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[PMID]:29353428
[Au] Autor:Regadas FSP; Regadas Filho FSP
[Ad] Endereço:School of Medicine, Federal University of Ceara, Fortaleza, Brazil.
[Ti] Título:Staplers for obstructed defecation syndrome.
[So] Source:Tech Coloproctol;22(1):1-3, 2018 01.
[Is] ISSN:1128-045X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Mh] Termos MeSH primário: Constipação Intestinal
Defecação
[Mh] Termos MeSH secundário: Seres Humanos
Reto
Grampeadores Cirúrgicos
Resultado do Tratamento
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[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:180122
[St] Status:MEDLINE
[do] DOI:10.1007/s10151-017-1743-4


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[PMID]:29016504
[Au] Autor:van Gruting IMA; Stankiewicz A; Kluivers K; De Bin R; Blake H; Sultan AH; Thakar R
[Ad] Endereço:Departments of Obstetrics and Gynaecology and Radiology, Croydon University Hospital, Croydon, United Kingdom; and the Departments of Obstetrics and Gynaecology and Health Evidence, Radboud University Medical Center, Nijmegen, the Netherlands.
[Ti] Título:Accuracy of Four Imaging Techniques for Diagnosis of Posterior Pelvic Floor Disorders.
[So] Source:Obstet Gynecol;130(5):1017-1024, 2017 Nov.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To establish the diagnostic test accuracy of evacuation proctography, magnetic resonance imaging (MRI), transperineal ultrasonography, and endovaginal ultrasonography for detecting posterior pelvic floor disorders (rectocele, enterocele, intussusception, and anismus) in women with obstructed defecation syndrome and secondarily to identify the most patient-friendly imaging technique. METHODS: In this prospective cohort study, 131 women with symptoms of obstructed defecation syndrome underwent evacuation proctogram, MRI, and transperineal and endovaginal ultrasonography. Images were analyzed by two blinded observers. In the absence of a reference standard, latent class analysis was used to assess diagnostic test accuracy of multiple tests with area under the curve (AUC) as the primary outcome measure. Secondary outcome measures were interobserver agreement calculated as Cohen's κ and patient acceptability using a visual analog scale. RESULTS: No significant differences in diagnostic accuracy were found among the imaging techniques for all the target conditions. Estimates of diagnostic test accuracy were highest for rectocele using MRI (AUC 0.79) or transperineal ultrasonography (AUC 0.85), for enterocele using transperineal (AUC 0.73) or endovaginal ultrasonography (AUC 0.87), for intussusception using evacuation proctography (AUC 0.76) or endovaginal ultrasonography (AUC 0.77), and for anismus using endovaginal (AUC 0.95) or transperineal ultrasonography (AUC 0.78). Interobserver agreement for the diagnosis of rectocele (κ 0.53-0.72), enterocele (κ 0.54-0.94) and anismus (κ 0.43-0.81) was moderate to excellent, but poor to fair for intussusception (κ -0.03 to 0.37) with all techniques. Patient acceptability was better for transperineal and endovaginal ultrasonography as compared with MRI and evacuation proctography (P<.001). CONCLUSION: Evacuation proctography, MRI, and transperineal and endovaginal ultrasonography were shown to have similar diagnostic test accuracy. Evacuation proctography is not the best available imaging technique. There is no one optimal test for the diagnosis of all posterior pelvic floor disorders. Because transperineal and endovaginal ultrasonography have good test accuracy and patient acceptability, we suggest these could be used for initial assessment of obstructed defecation syndrome. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT02239302.
[Mh] Termos MeSH primário: Constipação Intestinal/diagnóstico por imagem
Defecografia/métodos
Endossonografia/métodos
Imagem por Ressonância Magnética/métodos
Distúrbios do Assoalho Pélvico/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Área Sob a Curva
Constipação Intestinal/etiologia
Defecação
Defecografia/psicologia
Endossonografia/psicologia
Feminino
Seres Humanos
Imagem por Ressonância Magnética/psicologia
Meia-Idade
Aceitação pelo Paciente de Cuidados de Saúde
Distúrbios do Assoalho Pélvico/complicações
Períneo/diagnóstico por imagem
Estudos Prospectivos
Síndrome
Vagina/diagnóstico por imagem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002245


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[PMID]:28986667
[Au] Autor:Poulsen JL; Brock C; Grønlund D; Liao D; Gregersen H; Krogh K; Drewes AM
[Ad] Endereço:Mech-Sense, Department of Gastroenterology and Hepatology, Aalborg University Hospital, Mølleparkvej 4, 9000, Aalborg, Denmark.
[Ti] Título:Prolonged-Release Oxycodone/Naloxone Improves Anal Sphincter Relaxation Compared to Oxycodone Plus Macrogol 3350.
[So] Source:Dig Dis Sci;62(11):3156-3166, 2017 Nov.
[Is] ISSN:1573-2568
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Opioid analgesics inhibit anal sphincter function and contribute to opioid-induced bowel dysfunction (OIBD). However, it is unknown whether the inhibition can be reduced by opioid antagonism with prolonged-release (PR) naloxone and how this compares to laxative treatment. AIMS: To compare the effects of combined PR oxycodone/naloxone or PR oxycodone plus macrogol 3350 on anal sphincter function and gastrointestinal symptoms. METHODS: A randomized, double-blind, crossover trial was conducted in 20 healthy men. Participants were treated for 5 days with combined PR oxycodone/naloxone or PR oxycodone plus macrogol 3350. Resting anal pressure, anal canal distensibility, and relaxation of the internal sphincter to rectal distension were evaluated before treatment (baseline) and on day 5. The Patient Assessment of Constipation Symptom (PAC-SYM) questionnaire, stool frequency, and stool consistency were assessed daily. RESULTS: Both PR oxycodone/naloxone and PR oxycodone plus macrogol treatment decreased sphincter relaxation compared to baseline (- 27.5%; P < 0.001 and - 14.7%; P = 0.01). However, sphincter relaxation was increased after PR naloxone/oxycodone treatment compared to macrogol (difference = + 17.6%; P < 0.001). Resting anal pressure and anal canal distensibility did not differ between treatments. PAC-SYM abdominal symptoms score was lower during PR naloxone compared to macrogol (0.2 vs. 3.2; P = 0.002). The number of bowel movements was lower during PR naloxone versus macrogol (4.2 vs. 5.4; P = 0.035). CONCLUSION: Relaxation of the internal anal sphincter was significantly better after PR oxycodone/naloxone treatment compared to PR oxycodone plus macrogol 3350. These findings highlight that OIBD may require specific therapy against the complex, pan-intestinal effects of opioids.
[Mh] Termos MeSH primário: Canal Anal/efeitos dos fármacos
Analgésicos Opioides/administração & dosagem
Constipação Intestinal/prevenção & controle
Defecação/efeitos dos fármacos
Relaxamento Muscular/efeitos dos fármacos
Naloxona/administração & dosagem
Antagonistas de Entorpecentes/administração & dosagem
Oxicodona/administração & dosagem
Polietilenoglicóis/administração & dosagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Canal Anal/fisiopatologia
Analgésicos Opioides/efeitos adversos
Constipação Intestinal/induzido quimicamente
Constipação Intestinal/fisiopatologia
Estudos Cross-Over
Preparações de Ação Retardada
Dinamarca
Método Duplo-Cego
Combinação de Medicamentos
Voluntários Saudáveis
Seres Humanos
Masculino
Naloxona/efeitos adversos
Antagonistas de Entorpecentes/efeitos adversos
Oxicodona/efeitos adversos
Polietilenoglicóis/efeitos adversos
Pressão
Inquéritos e Questionários
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Analgesics, Opioid); 0 (Delayed-Action Preparations); 0 (Drug Combinations); 0 (Narcotic Antagonists); 0 (oxycodone naloxone combination); 30IQX730WE (Polyethylene Glycols); 36B82AMQ7N (Naloxone); CD35PMG570 (Oxycodone); GM27P15E5P (polyethylene glycol 3350)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171008
[St] Status:MEDLINE
[do] DOI:10.1007/s10620-017-4784-7


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[PMID]:28982895
[Au] Autor:Kawahara H; Akiba T; Yanaga K
[Ad] Endereço:Department of Surgery, Kashiwa Hospital, Jikei University School of Medicine, Chiba, Japan kawahide@jikei.ac.jp.
[Ti] Título:Cuff-less J Pouch Anal Stapling Anastomosis for Ulcerative Colitis.
[So] Source:Anticancer Res;37(10):5743-5745, 2017 10.
[Is] ISSN:1791-7530
[Cp] País de publicação:Greece
[La] Idioma:eng
[Ab] Resumo:BACKGROUND/AIM: For ulcerative colitis, J pouch anal anastomosis with preserved rectal cuff had been popularized with its acceptable defecation function. However, some complications associated with rectal cuff after surgery have been reported. We are performing a novel procedure, laparoscopic cuff-less J pouch anal stapling anastomosis. PATIENTS AND METHODS: From January 2014 to December 2016, ten patients with ulcerative colitis, including three with concomitant cancer underwent this procedure. J pouch anal anastomosis was performed at the dentate line in all patients by our original procedure. In a manometric examination of all patients more than one year after the operation, maximum resting pressure was 68.0 (52-84) mmHg, maximum squeeze pressure was 101.7 (87-121) mmHg, length of high-pressure zone was 32.3 (30-35), and none had observed rectoanal reflex. Good defecation was confirmed by defecography. CONCLUSION: Cuff-less J pouch anal stapling anastomosis seems to be a useful procedure for patients with ulcerative colitis.
[Mh] Termos MeSH primário: Canal Anal/cirurgia
Colite Ulcerativa/cirurgia
Bolsas Cólicas
Laparoscopia
Proctocolectomia Restauradora/métodos
Reto/cirurgia
Grampeamento Cirúrgico
[Mh] Termos MeSH secundário: Adulto
Idoso
Canal Anal/diagnóstico por imagem
Canal Anal/fisiopatologia
Anastomose Cirúrgica
Colite Ulcerativa/diagnóstico por imagem
Colite Ulcerativa/fisiopatologia
Bolsas Cólicas/efeitos adversos
Defecação
Feminino
Seres Humanos
Laparoscopia/efeitos adversos
Masculino
Meia-Idade
Proctocolectomia Restauradora/efeitos adversos
Recuperação de Função Fisiológica
Reto/diagnóstico por imagem
Reto/fisiopatologia
Grampeamento Cirúrgico/efeitos adversos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171007
[St] Status:MEDLINE


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[PMID]:28870194
[Au] Autor:Pinheiro I; Robinson L; Verhelst A; Marzorati M; Winkens B; den Abbeele PV; Possemiers S
[Ad] Endereço:ProDigest, Technologiepark 3, 9052, Ghent, Belgium.
[Ti] Título:A yeast fermentate improves gastrointestinal discomfort and constipation by modulation of the gut microbiome: results from a randomized double-blind placebo-controlled pilot trial.
[So] Source:BMC Complement Altern Med;17(1):441, 2017 Sep 04.
[Is] ISSN:1472-6882
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Constipation and symptoms of gastrointestinal discomfort such as bloating are common among otherwise healthy individuals, but with significant impact on quality of life. Despite the recognized contribution of the gut microbiome to this pathology, little is known about which group(s) of microorganism(s) are playing a role. A previous study performed in vitro suggests that EpiCor® fermentate has prebiotic-like properties, being able to favorably modulate the composition of the gut microbiome. Therefore, the aim of this study was to investigate the effects of EpiCor fermentate in a population with symptoms of gastrointestinal discomfort and reduced bowel movements and to evaluate its effect at the level of the gut microbiome. METHODS: This pilot study was performed according to a randomized, double-blind, placebo-controlled parallel design. Eighty subjects with symptoms of gastrointestinal discomfort and constipation were allocated to one of two trial arms (placebo or EpiCor fermentate). Randomization was done in a stratified manner according to symptom severity, resulting in two subgroups of patients: severe and moderate. Daily records of gastrointestinal symptoms were assessed on a 5-point scale, and also stool frequency and consistency were documented during a 2-week run-in and a 6-week intervention phases. Averages over two-week intervals were calculated. Constipation-associated quality of life and general perceived stress were assessed at baseline and after 3 and 6 weeks of intervention. Fecal samples were also collected at these same time points. RESULTS: EpiCor fermentate led to a significant improvement of symptoms such as bloating/distension (p = 0.033 and p = 0.024 after 2 and 4 weeks of intervention, respectively), feeling of fullness (p = 0.004 and p = 0.023 after 2 and 4 weeks of intervention, respectively) and general daily scores (p = 0.046 after 2 weeks of intervention) in the moderate subgroup. A significant improvement in stool consistency was observed for the total population (p = 0.023 after 2 weeks of intervention) as well as for the severe subgroup (p = 0.046 after 2 weeks of intervention), and a nearly significant increase in stool frequency was detected for the total cohort (p = 0.083 and p = 0.090 after 2 and 4 weeks of intervention, respectively). These effects were accompanied by an improvement in constipation-associated quality of life and general perceived stress, particularly in the moderate subgroup. Members of the families Bacteroidaceae and Prevotellaceae, two groups of bacteria that have been previously reported to be deficient in constipated patients, were found to increase with EpiCor fermentate in the severe subgroup. In the moderate subgroup, a significant increase in Akkermansia muciniphila was observed. CONCLUSIONS: Despite the relatively low dose administered (500 mg/day), particularly when comparing to the high recommended doses for prebiotic fibers, EpiCor fermentate was able to modulate the composition of the gut microbiome, resulting in improvement of constipation-associated symptoms. Conversely, the reported increase in bowel movements may have altered the gut microbial community by increasing those groups of bacteria that are better adapted to a faster gastrointestinal transit time. TRIAL REGISTRATION: NCT03051399 at ClinicalTrials.gov. Retrospectively registered. Registration date: 13 February 2017.
[Mh] Termos MeSH primário: Constipação Intestinal/microbiologia
Constipação Intestinal/terapia
Microbioma Gastrointestinal
Saccharomyces cerevisiae/metabolismo
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Terapia Biológica
Constipação Intestinal/fisiopatologia
Defecação
Método Duplo-Cego
Feminino
Seres Humanos
Masculino
Meia-Idade
Projetos Piloto
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170906
[St] Status:MEDLINE
[do] DOI:10.1186/s12906-017-1948-0


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[PMID]:28723744
[Au] Autor:Lee DW; Koo JS; Kang S; Kim SY; Hyun JJ; Jung SW; Yim HJ; Lee SW
[Ad] Endereço:Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
[Ti] Título:Association between bowel habits and quality of bowel preparation for colonoscopy.
[So] Source:Medicine (Baltimore);96(29):e7319, 2017 Jul.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The effectiveness of colonoscopy is highly dependent on the quality of bowel preparation. Although many studies have previously evaluated the role of cleansing methods and dosing regimens, few have examined the association between bowel habits and subsequent bowel preparation. Here, we aimed to evaluate the impact of bowel habits on the quality of bowel preparation.A total of 404 patients who underwent a total colonoscopy and completed a personal bowel habit questionnaire at Korea University Hospital between December 2012 and December 2013 were enrolled. The usual stool form of patients was classified into 7 categories according to the Bristol Stool Scale (BSS). The quality of bowel preparation was determined during colonoscopy according to the Ottawa Bowel Preparation Scale (OBPS). Segment scores of ≥3 or total OBPS scores of >7 were defined as poor bowel preparation.Poor bowel preparation was reported in 9.4% of observed colonoscopies. The odds ratio (OR) of poor bowel preparation being associated with infrequent bowel movements (<3/week) was 5.00 (95% confidence interval [CI], 1.91-13.1, P = .001). BSS types 1 and 2 tended to have an association with poor bowel preparation, but the association was statistically insignificant (OR: 2.38; 95% CI, 0.90-6.33, P = .082). After adjusting for age, sex, drinking, presence of diabetes mellitus, and bowel preparation regimen, infrequent bowel movement (<3/week) was still significantly associated with poor bowel preparation. When subdividing by colonic segment, it was significantly associated with poor bowel preparation in all segments.Infrequent bowel movement (<3/week) was significantly associated with poor bowel preparation.
[Mh] Termos MeSH primário: Colonoscopia
Defecação
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos
Fatores Etários
Catárticos/administração & dosagem
Constipação Intestinal
Feminino
Hábitos
Seres Humanos
Masculino
Meia-Idade
Análise Multivariada
Razão de Chances
Melhoria de Qualidade
República da Coreia
Estudos Retrospectivos
Fatores de Risco
Fatores Sexuais
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Cathartics)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170801
[Lr] Data última revisão:
170801
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007319


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[PMID]:28722606
[Au] Autor:Hussain F; Luby SP; Unicomb L; Leontsini E; Naushin T; Buckland AJ; Winch PJ
[Ad] Endereço:International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
[Ti] Título:Assessment of the Acceptability and Feasibility of Child Potties for Safe Child Feces Disposal in Rural Bangladesh.
[So] Source:Am J Trop Med Hyg;97(2):469-476, 2017 Aug.
[Is] ISSN:1476-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Indiscriminate defecation among young children and the unsafe disposal of their feces increases fecal contamination in the household environment and the risk of diarrheal disease transmission. Improved sanitary technology for children too young to use a latrine may facilitate safe feces disposal and reduce fecal contamination in the household environment. We assessed the acceptability and feasibility of child potties in rural Bangladesh in 2010. Our team introduced child potties into 26 households for 30 days, and conducted semistructured interviews, group discussions, and observations to assess the acceptability and feasibility of their use for parents and children. Residents of this rural Bangladeshi community accepted the child potties and caregivers found them to be a feasible means of managing child feces. The color, shape, design, and size of the potty influenced its acceptability and use. These residents reported that regular use of the potty improved the household's physical environment and caregiver and child personal hygiene. Regular potty use also reduced caregivers' work load by making feces collection and disposal easier. Primary caregivers viewed 4-6 months as the appropriate age to initiate potty training. Sanitation interventions should integrate and emphasize potties for children's feces management to reduce household environmental contamination.
[Mh] Termos MeSH primário: Cuidadores/psicologia
Defecação
Fezes
Promoção da Saúde/métodos
Eliminação de Resíduos/métodos
Sanitários Públicos
[Mh] Termos MeSH secundário: Adulto
Atitude Frente à Saúde
Bangladesh
Pré-Escolar
Feminino
Seres Humanos
Lactente
Masculino
Meia-Idade
População Rural
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170720
[St] Status:MEDLINE
[do] DOI:10.4269/ajtmh.15-0932


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[PMID]:28658138
[Au] Autor:Lin G; Ge Q; He X; Qi H; Xu L
[Ad] Endereço:Department of Anorectal Surgery, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
[Ti] Título:A novel technique for the treatment of stages III to IV hemorrhoids: Homemade anal cushion suspension clamp combined with harmonic scalpel.
[So] Source:Medicine (Baltimore);96(26):e7309, 2017 Jun.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To compare the efficacy of homemade anal cushion suspension clamp combined with harmonic scalpel (ACS) and Milligan-Morgan hemorrhoidectomy combined with electric knife (MMH) in the treatment of stages III to IV hemorrhoids. We conducted a retrospective study of 99 patients with stages III to IV hemorrhoids hospitalized from January to December in 2013. Among them, 51 patients were treated with ACS, while 48 patients received MMH. Data from clinical recording and follow-up included operative time, intraoperative blood loss, hospitalization information, postoperative pain, and postoperative complications. Operative time, intraoperative blood loss and hospitalization time in ACS group were significantly less than those in MMH group (P < .05). Compared with MMH group, ACS group had a lower postoperative static pain score from days 1 to 14 (P < .01). The patients in ACS group exhibited less postoperative defecation pain scores from days 3 to 20 than those of MMH group (P < .05). The incidence of postoperative anal edema and delayed wound healing in ACS group was lower than that in MMH group (P < .05). Compared with MMH, our novel technique ACS was more effective and had fewer postoperative complications in the treatment of stages III to IV hemorrhoids.
[Mh] Termos MeSH primário: Hemorroidectomia/instrumentação
Hemorroidectomia/métodos
Hemorroidas/cirurgia
[Mh] Termos MeSH secundário: Adulto
Perda Sanguínea Cirúrgica
Defecação
Edema
Desenho de Equipamento
Feminino
Seguimentos
Seres Humanos
Tempo de Internação
Masculino
Duração da Cirurgia
Medição da Dor
Dor Pós-Operatória
Estudos Retrospectivos
Índice de Gravidade de Doença
Resultado do Tratamento
Cicatrização
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170718
[Lr] Data última revisão:
170718
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170629
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007309


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[PMID]:28655084
[Au] Autor:Luo W; Wang Y; Duan X
[Ad] Endereço:Department of Hernia and Abdominal Wall Surgery, Wuhan Central Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430014, China.
[Ti] Título:[Therapeutic effect of a new hybrid technique which combined laparoscopic method and abdominal repair for parastomal hernia repair].
[So] Source:Zhonghua Wai Ke Za Zhi;55(7):539-542, 2017 Jul 01.
[Is] ISSN:0529-5815
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To investigate the safety and effectiveness of a new hybrid technique which combined laparoscopic method and abdominal repair (Dual Lap) for parastomal herniarepair. The clinical and follow-up data of 27 cases who accepted Dual Lap procedure performed at Department of Hernia and Abdominal Wall Surgery, Wuhan Central Hospital, Tongji Medical College of Huazhong University from January 2010 to January 2015 were analyzed retrospectively. The data included 22 male patients and 5 female patients with mean age of 54 years. Of the patients, there were 19 cases of the left hernia and 8 cases of the right hernia, without ostomy hernia repair history. There were 4 cases of the occult hernial defects during the operation. There were 8 patients with ilealneobladder, 2 patients with ileostomyafter total colectomy for familial adenomatous polyposis, 3 patients with ileostomy and 14 patients with colostomy for ulcerative colitis. All cases underwent hybrid technique successfully. The mean operation time was (108±16) minutes(ranging from 90 to 150 minutes) and the diameter of the hernial ring was (6.4±1.8)cm (ranging from 3 to 13 cm). There were no intestinal, kidney and ureteral obstructions in operations. Five cases need to use the analgesic adjuvant at 48-hour after operation. The time of postoperative defecations was (9.3±2.4) days (ranging from 7 to 16 days) and there were no intestinal leakage, local hematoma, wound infection and fat liquefaction after operations. All patients were followed up for (16.3±4.2) months (ranging from 12 to 48 months). There was no ileus, obvious seroma, hernia recurrence, chronic pain and mesh infection. The Dual Lap procedureis safe and effective for parastomal hernia repair with less complication.
[Mh] Termos MeSH primário: Hérnia Ventral/cirurgia
Herniorrafia
[Mh] Termos MeSH secundário: Colectomia
Colostomia
Defecação
Feminino
Seres Humanos
Íleus
Laparoscopia
Masculino
Meia-Idade
Duração da Cirurgia
Período Pós-Operatório
Estudos Retrospectivos
Telas Cirúrgicas
Resultado do Tratamento
Obstrução Ureteral
Cicatrização
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.0529-5815.2017.07.012


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[PMID]:28644282
[Au] Autor:Wilson A
[Ad] Endereço:Amanda Wilson is a senior lecturer in the School of Nursing and Midwifery, University of Newcastle, Callaghan, Australia, and a member of the Cochrane Nursing Care Field.
[Ti] Título:Does Chewing Gum Promote Bowel Function After Cesarean Section?
[So] Source:Am J Nurs;117(7):21, 2017 Jul.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Editor's note: This is a summary of a nursing care-related systematic review from the Cochrane Library. For more information, see http://nursingcare.cochrane.org.
[Mh] Termos MeSH primário: Cesárea/efeitos adversos
Goma de Mascar
Doenças Inflamatórias Intestinais/etiologia
Doenças Inflamatórias Intestinais/terapia
Intestinos/fisiologia
Cuidados Pós-Operatórios/enfermagem
Recuperação de Função Fisiológica
[Mh] Termos MeSH secundário: Adulto
Defecação
Feminino
Seres Humanos
Meia-Idade
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Chewing Gum)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170624
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000520940.23976.94



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