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Search Results: 1 - 10 of 34438 matches for " Roberto Saad Jr "
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Pulmonary tuberculosis: relationship between sputum bacilloscopy and radiological lesions
Gomes, Mauro;Saad Jr., Roberto;Stirbulov, Roberto;
Revista do Instituto de Medicina Tropical de S?o Paulo , 2003, DOI: 10.1590/S0036-46652003000500007
Abstract: objectives: to determine the frequency of radiological manifestations of chest tuberculosis among the tuberculosis outpatients at the santa casa de misericórdia de s?o paulo hospital, and to correlate these radiological findings with the sputum bacilloscopy. sample and methods: a review was made of the medical record cards and chest x-rays of all patients attended between january 1996 and december 1998. patients with a diagnosis of tuberculosis who presented intrathoracic manifestations of the disease and negative anti-hiv serology were selected. results: the selection included 153 patients, with an average age of 37.5 years, who were predominantly male (60.8%) and white (56.9%). pulmonary lesions were present in 121 (79.9%) and extrapulmonary lesions in 32 (20.1%). parenchymal-infiltrate lesions appeared in 56 patients (36.6%), cavity lesions in 55 (36.0%), pleural effusion in 28 (18.3%), isolated nodules in 6 (3.9%), mediastinal enlargement in 4 (2.6%) and miliary pattern in 4 (2.6%). cavities were present in 45.5% of the patients with pulmonary lesions, generally in association with the parenchymal-infiltrate lesions. parenchymal infiltrate was present in 86.8% of the patients with pulmonary lesions. there was significant presence of alcohol-acid resistant bacillus in the sputum of patients with cavities (76.4%), in comparison with those without cavities (50%) (p = 0.003). conclusions: parenchymal-infiltrate lesions are the most frequent radiological manifestation of pulmonary tuberculosis, and they are generally associated with cavities. there is a relationship between the presence of acid fast bacilli in sputum and pulmonary cavity lesions.
Pulmonary tuberculosis: relationship between sputum bacilloscopy and radiological lesions
Gomes Mauro,Saad Jr. Roberto,Stirbulov Roberto
Revista do Instituto de Medicina Tropical de S?o Paulo , 2003,
Abstract: OBJECTIVES: To determine the frequency of radiological manifestations of chest tuberculosis among the tuberculosis outpatients at the Santa Casa de Misericórdia de S o Paulo Hospital, and to correlate these radiological findings with the sputum bacilloscopy. SAMPLE AND METHODS: A review was made of the medical record cards and chest X-rays of all patients attended between January 1996 and December 1998. Patients with a diagnosis of tuberculosis who presented intrathoracic manifestations of the disease and negative anti-HIV serology were selected. RESULTS: The selection included 153 patients, with an average age of 37.5 years, who were predominantly male (60.8%) and white (56.9%). Pulmonary lesions were present in 121 (79.9%) and extrapulmonary lesions in 32 (20.1%). Parenchymal-infiltrate lesions appeared in 56 patients (36.6%), cavity lesions in 55 (36.0%), pleural effusion in 28 (18.3%), isolated nodules in 6 (3.9%), mediastinal enlargement in 4 (2.6%) and miliary pattern in 4 (2.6%). Cavities were present in 45.5% of the patients with pulmonary lesions, generally in association with the parenchymal-infiltrate lesions. Parenchymal infiltrate was present in 86.8% of the patients with pulmonary lesions. There was significant presence of alcohol-acid resistant bacillus in the sputum of patients with cavities (76.4%), in comparison with those without cavities (50%) (p = 0.003). CONCLUSIONS: Parenchymal-infiltrate lesions are the most frequent radiological manifestation of pulmonary tuberculosis, and they are generally associated with cavities. There is a relationship between the presence of acid fast bacilli in sputum and pulmonary cavity lesions.
Erro médico em cirurgia do aparelho digestivo: contribui??o para o estudo das provas técnicas, periciais e documentais e suas implica??es jurídicas
Opitz Jr., Jo?o Batista;Saad, Wiliam Abr?o;Kiss, Desidério Roberto;
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2007, DOI: 10.1590/S0102-67202007000100005
Abstract: background: the fear of being prosecuted by their patients in relation to medical malpractice is growing among brazilian medical doctors. this condition may be avoided with preventive orientations. aim: to analyze legal proceedings in course in the city and state of s?o paulo as well as to define what could be the main cause regarding this concern and its consequences. methods: thirty legal proceedings, which were in progress in the regional civil courts in the capital and countryside of the state of s?o paulo - brazil have been analyzed. trial court cases were selected from 1996 to 2002 related solely to digestive system surgery. the practical importance of the subject for the medical-social evolution has been addressed in the first place. the points looked for in this research were: physician/patient relationship (even during the claim); the information about medical procedures and limitations to the patient and family; the technical/legal documentation attached to the case; the professional's education and specialization. the analysis was based exclusively on the documents attached to the case record, trying to find the breach of the physician/patient relationship and the existence of informed consent. an examination of the documentation attached to the defense by the parties or court request, was also done. results: in 93,34% of the cases rupture in the physician/patient relationship occurred. informed consent was found in only 10%. in 85% no or incomplete medical records were found. in 79%, absence of physical examination, and the same in 59% in clinical evolution, was noted. in 80% the writing was illegible. no medical identification was found in 61%. information about previous allergies were not asked in 89% of the patients. surgical descriptions were illegible in 80% and too brief in 47%, and all of them had no citation of the defense arguments to the malpractice accusation. regarding medical post-graduation status, 7% had medical residency, 13% were in cour
Tratamento operatório de bolhas no enfisema bolhoso: uma simples drenagem
SAAD JR., ROBERTO;MANSANO, MARCELO DOMINGUES;BOTTER, MáRCIO;GIANNINI, JACQUELINE ARANTES;DORGAN NETO, VICENTE;
Jornal de Pneumologia , 2000, DOI: 10.1590/S0102-35862000000300003
Abstract: ten surgeries have been performed on 8 patients for the relief of symptoms due to bullous disease. closed intubation drainage of the bullae was used in all patients under local anesthesia. the technique, initially devised by monaldi for the treatment of intrapulmonary tuberculous abscesses was modified. symptomatic improvement and total collapse of the bullae was reported by 9 of the 10 procedures. the technique described provides a simple method for decompressing bullae by means of a minimally invasive surgical procedure. it has proved a suitable approach for all but those with the poorest lung function and is now the author's treatment of choice. techniques using intracavitary intubation have potential advantages: no lung tissue is removed, in addition, the limited incision and a local anesthesia needed for the procedure are better tolerated by patients with poor lung function.
XXVI Congresso brasileiro de cirurgia: miss o cumprida XXVI Brazilian congress of surgery: mission accomplished
Roberto Saad Jr,José Reinan Ramos,Armando de Oliveira e Silva
Revista do Colégio Brasileiro de Cirurgi?es , 2005, DOI: 10.1590/s0100-69912005000300001
Abstract:
Valida o técnica da drenagem pulmonar como tratamento do enfisema pulmonar avan ado: estudo anat mico em cadáveres Technical validation of pulmonary drainage for the treatment of severe pulmonary emphysema: a cadaver-based study
Júlio Mott Ancona Lopez,Roberto Saad Jr,Vicente Dorgan Neto,Marcio Botter
Jornal Brasileiro de Pneumologia , 2013,
Abstract: OBJETIVO: Descrever a técnica operatória da drenagem pulmonar através do estudo anat mico em cadáveres, determinar se o local definido para a drenagem pulmonar é adequado e seguro, e determinar a rela o anat mica do tubo de drenagem com a parede torácica, pulm es, grandes vasos e mediastino. MéTODOS: Foram dissecados 30 cadáveres de ambos os sexos, fornecidos pelo Necrotério do Hospital Central da Santa Casa de S o Paulo, em S o Paulo (SP) no período entre maio e novembro de 2011. Foi inserido um dreno de a o de 7,5 cm com 24 F de diametro no segundo espa o intercostal, na linha médio-clavicular, bilateralmente, e foi medida a distancia do dreno com as seguintes estruturas: br nquios principais, br nquios dos lobos superiores, vasos subclávios, artérias pulmonares, artérias pulmonares do lobo superior, veia pulmonar superior, veia ázigos e aorta. Foram realizadas medi es de peso, altura, diametro laterolateral do tórax, diametro posteroanterior do tórax e espessura da parede torácica de cada cadáver. RESULTADOS: Dos 30 cadáveres dissecados, 20 e 10 eram do sexo masculino e feminino, respectivamente. A média da extremidade distal do dreno com os br nquios principais direito e esquerdo foi de 7,2 cm. CONCLUS ES: A utiliza o de um dreno torácico de tamanho fixo na posi o preconizada é factível e segura, independentemente das características antropométricas do paciente. OBJECTIVE: A cadaver-based study was carried out in order to describe the pulmonary drainage surgical technique, to determine whether the site for the insertion of the chest tube is appropriate and safe, and to determine the anatomical relationship of the chest tube with the chest wall, lungs, large blood vessels, and mediastinum. METHODS: Between May and November of 2011, 30 cadavers of both genders were dissected. The cadavers were provided by the Santa Casa de S o Paulo Central Hospital Mortuary, located in the city of S o Paulo, Brazil. A 7.5-cm, 24 F steel chest tube was inserted into the second intercostal space along the midclavicular line bilaterally, and we measured the distances from the tube to the main bronchi, upper lobe bronchi, subclavian vessels, pulmonary arteries, pulmonary arteries in the upper lobe, superior pulmonary vein, azygos vein, and aorta. Weight, height, and chest wall thickness, as well as laterolateral and posteroanterior diameters of the chest, were measured for each cadaver. RESULTS: Of the 30 cadavers dissected, 20 and 10 were male and female, respectively. The mean distance between the distal end of the tube and the main bronchi (right and left) was 7.2
Tratamento operatório de bolhas no enfisema bolhoso: uma simples drenagem
SAAD JR. ROBERTO,MANSANO MARCELO DOMINGUES,BOTTER MáRCIO,GIANNINI JACQUELINE ARANTES
Jornal de Pneumologia , 2000,
Abstract: Dez opera es foram realizadas em oito doentes portadores de doen a bolhosa. A drenagem fechada da bolha foi a opera o feita em todos os doentes. Esta técnica, descrita inicialmente por Monaldi para o tratamento de abscessos pulmonares tuberculosos, foi utilizada com algumas modifica es. Melhora dos sintomas e colapso total das bolhas foi obtido em nove procedimentos. N o houve mortalidade e os resultados foram compensadores. Esta técnica é um método simples de descompress o da bolha através de um procedimento operatório pouco invasivo. A técnica de drenagem da bolha tem ainda as seguintes vantagens: n o há ressec es de tecido pulmonar e a pequena incis o realizada após anestesia local é bem tolerada pelo doente com fun o pulmonar crítica.
Esophagogastric anastomosis with invagination into stomach: New technique to reduce fistula formation
Alexandre Cruz Henriques, Carlos Alberto Godinho, Roberto Saad Jr, Daniel Reis Waisberg, Aline Biral Zanon, Manlio Basilio Speranzini, Jaques Waisberg
World Journal of Gastroenterology , 2010,
Abstract: AIM: To present a new technique of cervical esophagogastric anastomosis to reduce the frequency of fistula formation.METHODS: A group of 31 patients with thoracic and abdominal esophageal cancer underwent cervical esophagogastric anastomosis with invagination of the proximal esophageal stump into the stomach tube. In the region elected for anastomosis, a transverse myotomy of the esophagus was carried out around the entire circumference of the esophagus. Afterwards, a 4-cm long segment of esophagus was invaginated into the stomach and anastomosed to the anterior and the posterior walls.RESULTS: Postoperative minor complications occurred in 22 (70.9%) patients. Four (12.9%) patients had serious complications that led to death. The discharge of saliva was at a lower region, while attempting to leave the anastomosis site out of the alimentary transit. Three (9.7%) patients had fistula at the esophagogastric anastomosis, with minimal leakage of air or saliva and with mild clinical repercussions. No patients had esophagogastric fistula with intense saliva leakage from either the cervical incision or the thoracic drain. Fibrotic stenosis of anastomoses occurred in seven (22.6%) patients. All these patients obtained relief from their dysphagia with endoscopic dilatation of the anastomosis.CONCLUSION: Cervical esophagogastric anastomosis with invagination of the proximal esophageal stump into the stomach tube presented a low rate of esophagogastric fistula with mild clinical repercussions.
Videotoracoscopia no trauma de tórax
SAAD JúNIOR ROBERTO
Revista da Associa??o Médica Brasileira , 2001,
Abstract:
O Colégio Brasileiro de Cirurgi es e a responsabilidade civil The Brazilian College of Surgeons and the damage liability
Roberto Saad Junior
Revista do Colégio Brasileiro de Cirurgi?es , 2004, DOI: 10.1590/s0100-69912004000600001
Abstract:
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