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1 / 2028

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[PMID]: 29240475 [Au] Autor: Theofanis G; Saedon M; Kho SH; Mulita F; Germanos S; Leung E [Ad] Endereço: Resident Surgeon, General University Hospital of Patras, Rio, Greece. [Ti] Título: Avoiding emergency stoma surgery with the use of sugar. [So] Source: Br J Nurs;26(22):S24-S26, 2017 Dec 14. [Is] ISSN: 0966-0461 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: George Theofanis, Mahmud Saedon, Soo Hua Kho, Francesk Mulita, Stylianos Germanos and Edmund Leung discuss the use of sugar as an aid to reducing a stomal prolapse. [Mh] Termos MeSH primário: Colostomia/efeitos adversos Açúcares da Dieta/administração & dosagem Complicações Pós-Operatórias/etiologia Complicações Pós-Operatórias/prevenção & controle [Mh] Termos MeSH secundário: Administração Tópica Idoso Edema/prevenção & controle Tratamento de Emergência Seres Humanos Masculino Prolapso Açúcares [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Nm] Nome de substância: 0 (Dietary Sugars); 0 (Sugars) [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180306 [Lr] Data última revisão: 180306 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 171215 [St] Status: MEDLINE [do] DOI: 10.12968/bjon.2017.26.22.S24

2 / 2028

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[PMID]: 29256288 [Au] Autor: Szabo Z [Ad] Endereço: Tai Wai Small Animal and Exotic Hospital , 75 Chik Shun Street, Tai Wai, Shatin, New Territories , Hong Kong. [Ti] Título: Transurethral urinary bladder eversion and prolapse in a castrated male pet rabbit. [So] Source: Acta Vet Hung;65(4):556-564, 2017 12. [Is] ISSN: 0236-6290 [Cp] País de publicação: Hungary [La] Idioma: eng [Ab] Resumo: A 7-year-old castrated male rabbit was presented with a red oedematous mass at the prepuce. The tissue was identified as the urinary bladder, and the condition was diagnosed as complete transurethral urinary bladder eversion. Exploratory laparotomy was performed, the prolapse was successfully reduced and the bladder was secured to the body wall with cystopexy. The surgery was successful and the bladder remained in place without complications until the time of this report (three years after surgery). Transurethral bladder prolapse is a very rare condition previously reported only in women, mares, cows, bitches, queens, and rabbit does. The case herein is the first reported case of transurethral bladder prolapse in a male of any species. [Mh] Termos MeSH primário: Coelhos Doenças da Bexiga Urinária/veterinária Bexiga Urinária/patologia [Mh] Termos MeSH secundário: Animais Masculino Prolapso Doenças da Bexiga Urinária/patologia [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180305 [Lr] Data última revisão: 180305 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171220 [St] Status: MEDLINE [do] DOI: 10.1556/004.2017.054

3 / 2028

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[PMID]: 28708040 [Au] Autor: Tan KA; Sewell MD; Markmann Y; Clarke AJ; Stokes OM; Chan D [Ad] Endereço: Exeter Spine Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter NHS Foundation Trust, Exeter, United Kingdom; and. [Ti] Título: Anterior lumbar discectomy and fusion for acute cauda equina syndrome caused by recurrent disc prolapse: report of 3 cases. [So] Source: J Neurosurg Spine;27(4):352-356, 2017 Oct. [Is] ISSN: 1547-5646 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: There is a lack of information and consensus regarding the optimal treatment for recurrent disc herniation previously treated by posterior discectomy, and no reports have described an anterior approach for recurrent disc herniation causing cauda equina syndrome (CES). Revision posterior decompression, irrespective of the presence of CES, has been reported to be associated with significantly higher rates of dural tears, hematomas, and iatrogenic nerve root damage. The authors describe treatment and outcomes in 3 consecutive cases of patients who underwent anterior lumbar discectomy and fusion (ALDF) for CES caused by recurrent disc herniations that had been previously treated with posterior discectomy. All 3 patients were operated on within 12 hours of presentation and were treated with an anterior retroperitoneal lumbar approach. Follow-up ranged from 12 to 24 months. Complete retrieval of herniated disc material was achieved without encountering significant epidural scar tissue in all 3 cases. No perioperative infection or neurological injury occurred, and all 3 patients had neurological recovery with restoration of bladder and bowel function and improvement in back and leg pain. ALDF is one option to treat CES caused by recurrent lumbar disc prolapse previously treated with posterior discectomy. The main advantage is that it avoids dissection around epidural scar tissue, but the procedure is associated with other risks and further evaluation of its safety in larger series is required. [Mh] Termos MeSH primário: Discotomia Deslocamento do Disco Intervertebral/cirurgia Vértebras Lombares/cirurgia Polirradiculopatia/cirurgia Fusão Vertebral [Mh] Termos MeSH secundário: Adulto Discotomia/métodos Feminino Seres Humanos Deslocamento do Disco Intervertebral/complicações Deslocamento do Disco Intervertebral/diagnóstico por imagem Vértebras Lombares/diagnóstico por imagem Masculino Meia-Idade Polirradiculopatia/diagnóstico por imagem Polirradiculopatia/etiologia Prolapso Recidiva Fusão Vertebral/métodos [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171116 [Lr] Data última revisão: 171116 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170715 [St] Status: MEDLINE [do] DOI: 10.3171/2017.1.SPINE16352

4 / 2028

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[PMID]: 28328271 [Au] Autor: McGrath A [Ti] Título: Stoma-associated problems: the important role of the specialist nurse. [So] Source: Br J Nurs;26(5):S30-S31, 2017 Mar 09. [Is] ISSN: 0966-0461 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Following on from a study carried out with his colleagues in 2010, Anthony McGrath, Head of Department Adult Nursing and Midwifery, London South Bank University, considers the ongoing problems faced by patients with stomas and the importance of support from stoma care nurses. [Mh] Termos MeSH primário: Enterostomia/enfermagem Enfermeiras Especialistas Papel do Profissional de Enfermagem [Mh] Termos MeSH secundário: Assistência ao Convalescente Dermatite/epidemiologia Granuloma/epidemiologia Seres Humanos Hérnia Incisional/epidemiologia Obesidade/epidemiologia Prolapso Medição de Risco Fatores de Risco Reino Unido [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170615 [Lr] Data última revisão: 170615 [Sb] Subgrupo de revista: N [Da] Data de entrada para processamento: 170323 [St] Status: MEDLINE [do] DOI: 10.12968/bjon.2017.26.5.S30

5 / 2028

MEDLINE

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[PMID]: 28281278 [Au] Autor: Steenhaut P; Hubinont C; Bernard P; Debiève F [Ad] Endereço: Department of Obstetrics, Saint Luc University Hospital, Université Catholique de Louvain, Brussels, Belgium. [Ti] Título: Retrospective comparison of perinatal outcomes following emergency cervical cerclage with or without prolapsed membranes. [So] Source: Int J Gynaecol Obstet;137(3):260-264, 2017 Jun. [Is] ISSN: 1879-3479 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVE: To compare perinatal outcomes following emergency cerclage between patients with singleton pregnancies with prolapsed and non-prolapsed membranes. METHODS: The present retrospective cohort study included data from women who underwent physical examination-indicated emergency cerclage at between 15 and 25 weeks of pregnancy at Saint Luc University Hospital, Brussels, Belgium, between January 1, 2000, and December 31, 2014. Outcomes were compared based on the presence of prolapsed or non-prolapsed membranes. The primary outcome measures were the duration of pregnancy at delivery and the interval between cerclage and delivery. Secondary outcomes included delivery weight, fetal or neonatal death, and neonatal morbidity, including neonatal intensive care unit admission. RESULTS: Data were included from 140 patients with cervical dilation of at least 1 cm; 85 women had non-prolapsed membranes and 55 women had prolapsed membranes. Among patients with non-prolapsed membranes, the mean duration of pregnancy at delivery was later (P<0.001), the latency between cerclage and delivery was longer (P<0.001), neonatal survival was higher (P=0.036), mean delivery weight was higher (P<0.001), the prevalence of preterm delivery was lower (P<0.001), and severe neonatal morbidity and neonatal intensive care unit admission were lower (P<0.001). CONCLUSION: Having non-prolapsed membranes was associated with improved perinatal outcomes following emergency cerclage. [Mh] Termos MeSH primário: Cerclagem Cervical Incompetência do Colo do Útero/cirurgia [Mh] Termos MeSH secundário: Adulto Emergências Membranas Extraembrionárias/fisiopatologia Feminino Seres Humanos Gravidez Resultado da Gravidez Prolapso Estudos Retrospectivos [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171020 [Lr] Data última revisão: 171020 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170311 [St] Status: MEDLINE [do] DOI: 10.1002/ijgo.12144

6 / 2028

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[PMID]: 28280983 [Au] Autor: Miyo M; Takemasa I; Ikeda M; Tujie M; Hasegawa J; Ohue M; Kato T; Mizushima T; Doki Y; Mori M [Ad] Endereço: Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita, Japan. [Ti] Título: The influence of specific technical maneuvers utilized in the creation of diverting loop-ileostomies on stoma-related morbidity. [So] Source: Surg Today;47(8):940-950, 2017 Aug. [Is] ISSN: 1436-2813 [Cp] País de publicação: Japan [La] Idioma: eng [Ab] Resumo: PURPOSE: The association between technical maneuvers in fashioning a diverting loop-ileostomy and stoma-related complications remains unclear. Thus, this study aimed to evaluate their relevance to stoma-related morbidity. METHODS: This retrospective multicenter study was designed to collect data from 37 institutions. We evaluated the perioperative outcomes of consecutive patients who underwent surgery to create a diverting loop-ileostomy in 2013. RESULTS: A total of 4137 patients with colorectal disease underwent colorectomy, 279 of whom received an ileostomy. The results of these 279 patients were analyzed. The most common complications were parastomal dermatitis (n = 132) followed by ileus (n = 36), mucocutaneous separation (n = 24), parastomal hernia (n = 16), stoma retraction (n = 15), and stoma prolapse (n = 9). The technical maneuvers used in the creation of ileostomies were heterogeneous and some had a great deal of relevance to the complications. A long distance from the ileocecal valve to the ileostomy was associated with a low risk of stoma retraction and a high risk of ileus. Additionally, the height of the distal limb of the ileostomy significantly affected the incidence of parastomal dermatitis and mucocutaneous separation. CONCLUSIONS: Specific technical maneuvers that are utilized in the creation of diverting loop-ileostomies had a significant influence on the incidence of stoma-related morbidities. Our findings emphasize the possibility of minimizing stoma-related complications with appropriate surgical techniques. [Mh] Termos MeSH primário: Ileostomia/métodos Complicações Pós-Operatórias/epidemiologia Complicações Pós-Operatórias/prevenção & controle Estomas Cirúrgicos/efeitos adversos [Mh] Termos MeSH secundário: Dermatite/epidemiologia Dermatite/etiologia Dermatite/prevenção & controle Hérnia/epidemiologia Hérnia/etiologia Hérnia/prevenção & controle Seres Humanos Íleus/epidemiologia Íleus/etiologia Íleus/prevenção & controle Morbidade Período Perioperatório Complicações Pós-Operatórias/etiologia Prolapso Estudos Retrospectivos Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE; MULTICENTER STUDY [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 171011 [Lr] Data última revisão: 171011 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170311 [St] Status: MEDLINE [do] DOI: 10.1007/s00595-017-1481-2

7 / 2028

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[PMID]: 28238321 [Au] Autor: Boujenah J; Fleury C; Pharisien I; Benbara A; Tigaizin A; Bricou A; Carbillon L [Ad] Endereço: Pôle femme et enfant, groupe hospitalier universitaire Paris Seine-Saint-Denis, site Jean-Verdier, avenue du 14-Juillet, 93140 Bondy, France; UFR SMBH, université Paris 13, Sorbonne Paris cité, 93000 Bobigny, France. Electronic address: jeremy.boujenah@gmail.com. [Ti] Título: [Cord accident after external cephalic version: Reality or mostly myth?] [Ti] Título: Accident funiculaire après version par manÅ“uvre externe : mythe ou réalité ?. [So] Source: Gynecol Obstet Fertil Senol;45(1):9-14, 2017 Jan. [Is] ISSN: 2468-7189 [Cp] País de publicação: France [La] Idioma: fre [Ab] Resumo: OBJECTIVES: To study the occurrence of cords accident (nuchal cords, prolapse, and braces) after external cephalic version according to its failure or success. METHODS: Retrospective study between 1998-2015 comparing in the cord accident diagnosed at delivery (by midwife or doctors according to mode of delivery): Patients with attempt ECV: Group 1 cephalic presentation after successful ECV with trial of labor, and Group 2 failed ECV followed by elective cesarean or trial of labor. Patients with no attempt ECV Group 3 spontaneous cephalic presentation matching for delivery date, maternal age, parity, body mass index, and delivery history with group 1, Group 4 Breech presentation without attempt ECV with trial of labor. RESULTS: A total of 776 women with breech presentation were included (198 in group 1, 446 in group 2, 396 in group 3 and 118 in group 4). The prevalence of cord accident did not differ according to ECV attempt (17.08 % versus 18.9 %), to cephalic presentation (group 1: 24.7 % versus group 3: 25 %) and to breech presentation (group 2: 16.9 % versus group 4: 17.2 %). The trial of labor after failed ECV did not increase the risk of cord accident when compared with elective cesarean (17.4 % versus 16 %). A prolapse cord was only observed after trial of labor, i.e. in groups 1, 2 and 4 without difference (respectively 1, 0.8 and 1.7 %). In each group, the rate of cesarean was not different according to the presence of nuchal cord. CONCLUSION: Success or failed External cephalic version is not associated with an increased risk of cord accident. [Mh] Termos MeSH primário: Apresentação Pélvica/terapia Complicações na Gravidez/epidemiologia Cordão Umbilical Versão Fetal/efeitos adversos [Mh] Termos MeSH secundário: Cesárea Feminino Seres Humanos Cordão Nucal/epidemiologia Complicações do Trabalho de Parto/epidemiologia Gravidez Prolapso Estudos Retrospectivos Fatores de Risco Prova de Trabalho de Parto [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171011 [Lr] Data última revisão: 171011 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170228 [St] Status: MEDLINE

8 / 2028

MEDLINE

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[PMID]: 28141950 [Au] Autor: Bayrak M; Gul A; Goynumer G [Ad] Endereço: a Istanbul Medeniyet University Goztepe Education and Research Hospital , Istanbul , Turkey. [Ti] Título: Rescue cerclage when foetal membranes prolapse into the vagina. [So] Source: J Obstet Gynaecol;37(4):471-475, 2017 May. [Is] ISSN: 1364-6893 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: A cross-sectional study was conducted to evaluate the efficacy of rescue cerclage in patients with a dilated cervix and prolapsed foetal membranes. Thirty-five patients presenting with cervical dilatation and prolapsed foetal membranes were included in the study. A McDonald cerclage was placed in 27 patients. The duration of pregnancy prolongation and the number of deliveries after 28 weeks were evaluated. The median prolongation of pregnancy after cerclage placement differed significantly between the cerclage and bed-rest groups (64 days versus 13.5 days). Of the 27 patients who had cerclage, 17 (63%) delivered after 28 weeks of gestation, whereas all patients in the bed-rest group delivered before 28 weeks of gestation. The take-home baby rate was 63% in the cerclage group. When pregnancies were complicated by cervical dilatation with membrane prolapse into the vagina, placement of a McDonald cerclage in appropriately selected patients can be a beneficial therapeutic option. Impact statement Although the effectiveness and safety of rescue cerclage is controversial, our study provides strong support for the notion that cervical cerclage accompanied by long-term broad-spectrum antibiotics improves the perinatal outcomes in singleton gestations with membrane prolapsed into the vagina. Further prospective randomised trial is required to prove these findings. [Mh] Termos MeSH primário: Cerclagem Cervical/métodos Nascimento Prematuro/prevenção & controle Incompetência do Colo do Útero/terapia [Mh] Termos MeSH secundário: Adulto Antibacterianos/uso terapêutico Repouso em Cama Estudos Transversais Membranas Extraembrionárias Feminino Idade Gestacional Seres Humanos Gravidez Prolapso Estatísticas não Paramétricas Fatores de Tempo Tocolíticos/uso terapêutico Vagina Adulto Jovem [Pt] Tipo de publicação: EVALUATION STUDIES; JOURNAL ARTICLE [Nm] Nome de substância: 0 (Anti-Bacterial Agents); 0 (Tocolytic Agents) [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170929 [Lr] Data última revisão: 170929 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170201 [St] Status: MEDLINE [do] DOI: 10.1080/01443615.2016.1268574

9 / 2028

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[PMID]: 28325948 [Au] Autor: Gryglewski A; Pasternak A; Piech K; Gasior G; Glowacki R; Bereza K; Walocha E [Ad] Endereço: Department of Anatomy, Jagiellonian University Medical College, Kopernika 12, Kraków, Poland. msgrygle@cyf-kr.edu.pl. [Ti] Título: Gastroscopy in patients with hiatal hernia with and without gastroesophageal mucosal prolapse. [So] Source: Folia Med Cracov;56(4):5-12, 2016. [Is] ISSN: 0015-5616 [Cp] País de publicação: Poland [La] Idioma: eng [Ab] Resumo: There are still many doubts in the literature regarding gastroesophageal mucosal prolapse (GEMP) and its clinical course. We still do not know what determines mucosal wedging in esophagogastric junction, and what is the role of the anatomy of that site. To investigate that problem we performed 120 upper digestive tract endoscopies in which a hiatal hernia was diagnosed. Patients referred to our unit with different complaints most frequently of typical or atypical gastroesophageal (GE) reflux symptoms. The aim of that study was to assess hernia dimensions in patients with and without GEMP diagnosed during endoscopy. Additionally we analyzed the type and prevalence of gastrointestinal symptoms reported by patients to confirm the observation that GEMP symptoms differ from gastroesophageal reflux disease (GERD) symptoms. METHODS: One-hundred and twenty patients were included in this study. All of the patients were diagnosed with a hiatal hernia during routine gastroscopy. Using standardized methodology the region of the hiatal hernia was photographed, and hernia longitudinal and transverse dimensions were measured. RESULTS: The study group comprised 57 females (52.5%) and 63 males - mean age (SD) 58.5 ± 18.4. Most of the patients had standard GERD symptoms (n = 96; 80%). The average length of hiatus, in patients with GEMP (n = 24; 20%) was 3.56 ± 0.59 cm, and the average width was 2.32 ± 0.62 cm (n = 96; 80%) vs. 4.64 ± 0.74 cm and 2.98 ± 0.68 cm respectively in patients without GEMP (p <0.001). CONCLUSIONS: GEMP occurs in smaller sized hiatal hernias. We confirmed that disease symptoms of the majority of patients with GEMP differ from patient with GERD but without GEMP. However this difference was not significant enough to allow to differentiate between diagnoses based solely on the symptoms. [Mh] Termos MeSH primário: Doenças do Esôfago/diagnóstico Junção Esofagogástrica Refluxo Gastroesofágico/diagnóstico Gastroscopia/métodos Hérnia Hiatal/diagnóstico Gastropatias/diagnóstico [Mh] Termos MeSH secundário: Adulto Idoso Estudos de Casos e Controles Doenças do Esôfago/complicações Mucosa Esofágica Feminino Mucosa Gástrica Refluxo Gastroesofágico/etiologia Hérnia Hiatal/complicações Seres Humanos Masculino Meia-Idade Prolapso Gastropatias/complicações [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170803 [Lr] Data última revisão: 170803 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170323 [St] Status: MEDLINE

10 / 2028

MEDLINE

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[PMID]: 28066159 [Au] Autor: Petersen S; Sterzing D; Ommer A; Mladenov A; Nakic Z; Pakravan F; Wolff K; Lorenz EP; Prosst RL; Sailer M; Scherer R [Ad] Endereço: Department of General, Visceral and Vascular Surgery, Hospital Asklepios Altona, Hamburg, Germany. [Ti] Título: TST36 stapling for rectocele and hemorrhoidal prolapse - early results of the prospective German multicenter study. [So] Source: Ger Med Sci;14:Doc14, 2016. [Is] ISSN: 1612-3174 [Cp] País de publicação: Germany [La] Idioma: eng [Ab] Resumo: The aim of the study was to evaluate the safety and feasibility of stapled transanal procedures performed by a 36 mm stapling device, the so-called TST36 stapler. From September 2013 to June 2014 a prospective observational study was carried out by 8 proctology centers in Germany. The Cleveland Clinic Incontinence Score (CCIS) for incontinence and the Altomare ODS score were determined preoperatively. Follow-up examinations were performed after 14 days, one month and 6 months, at this time both scores were reevaluated. 110 consecutive patients (71 women, 39 men) with a mean age of 59.7 years (±13.8 years) were included in the study. The eight participating institutes entered 3 to 31 patients each into the study. The indication for surgery was an advanced hemorrhoidal disease in 55 patients and ODS with rectal intussusception or rectocele in 55 patients. Mechanical problems with stapler introduction occurred in 22 cases (20%) and a partial stapleline dehiscence in 4 cases (3.6%). Additional stitches for bleeding from stapleline were necessary in 86 patients (78.2%). Reintervention was necessary for bleeding 7 times (6.3%). Severe complications during follow-up were stapleline dehiscence in one case and recurrent hemorrhoidal prolapse in 5 cases (4.5%). Altomare ODS score and CCIS improved significantly after surgery. Despite a notable complication rate during surgery and the postoperative period, the TST36 can be considered as an effective tool for low rectal stapling for anorectal prolapse causing hemorrhoids or obstructed defecation. [Mh] Termos MeSH primário: Hemorragia Gastrointestinal/etiologia Hemorroidas/cirurgia Intussuscepção/cirurgia Retocele/cirurgia Grampeadores Cirúrgicos/efeitos adversos Grampeamento Cirúrgico/efeitos adversos [Mh] Termos MeSH secundário: Idoso Constipação Intestinal/etiologia Incontinência Fecal/etiologia Feminino Hemorragia Gastrointestinal/cirurgia Alemanha Hemorroidas/complicações Seres Humanos Intussuscepção/complicações Tempo de Internação Masculino Meia-Idade Duração da Cirurgia Prolapso Estudos Prospectivos Retocele/complicações Recidiva Reoperação Grampeamento Cirúrgico/instrumentação Deiscência da Ferida Operatória/etiologia [Pt] Tipo de publicação: JOURNAL ARTICLE; MULTICENTER STUDY; OBSERVATIONAL STUDY [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170623 [Lr] Data última revisão: 170623 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170110 [St] Status: MEDLINE [do] DOI: 10.3205/000241

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