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Search Results: 1 - 10 of 56179 matches for " Juvenal da Rocha; "
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Laparoscopic colorectal surgery: what to expect from an initial experience
Teixeira, Fábio Ramos;Teixeira, Gustavo Ramos;Santos, Thiago Costa dos;Torres Neto, Juvenal da Rocha;
Journal of Coloproctology (Rio de Janeiro) , 2012, DOI: 10.1590/S2237-93632012000200011
Abstract: laparoscopic colorectal surgery is less traumatic when compared to traditional surgery techniques, with well-established advantages. the objective of this study was to report the experience in laparoscopic surgical treatment of colorectal diseases. method: catalog all patients submitted to laparoscopic colorectal surgery performed by one surgeon and perform a descriptive analysis of key data from these records. results: the study analyzed data from 43 patients who underwent laparoscopic colorectal surgery. most were females (n=30; 69.77%) in relation to males (n=13; 30.23%), mean age of 57.21 years old. among the indications for surgery, diverticular disease was the most frequent (n=20; 46.51%), followed by malignancy (n=13; 30.23%). most patients underwent rectosigmoidectomy (n=28; 65.12%), followed by right hemicolectomy (n=6; 13.95%), with conversions in five cases (11.63%). the study observed a tendency towards increased number of surgeries, reduced average operative time as well as decreased conversions to laparotomy along the studied period. conclusion: laparoscopic colorectal surgery is a safe procedure, and with the technical development of the team, the results have been increasingly good.
Aspectos epidemiológicos dos pólipos e les?es plano-elevadas colorretais
Torres Neto, Juvenal da Rocha;Arcieri, Jofrancis Santos;Teixeira, Fábio Ramos;
Revista Brasileira de Coloproctologia , 2010, DOI: 10.1590/S0101-98802010000400006
Abstract: introduction: colorectal polyps and flat injuries are important for the prevention of colorectal cancer due to the malignancy of adenomas. objective: to describe the demographic profile of patients with endoscopic diagnosis of colorectal polyps and/or flat injuries at university hospital of universidade federal de sergipe and torres medical center. methods: a total of 6,919 records were evaluated from january 2002 to december 2007 with respect to the following variables: age, gender, origin, indication; injury evaluation os number, size, morphology, histology, dysplasia degree, topography; synchronics and metachronics injuries and associated diagnoses. results: 1,031(13.51%) colorectal polyps and flat injuries were found in 935 tests, accounting for 826 patients, 46% males and 54% females. the age ranged from 3 to 96 years with average of 53.64. the most frequent topographic distribution of polypoid injuries were rectum and sigmoid (58.40%). the injuries were sessile in 52.80% of the cases, pedicle in 27.90%, and flat injuries in 19.30%. there were synchronical injuries in 23.48% of patients and metachronic in 22 patients. histologically, 43.36% were adenomas, being 85.70% tubular, 9.60% tubulovillous and 4.70% villous; hyperplastic polyps were found in 30.64% of the cases, inflammatory in 15.80% and 10.20% presented other histological types. the adenomas showed low-grade dysplasia in 83.40% and high degree in 16.60% of the patients. seven were adenoma-carcinomas, one was carcinoid and one was gastrointestinal stromal tumor. conclusions: the colonoscopy and polypectomy are important in diagnosis and prevention of colorectal cancer.
Estudo demográfico do cancer de canal anal e anus no estado de Sergipe
Torres Neto, Juvenal da Rocha;Prudente, Ana Carolina Lisb?a;Santos, Ronmel Lisboa dos;
Revista Brasileira de Coloproctologia , 2007, DOI: 10.1590/S0101-98802007000200010
Abstract: the lack of specific demographic studies about anal canal and anus cancer in brazil and a better understanding of pathologies' behavior in sergipe's state had motivated the accomplishment of such study. in retrospective analysis (1993 - 2005) we evaluate the main demographics characteristics of the anal cancer in sergipe. from a total of 91 patients, 69 (76.6%) were female and 21 (23.4%) were male. the average of new cases a year was of 0,39 per 100.000 people, with standard deviation of ± 0,16. the squamous cell carcinoma (scc) account of 68% of the cases of anal cancer. in the present study it was observed an unconnected medical charts fulfillment and the necessity of a protocol for the assistance as well as the follow-up of the patients with anal canal and anus cancer.
Cirurgias colorretais no Hospital Universitário da Universidade Federal de Sergipe: três anos da cria??o do Servi?o de Coloproctologia (série histórica)
Torres Neto, Juvenal da Rocha;Souza Júnior, Magno Cézar Amaral de;Santiago, Rodrigo Rocha;Prudente, Ana Carolina Lisboa;
Revista Brasileira de Coloproctologia , 2008, DOI: 10.1590/S0101-98802008000100011
Abstract: we studied colorectal surgeries carried through by the sc-hu/ufs from january 2004 to july 2006, historical series, referring to the creation of the colorectal medical residence. registres by seventy patients that 53(75.7%) were masculine sort and 17(24.3%) feminine; medium age is 52 years. they had been submitted to the 102 procedures, 1,4 surgeries/patients, 29 reoperations. nineteen(18.6%) had been reconstitutions of intestinal transit, 15(14.8%) retossigmoidectomy, 11(10.8%) total colectomy, 9(8.8%) right colectomy, 6(5.8%) abdomino-perineais amputations, 3(2.9%) proctocolectomy, 2(1.9%) left colectomy. eighteen (17.6%) surgeries were indicated for colorectal cancer, 8(7.8%) of rectum and 1(0.9%) of the anal canal; 10(9.9%) for megacólon; 10(9.9%) previous colostomy, 5(5.9%) crohn's disease, 5(4.9%) ddc, 3(2.9%) rcui. forty-eight (47.1%) surgeries have had surgical complication: 32(31.4%) isos, 13(12.7%) abdominal abscess, 11(10.8%) fístulas, 7(6.9%) dehiscences of anastomoses, etc. we observe wound infection in 27(26.5%) surgeries. fifty-five(53.9%) patients had been submitted to the anastomoses, 32(58.2%) manual and 23(41.8%) stapled ones. it had dehiscence of anastomoses in 7(12.7%) surgeries: 1(3.1%) dehiscence for manual anastomoses and 6(26.1%) dehiscences for stapled anastomoses. death in 11(15.7%) patient ones occurred. we evaluate the main data of the work objectifying to define goals, to elaborate and to improve the effective protocols, necessary to the good performance of the residence service.
Uso da peritoneostomia na sepse abdominal
Torres Neto, Juvenal da Rocha;Barreto, Adonai Pinheiro;Prudente, Ana Carolina Lisboa;Santos, Allisson Mário dos;Santiago, Rodrigo Rocha;
Revista Brasileira de Coloproctologia , 2007, DOI: 10.1590/S0101-98802007000300005
Abstract: among the therapeutics approach form of abdominal sepsis, the laparostomy has a decisive role allowing cavity explorations and lavages in an easier way. we study patients with abdominal sepsis diagnoses admitted to our surgical service of coloproctology form sergipe′s federal university hospital who underwent a bogotá bag laparostomy associated or not with polypropylene mesh from january 2004 to january 2006. these patients were assessed as: first and second diagnosis; secondary peritonitis type; antibiotic-therapy; lavages setup; laparostomy′s time; complications and the end of the treatment. we study 10(83.3%) men and 2(16.7%) women, with average age of 39,3 (15-57). first diagnosis: inflammatory abdomen acute 6(50%), block acute abdomen 2(16.7%), perforative acute abdomen 2(16.7%), fistula 1(8.3%) and intracavity abscess 1(8.3%). secondary diagnosis: colon perforation in 4(33.3%), intracavity abscess 3(25%), anastomoses dehiscence 3(25%), 1(8.3%) with sigmoid perforative cancer and 1(8.3%) with colon necrosis. fecal peritonitis was found in 10 patients (83.3%) and purulent in 2(16.7%). the antibiotic-therapy was made during nineteen days. lavages on demand 6(50%), planned with 4(33.3%) and mixed setup in 2(16.7%). the average time of the laparostomy was 10,9 days (1-36). complications: evisceration in 2 cases (16.7%) and fistulization in only one (8.3%). four patients died.
Cirurgias proctológicas em 3 anos de servi?o de coloproctologia: série histórica
Prudente, Ana Carolina Lisboa;Torres Neto, Juvenal da Rocha;Santiago, Rodrigo Rocha;Mariano, Dam Rodrigues;Vieira Filho, Mário Costa;
Revista Brasileira de Coloproctologia , 2009, DOI: 10.1590/S0101-98802009000100010
Abstract: in 2007, 72,5% of all surgeries of coloproctology departament were from anal procedures. three years experience of the medical post-graduation were resumed and analyzed in this study retrospectively. total 455 patients were submitted to hemorrhoidectomy (40%), fistulectomies (20%) and fissurectomies (13%) and others like pilonidal disease, rectovaginal fistulas. in general, these pathologies are more prevalent in women (54%) from 30 to 50 years old. hemorrhoids and fissure affected more women, while fistulas affected men. milligan and morgan's hemorrhoidectomy was realized in 53,7% of the cases with pain and bleeding patterns comparable to ferguson technique. it had provided a bigger number of residual fissure and fecal incontinence. stenosis was the same in both methods. ferguson technique had lowest repair time, even with high tax of dehiscence. fistula affects four times more men than women. in 65% of the cases, fistulectomy was the technique choice, with better results in terms of pain and bleeding and worse tax of incontinence. seton was inserted in 14% of the cases, and it was used in average for 20 weeks, and after its withdrawal, 36% referred minor incontinence. the anal fissure showed preference to posterior place. the anterior fissures occurred more in men.
Avalia??o do preparo intestinal para videocolonoscopia em crian?as
Torres Neto, Juvenal da Rocha;Hora, Isabel;torres, Júlio Augusto do Prado;torres, felipe Augusto do Prado;
Revista Brasileira de Coloproctologia , 2008, DOI: 10.1590/S0101-98802008000200009
Abstract: to an accurate colonoscopy procedure it is necessary a satisfactory colonic cleansing. there are many bowel preparation methods for adults, but there is not any ideal method for children. therefore, this study tried to find a standard method for this age that can associate excellent colonic cleansing, less side effects, higher acceptability and affordability, relatives' support. forty-six children were evaluated after they had undergone a video colonoscopy, between 2002 and 2006, at the department of video colonoscopy of hospital universitário de sergipe and at upep. they were placed in the following groups: children until 1 year old (group a), children from the age of 1 to 5(group b), and children over 5 (group c). in the first and second groups, sodium phosphate was administered via rectum, and in the third group the children received oral manitol solution. from the 25 children that used the rectal sodium phosphate, the preparation was excellent in 22 (88%) and good in 1 (4%), although all the parents emphasized a difficult application. from the other 21 children, that used manitol, 17 (80,9%) had an excellent preparation, 1 (4,8%) had good preparation, 2 (9,5%) had a regular preparation and 1 (4,8%) had a very bad preparation, although all the children had vomited and had felt sick after its ingestion, with low acceptation by the children due to the big volume. the cecum was reached in 41 (89%) cases, from which 19 (41,3%) had been examined until the terminal ileum. an indivualized prepare allowed great level of good prepare and low morbidity.
Tratamento da doen?a hemorroidária com ligadura elástica: estudo prospectivo com 59 pacientes
Motta, Marcel Machado da;Silva Júnior, José Batista da;Santana, Larice Oliveira;Ferdandes, Igor Lima;Moura, Alex Rodrigues;Prudente, Ana Carolina Lisboa;Torres Neto, Juvenal da Rocha;
Revista Brasileira de Coloproctologia , 2011, DOI: 10.1590/S0101-98802011000200005
Abstract: rubber band ligation (rb) is considered a minimally invasive method for the treatment of hemorrhoidal disease (hd) and has advantages in relation to hemorrhoidectomy whereby: simplicity of execution, outpatient realization and no need of anesthesia. it is an effective method, especially in the hd grade ii. however, shows complications, and the most frequents are: anal pain, tenesmus, hematochezia and urinary retention. some studies have shown severe complications as major bleeding that needs blood transfusion. thus, this study evaluated the effectiveness and the morbidity of the treatment of hd by the method of rb. it was a prospective study with 59 patients. five (8,5%) patients had hd graded in the first degree, 33 (55,9%) in the second degree and 21 (35,6%) in the third. all patients were submitted to at least two sessions. in the 135 sessions performed, we found: hematochezia in 62 (45.9%), severe pain in 39 (28.9%), vagal symptoms in 10 (7.4%) and pseudostrangulation in 1 (0.7%) session. the cure rate of hemorrhoidal prolapse among patients with hd grade ii was 87.9% and among those with hd grade iii, 76.2%. the treatment of hd by the method of rb proved to be safe and with good cure rate.
Avalia??o do tratamento de fissura anal cr?nica com isossorbida tópica a 1%
Prudente, Ana Carolina Lisboa;Melo, Valdinaldo Arag?o de;Torres Neto, Juvenal da Rocha;Santiago, Rodrigo Rocha;Vidal, Mário Augusto do Nascimento;
Revista Brasileira de Coloproctologia , 2010, DOI: 10.1590/S0101-98802010000400004
Abstract: introduction: chronic anal fissures are deep, benign and painful ulcers. the involved factors are local trauma, sphinter hypertonia and poor blood flow. surgery is gold standard treatment, but it causes fecal incontinence. medical non-surgical therapy gets transitory resting pressure reduction and cure of lesions, without muscular damage. methods: in order to evaluate the treatment of chronic anal fissures using topical isossorbide (iso) 1%, a randomizated and double-blind study twas carried out in coloproctology section of universidade federal de sergipe (ufs), sergipe, brazil, during one year. twenty-four patients were evaluated: 14 in group 1 - iso cream, and 10 in group 2 - placebo. resting pressure profile, improvement of painful symptoms and degree of scaring of the fissure were evaluated. results: ulcer was more prevalent in women, constipation was present in 58.3%. the evacuatory pain was less common in group 2, but without statistical significance. after 60 days, the healing was equal in the both groups (50%). there was a small reduction of resting pressure means at the end of 30 and 60 days, without statistical significance. healing patients presented more resting pressure reducing. conclusion: iso cream did not influence the manometric response standard; otherwise it offered clinical improvement in both groups, whose scarring index was similar.
Doen?as inflamatórias intestinais no Hospital Universitário da Universidade Federal de Sergipe: manifesta??es extraintestinais
Torres, Júlio Augusto do Prado;Santana, Raquel Matos de;Torres, Felipe Augusto do Prado;Moura, Alex Rodrigues;Torres Neto, Juvenal da Rocha;
Revista Brasileira de Coloproctologia , 2011, DOI: 10.1590/S0101-98802011000200001
Abstract: idiopathic inflammatory bowel disease (ibd) represents a group of chronic inflammatory conditions, resulting from persistent and inappropriate activation of mucosal immune system. besides the typical intestinal symptoms, the ibd can manifest itself through a series of extraintestinal manifestations (eim). objectives: to evaluate the incidence of eim in the hospital universitario of universidade federal de sergipe; to diagnose eim of ibd; to institute the appropriate treatment of patients with these manifestations. methods: we applied a protocol for diagnosis of eim; when necessary, patients were referred to their specialities. results: we categorized 49 patients with ibd, whose 41 (83.6%) had eim. the rheumatologics eim were the most frequent, affecting 35 patients. the others eim were distributed as follows: one case of dermatological eim; one case of urologic eim, one case of pulmonology eim, four cases of ophthalmic eim; eight cases of hepatic eim. conclusions: the eim have a high incidence (i=83.6%) among patients with ibd; the eim had similar incidence among patients with ulcerative colitis and crohn’s disease. the beginning of eim was more common after the diagnosis of ibd; the rheumatologic eim was most prevalent (p=71.4%).
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