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Search Results: 1 - 10 of 319704 matches for " Roberto Saad Júnior "
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Videotoracoscopia no trauma de tórax
SAAD JúNIOR ROBERTO
Revista da Associa??o Médica Brasileira , 2001,
Abstract:
Incrível: os ideais s o os mesmos Incredible: the ideals are the same
Roberto Saad Júnior
Revista do Colégio Brasileiro de Cirurgi?es , 2004, DOI: 10.1590/s0100-69912004000100001
Abstract:
Rumos do Colégio Brasileiro de Cirurgi es
Roberto Saad Júnior
Revista do Colégio Brasileiro de Cirurgi?es , 2000, DOI: 10.1590/s0100-69912000000100001
Abstract:
Toda les?o do diafragma por ferimento penetrante deve ser suturada?
Saad Júnior, Roberto;Gon?alves, Roberto;
Revista do Colégio Brasileiro de Cirurgi?es , 2012, DOI: 10.1590/S0100-69912012000300011
Abstract: wounds to the abdominal-thoracic region are associated with diaphragm wounds in up to 48% of cases. lesions secondary to diaphragm trauma are present in the majority of cases, facilitating the diagnosis of diaphragm lesion and subsequent surgical management. however, diaphragm lesions are isolated in 8 to 10% of cases and because they present few or no symptoms may be overlooked. in such situations, can the diaphragm be treated conservatively without suturing? based on experiments in animals and a review of the literature, we concluded there is currently insufficient evidence to affirm that diaphragm injuries require no suturing.
Vias de acesso aos grandes vasos mediastinais no trauma torácico
Gon?alves, Roberto;Saad Júnior, Roberto;
Revista do Colégio Brasileiro de Cirurgi?es , 2012, DOI: 10.1590/S0100-69912012000100013
Abstract: trauma is the most common cause of death in the economically active population and thoracic trauma is directly or indirectly responsible for one quarter of these deaths. lesions to the large thoracic vessels are associated with immediate or early death in the hospital setting. patients admitted alive can be classified as stable or unstable. the access route to be elected for management of these veins will depend on this status, as well as on the anatomical particularities of the patient, which may require combined incisions for adequate access. this article provides a review and discussion of lesions to these structures as well as access routes to them.
Videotoracoscopia no trauma de tórax
Dorgan Neto, Vicente;Saad Júnior, Roberto;Rasslan, Samir;
Revista do Colégio Brasileiro de Cirurgi?es , 2001, DOI: 10.1590/S0100-69912001000100002
Abstract: background: the videothoracoscopy in diagnosis and management of thoracic trauma was evaluated, 51 individuals attended in the emergency service of the surgery department of santa casa de s?o paulo with the intention of defining the function of the procedure in cases of penetrating trauma caused by stab, fire-arms projectile or blunt, in diagnosis suspected clinical or radiologic of thoracic lesions. methods: were selected patients victims of thoracic trauma with diagnosis of hemothorax, precordial contusions and wounds, wounds of thoracic-abdominal transition, embedded knife in the chest and transfixing wounds of mediastinum. the procedures were accomplished in having traumatized stable (blood pressure same or superior 90mmhg). all of them were submitted to videothoracoscopy. results: videoassisted thoracic surgery is an efficient procedure in the diagnostic investigation, in cases of progressive hemothorax (4 cases) and coagulated hemothorax (11 cases), precordial contusions and wounds (3 cases), wounds of thoracic-abdominal transition (24 cases, diaphragmatic injury was confirmed in 9, 37.5%) and embedded knife from the chest (2 cases). the procedure was efficient as well in the management of progressive and coagulated hemothorax and to remove embedded knife from the chest, having avoided the thoracotomy in 33.3% of the examined individuals. conclusions: the videothoracoscopy is efficient procedure for diagnosis and treatment in thoracic trauma and it can still avoid the thoracotomy in expressive number of patients submitted to the procedure.
Estudo da fun??o pulmonar em pacientes submetidos a revasculariza??o do miocárdio sem circula??o extracorpórea com deriva??o intraluminal
Pinto, Ana Maria Rocha;Stirbulov, Roberto;Rivetti, Luiz Antonio;Saad Júnior, Roberto;
Revista do Colégio Brasileiro de Cirurgi?es , 1998, DOI: 10.1590/S0100-69911998000600002
Abstract: pulmonary complications are a major cause of postoperative morbidity and mortality in those patients undergoing operations utilizing cardiopulmonary bypass. the purpose of this study was to evaluate the pulmonary function after myocardial revascularization without cardiopulmonary bypass using a intraluminal shunt. twenty-three patients with coronary disease were submitted to surgery by this technique and pulmonary function testing was conducted consecutively. the surgeries were performed via a median sternotomy with a reversed saphenous vein and/or an internal mammary artery graft. the age ranged from 36 to 69 years (mean 56,3 years). the group was comprised by 16 men and seven women. the pulmonary function tests consisted of spirometric investigations and blood gases measurements with evaluation of intrapulmonary shunt degree, both analyzed during the preoperative period, at the 4th (po4) and at the 10th (po10) postoperative day. in spirometry were determinated the vital capacity (vc), forced vital capacity (fvc), forced expiratory volume at one second (fev), forced expiratory flow over middle half of fvc (fef 25-75), coefficient of the one second expiratory volume (fev/fvc), coefficient of middle expiratory flow (fef 25-75/fvc) and maximal voluntary ventilation (mvv). the vc showed at the po4 a mean decrease of 37.80% (p
Tumor raro em mediastino: hamartoma A rare mediastinum tumor: hamartoma
Roberto Saad Júnior,José Donato de Próspero,Roberto Gon?alves,Jorge Henrique Rivaben
Revista do Colégio Brasileiro de Cirurgi?es , 2013,
Abstract: In the present paper we report a case of mediastinal tumor which we believe has never been reported. Since surgical treatment, the patient presented good evolution. We discuss the presentation, differential diagnosis and therapy. Finally, we stress the importance of the pathologic findings.
Mediastinal diseases: clinical and therapeutic aspects
Saad Júnior, Roberto;Magliari, Maria Elisa Ruffolo;Lopez, Júlio Mott Ancona;
Jornal de Pneumologia , 2003, DOI: 10.1590/S0102-35862003000400007
Abstract: background: mediastinal affections are common and encompass a great number of different diagnoses. objective: to analyze the clinical aspects and the therapeutic response of 114 patients with mediastinal diseases treated at the thoracic surgery department of santa casa de s?o paulo hospital, from 1979 and 1997. method: the patients were grouped according to the benign or malignant nature of the disease, and the two groups were compared regarding gender, age bracket, symptomatology, topography of the lesion, mortality, and response to treatment. results: sixty-three patients had neoplasia: 31 benign and 32 malignant. fifty-one cases were not neoplastic. no difference was found between the groups regarding gender or age bracket. half of the patients were between 20 and 49 years of age. the anterior mediastinum was the most frequently affected compartment (66 patients), followed by the upper mediastinum (18 patients), the posterior mediastinum (16 patients), and the middle mediastinum (14 patients). the most frequent histological types were: benign thymus diseases (n = 40), mesenchymal tumors (n = 17), lymphomas (n = 15), neural tumors (n = 9), and germ cell tumors (n = 8). malignant tumors were more frequently symptomatic (91%), and benign tumors were more frequent in asymptomatic patients (92%). the most frequent symptoms were related to myastenia gravis, followed by dyspnea and chest pain. weight loss, anorexia and fever were significantly more frequent in patients with malignant neoplasias. conclusions: regarding the clinical aspects we can state that benign lesions were predominant, that mediastinal diseases were more prevalent in young adults, and that benign lesions were more frequent in asymptomatic patients. treatment (clinical/surgical) was effective in most patients, benefiting approximately 90% of the patients with benign affections and 45% of the patients with malignant tumors. in 73% of the benign affections, surgical treatment was capable of achieving th
Mediastinal diseases: clinical and therapeutic aspects
Saad Júnior Roberto,Magliari Maria Elisa Ruffolo,Lopez Júlio Mott Ancona
Jornal de Pneumologia , 2003,
Abstract: Background: Mediastinal affections are common and encompass a great number of different diagnoses. Objective: To analyze the clinical aspects and the therapeutic response of 114 patients with mediastinal diseases treated at the Thoracic Surgery Department of Santa Casa de S o Paulo Hospital, from 1979 and 1997. Method: The patients were grouped according to the benign or malignant nature of the disease, and the two groups were compared regarding gender, age bracket, symptomatology, topography of the lesion, mortality, and response to treatment. Results: Sixty-three patients had neoplasia: 31 benign and 32 malignant. Fifty-one cases were not neoplastic. No difference was found between the groups regarding gender or age bracket. Half of the patients were between 20 and 49 years of age. The anterior mediastinum was the most frequently affected compartment (66 patients), followed by the upper mediastinum (18 patients), the posterior mediastinum (16 patients), and the middle mediastinum (14 patients). The most frequent histological types were: benign thymus diseases (N = 40), mesenchymal tumors (N = 17), lymphomas (N = 15), neural tumors (N = 9), and germ cell tumors (N = 8). Malignant tumors were more frequently symptomatic (91%), and benign tumors were more frequent in asymptomatic patients (92%). The most frequent symptoms were related to myastenia gravis, followed by dyspnea and chest pain. Weight loss, anorexia and fever were significantly more frequent in patients with malignant neoplasias. Conclusions: Regarding the clinical aspects we can state that benign lesions were predominant, that mediastinal diseases were more prevalent in young adults, and that benign lesions were more frequent in asymptomatic patients. Treatment (clinical/surgical) was effective in most patients, benefiting approximately 90% of the patients with benign affections and 45% of the patients with malignant tumors. In 73% of the benign affections, surgical treatment was capable of achieving the cure. Mortality resulting from complications was 1.75%.
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