Ana Carolina Lisboa Prudente
Universidade Federal de Sergipe
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Featured researches published by Ana Carolina Lisboa Prudente.
Revista Brasileira De Coloproctologia | 2007
Juvenal da Rocha Torres Neto; Ricardo Fakhour; Marcel Vinícius de Aguiar Menezes; Joseane Silva Santos; Ana Carolina Lisboa Prudente; João Tiago Silva Monteiro; Vera Lúcia Corrêa Feitosa
Colon laudering is used in many colon surgeries. The LIATO, that promotes cleanness of colon, demonstrates an increase of the surgical time and increase risk of infection. This study compares colonic anastomosis with and without preparation, through histomorfometric analysis. 30 rabbits were submitted to the surgery treatment and had been evaluated and divided in groups: group 1 (control) and group 2 (LIATO). Carried through statistical study with the program Prism® 4 for p< 5%. The analisis found acute inflammatory infiltrated with discrete bigger average in the anastomoses of group 2. Chronic inflammatory infiltrated with average of 1,9 in the anastomoses of group 2 and of 2,1 in the ones without preparation. Necrosis in 15,7% in the LIATO against 13,5% in the group without preparation. Calcium deposit in 43% of the anastomoses with preparation and in 30%, of the ones without preparation. Bigger colagen concentration were met in the anastomoses made with the intestinal laudering. Incidence of interlaced colagen fibres was observed in 86% of the anastomoses of the searched one and in 70% in the control group. We conclude that the LIATO presents better incidence of interlaced colagen fibres and fibre concentration resulting in better anastomosis.
Revista Brasileira De Coloproctologia | 2008
Juvenal da Rocha Torres Neto; Fábio Ramos Teixeira; Ana Carolina Lisboa Prudente; Cristiane Jesus Silvino; Jofrancis Santos Arciere; Mário Costa Vieira Filho
In Brazil, the colorretal cancer (CRC) was the fifth cause of death for cancer in men and fourth, in women in the period of 1995-1999. However, there are few registers on the epidemiologicals aspects of this pathology in Sergipe, being this the focus of this study. OBJECTIVE: To catalogue all CRC cases diagnosed in Sergipe in the period of 03 years (2003-2005), tracing a demographic study. METHOD: The data had been harvested in findings of all pathological anatomy laboratories on the state. RESULTS: The CRC was more frequent in women (n=201; 56,62%) than in men (n=154; 43,38%). The average age was 60,27 years old, and 39 (10,99%) had up to 40 years old. Adenocarcinoma was the histology type more found, present in 295 (83,10%) patients. In Sergipe, the incidence of CRC in 2003, 2004 and 2005 was 4,57; 4,72 and 5,29 per 100.000 men and, 6,07; 5,57 and 6,98 per 100.000 women respectively. In the capital, in this respectives years, these numbers had increased to 10,25; 10,57 and 10,29 per 100.000 men and 12,92; 13,16 and 15,07 per 100.000 women. CONCLUSIONS: The achieved data are similar to the ones of the literature, showing an increase in the annual incidences of the neoplasm.
Revista Brasileira De Coloproctologia | 2007
Juvenal da Rocha Torres Neto; Daniel Carvalho de Menezes; Ana Carolina Lisboa Prudente; Joara Costa Almeida; Jorge Gontran Torres de Menezes
It has not been proved the efficacy of morphine derived at periphery opium receivers. Studies are trying to demonstrate the power of the drug to interfere in the intensity of surgical pain while infiltrating in the periphery nerves. This study evaluated the infiltration of morphine associated with local anesthesia in anorectal surgery. Sixty one patients were analyzed, male and female, divided in two groups: in one group was associated morphine in the local anesthesia while in the other group only the local anesthetic was used. The patients of both groups were submitted to the same protocol standardized sedative during the surgery and postoperative analgesia. The intensity of pain was evaluated when it appeared, the time with analgesia was analyzed and other complications were registered. The intensity of pain was similar in both groups, the time with analgesia was longer in the group where morphine was used, although it was not significant in the statistics and the complications after the surgery were not significant in both groups. So the infiltration of morphine in the anorectal region has benefices in the postoperative analgesia but it was not significant in the statistics and it does not increase the complications related with morphine as urinary retention and itching.
Revista Brasileira De Coloproctologia | 2007
Juvenal da Rocha Torres Neto; Adonai Pinheiro Barreto; Ana Carolina Lisboa Prudente; Allisson Mário dos Santos; Rodrigo Rocha Santiago
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 Bogota 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.
Revista Brasileira De Coloproctologia | 2011
Marcel Machado Da Motta; José Batista da Silva Júnior; Larice Oliveira Santana; Igor Lima Ferdandes; Alex Rodrigues Moura; Ana Carolina Lisboa Prudente; Juvenal da Rocha Torres Neto
A ligadura elastica (LE) e considerada um metodo minimamente invasivo para o tratamento da doenca hemorroidaria (DH) e apresenta vantagens em relacao a hemorroidectomia, como: simplicidade de execucao e realizacao ambulatorial sem o emprego de anestesia. Trata-se de um metodo eficaz, principalmente nos portadores de DH grau II. Porem, apresenta complicacoes, sendo as mais frequentes: dor, tenesmo, hematoquezia e retencao urinaria. Alguns trabalhos mostram complicacoes mais graves, como sangramentos vultosos que necessitaram de hemotransfusao. Assim, este trabalho avaliou a eficacia e a morbidade do tratamento da DH pelo metodo da LE. Foi um estudo prospectivo, com 59 pacientes. Destes, cinco (8,5%) eram portadores de DH grau I, 33 (55,9%) de DH grau II e 21 (35,6%) de DH grau III. Todos os pacientes foram submetidos pelo menos a duas sessoes. Nas 135 sessoes realizadas, encontramos: hematoquezia em 62 (45,9%), dor intensa em 39 (28,9%), sintomas vagais em 10 (7,4%) e pseudoestrangulamento em um (0,7%) sessao. A taxa de cura do prolapso hemorroidario entre os portadores de DH grau II foi de 87,9% e entre aqueles com DH grau III, de 76,2%. O tratamento da DH pelo metodo da ligadura elastica mostrou-se seguro e com boa taxa de cura.
Revista Brasileira De Coloproctologia | 2010
Ana Carolina Lisboa Prudente; Valdinaldo Aragão de Melo; Juvenal da Rocha Torres Neto; Rodrigo Rocha Santiago; Mário Augusto do Nascimento Vidal
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.
Revista Brasileira De Coloproctologia | 2008
Juvenal da Rocha Torres Neto; Magno Cézar Amaral de Souza Júnior; Rodrigo Rocha Santiago; Ana Carolina Lisboa Prudente
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 megacolon; 10(9.9%) previous colostomy, 5(5.9%) Crohns 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%) fistulas, 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.
Journal of Coloproctology | 2012
Juvenal da Rocha Torres Neto; Rodrigo Rocha Santiago; Ana Carolina Lisboa Prudente; Dan Rodrigues Mariano; Felipe Augusto do Prado Torres; Júlio Augusto do Prado Torres; Fernanda Mendonça Ramos; Raquel Matos de Santana
The Peutz-Jeghers syndrome is a rare disease characterized by the presence of mucocutaneous melanic pigmentation of the lips, oral mucosa and perioral region, associated with hamartomatous intestinal polyposis. Malignization of the polyps and association with other types of cancer are also usual. Case report: 32-year-old patient, female, white, who had an intestinal occlusion by invagination, discovered during laparotomy, when an intestinal tumor was found as well. The material was sent to anotomopathological analysis. However, the results did not allow to identify the tumor nature due to tumor necrosis. Then, the patient was sent to our service because of the intestinal polyps, and during the interview, the characteristic melanic pigmentation was observed. Videocolonoscopy was performed, with excision of two rectal polyps, identified in the anatomopathological exam as hamartomatous polyps. The patient reported anal imperforation at birth, just like her brother. He had unexplained death. The authors found no correlation of the Peutz-Jeghers syndrome with anal imperforation in the literature and asked the patient if her brother also had the syndrome.
Journal of Coloproctology | 2011
Igor Lima Fernandes; Larice Oliveira Santana; José Batista da Silva Júnior; Marcel Machado Da Motta; Alex Rodrigues Moura; Ana Carolina Lisboa Prudente; Juvenal da Rocha Torres Neto
Neoplasias do ânus correspondem de 2 a 4% dos tumores de intestino grosso, sendo predominante nas setima e oitava decadas. A maior prevalencia e em genero feminino, com proporcao de 3:1. O aumento da prevalencia na populacao nos ultimos anos provavelmente esta relacionado ao numero maior de pessoas com doencas sexualmente transmissiveis, principalmente o papilomavirus humano (tipos 16 e 18, mais comumente) e/ou o virus da imunodeficiencia humana. O diagnostico e feito a partir de achados clinicos somados ao exame anatomopatologico. O tratamento de escolha baseia-se na radioquimioterapia, sendo a cirurgia de resgate com amputacao abdominoperineal utilizada para casos de recidiva ou persistencia. Foi feito um estudo observacional longitudinal retrospectivo e prospectivo, com 11 pacientes diagnosticados com neoplasia anal no periodo de 2004 a 2010. Seis (54,5%) eram do genero feminino e 5 (45,5%) do masculino. O pico de incidencia foi em sexta decada, com media de idade de 54,45 anos. O tipo histologico mais encontrado foi o carcinoma epidermoide (72,7%), sendo o moderadamente diferenciado o mais frequente grau de diferenciacao. A quimioterapia associada a radioterapia foi instituida em 81,9% dos pacientes, sendo necessaria a cirurgia de amputacao abdominoperineal como terapia de resgate em 18,2% dos pacientes.
Revista Brasileira De Coloproctologia | 2010
Juvenal da Rocha Torres Neto; Cristiane Jesus Silvino; Ana Carolina Lisboa Prudente; Fábio Ramos Teixeira; Felipe Augusto do Prado Torres; Júlio Augusto do Prado Torres
The accomplishment of the colonoscopy can cause decurrent complications of the preparation, sedation and of the disgnostic and/or therapeutical procedures. These events, relatively common, around possess tax of morbidity of 1% e, in general, transitory and are subnotificados. Objective: To evaluate the incidence of complications of the sedation and accomplishment of the colonoscopy, during and immediately after the same one; to relate them it the 0 variable: sort, age, comorbid, amount of the drugs for sedation/analgesic, hypertension, hypotension, hypoxia, tachycardia, bradycardia. Method: Observational, prospective and descriptive study, being accompanied by it colonoscopy of 90 patients in private clinic. One used midazolan and meperidina for the sedation. It was surveyed arterial pressure, saturation of oxygen and cardiac frequency during and immediately before and after the examination. Results: Of the examined patients, 53.3% (n=48) were men. The age average was 48,4 years. For sedation they had on average used 2,95mg of midazolan and 29,5mg of meperidina. Of the initially hypertensive ones, 11 (40.7%) had remained hypertensive to the end of the examination. Saturation of lesser oxygen was observed that 90% in 16 (17.8%) patient ones; bradycardia in 19 (21.1%) and tachycardia in 13 (14.4%). Nauseas, vomits and abdominal pain had been alterations gifts in 11 (12.2%) patient ones and had had to the preparation of the large bowel for the colonoscopy. No important complication was verified.