
Meia-Idade
Planejamento de Assistência ao Paciente
Doenças Peritoneais/diagnóstico
Doenças Peritoneais/fisiopatologia
Prolapso Retal/diagnóstico por imagem
Prolapso Retal/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170811
[St] Status:MEDLINE
[do] DOI:10.1097/DCR.0000000000000882


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[PMID]:28561326
[Au] Autor:Emile SH; Elfeki H
[Ad] Endereço:Department of General Surgery, Colorectal Surgery Unit, Mansoura Faculty of Medicine, Mansoura University Hospitals, Mansoura City, Egypt.
[Ti] Título:Symptom improvement, recurrence and infection after laparoscopic ventral rectopexy using biologic mesh.
[So] Source:Colorectal Dis;19(10):942, 2017 10.
[Is] ISSN:1463-1318
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos do Sistema Digestório
Prolapso Retal/cirurgia
[Mh] Termos MeSH secundário: Produtos Biológicos
Seres Humanos
Laparoscopia
Recidiva
Telas Cirúrgicas
[Pt] Tipo de publicação:LETTER; COMMENT
[Nm] Nome de substância:
0 (Biological Products)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170601
[St] Status:MEDLINE
[do] DOI:10.1111/codi.13750


  6 / 2441 MEDLINE  
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[PMID]:28400698
[Au] Autor:Mehta A; Afshar R; Warner DL; Gardner A; Ackerman E; Brandt J; Sasse KC
[Ad] Endereço:University of Nevada School of Medicine, Reno, Nevada, USA.
[Ti] Título:Laparoscopic Rectopexy with Urinary Bladder Xenograft Reinforcement.
[So] Source:JSLS;21(1), 2017 Jan-Mar.
[Is] ISSN:1938-3797
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND OBJECTIVES: Rectal prolapse is often repaired laparoscopically, frequently with the use of reinforcement material. Both synthetic and biologically derived materials reduce recurrence rate compared to primary suture repair. Synthetic mesh introduces potential complications such as mesh erosion, fibrosis, and infection. Urinary bladder matrix (UBM) represents a biologically derived material for reinforcement of rectal prolapse repair with the potential to improve durability without risks of synthetic materials. The objective of the study is to evaluate the effectiveness, durability, and functional result of laparoscopic rectopexy using urinary bladder matrix xenograft reinforcement at three years follow up. METHODS: The 20 cases presented describe rectal prolapse repair by means of laparoscopic rectopexy with presacral UBM reinforcement. Patients were followed up for an average of 3 years and assessed with interviews, physical examination, manometry, and the fecal incontinence severity index (FISI). RESULTS: Each repair was completed laparoscopically. UBM exhibited favorable handling characteristics when sutured to the sacrum and the lateral rectal walls. One patient underwent laparoscopic drainage of a postoperative abscess; no other complications occurred. In 3 years of follow-up, there have been no full-thickness recurrences, erosions, reoperations, or long-term complications. Two patients exhibited a small degree of mucosal prolapse on follow-up physical examination that did not require surgery. Three-year FISI scores averaged 8 (range, 0-33 of a possible 61), indicating low fecal incontinence symptomatology. Follow-up anorectal manometry was performed in 9 patients, showing mixed results. CONCLUSION: Surgeons may safely use laparoscopic rectopexy with UBM reinforcement for repair of rectal prolapses. In this series, repairs with UBM grafts have been durable at 3-year follow-up and may be an alternative to synthetic mesh reinforcement of rectal prolapse repairs. Future studies may compare the advantages and cost-effectiveness of reinforcement materials for rectal prolapse repair.
[Mh] Termos MeSH primário: Xenoenxertos/transplante
Laparoscopia/métodos
Prolapso Retal/cirurgia
Reto/cirurgia
Transplante Heterólogo/métodos
Bexiga Urinária/transplante
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Animais
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Recidiva
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170522
[Lr] Data última revisão:
170522
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170413
[St] Status:MEDLINE


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[PMID]:28374719
[Au] Autor:Sazhin VP; Khubezov DA; Ogorel'tsev AY; Puchkov DK; Rodimov SV
[Ad] Endereço:Department of obstetrics and additional professional education, Pavlov Russian State Medical University, Ryazan, Russia.
[Ti] Título:[Rectal prolapse with ileum and sigmoid colon eventration].
[Ti] Título:Vypadenie pryamoi kishki s eventratsiei podvzdoshnoi i sigmovidnoi kishki..
[So] Source:Khirurgiia (Mosk);(3):94-96, 2017.
[Is] ISSN:0023-1207
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Mh] Termos MeSH primário: Colectomia/métodos
Colo Sigmoide/patologia
Colostomia/métodos
Íleo/patologia
Oclusão Vascular Mesentérica
Prolapso Retal
Trombose Venosa
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Colo Sigmoide/irrigação sanguínea
Colo Sigmoide/cirurgia
Feminino
Seres Humanos
Íleo/irrigação sanguínea
Íleo/cirurgia
Oclusão Vascular Mesentérica/diagnóstico
Oclusão Vascular Mesentérica/etiologia
Oclusão Vascular Mesentérica/cirurgia
Veias Mesentéricas/patologia
Veias Mesentéricas/fisiopatologia
Necrose
Prolapso Retal/complicações
Prolapso Retal/diagnóstico
Prolapso Retal/fisiopatologia
Prolapso Retal/cirurgia
Fluxo Sanguíneo Regional
Resultado do Tratamento
Trombose Venosa/etiologia
Trombose Venosa/fisiopatologia
Trombose Venosa/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170405
[St] Status:MEDLINE
[do] DOI:10.17116/hirurgia2017394-96


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[PMID]:28059915
[Au] Autor:Eftaiha SM; Calata JF; Sugrue JJ; Marecik SJ; Prasad LM; Mellgren A; Nordenstam J; Park JJ
[Ad] Endereço:1 Division of Colon and Rectal Surgery, University of Illinois at Chicago, Chicago, Illinois 2 Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, Park Ridge, Illinois.
[Ti] Título:Bio-Thiersch as an Adjunct to Perineal Proctectomy Reduces Rates of Recurrent Rectal Prolapse.
[So] Source:Dis Colon Rectum;60(2):187-193, 2017 Feb.
[Is] ISSN:1530-0358
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The rates of recurrent prolapse after perineal proctectomy vary widely in the literature, with incidences ranging between 0% and 50%. The Thiersch procedure, first described in 1891 for the treatment of rectal prolapse, involves encircling the anus with a foreign material with the goal of confining the prolapsing rectum above the anus. The Bio-Thiersch procedure uses biological mesh for anal encirclement and can be used as an adjunct to perineal proctectomy for rectal prolapse to reduce recurrence. OBJECTIVE: The aim of this study was to evaluate the Bio-Thiersch procedure as an adjunct to perineal proctectomy and its impact on recurrence compared with perineal proctectomy alone. DESIGN: A retrospective review of consecutive patients undergoing perineal proctectomy with and without Bio-Thiersch was performed. SETTINGS: Procedures took place in the Division of Colon and Rectal Surgery at a tertiary academic teaching hospital. PATIENTS: Patients who had undergone perineal proctectomy and those who received perineal proctectomy with Bio-Thiersch were evaluated and compared. INTERVENTIONS: All of the patients with rectal prolapse received perineal proctectomy with levatorplasty, and a proportion of those patients had a Bio-Thiersch placed as an adjunct. MAIN OUTCOME MEASURES: The incidence of recurrent rectal prolapse after perineal proctectomy alone or perineal proctectomy with Bio-Thiersch was documented. RESULTS: Sixty-two patients underwent perineal proctectomy (8 had a previous prolapse procedure), and 25 patients underwent perineal proctectomy with Bio-Thiersch (12 had a previous prolapse procedure). Patients who received perineal proctectomy with Bio-Thiersch had a lower rate of recurrent rectal prolapse (p < 0.05) despite a higher proportion of them having had a previous prolapse procedure (p < 0.01). Perineal proctectomy with Bio-Thiersch had a lower recurrence over time versus perineal proctectomy alone (p < 0.05). LIMITATIONS: This study was limited by nature of being a retrospective review. CONCLUSIONS: Bio-Thiersch as an adjunct to perineal proctectomy may reduce the risk for recurrent rectal prolapse and can be particularly effective in patients with a history of previous failed prolapse procedures.
[Mh] Termos MeSH primário: Canal Anal/cirurgia
Procedimentos Cirúrgicos do Sistema Digestório/métodos
Períneo/cirurgia
Prolapso Retal/cirurgia
Reto/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Bioprótese
Estudos de Casos e Controles
Feminino
Seres Humanos
Masculino
Meia-Idade
Recidiva
Estudos Retrospectivos
Telas Cirúrgicas
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170107
[St] Status:MEDLINE
[do] DOI:10.1097/DCR.0000000000000723


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[PMID]:28059914
[Au] Autor:Fu CW; Stevenson AR
[Ad] Endereço:1 Department of Colorectal Surgery, Singapore General Hospital, Singapore 2 Department of Colorectal Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia 3 Faculty of Medicine and Biomedical Sciences, University of Queensland, Brisbane, Queensland, Australia.
[Ti] Título:Risk Factors for Recurrence After Laparoscopic Ventral Rectopexy.
[So] Source:Dis Colon Rectum;60(2):178-186, 2017 Feb.
[Is] ISSN:1530-0358
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Laparoscopic ventral rectopexy effectively treats posterior compartment prolapse. However, recurrence after laparoscopic ventral rectopexy is poorly understood. OBJECTIVE: This study aimed to evaluate factors contributing to recurrence after laparoscopic ventral rectopexy. DESIGN: A retrospective cohort analysis was performed of patients who underwent laparoscopic ventral rectopexy between June 2008 and June 2014. Patients presenting with full-thickness rectal prolapse were compared against the rest. Cox proportional hazards regression was used to determine predictors for recurrence. Operative findings of redo cases were evaluated. SETTINGS: This study was conducted under the supervision of a single pelvic floor surgeon. PATIENTS: A total of 231 patients with a median follow-up of 47 months were included. MAIN OUTCOME MEASURES: Clinicopathological risk factors and technical failures contributing to recurrence were analyzed. RESULTS: The overall recurrence rate was 11.7% (n = 27). Twenty-five recurrences occurred in patients with full-thickness rectal prolapse, of which 16 were full-thickness recurrences (14.2% (16/113)). Multivariate analyses showed predictors for recurrence to be prolonged pudendal nerve terminal motor latency (HR = 5.57 (95% CI, 1.13 - 27.42); p = 0.04) and the use of synthetic mesh as compared with biologic grafts (HR = 4.24 (95% CI, 1.27-14.20); p = 0.02). Age >70 years and poorer preoperative continence were also associated with recurrence on univariate analysis. Technical failures contributing to recurrence included mesh detachment from the sacral promontory and inadequate midrectal mesh fixation. LIMITATIONS: Modifications to the operative technique were made throughout the study period. A postoperative defecating proctogram was not routinely performed. CONCLUSIONS: Recurrence after laparoscopic ventral rectopexy is multifactorial, and risk factors are both clinical and technical. The use of biologic grafts was associated with lower recurrence as compared with synthetic mesh. Patients with full-thickness rectal prolapse who are elderly, have poorer baseline continence, and have prolonged pudendal nerve terminal motor latency are at increased risk of recurrence.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos do Sistema Digestório
Intussuscepção/cirurgia
Prolapso Retal/cirurgia
Retocele/cirurgia
[Mh] Termos MeSH secundário: Fatores Etários
Idoso
Incontinência Fecal/fisiopatologia
Feminino
Seres Humanos
Laparoscopia
Meia-Idade
Análise Multivariada
Modelos de Riscos Proporcionais
Nervo Pudendo/fisiopatologia
Doenças Retais/cirurgia
Prolapso Retal/fisiopatologia
Recidiva
Reoperação
Estudos Retrospectivos
Fatores de Risco
Índice de Gravidade de Doença
Telas Cirúrgicas/utilização
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170107
[St] Status:MEDLINE
[do] DOI:10.1097/DCR.0000000000000710


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[PMID]:27988851
[Au] Autor:Sahay R; Murthi G; Lindley R
[Ad] Endereço:Sheffield Children's Hospital, Sheffield, UK. rohini.sahay9@gmail.com.
[Ti] Título:Outcomes following sclerotherapy for mucosal rectal prolapse with oily phenol injection: single-centre review.
[So] Source:Pediatr Surg Int;33(3):363-365, 2017 Mar.
[Is] ISSN:1437-9813
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:AIM OF THE STUDY: To review the outcomes of injection sclerotherapy with oily phenol for mucosal rectal prolapse. METHODS: Retrospective case note review of all children who underwent sclerotherapy with oily phenol injection as primary surgical intervention for mucosal rectal prolapse, from January 2007 to December 2015. MAIN RESULTS: A total of 31 patients were identified. Mean age at presentation was 4.8 years (range 5 months-12 years). 23 patients with mucosal rectal prolapse underwent injection sclerotherapy with oily phenol as primary procedure. Patients with full-thickness rectal prolapse (n = 6) and 2 with mucosal prolapse who had Thiersch stitch were excluded from the study. The cause for mucosal rectal prolapse was considered to be due to constipation (n = 15), idiopathic (n = 7), spina bifida (n = 1). Follow-up was for minimum 6 months (median = 4 years; range 6 months-17 years). Recurrence following injection sclerotherapy with oily phenol requiring further procedures was 30.4% (7/23). CONCLUSIONS: Injection sclerotherapy with oily phenol is a safe, effective and minimally invasive primary treatment option for mucosal rectal prolapse not responding to conservative management. In case of recurrence, a cautious re-examination under anaesthesia should be undertaken to exclude a missed full-thickness rectal prolapse before reinjecting.
[Mh] Termos MeSH primário: Fenóis/uso terapêutico
Prolapso Retal/terapia
Soluções Esclerosantes/uso terapêutico
Escleroterapia/métodos
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Injeções
Masculino
Fenóis/administração & dosagem
Recidiva
Estudos Retrospectivos
Soluções Esclerosantes/administração & dosagem
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Phenols); 0 (Sclerosing Solutions)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161219
[St] Status:MEDLINE
[do] DOI:10.1007/s00383-016-4035-6



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